healthcosts.net
University Hospitals Portage Medical Center
6847 N. Chestnut Street, Ravenna OH 44266, OH · University Hospitals · · NPI 1043641897
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 | $180.00 | $240.00 | $0.03 – $32.33 | 3 |
| #_fet/norfentcnfrmur CPT 80354 | $171.00 | $228.00 | $0.03 – $29.32 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $148.50 | $198.00 | $5.68 – $21.62 | 17 |
| #acylcarnitineprfl CPT 82017 | $110.25 | $147.00 | $7.70 – $30.37 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $13.16 | 16 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $63.16 | 16 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $63.16 | 16 |
| #cbg+cort-cbg CPT 84449 | $156.75 | $209.00 | $12.21 – $32.40 | 17 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $170.53 | 16 |
| #celiac hla-dq8 CPT 81383 | $175.50 | $234.00 | $76.10 – $196.43 | 17 |
| #cf-97variants CPT 81220 | $1,191.75 | $1,589.00 | $554.52 – $1,001.88 | 17 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $25.33 | 16 |
| #cms hgb-sulfhemoglobin CPT 83060 | $132.75 | $177.00 | $4.41 – $15.84 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $72.75 | $97.00 | $9.25 – $35.21 | 17 |
| #covid19rsv-rsv CPT 87634 | $75.75 | $101.00 | $70.20 – $126.36 | 17 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $171.75 | $229.00 | $6.16 – $23.45 | 17 |
| #creutz-prot.,western blot CPT 84182 | $939.00 | $1,252.00 | $18.36 – $52.58 | 17 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.03 – $0.03 | 1 |
| #fecal-sodium CPT 84302 | $97.50 | $130.00 | $2.36 – $8.75 | 17 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $56.96 – $102.52 | 16 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $18.32 | 16 |
| #mec-opiates CPT 80356 | $27.75 | $37.00 | $0.03 – $31.91 | 3 |
| #pnh-flow cytometry interp CPT 88187 | $181.50 | $242.00 | $13.39 – $61.57 | 17 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $14.43 – $25.97 | 16 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $16.43 – $29.57 | 16 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $0.03 – $0.03 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | $127.50 | $170.00 | $1.44 – $6.17 | 17 |
| 11-desoxycortisol - sendout CPT 82634 | $141.00 | $188.00 | $15.39 – $52.70 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $125.25 | $167.00 | $15.90 – $41.06 | 17 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $23.04 | 16 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $136.02 – $244.84 | 16 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $768.10 – $1,382.58 | 16 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $64.66 | 16 |
| 24 hr ambulatory b/p monitor CPT 93786 | $359.25 | $479.00 | $135.93 – $244.67 | 17 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,282.25 | $3,043.00 | $800.90 – $1,441.62 | 17 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,278.75 | $1,705.00 | $800.90 – $1,441.62 | 17 |
| 2nd order venous cath CPT 36012 | $2,337.00 | $3,116.00 | $749.88 – $1,349.79 | 17 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $607.55 – $2,545.40 | 16 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $131.46 – $236.63 | 16 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $131.46 – $236.63 | 16 |
| 3d ech img cgen car anomal CPT 93319 | $1,164.00 | $1,552.00 | $52.48 – $94.46 | 17 |
| 3d recon without postprocess indpndt CPT 76376 | $522.75 | $697.00 | $23.82 – $42.88 | 17 |
| 5' nucleotidase - sendout CPT 83915 | $252.75 | $337.00 | $5.95 – $20.07 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $81.00 | $108.00 | $20.50 – $92.15 | 17 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $135.00 | $180.00 | $108.30 – $194.93 | 17 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $135.00 | $180.00 | $113.19 – $203.75 | 17 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $111.00 | $148.00 | $118.43 – $213.17 | 17 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $135.00 | $180.00 | $97.85 – $176.14 | 17 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $135.00 | $180.00 | $104.03 – $187.25 | 17 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $111.00 | $148.00 | $103.72 – $186.70 | 17 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $167.25 | $223.00 | $114.16 – $205.48 | 17 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $167.25 | $223.00 | $133.05 – $239.49 | 17 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,864.50 – $5,156.10 | 16 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,313.35 | $7,084.46 | $44.72 – $80.49 | 17 |
| Abciximab injection HCPCS J0130 | not published | not published | $4,813.03 – $4,813.03 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $5,568.75 | $7,425.00 | $159.06 – $5,806.57 | 17 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,100.26 – $1,980.47 | 16 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,505.25 | $2,007.00 | $926.63 – $1,667.93 | 17 |
| Abd/low ext cath 1st CPT 36245 | $3,237.00 | $4,316.00 | $1,110.36 – $1,998.65 | 17 |
| Abd/low ext cath 2nd CPT 36246 | $3,023.25 | $4,031.00 | $746.07 – $1,342.92 | 17 |
| Abd/low ext cath 3rd CPT 36247 | $3,810.00 | $5,080.00 | $1,258.35 – $2,265.04 | 17 |
| Abd/low ext cath addl CPT 36248 | $1,727.25 | $2,303.00 | $105.69 – $190.25 | 17 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,049.00 | $2,732.00 | $179.20 – $322.56 | 17 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,962.75 | $2,617.00 | $179.20 – $322.56 | 17 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,722.00 | $2,296.00 | $106.81 – $192.26 | 17 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,629.50 | $3,506.00 | $356.43 – $641.57 | 17 |
| Abdominal MRI (with contrast) CPT 74182 | $2,457.75 | $3,277.00 | $356.43 – $641.57 | 17 |
| Abdominal MRI (without contrast) CPT 74181 | $2,285.25 | $3,047.00 | $243.77 – $438.79 | 17 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,119.75 | $1,493.00 | $106.81 – $192.26 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $753.00 | $1,004.00 | $106.81 – $192.26 | 17 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,527.75 | $2,037.00 | $926.63 – $1,667.93 | 17 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Abl1 gene CPT 81170 | $430.50 | $574.00 | $300.00 – $540.00 | 17 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $387.78 – $698.01 | 16 |
| Ablate arrhythmia add on CPT 93655 | $10,523.25 | $14,031.00 | $257.77 – $463.99 | 17 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,266.92 – $2,280.46 | 16 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,792.83 – $3,227.09 | 16 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $620.27 – $1,116.48 | 16 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,708.32 – $3,074.98 | 16 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $4,898.25 | $6,531.00 | $7,413.38 – $13,344.08 | 17 |
| Ablate bone tumor(s) perq CPT 20982 | $3,543.75 | $4,725.00 | $17,913.59 – $32,244.46 | 17 |
| Ablate heart dysrhythm focus CPT 93650 | $12,842.25 | $17,123.00 | $7,968.60 – $14,343.48 | 17 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Ablate inf turbinate superf 30801 CPT 30801 | $2,706.00 | $3,608.00 | $1,585.19 – $2,853.34 | 17 |
| Ablate pulm tumor perq crybl CPT 32994 | $10,443.00 | $13,924.00 | $10,860.07 – $19,548.13 | 17 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $8,025.00 | $10,700.00 | $131.46 – $236.63 | 17 |
| Ablation cryo abd perit om CPT 49999 | $8,358.00 | $11,144.00 | $926.63 – $1,667.93 | 17 |
| Ablation cryo adrenal tumor CPT 60699 | $6,948.75 | $9,265.00 | $6,176.47 – $11,117.65 | 17 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $280.50 | $374.00 | $252.01 – $453.62 | 17 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,080.50 | $10,774.00 | $10,860.07 – $19,548.13 | 17 |
| Ablation cryo retro lymph node CPT 38999 | $503.25 | $671.00 | $450.73 – $811.31 | 17 |
| Ablation cryo thigh/knee CPT 27599 | $274.50 | $366.00 | $252.01 – $453.62 | 17 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,425.50 | $3,234.00 | $313.60 – $564.48 | 17 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $13,479.22 – $24,262.60 | 16 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Abobotulinumtoxina HCPCS J0586 | $3,255.66 | $4,340.87 | $8.90 – $16.03 | 17 |
| Abortion CPT 59850 | not published | not published | $346.40 – $623.53 | 16 |
| Abortion (mpr) CPT 59866 | not published | not published | $311.33 – $560.39 | 16 |
| Abrasion lesion single CPT 15786 | not published | not published | $204.98 – $368.96 | 16 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $29.66 – $53.39 | 16 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,121.50 | $4,162.00 | $1,687.37 – $3,037.27 | 17 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $7,299.75 | $9,733.00 | $109.63 – $197.33 | 17 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $250.79 – $451.42 | 16 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $147.54 | $196.71 | $0.13 – $0.13 | 1 |
| Acetaminophen level CPT 80143 | $246.75 | $329.00 | $18.64 – $33.55 | 17 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $137.07 | $182.76 | $44.32 – $44.32 | 1 |
| Acetone qualitative CPT 82009 | not published | not published | $4.52 – $8.14 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | $489.00 | $652.00 | $12.05 – $21.69 | 17 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $22.12 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $406.77 | $542.35 | $0.93 – $0.93 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | $87.97 | $117.29 | $22.88 – $22.88 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $381.24 – $686.23 | 16 |
| Acne surgery 10040 CPT 10040 | $295.50 | $394.00 | $204.98 – $368.96 | 17 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $243.00 | $324.00 | $167.28 – $301.10 | 17 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $160.50 | $214.00 | $131.63 – $236.94 | 17 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $103.79 – $186.82 | 16 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $48.24 – $86.83 | 16 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $74.49 – $134.08 | 16 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $181.34 – $326.41 | 16 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $136.02 – $244.84 | 16 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $38.28 – $68.90 | 16 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $67.50 | $90.00 | $16.31 – $29.36 | 17 |
| Acoustic immitance testing CPT 92570 | $141.75 | $189.00 | $131.46 – $236.63 | 17 |
| Acoustic refl threshold tst CPT 92568 | $120.75 | $161.00 | $38.16 – $68.69 | 17 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Actigraphy testing CPT 95803 | not published | not published | $60.27 – $108.49 | 16 |
| Actinotherapy uv light CPT 96900 | $138.75 | $185.00 | $38.16 – $68.69 | 17 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $45.75 | $61.00 | $29.55 – $53.19 | 17 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $45.75 | $61.00 | $29.55 – $53.19 | 17 |
| Acute hepatitis panel CPT 80074 | $480.00 | $640.00 | $21.53 – $85.73 | 17 |
| Acute venous thrombus image CPT 78456 | $873.75 | $1,165.00 | $596.73 – $2,380.84 | 17 |
| Acyclovir 400 mg tablet HCPCS J8499 | $100,424.10 | $133,898.80 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $77.65 | $103.53 | $0.05 – $0.05 | 1 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $29.68 | 16 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $181.34 – $326.41 | 16 |
| Adapter b 8 channel 10cm HCPCS C1883 | $29,250.00 | $39,000.00 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $166.02 – $298.84 | 16 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $528.78 | $705.04 | $1.16 – $1.16 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $21.56 | 16 |
| Adenovirus antibody,serum - quest CPT 86603 | $63.00 | $84.00 | $6.36 – $23.17 | 17 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $39.17 | 16 |
| Adh-sendout CPT 84588 | $663.75 | $885.00 | $17.96 – $61.09 | 17 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $804.71 – $1,448.49 | 16 |
| Adj gastric band via subq port CPT 43999 | $4,266.00 | $5,688.00 | $926.63 – $1,667.93 | 17 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $5,046.43 | $6,728.57 | $2.29 – $2.29 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $472.50 | $630.00 | $73.56 – $132.41 | 17 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $971.25 | $1,295.00 | $73.56 – $132.41 | 17 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $857.25 | $1,143.00 | $337.46 – $607.43 | 17 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $736.50 | $982.00 | $337.46 – $607.43 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $629.25 | $839.00 | $73.56 – $132.41 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $645.75 | $861.00 | $73.56 – $132.41 | 17 |
| Administration immunization 1 vaccine CPT 90471 | $33.75 | $45.00 | $73.56 – $132.41 | 17 |
| Administration immunization each additional component CPT 90461 | $63.00 | $84.00 | $8.48 – $15.27 | 17 |
| Administration immunization each additional vaccine CPT 90472 | $33.75 | $45.00 | $15.11 – $27.19 | 17 |
| Administration immunization first component each vaccine CPT 90460 | $63.00 | $84.00 | $22.08 – $39.74 | 17 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $56.25 | $75.00 | $73.56 – $132.41 | 17 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $43.50 | $58.00 | $11.75 – $21.15 | 17 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $28.32 – $50.98 | 16 |
| Administration vaccine hepatitis b HCPCS G0010 | $38.25 | $51.00 | $47.84 – $86.11 | 17 |
| Administration vaccine influenza virus HCPCS G0008 | $38.25 | $51.00 | $47.84 – $86.11 | 17 |
| Administration vaccine pneumococcal HCPCS G0009 | $38.25 | $51.00 | $47.84 – $86.11 | 17 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $22.79 – $41.02 | 16 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $23,602.63 | $31,470.17 | $42.20 – $75.96 | 17 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $912.06 – $2,380.84 | 16 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,147.00 – $2,064.60 | 16 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $75.71 – $136.28 | 16 |
| Aep hearing status deter i&r CPT 92651 | $568.50 | $758.00 | $220.60 – $397.08 | 17 |
| Aep neurodiagnostic i&r CPT 92653 | $1,471.50 | $1,962.00 | $220.60 – $397.08 | 17 |
| Aep thrshld est mlt freq i&r CPT 92652 | $1,308.00 | $1,744.00 | $220.60 – $397.08 | 17 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,943.42 – $5,298.16 | 16 |
| Aflibercept injection HCPCS J0178 | not published | not published | $731.89 – $1,317.39 | 16 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $776.59 – $1,397.86 | 16 |
| After cataract laser surgery CPT 66821 | $1,499.25 | $1,999.00 | $561.91 – $1,011.44 | 17 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $28,942.08 | $38,589.43 | $227.58 – $409.64 | 17 |
| Air conduction bilat CPT 92552 | $106.50 | $142.00 | $135.93 – $244.67 | 17 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $143.52 – $258.33 | 16 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $425.25 | $567.00 | $131.46 – $236.63 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $295.80 | $394.40 | $53.08 – $95.54 | 17 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $295.80 | $394.40 | $53.08 – $95.54 | 17 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $85.50 | $114.00 | $3.39 – $10.40 | 17 |
| Albumin body fluid quantitative each specimen CPT 82042 | $43.50 | $58.00 | $2.93 – $14.00 | 17 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $61.09 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $43.50 | $58.00 | $2.71 – $8.91 | 17 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $38.22 | 16 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $19.11 | 16 |
| Albuterol ipratrop non-comp HCPCS J7620 | $2.43 | $3.23 | $0.51 – $0.51 | 1 |
| Albuterol non-comp con HCPCS J7611 | $44.56 | $59.41 | $0.41 – $0.41 | 1 |
| Albuterol non-comp unit HCPCS J7613 | $2.43 | $3.23 | $0.18 – $0.18 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $60.75 | $81.00 | $17.27 – $31.09 | 17 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $29.55 – $53.19 | 16 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $181.34 – $326.41 | 16 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,338.87 – $6,009.97 | 16 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $112,036.08 | $149,381.43 | $2,440.42 – $4,392.75 | 17 |
| Alkaline phosphatase CPT 84075 | $51.75 | $69.00 | $2.45 – $9.32 | 17 |
| All tstg perq&iq drugs/biol CPT 95018 | $70.50 | $94.00 | $38.16 – $68.69 | 17 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $29.55 – $53.19 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $110.25 | $147.00 | $17.93 – $32.27 | 17 |
| Allergen egg white ige CPT 86003 | $81.00 | $108.00 | $5.22 – $9.40 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $39.00 | $52.00 | $3.59 – $14.35 | 17 |
| Allergy Skin Testing CPT 95004 | $97.50 | $130.00 | $877.34 – $1,579.21 | 17 |
| Allergy injection; single 95115 CPT 95115 | $42.75 | $57.00 | $47.84 – $86.11 | 17 |
| Allergy injections; 2 or more 95117 CPT 95117 | $66.75 | $89.00 | $47.84 – $86.11 | 17 |
| Allg patch or app # of tests 95044 CPT 95044 | $780.00 | $1,040.00 | $877.34 – $1,579.21 | 17 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $43.89 – $43.89 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $13,768.09 | $18,357.45 | $127.14 – $228.85 | 17 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $13,478.20 | $17,970.93 | $127.14 – $228.85 | 17 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $911.25 | $1,215.00 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $9,702.00 | $12,936.00 | $127.14 – $228.85 | 17 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $30,615.48 | $40,820.64 | $79.00 – $228.85 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $10,046.28 | $13,395.03 | $127.14 – $228.85 | 17 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $6,367.50 | $8,490.00 | $127.14 – $228.85 | 17 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,887.75 | $2,517.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $6,075.00 | $8,100.00 | $127.14 – $228.85 | 17 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $4,038.75 | $5,385.00 | $127.14 – $228.85 | 17 |
| Alloskin HCPCS Q4115 | not published | not published | $25.13 – $228.85 | 16 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.14 – $9.25 | 16 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $115.94 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | $61.50 | $82.00 | $7.94 – $30.60 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $168.75 | $225.00 | $7.94 – $30.19 | 17 |
| Alprostadil for injection HCPCS J0270 | $800.48 | $1,067.30 | not published | 0 |
| Alt/sgpt CPT 84460 | $63.75 | $85.00 | $2.51 – $9.54 | 17 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $31,563.16 | $42,084.21 | $95.09 – $171.16 | 17 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.49 – $8.09 | 16 |
| Aluminum - quest CPT 82108 | $168.00 | $224.00 | $12.05 – $45.86 | 17 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,410.00 | $1,880.00 | $97.13 – $174.83 | 17 |
| Amantadine (symmetrel)-sendout CPT 80375 | $240.00 | $320.00 | $0.03 – $26.59 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | $368.25 | $491.00 | $135.93 – $244.67 | 17 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $79.87 | $106.49 | $1.57 – $1.57 | 1 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $24.97 | 16 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $25.52 | 16 |
| Amino acids quant 2-5 CPT 82136 | $239.25 | $319.00 | $7.98 – $35.30 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $35.21 | $46.94 | $3.84 – $3.84 | 1 |
| Aminolevulinic acid delta CPT 82135 | $570.00 | $760.00 | $7.22 – $29.61 | 17 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $390.02 – $702.03 | 16 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.77 – $3.19 | 16 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $65.64 | $87.51 | $21.34 – $21.34 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $119.07 | $158.75 | $6.72 – $6.72 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $50.85 | $67.80 | $1.29 – $1.29 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $260.25 | $347.00 | $0.03 – $29.23 | 3 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $7.84 – $7.84 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $14,075.19 | $18,766.92 | $22.63 – $40.74 | 17 |
| Ammonia CPT 82140 | $151.50 | $202.00 | $7.59 – $26.23 | 17 |
| Amniocentesis therapeutic CPT 59001 | $850.50 | $1,134.00 | $311.33 – $560.39 | 17 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,104.00 | $1,472.00 | $941.00 – $1,693.80 | 17 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $16.83 | 16 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amphetamine confirm urine -sendout CPT 80324 | $94.50 | $126.00 | $0.03 – $25.38 | 3 |
| Amphetamines 5 or more CPT 80326 | $462.75 | $617.00 | $0.03 – $25.38 | 3 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $130.08 | $173.44 | $87.82 – $87.82 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | $360.00 | $479.99 | $26.49 – $26.49 | 1 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $434.39 | $579.18 | $22.81 – $41.05 | 17 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $114.78 | $153.03 | $1.24 – $1.24 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $18.87 | $25.16 | $3.84 – $3.84 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $473.38 | 16 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Amputation of lower leg CPT 27882 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Amylase CPT 82150 | $168.00 | $224.00 | $3.07 – $11.66 | 17 |
| An cholangiogram percutaneous compl CPT 47531 | $2,959.50 | $3,946.00 | $3,657.95 – $6,584.31 | 17 |
| An fluoro guide for cvp CPT 77001 | $888.75 | $1,185.00 | $91.19 – $164.15 | 17 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $21.80 | 16 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $204.47 – $204.47 | 1 |
| Anal/urinary muscle study CPT 51784 | $730.50 | $974.00 | $131.46 – $236.63 | 17 |
| Anal/urinary muscle study CPT 51785 | $940.50 | $1,254.00 | $255.26 – $459.47 | 17 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $79.50 | $106.00 | $0.03 – $33.05 | 3 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $1,058.25 | $1,411.00 | $97.13 – $174.83 | 17 |
| Analysis gene f2 20210g>a variant CPT 81240 | $436.50 | $582.00 | $43.37 – $118.24 | 17 |
| Analysis gene f5 leiden variant CPT 81241 | $577.50 | $770.00 | $44.57 – $132.07 | 17 |
| Analysis nerve CPT 88356 | not published | not published | $53.24 – $95.83 | 16 |
| Analysis tumor CPT 88358 | not published | not published | $174.06 – $313.31 | 16 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $1,038.00 | $1,384.00 | $38.13 – $68.63 | 17 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $1,311.00 | $1,748.00 | $97.13 – $174.83 | 17 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $105.00 | $140.00 | $35.09 – $63.16 | 17 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,035.55 – $3,663.99 | 16 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,238.32 – $4,028.97 | 16 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $841.51 – $1,514.73 | 16 |
| Anca screen with reflex to titer -quest CPT 86021 | $280.50 | $374.00 | $8.11 – $27.09 | 17 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $51.89 | 16 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,028.00 | $2,704.00 | $538.12 – $968.61 | 17 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $2,886.75 | $3,849.00 | $558.96 – $1,006.12 | 17 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $7,883.25 | $10,511.00 | $5,814.84 – $10,466.71 | 17 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,999.50 | $6,666.00 | $400.48 – $720.86 | 17 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $7,457.25 | $9,943.00 | $5,814.84 – $10,466.71 | 17 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $36.94 | 16 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $59,352.27 | $79,136.36 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | $116.22 | $154.95 | $1.24 – $1.24 | 1 |
| Ankle X-ray CPT 73610 | $396.75 | $529.00 | $69.71 – $160.04 | 17 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $693.75 | $925.00 | $313.79 – $564.82 | 17 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $167.25 | $223.00 | $116.44 – $209.59 | 17 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $167.25 | $223.00 | $123.61 – $222.50 | 17 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $167.25 | $223.00 | $128.85 – $231.94 | 17 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $167.25 | $223.00 | $149.35 – $268.84 | 17 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $38.28 – $68.90 | 16 |
| Anodyne therapy charges pt CPT 97026 | $92.25 | $123.00 | $6.31 – $11.35 | 17 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $206.55 – $371.79 | 16 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Anoscopy CPT 46611 | $1,067.25 | $1,423.00 | $950.10 – $1,710.18 | 17 |
| Anoscopy ablation lesion 46615 CPT 46615 | $2,367.00 | $3,156.00 | $2,835.78 – $5,104.40 | 17 |
| Anoscopy and biopsy CPT 46606 | $1,380.00 | $1,840.00 | $1,222.56 – $2,200.61 | 17 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Anoscopy control bleeding 46614 CPT 46614 | $3,172.50 | $4,230.00 | $1,222.56 – $2,200.61 | 17 |
| Anoscopy remove fb 46608 CPT 46608 | $2,797.50 | $3,730.00 | $950.10 – $1,710.18 | 17 |
| Anoscopy remove lesion 46610 CPT 46610 | $3,723.75 | $4,965.00 | $2,835.78 – $5,104.40 | 17 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Ans parasymp & symp w/tilt CPT 95924 | $1,380.75 | $1,841.00 | $220.60 – $397.08 | 17 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $637.34 – $1,147.21 | 16 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $662.64 – $1,192.74 | 16 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $135.93 – $244.67 | 16 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $135.93 – $244.67 | 16 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Anti mog serum - sendout CPT 86362 | $355.50 | $474.00 | $12.05 – $21.69 | 17 |
| Anti-inhibitor HCPCS J7198 | $18,764.82 | $25,019.75 | $2.42 – $4.35 | 17 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $17,349.88 | $23,133.17 | $5,292.43 – $9,526.38 | 17 |
| Antibody CPT 86744 | not published | not published | $15.99 – $28.78 | 16 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $164.25 | $219.00 | $6.09 – $23.18 | 17 |
| Antibody elution rbc reference CPT 86860 | $175.50 | $234.00 | $29.84 – $313.31 | 17 |
| Antibody htlv-i CPT 86687 | $210.75 | $281.00 | $4.41 – $16.36 | 17 |
| Antibody htlv-ii CPT 86688 | $210.75 | $281.00 | $6.98 – $25.20 | 17 |
| Antibody htlv/hiv confirm test CPT 86689 | $325.50 | $434.00 | $9.16 – $34.83 | 17 |
| Antibody id rbc panel CPT 86870 | $291.75 | $389.00 | $25.50 – $659.18 | 17 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $1,320.00 | $1,760.00 | $9.64 – $33.07 | 17 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.55 – $24.39 | 16 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $222.00 | $296.00 | $6.36 – $23.17 | 17 |
| Antibody screen rbc CPT 86850 | $136.50 | $182.00 | $12.00 – $95.83 | 17 |
| Antibody tetanus CPT 86774 | not published | not published | $14.80 – $26.64 | 16 |
| Antidepressant not specified CPT 80338 | $276.75 | $369.00 | $0.03 – $15.12 | 3 |
| Antigen therapy services CPT 95145 | not published | not published | $47.84 – $86.11 | 16 |
| Antigen therapy services CPT 95146 | not published | not published | $47.84 – $86.11 | 16 |
| Antigen therapy services CPT 95147 | not published | not published | $73.56 – $132.41 | 16 |
| Antigen therapy services CPT 95148 | not published | not published | $73.56 – $132.41 | 16 |
| Antigen therapy services CPT 95149 | not published | not published | $73.56 – $132.41 | 16 |
| Antigen therapy services CPT 95165 | $60.75 | $81.00 | $47.84 – $86.11 | 17 |
| Antigen therapy services CPT 95170 | not published | not published | $47.84 – $86.11 | 16 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,102.55 | $6,803.40 | $1.49 – $2.69 | 17 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.25 – $2.25 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $147.75 | $197.00 | $12.05 – $21.69 | 17 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $21.69 | 16 |
| Antinuclear antibodies CPT 86038 | $98.25 | $131.00 | $5.72 – $21.76 | 17 |
| Antinuclear antibodies titer CPT 86039 | $80.25 | $107.00 | $5.28 – $20.09 | 17 |
| Antiphosphatidylserine antibody CPT 86148 | $90.00 | $120.00 | $12.62 – $28.93 | 17 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $10.39 | 16 |
| Antistreptolysin o titer CPT 86060 | $83.25 | $111.00 | $3.45 – $13.14 | 17 |
| Antithrombin iii activity CPT 85300 | $216.00 | $288.00 | $5.75 – $21.33 | 17 |
| Antithrombin iii injection HCPCS J7197 | $6,858.87 | $9,145.15 | $4.10 – $7.38 | 17 |
| Antithymocyte globuln rabbit HCPCS J7511 | $4,139.25 | $5,518.99 | $1,023.12 – $1,841.62 | 17 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $655.71 – $1,180.28 | 16 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $907.20 | 16 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $2,430.34 | 16 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $827.75 – $1,489.95 | 16 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $360.00 | 16 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $1,404.00 | 16 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $504.00 | 16 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $60.27 – $108.49 | 16 |
| Apheresis immunoads slctv CPT 36516 | $7,110.75 | $9,481.00 | $4,449.84 – $8,009.71 | 17 |
| Apheresis plasma CPT 36514 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Apheresis platelets CPT 36513 | not published | not published | $450.73 – $811.31 | 16 |
| Apheresis rbc CPT 36512 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Apheresis wbc CPT 36511 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,187.25 | $1,583.00 | $62.55 – $373.16 | 17 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $552.00 | $736.00 | $32.45 – $58.40 | 17 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,589.00 | $3,452.00 | $2,107.97 – $3,794.35 | 17 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,222.50 | $1,630.00 | $95.88 – $172.59 | 17 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $693.75 | $925.00 | $24.57 – $44.23 | 17 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,978.25 | $3,971.00 | $2,107.97 – $3,794.35 | 17 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,072.25 | $2,763.00 | $82.09 – $147.77 | 17 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $27,721.73 – $49,899.11 | 16 |
| App mltpln uni xtrnl fix xch CPT 20697 | $3,526.50 | $4,702.00 | $1,642.82 – $2,957.08 | 17 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Appendectomy CPT 44950 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $73.78 – $132.81 | 16 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $805.99 – $1,450.79 | 16 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $166.02 – $298.84 | 16 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $285.75 – $514.35 | 16 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $285.75 – $514.35 | 16 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $285.75 – $514.35 | 16 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $285.75 – $514.35 | 16 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $285.75 – $514.35 | 16 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $285.75 – $514.35 | 16 |
| Appl halo type body cast CPT 29000 | not published | not published | $285.75 – $514.35 | 16 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $285.75 – $514.35 | 16 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $285.75 – $514.35 | 16 |
| Appl long leg cast brace CPT 29358 | not published | not published | $285.75 – $514.35 | 16 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $38.16 – $68.69 | 16 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $102.00 | $136.00 | $5.70 – $10.25 | 17 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $123.75 | $165.00 | $11.53 – $20.76 | 17 |
| Appl multlay comprs arm/hand CPT 29584 | $409.50 | $546.00 | $166.02 – $298.84 | 17 |
| Appl patllr tdn bearing cast CPT 29435 | $429.00 | $572.00 | $285.75 – $514.35 | 17 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Application clubfoot cast CPT 29450 | $254.25 | $339.00 | $166.02 – $298.84 | 17 |
| Application finger splntstatic 29130 CPT 29130 | $208.50 | $278.00 | $135.93 – $244.67 | 17 |
| Application halo femoral CPT 20663 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Application halo pelvic CPT 20662 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Application long leg splint 29505 CPT 29505 | $338.25 | $451.00 | $166.02 – $298.84 | 17 |
| Application lower leg splint 29515 CPT 29515 | $471.75 | $629.00 | $166.02 – $298.84 | 17 |
| Application multi layer compression below knee (both sides) CPT 29581 | $393.75 | $525.00 | $166.02 – $298.84 | 17 |
| Application of body cast CPT 29010 | not published | not published | $285.75 – $514.35 | 16 |
| Application of body cast CPT 29015 | not published | not published | $285.75 – $514.35 | 16 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $285.75 – $514.35 | 16 |
| Application of forearm cast 29075 CPT 29075 | $303.00 | $404.00 | $285.75 – $514.35 | 17 |
| Application of long arm cast 29065 CPT 29065 | $321.00 | $428.00 | $285.75 – $514.35 | 17 |
| Application of long leg cast CPT 29355 | $480.75 | $641.00 | $285.75 – $514.35 | 17 |
| Application of long leg cast 29345 CPT 29345 | $390.75 | $521.00 | $285.75 – $514.35 | 17 |
| Application of paste boot 29580 CPT 29580 | $390.75 | $521.00 | $166.02 – $298.84 | 17 |
| Application short leg cast 29405 CPT 29405 | $265.50 | $354.00 | $285.75 – $514.35 | 17 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,109.00 | $2,812.00 | $755.08 – $1,359.14 | 17 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,109.00 | $2,812.00 | $755.08 – $1,359.14 | 17 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $470.25 | $627.00 | not published | 0 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $166.02 – $298.84 | 16 |
| Apply forearm splintdynamic 29126 CPT 29126 | $333.00 | $444.00 | $135.93 – $244.67 | 17 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Apply hand/wrist cast 29085 CPT 29085 | $249.00 | $332.00 | $166.02 – $298.84 | 17 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $711.56 – $1,280.81 | 16 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $711.56 – $1,280.81 | 16 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $564.51 – $1,016.12 | 16 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $521.86 – $1,016.12 | 16 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $60.27 – $108.49 | 16 |
| Apply rem fixation device CPT 20660 | $5,230.50 | $6,974.00 | $1,642.82 – $2,957.08 | 17 |
| Apply rigid leg cast 29445 CPT 29445 | $555.00 | $740.00 | $285.75 – $514.35 | 17 |
| Apply short leg castambul type 29425 CPT 29425 | $333.00 | $444.00 | $285.75 – $514.35 | 17 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $104.24 – $187.63 | 16 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.69 – $3.05 | 16 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $564.75 | $753.00 | $14.46 – $67.91 | 17 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $140.25 | $187.00 | $35.28 – $63.50 | 17 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $21.69 | 16 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $20.75 | 16 |
| Aquatic exercise - group charge CPT 97150 | $111.00 | $148.00 | $17.34 – $31.22 | 17 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.82 – $3.27 | 16 |
| Argatroban nonesrd (auromed) HCPCS J0898 | $668.52 | $891.35 | $3.73 – $3.73 | 1 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $881.10 | $1,174.79 | $1.01 – $1.82 | 17 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $11,842.72 | $15,790.29 | $3.32 – $5.97 | 17 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $2.56 – $2.56 | 1 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $4,375.05 | $5,833.39 | $15.06 – $15.06 | 1 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,658.83 – $2,985.89 | 16 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,348.63 – $2,427.53 | 16 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,496.35 – $2,693.43 | 16 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $923.26 – $1,661.87 | 16 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,202.55 – $3,964.58 | 16 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,104.51 – $3,788.12 | 16 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,090.80 – $1,963.44 | 16 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,248.89 – $2,248.01 | 16 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,100.09 – $1,980.16 | 16 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,188.50 – $2,139.30 | 16 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,457.38 – $2,623.28 | 16 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $1,565.10 – $2,817.19 | 16 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,528.25 – $2,750.84 | 16 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,224.06 – $2,203.31 | 16 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $980.31 – $1,764.56 | 16 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,053.49 – $1,896.29 | 16 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,257.10 – $2,262.78 | 16 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,151.83 – $2,073.30 | 16 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $970.50 – $1,746.91 | 16 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $961.49 – $1,730.69 | 16 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,054.20 – $1,897.57 | 16 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $944.04 – $1,699.27 | 16 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $188.29 – $338.91 | 16 |
| Art pressure waveform analys CPT 93050 | not published | not published | $29.55 – $53.19 | 16 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $892.62 – $1,606.71 | 16 |
| Arterial blood draw/perc 36620 CPT 36620 | $978.00 | $1,304.00 | $40.31 – $72.55 | 17 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,151.37 – $2,072.46 | 16 |
| Artery to vein shunt CPT 36835 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Artery x-rays adrenal gland CPT 75731 | $4,035.00 | $5,380.00 | $245.97 – $5,806.57 | 17 |
| Artery x-rays adrenals CPT 75733 | $5,043.00 | $6,724.00 | $276.37 – $5,806.57 | 17 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,650.25 | $4,867.00 | $169.70 – $5,806.57 | 17 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,206.00 | $5,608.00 | $177.07 – $5,806.57 | 17 |
| Artery x-rays chest CPT 75756 | $4,255.50 | $5,674.00 | $273.81 – $5,806.57 | 17 |
| Artery x-rays lung CPT 75741 | $4,931.25 | $6,575.00 | $173.80 – $5,806.57 | 17 |
| Artery x-rays lung CPT 75746 | $3,405.00 | $4,540.00 | $204.09 – $5,806.57 | 17 |
| Artery x-rays lungs CPT 75743 | $5,836.50 | $7,782.00 | $177.07 – $5,806.57 | 17 |
| Artery x-rays spine CPT 75705 | $4,294.50 | $5,726.00 | $333.56 – $10,233.02 | 17 |
| Artery xray each vessel 7577426 CPT 75774 | $3,282.75 | $4,377.00 | $90.01 – $162.02 | 17 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,294.50 | $5,726.00 | $191.00 – $10,233.02 | 17 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,725.75 | $6,301.00 | $227.12 – $10,233.02 | 17 |
| Artery-vein nonautograft CPT 36830 | $6,325.50 | $8,434.00 | $5,685.01 – $10,233.02 | 17 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $145.14 – $261.26 | 16 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $27,721.73 – $49,899.11 | 16 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $27,721.73 – $49,899.11 | 16 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $27,721.73 – $49,899.11 | 16 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $514.50 | $686.00 | $313.60 – $564.48 | 17 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $696.00 | $928.00 | $313.60 – $564.48 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $619.50 | $826.00 | $721.17 – $1,298.11 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $609.00 | $812.00 | $313.60 – $564.48 | 17 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $803.25 | $1,071.00 | $313.60 – $564.48 | 17 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $493.50 | $658.00 | $313.60 – $564.48 | 17 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $347.42 – $625.35 | 16 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrodesis triple CPT 28715 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $283.30 – $509.95 | 16 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $425.65 – $766.16 | 16 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $283.03 – $509.46 | 16 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $3,509.25 | $4,679.00 | $343.80 – $618.84 | 17 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $3,767.25 | $5,023.00 | $3,342.87 – $6,017.17 | 17 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $206.55 – $371.79 | 16 |
| Artificial insemination CPT 58321 | not published | not published | $311.33 – $560.39 | 16 |
| Artiss fibrin sealant HCPCS C9250 | $3,217.53 | $4,290.04 | $143.70 – $258.66 | 17 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $2,924.25 – $5,263.64 | 16 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $2,227.44 – $4,009.39 | 16 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $3,089.26 – $5,560.68 | 16 |
| Ascenda two piece catheter HCPCS C1772 | $32,280.75 | $43,041.00 | not published | 0 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,507.54 – $2,713.58 | 16 |
| Asp & inj bone cyst CPT 20615 | $756.75 | $1,009.00 | $723.47 – $1,302.25 | 17 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $1,135.50 | $1,514.00 | $640.89 – $1,153.60 | 17 |
| Asp core fat pad CPT 17999 | $1,123.50 | $1,498.00 | $204.98 – $368.96 | 17 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $903.63 – $1,626.53 | 16 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $85.05 | 16 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $815.25 | $1,087.00 | $723.47 – $1,302.25 | 17 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,146.25 | $4,195.00 | $2,135.66 – $3,844.19 | 17 |
| Aspirate pleura without imaging 32554 CPT 32554 | $991.50 | $1,322.00 | $640.89 – $1,153.60 | 17 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $552.00 | $736.00 | $313.60 – $564.48 | 17 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,219.50 | $1,626.00 | $723.47 – $1,302.25 | 17 |
| Aspiration orbital contents CPT 67415 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Aspiration peritonsillar abscess CPT 42999 | $283.50 | $378.00 | $241.98 – $435.56 | 17 |
| Assay acid phosphatase CPT 84060 | $81.00 | $108.00 | $3.80 – $13.75 | 17 |
| Assay alkaline phosphatase CPT 84078 | $87.00 | $116.00 | $3.80 – $14.87 | 17 |
| Assay blood catecholamines CPT 82383 | not published | not published | $29.08 – $52.34 | 16 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $37.17 | 16 |
| Assay dir meas fr estradiol CPT 82681 | $391.50 | $522.00 | $27.94 – $50.29 | 17 |
| Assay duodenal fluid trypsin CPT 84485 | $271.50 | $362.00 | $3.90 – $12.96 | 17 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $40.77 | 16 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $13.27 | 16 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $50.86 – $91.55 | 16 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $116.23 – $209.21 | 16 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $33.10 | 16 |
| Assay of adp & amp CPT 82030 | $293.25 | $391.00 | $13.54 – $46.44 | 17 |
| Assay of androsterone CPT 82160 | not published | not published | $25.55 – $45.99 | 16 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.75 – $22.95 | 16 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.16 – $9.29 | 16 |
| Assay of breath ethanol CPT 82075 | $64.50 | $86.00 | $0.03 – $54.00 | 17 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $18.06 – $32.51 | 16 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.67 – $22.81 | 16 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.52 – $40.54 | 16 |
| Assay of digoxin free CPT 80163 | $27.00 | $36.00 | $6.28 – $23.90 | 17 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $71.23 – $128.21 | 16 |
| Assay of estrogen CPT 84233 | not published | not published | $87.88 – $158.18 | 16 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $26.24 – $47.23 | 16 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.93 – $17.87 | 16 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $39.11 – $70.40 | 16 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.80 – $30.24 | 16 |
| Assay of fluoride CPT 82735 | $270.00 | $360.00 | $8.77 – $33.37 | 17 |
| Assay of galactose CPT 82760 | $426.75 | $569.00 | $6.26 – $20.16 | 17 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $13.15 – $23.67 | 16 |
| Assay of glucosidase CPT 82963 | $1,008.00 | $1,344.00 | $5.95 – $38.66 | 17 |
| Assay of glutathione CPT 82978 | $252.75 | $337.00 | $5.86 – $27.81 | 17 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $48.40 | 16 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $15.93 | 16 |
| Assay of interleukin-6 (il-6) CPT 83529 | $45.00 | $60.00 | $17.27 – $31.09 | 17 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $35.68 | 16 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $17.66 | 16 |
| Assay of leflunomide CPT 80193 | $153.00 | $204.00 | $38.57 – $69.43 | 17 |
| Assay of lrh hormone CPT 83727 | $669.75 | $893.00 | $8.13 – $30.94 | 17 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $19.33 | 16 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $11.65 | 16 |
| Assay of osteocalcin CPT 83937 | $144.75 | $193.00 | $18.67 – $53.73 | 17 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $7.16 | 16 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $38.29 | 16 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $37.89 | 16 |
| Assay of procainamide w/metab CPT 80192 | $70.50 | $94.00 | $8.72 – $30.15 | 17 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $116.78 | 16 |
| Assay of prostaglandin CPT 84150 | $93.75 | $125.00 | $13.13 – $75.19 | 17 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $20.93 | 16 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $16.99 | 16 |
| Assay of salicylate CPT 80179 | $164.25 | $219.00 | $18.64 – $33.55 | 17 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $31.21 | 16 |
| Assay of sialic acid CPT 84275 | $342.00 | $456.00 | $7.08 – $24.19 | 17 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $45.38 | 16 |
| Assay of somatostatin CPT 84307 | $501.00 | $668.00 | $8.62 – $32.90 | 17 |
| Assay of thiocyanate CPT 84430 | $333.00 | $444.00 | $3.59 – $20.93 | 17 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $18.16 | 16 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.63 – $19.13 | 16 |
| Assay of urine sulfate CPT 84392 | $59.25 | $79.00 | $2.25 – $9.88 | 17 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $17.19 | 16 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $10.89 | 16 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $29.74 | 16 |
| Assay phosphohexose enzymes CPT 84087 | $252.75 | $337.00 | $5.23 – $19.31 | 17 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $16.99 | 16 |
| Assay toxin or antitoxin CPT 87230 | $72.75 | $97.00 | $9.34 – $35.53 | 17 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $131.46 – $236.63 | 16 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $466.50 | $622.00 | $93.98 – $169.17 | 17 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $103.79 – $186.82 | 16 |
| Assess cyst contrast inject CPT 49424 | $425.25 | $567.00 | $158.51 – $285.31 | 17 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $7.69 | 16 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $823.13 – $1,481.63 | 16 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $174.06 – $313.31 | 16 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $203.10 – $365.58 | 16 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $36.29 – $65.33 | 16 |
| Ast/sgot CPT 84450 | $57.00 | $76.00 | $2.44 – $9.32 | 17 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $42,851.67 | $57,135.55 | $94.00 – $169.19 | 17 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $28.62 | 16 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $39.35 | $52.46 | $0.15 – $0.15 | 1 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $700.14 – $1,260.25 | 16 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Attach ocular implant CPT 65140 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $259.50 | $346.00 | $62.25 – $112.05 | 17 |
| Aud brainstem implt programg CPT 92640 | $372.00 | $496.00 | $131.46 – $236.63 | 17 |
| Audiometry air + bone CPT 92553 | $202.50 | $270.00 | $131.46 – $236.63 | 17 |
| Auditory function 60 min CPT 92620 | $762.75 | $1,017.00 | $131.46 – $236.63 | 17 |
| Augment injectable kit 3.0cc HCPCS C1734 | $8,645.34 | $11,527.11 | not published | 0 |
| Augmentation cheek bone CPT 21270 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Augmentation of facial bones CPT 21208 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $9,145.50 | $12,194.00 | $2,732.47 – $4,918.45 | 17 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $9,145.50 | $12,194.00 | $7,413.38 – $13,344.08 | 17 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $802.50 | $1,070.00 | $708.73 – $1,513.17 | 17 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Autologous blood op salvage CPT 86891 | not published | not published | $264.63 – $1,481.63 | 16 |
| Autologous blood process CPT 86890 | not published | not published | $174.06 – $313.31 | 16 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $11.65 | 16 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $135.93 – $244.67 | 16 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $131.46 – $236.63 | 16 |
| Autonomic nrv syst funj test CPT 95923 | $1,026.75 | $1,369.00 | $135.93 – $244.67 | 17 |
| Av fistula revision CPT 36833 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $7,742.64 | $10,323.52 | $105.55 – $189.98 | 17 |
| Avul nail plate addl CPT 11732 | $318.75 | $425.00 | $30.75 – $55.35 | 17 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $318.75 | $425.00 | $204.98 – $368.96 | 17 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $55.65 – $100.17 | 16 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $1,861,987.05 | $2,482,649.40 | $531,849.12 – $957,328.41 | 17 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Azacitidine injection HCPCS J9025 | $2,163.93 | $2,885.24 | $0.51 – $0.51 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | $7,093.66 | $9,458.21 | $5.51 – $5.51 | 1 |
| Azathioprine parenteral HCPCS J7501 | $771.30 | $1,028.40 | $254.76 – $458.56 | 17 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $22.93 | $30.57 | $6.72 – $6.72 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $203.80 | $271.73 | $6.85 – $6.85 | 1 |
| B cells total count CPT 86355 | $84.75 | $113.00 | $18.92 – $67.91 | 17 |
| B-hexosaminidase ea assay CPT 83080 | $104.25 | $139.00 | $7.70 – $30.37 | 17 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $178.05 – $320.49 | 16 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $117.71 – $172.97 | 2 |
| Baclofen eval charges CPT 97750 | $138.75 | $185.00 | $32.14 – $57.85 | 17 |
| Bacterial meningitis antigen CPT 86403 | $60.75 | $81.00 | $11.54 – $20.77 | 17 |
| Bacterial vaginosis pcr CPT 87801 | $1,973.25 | $2,631.00 | $33.20 – $126.36 | 17 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $27.04 | 16 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $9.46 – $17.03 | 16 |
| Balloon dilate urtrl strix CPT 50706 | $2,118.00 | $2,824.00 | $736.03 – $1,324.86 | 17 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.46 – $6.23 | 16 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $14.07 – $25.33 | 16 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $8.84 – $15.91 | 16 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $7.01 – $12.62 | 16 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $12.48 – $22.46 | 16 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Bartonella dna pcr-sendout CPT 87471 | $1,113.00 | $1,484.00 | $17.13 – $63.16 | 17 |
| Basic vestibular evaluation CPT 92540 | $998.25 | $1,331.00 | $220.60 – $397.08 | 17 |
| Basiliximab HCPCS J0480 | $15,941.19 | $21,254.91 | $4,812.31 – $8,662.16 | 17 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,238.75 | $2,985.00 | not published | 0 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $605.43 | $807.24 | $3.39 – $6.10 | 17 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $170.98 | 16 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $161.81 – $161.81 | 1 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $103.79 – $186.82 | 16 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $3,406.85 | $4,542.46 | $3.89 – $7.01 | 17 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $7,979.25 | $10,638.99 | $57.19 – $102.94 | 17 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $10.49 – $18.88 | 16 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.16 – $3.89 | 16 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.94 – $25.10 | 16 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $6,784.08 | $9,045.43 | $12.90 – $23.22 | 17 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.74 – $57.12 | 16 |
| Benign lesion paring 2-4 CPT 11056 | $300.75 | $401.00 | $204.98 – $368.96 | 17 |
| Benign lesion paring 4+ CPT 11057 | $276.75 | $369.00 | $204.98 – $368.96 | 17 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $102.90 | $137.19 | $44.43 – $44.43 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $129.00 | $172.00 | $12.62 – $45.81 | 17 |
| Beta-2 microglobulin CPT 82232 | $84.00 | $112.00 | $6.87 – $29.12 | 17 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $232.06 | 16 |
| Beta-amyloid 1-42 CPT 82234 | $504.00 | $672.00 | $128.92 – $232.06 | 17 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $149.68 | $199.57 | $17.71 – $17.71 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,946.69 | $3,928.92 | $74.36 – $133.84 | 17 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.86 – $3.35 | 16 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $10,009.76 | $13,346.34 | $23.74 – $42.72 | 17 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.85 – $46.54 | 16 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $77.79 – $140.03 | 16 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $31.43 – $56.58 | 16 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,727.25 | $2,303.00 | $903.63 – $1,626.53 | 17 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,218.00 | $1,624.00 | $313.60 – $564.48 | 17 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $885.75 | $1,181.00 | $313.60 – $564.48 | 17 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $47.84 | 16 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $143.14 – $257.66 | 16 |
| Biliary endo perq dx w/speci CPT 47552 | $7,300.50 | $9,734.00 | $6,614.04 – $11,905.27 | 17 |
| Biliary endoscopy thru skin CPT 47553 | $7,300.50 | $9,734.00 | $6,614.04 – $11,905.27 | 17 |
| Biliary endoscopy thru skin CPT 47554 | $4,690.50 | $6,254.00 | $10,860.07 – $19,548.13 | 17 |
| Biliary endoscopy thru skin CPT 47555 | $2,959.50 | $3,946.00 | $6,614.04 – $11,905.27 | 17 |
| Biliary endoscopy thru skin CPT 47556 | $10,884.75 | $14,513.00 | $10,860.07 – $19,548.13 | 17 |
| Bilicheck CPT 88720 | $39.00 | $52.00 | $2.82 – $9.04 | 17 |
| Bilirubin direct CPT 82248 | $55.50 | $74.00 | $1.91 – $9.04 | 17 |
| Bilirubin total CPT 82247 | $48.00 | $64.00 | $1.91 – $9.04 | 17 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,472.18 – $2,649.93 | 16 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $36.33 – $65.39 | 16 |
| Biofeedback, pt CPT 90901 | $189.00 | $252.00 | $38.73 – $69.72 | 17 |
| Biopsy abdominal mass CPT 49180 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,534.50 | $2,046.00 | $1,687.37 – $3,037.27 | 17 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,827.75 | $2,437.00 | $941.00 – $1,693.80 | 17 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $241.98 – $435.56 | 16 |
| Biopsy eye muscle CPT 67346 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Biopsy eyelid & lid margin CPT 67810 | $576.00 | $768.00 | $324.28 – $583.70 | 17 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,282.50 | $1,710.00 | $1,687.37 – $3,037.27 | 17 |
| Biopsy needle liver percutaneous CPT 47000 | $2,136.75 | $2,849.00 | $1,687.37 – $3,037.27 | 17 |
| Biopsy needle lymph node superficial CPT 38505 | $1,722.00 | $2,296.00 | $1,687.37 – $3,037.27 | 17 |
| Biopsy of cornea CPT 65410 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Biopsy of epididymis CPT 54800 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy of heart lining CPT 93505 | $7,637.25 | $10,183.00 | $3,225.87 – $5,806.57 | 17 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $926.63 – $1,667.93 | 16 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $241.98 – $435.56 | 16 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $723.47 – $1,302.25 | 16 |
| Biopsy of nerve CPT 64795 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Biopsy of ovary(s) 58900 CPT 58900 | $2,203.50 | $2,938.00 | $3,307.24 – $5,953.03 | 17 |
| Biopsy of penis CPT 54105 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Biopsy of prostate CPT 55705 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,724.25 | $2,299.00 | $723.47 – $1,302.25 | 17 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $1,768.50 | $2,358.00 | $1,585.19 – $2,853.34 | 17 |
| Biopsy of tear gland CPT 68510 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Biopsy of tear sac CPT 68525 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Biopsy of testis CPT 54500 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Biopsy of testis CPT 54505 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy of upper nose/throat CPT 42804 | $3,795.00 | $5,060.00 | $3,387.27 – $6,097.09 | 17 |
| Biopsy of urethra CPT 53200 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $174.06 – $313.31 | 16 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $174.06 – $313.31 | 16 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,086.50 | $2,782.00 | $1,687.37 – $3,037.27 | 17 |
| Biopsy roof of mouth CPT 42100 | $1,404.00 | $1,872.00 | $1,585.19 – $2,853.34 | 17 |
| Biopsy skin incisional single lesion CPT 11106 | $485.25 | $647.00 | $755.08 – $1,359.14 | 17 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Biopsy tongue anterior two-thirds CPT 41100 | $1,865.25 | $2,487.00 | $551.01 – $991.82 | 17 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $1,356.75 | $1,809.00 | $551.01 – $991.82 | 17 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,404.50 | $3,206.00 | $2,967.63 – $5,341.73 | 17 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Biopsy/removal lymph nodes CPT 38525 | $3,913.50 | $5,218.00 | $4,000.24 – $7,200.43 | 17 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Biospy of bladder CPT 53899 | not published | not published | $255.26 – $459.47 | 16 |
| Biotinidase - quest CPT 82261 | $331.50 | $442.00 | $7.70 – $30.37 | 17 |
| Bis xtracell fluid analysis CPT 93702 | $147.75 | $197.00 | $131.46 – $236.63 | 17 |
| Bivalirudin HCPCS J0583 | $18,344.51 | $24,459.34 | $0.41 – $0.41 | 1 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $408.00 | $544.00 | $255.26 – $459.47 | 17 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $450.73 – $811.31 | 16 |
| Bld prd mix CPT 86965 | $140.25 | $187.00 | $24.60 – $313.31 | 17 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $450.73 – $811.31 | 16 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $172.13 | $229.50 | $53.77 – $53.77 | 1 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $20,544.09 | $27,392.12 | $163.96 – $295.13 | 17 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $11,794.23 – $21,229.61 | 16 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $17,500.50 – $31,500.90 | 16 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $17,500.50 – $31,500.90 | 16 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,750.50 – $17,550.90 | 16 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $381.24 – $686.23 | 16 |
| Blink reflex test CPT 95933 | $441.75 | $589.00 | $60.27 – $108.49 | 17 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $70.76 | 16 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $10,575.00 | $14,100.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $10,800.00 | $14,400.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,241.51 | $1,655.34 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $38,250.00 | $51,000.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $17,775.00 | $23,700.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $5,175.00 | $6,900.00 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $17.48 – $31.46 | 16 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $903.63 – $1,626.53 | 16 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $774.75 | $1,033.00 | $903.63 – $1,626.53 | 17 |
| Block paracervical nrv CPT 64435 | $1,471.50 | $1,962.00 | $721.17 – $1,298.11 | 17 |
| Block plantar digital nerve CPT 64455 | $572.25 | $763.00 | $313.60 – $564.48 | 17 |
| Block tap inj(s) w/wo img bi CPT 64488 | $680.25 | $907.00 | $139.15 – $250.47 | 17 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,095.00 | $1,460.00 | $118.35 – $213.02 | 17 |
| Blood Clotting (PT/INR) Test CPT 85610 | $69.00 | $92.00 | $4.29 – $7.72 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $78.00 | $104.00 | $6.01 – $10.82 | 17 |
| Blood Count (CBC) Test CPT 85025 | $104.25 | $139.00 | $3.68 – $13.99 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $90.75 | $121.00 | $3.06 – $11.65 | 17 |
| Blood Culture Test CPT 87040 | $150.75 | $201.00 | $4.88 – $18.58 | 17 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $7.00 – $12.60 | 16 |
| Blood draw capillary 36416 CPT 36416 | $18.00 | $24.00 | $3.44 – $6.50 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $226.50 | $302.00 | $36.32 – $141.79 | 17 |
| Blood gases ph venous CPT 82800 | not published | not published | $11.00 – $19.80 | 16 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $60.00 | $80.00 | $12.31 – $28.66 | 17 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | not published | not published | $4.23 – $7.61 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $34.50 | $46.00 | $3.28 – $7.88 | 17 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $27.75 | $37.00 | $1.63 – $9.58 | 17 |
| Blood smear interpretation CPT 85060 | $252.75 | $337.00 | $16.75 – $33.70 | 17 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $129.75 | $173.00 | $1.63 – $6.84 | 17 |
| Blood split unit HCPCS P9011 | $130.50 | $174.00 | $119.88 – $280.51 | 17 |
| Blood typing abo CPT 86900 | $186.75 | $249.00 | $1.41 – $244.67 | 17 |
| Blood typing ag donor ea ag CPT 86902 | $270.75 | $361.00 | $2.15 – $659.18 | 17 |
| Blood typing patient serum CPT 86904 | not published | not published | $34.52 – $108.49 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $270.75 | $361.00 | $2.05 – $659.18 | 17 |
| Blood typing rh (d) CPT 86901 | $126.00 | $168.00 | $4.17 – $68.69 | 17 |
| Blood typing rh phenotype complete reference CPT 86906 | $53.25 | $71.00 | $3.69 – $68.69 | 17 |
| Blood volume CPT 78122 | not published | not published | $192.02 – $998.51 | 16 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $84.55 – $152.19 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $483.00 | $644.00 | $72.98 – $192.26 | 17 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $19,830.72 | $26,440.95 | $127.14 – $228.85 | 17 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Bone filler cerament 10cc HCPCS C1602 | $5,163.75 | $6,885.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $408.43 – $735.17 | 16 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,253.25 | $1,671.00 | $1,687.37 – $3,037.27 | 17 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $4,449.84 – $8,009.71 | 16 |
| Bone marrow imaging body CPT 78104 | not published | not published | $408.43 – $735.17 | 16 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $334.50 – $735.17 | 16 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $348.41 – $735.17 | 16 |
| Bone marrow interpretation CPT 85097 | not published | not published | $98.82 – $1,481.63 | 16 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,253.25 | $1,671.00 | $1,687.37 – $3,037.27 | 17 |
| Bone survey-lead poisoning CPT 77074 | $619.50 | $826.00 | $106.81 – $192.26 | 17 |
| Bone tendon board add on HCPCS C9356 | $9,547.14 | $12,729.51 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $408.43 – $735.17 | 16 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Boot j walker l HCPCS L4386 | not published | not published | $194.86 – $350.75 | 16 |
| Boot mlti podous univ xlg HCPCS L4396 | $318.36 | $424.47 | $206.23 – $371.21 | 17 |
| Boot softgait shrt m HCPCS L4387 | $113.72 | $151.61 | $194.86 – $350.75 | 17 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $179.82 | $239.76 | $318.18 – $572.72 | 17 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $308.33 | $411.10 | $318.18 – $572.72 | 17 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $24.08 | 16 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $101.25 | $135.00 | $8.06 – $30.65 | 17 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $63.16 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $4.07 – $13.09 | 2 |
| Bowel imaging CPT 78290 | $1,699.50 | $2,266.00 | $408.43 – $735.17 | 17 |
| Br punct aspir ea add, l CPT 19001 | $507.75 | $677.00 | $25.44 – $45.79 | 17 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $52.13 – $93.83 | 16 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $189.31 – $340.76 | 16 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $574.30 – $1,033.74 | 16 |
| Brace afo lg left 6607 HCPCS L1930 | $70.65 | $94.19 | $309.60 – $557.28 | 17 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,032.09 – $1,857.76 | 16 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $761.80 – $1,371.24 | 16 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $138.20 – $248.76 | 16 |
| Brace ank air stirrup univ HCPCS L4350 | $55.92 | $74.56 | $118.90 – $214.02 | 17 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $77.24 – $139.03 | 16 |
| Brace ankle stablizing lg HCPCS L1902 | $35.15 | $46.86 | $91.73 – $165.11 | 17 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $271.08 – $487.94 | 16 |
| Brace back epic lso 637 HCPCS L0650 | $608.40 | $811.19 | $783.31 – $1,409.96 | 17 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $655.74 – $1,180.33 | 16 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $505.13 – $909.23 | 16 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,826.79 – $3,288.22 | 16 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,514.79 – $4,526.62 | 16 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $676.99 – $1,218.58 | 16 |
| Brace cust back lso HCPCS L0631 | $417.67 | $556.89 | $1,261.60 – $2,270.88 | 17 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,125.80 – $2,026.44 | 16 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $432.69 – $778.84 | 16 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $107.96 – $194.33 | 16 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,278.43 – $4,101.17 | 16 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $641.72 – $1,155.10 | 16 |
| Brace knee extender plus 22-30in HCPCS L1832 | $257.51 | $343.34 | $846.51 – $1,523.72 | 17 |
| Brace knee hing pat open med HCPCS L1820 | $433.29 | $577.71 | $174.65 – $314.37 | 17 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $188.51 | $251.34 | $509.63 – $917.33 | 17 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,029.48 – $1,853.06 | 16 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $126.52 – $227.74 | 16 |
| Brace m arm board HCPCS L3809 | $110.54 | $147.38 | $279.67 – $503.41 | 17 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,592.13 – $2,865.83 | 16 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,222.31 – $2,200.16 | 16 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $82.50 | $110.00 | $279.67 – $503.41 | 17 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $123.17 – $221.71 | 16 |
| Brace wrist classic lft sm HCPCS L3908 | $99.75 | $133.00 | $82.00 – $147.60 | 17 |
| Brach/thor cath 1st CPT 36215 | $4,128.75 | $5,505.00 | $985.37 – $1,773.66 | 17 |
| Brach/thor cath 2nd CPT 36216 | $2,546.25 | $3,395.00 | $1,005.04 – $1,809.06 | 17 |
| Brach/thor cath 3rd CPT 36217 | $3,175.50 | $4,234.00 | $1,826.75 – $3,288.16 | 17 |
| Brach/thor cath addl CPT 36218 | $1,933.50 | $2,578.00 | $213.32 – $383.98 | 17 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.26 – $63.47 | 16 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $36.64 – $65.95 | 16 |
| Brachy source palladium HCPCS C2640 | not published | not published | $88.26 – $158.87 | 16 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $64.48 – $116.06 | 16 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $17,771.01 – $31,987.82 | 16 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $99.80 – $179.64 | 16 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $357.49 – $643.48 | 16 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $119.11 – $214.40 | 16 |
| Brachytx isodose complex CPT 77318 | not published | not published | $382.54 – $688.57 | 16 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $382.54 – $688.57 | 16 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $382.54 – $688.57 | 16 |
| Braf gene CPT 81210 | $214.50 | $286.00 | $76.48 – $315.72 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,229.00 | $2,972.00 | $356.43 – $641.57 | 17 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,998.00 | $2,664.00 | $356.43 – $641.57 | 17 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,779.75 | $2,373.00 | $243.77 – $438.79 | 17 |
| Brain MRI (with and without contrast) CPT 70553 | $2,345.25 | $3,127.00 | $356.43 – $641.57 | 17 |
| Brain MRI (with contrast) CPT 70552 | $2,212.50 | $2,950.00 | $356.43 – $641.57 | 17 |
| Brain MRI (without contrast) CPT 70551 | $2,081.25 | $2,775.00 | $243.77 – $438.79 | 17 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,343.52 – $2,418.33 | 16 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,186.01 – $2,134.82 | 16 |
| Brain flow imaging only CPT 78610 | $456.75 | $609.00 | $364.80 – $998.51 | 17 |
| Brain image 4+ views CPT 78605 | not published | not published | $395.90 – $998.51 | 16 |
| Brain image < 4 views CPT 78600 | not published | not published | $363.99 – $735.17 | 16 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $554.73 – $998.51 | 16 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $408.43 – $735.17 | 16 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $675.45 | 16 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $542.43 | 16 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $509.18 | 16 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,051.61 | 16 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $842.40 | 16 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $333.22 | 16 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $675.45 | 16 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $509.18 | 16 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $792.00 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,824.88 – $3,284.78 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,049.25 | $5,399.00 | $1,687.37 – $3,037.27 | 17 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $8,350.42 – $15,030.76 | 16 |
| Breast punct aspir cyst, bil CPT 19000 | $542.25 | $723.00 | $723.47 – $1,302.25 | 17 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,341.69 – $2,415.05 | 16 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $14,079.44 – $25,342.99 | 16 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,514.83 – $2,726.69 | 16 |
| Breast reduction CPT 19318 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Breath hydrogen test 91065 CPT 91065 | $577.50 | $770.00 | $220.60 – $397.08 | 17 |
| Breath recording infant CPT 94772 | not published | not published | $381.24 – $686.23 | 16 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $169.94 | 16 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $19.91 | 16 |
| Breathing response hypoxia CPT 94450 | not published | not published | $131.46 – $236.63 | 16 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $46,868.78 | $62,491.70 | $268.73 – $483.71 | 17 |
| Brexucabtagene car pos t HCPCS Q2053 | $1,475,302.50 | $1,967,070.00 | $489,290.60 – $880,723.08 | 17 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $2,765.25 | $3,687.00 | $124.24 – $223.63 | 17 |
| Bronch ebus samplng 1/2 node CPT 31652 | $5,532.00 | $7,376.00 | $3,809.10 – $6,856.38 | 17 |
| Bronch ebus samplng 3/> node CPT 31653 | $5,532.00 | $7,376.00 | $3,809.10 – $6,856.38 | 17 |
| Bronch thermoplsty 1 lobe CPT 31660 | $7,346.25 | $9,795.00 | $7,210.32 – $12,978.58 | 17 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $7,765.50 | $10,354.00 | $7,210.32 – $12,978.58 | 17 |
| Bronch w/balloon occlusion CPT 31634 | $7,870.50 | $10,494.00 | $7,210.32 – $12,978.58 | 17 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $203.93 – $367.07 | 16 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $399.59 – $719.26 | 16 |
| Bronchial allergy tests CPT 95070 | $573.00 | $764.00 | $381.24 – $686.23 | 17 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $399.59 – $719.26 | 16 |
| Bronchial challenge CPT 94070 | $1,462.50 | $1,950.00 | $381.24 – $686.23 | 17 |
| Bronchial valve init insert CPT 31647 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Bronchial valve remov addl CPT 31649 | $1,968.00 | $2,624.00 | $1,818.45 – $3,273.21 | 17 |
| Bronchial valve remov init CPT 31648 | $4,341.75 | $5,789.00 | $3,809.10 – $6,856.38 | 17 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Bronchoscopy clear airways 31645 CPT 31645 | $3,143.25 | $4,191.00 | $1,818.45 – $3,273.21 | 17 |
| Bronchoscopy dilate w/stent CPT 31631 | $6,768.75 | $9,025.00 | $7,210.32 – $12,978.58 | 17 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $2,256.75 | $3,009.00 | $1,818.45 – $3,273.21 | 17 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $2,919.75 | $3,893.00 | $1,818.45 – $3,273.21 | 17 |
| Bronchoscopy w/markers CPT 31626 | $11,335.50 | $15,114.00 | $7,210.32 – $12,978.58 | 17 |
| Bronchoscopy w/tumor excise CPT 31640 | $3,691.50 | $4,922.00 | $3,809.10 – $6,856.38 | 17 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,872.75 | $2,497.00 | $65.98 – $118.76 | 17 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $2,785.50 | $3,714.00 | $3,809.10 – $6,856.38 | 17 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $1,872.75 | $2,497.00 | $82.81 – $149.05 | 17 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $2,834.25 | $3,779.00 | $3,809.10 – $6,856.38 | 17 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $6.41 – $11.54 | 16 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,230.58 – $2,215.05 | 16 |
| Budesonide non-comp unit HCPCS J7626 | $32.78 | $43.70 | $3.27 – $3.27 | 1 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $1.54 – $3.54 | 2 |
| Bundle his recording CPT 93600 | $5,625.00 | $7,500.00 | $7,968.60 – $14,343.48 | 17 |
| Bundled special stain group 1 microorganisms CPT 88312 | $167.25 | $223.00 | $20.50 – $95.83 | 17 |
| Bundled special stain group 2 CPT 88313 | $134.25 | $179.00 | $20.50 – $244.67 | 17 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $44.19 | $58.92 | $0.03 – $0.03 | 1 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $2.98 – $2.98 | 1 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $7,360.99 | $9,814.65 | $1,996.56 – $3,593.80 | 17 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $545.43 | $727.23 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $621.18 | $828.24 | not published | 0 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $7,360.99 | $9,814.65 | $1,996.56 – $3,593.80 | 17 |
| Buprenorphine and metabolite - sendout CPT 80348 | $151.50 | $202.00 | $0.03 – $19.44 | 3 |
| Buprenorphine hydrochloride HCPCS J0592 | $52.01 | $69.34 | $10.63 – $10.63 | 1 |
| Buprenorphine oral 1mg HCPCS J0571 | $715.66 | $954.21 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $11,463.75 | $15,285.00 | not published | 0 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $745.93 – $1,342.68 | 16 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $330.53 – $594.96 | 16 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,245.20 – $2,241.36 | 16 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,228.68 – $2,211.63 | 16 |
| Busulfan injection HCPCS J0594 | $783.10 | $1,044.13 | $0.68 – $1.22 | 17 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $63.62 | $84.82 | $13.00 – $13.00 | 1 |
| Buttock fasciotomy CPT 27027 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bx bone trocar/ndl deep CPT 20225 | $2,610.75 | $3,481.00 | $1,687.37 – $3,037.27 | 17 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,197.25 | $4,263.00 | $1,687.37 – $3,037.27 | 17 |
| Bx breast 1st lesion strtctc CPT 19081 | $4,984.50 | $6,646.00 | $1,687.37 – $3,037.27 | 17 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,906.25 | $3,875.00 | $331.19 – $596.15 | 17 |
| Bx breast add lesion mr imag CPT 19086 | $3,008.25 | $4,011.00 | $510.68 – $919.22 | 17 |
| Bx breast add lesion strtctc CPT 19082 | $4,428.00 | $5,904.00 | $337.00 – $606.61 | 17 |
| Bx breast perq without image 19100 CPT 19100 | $1,748.25 | $2,331.00 | $1,687.37 – $3,037.27 | 17 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Bx liver with other CPT 47001 | $2,265.00 | $3,020.00 | $91.34 – $164.41 | 17 |
| Bx muscle CPT 20200 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $3,876.00 | $5,168.00 | $3,307.24 – $5,953.03 | 17 |
| Bx pancreas pq ndl CPT 48102 | $1,917.75 | $2,557.00 | $1,687.37 – $3,037.27 | 17 |
| Bx perianal mass CPT 46999 | $1,059.00 | $1,412.00 | $950.10 – $1,710.18 | 17 |
| Bx pleura pq ndl CPT 32400 | $1,788.75 | $2,385.00 | $1,687.37 – $3,037.27 | 17 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $4,050.75 | $5,401.00 | $3,601.33 – $6,482.39 | 17 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $323.25 | $431.00 | $66.38 – $119.48 | 17 |
| Bx skin punch ea sep/ addl les CPT 11105 | $291.75 | $389.00 | $56.70 – $102.05 | 17 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $291.75 | $389.00 | $45.72 – $82.30 | 17 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $3,084.75 | $4,113.00 | $1,687.37 – $3,037.27 | 17 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,879.50 | $2,506.00 | $1,687.37 – $3,037.27 | 17 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,148.25 | $1,531.00 | $723.47 – $1,302.25 | 17 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $2,074.50 | $2,766.00 | $941.00 – $1,693.80 | 17 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $2,212.50 | $2,950.00 | $941.00 – $1,693.80 | 17 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $1,827.75 | $2,437.00 | $37.53 – $67.56 | 17 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $1,140.75 | $1,521.00 | $311.33 – $560.39 | 17 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,007.84 – $3,614.12 | 16 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,460.77 – $2,629.39 | 16 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Bypass temp external fem-fem CPT 37799 | $15,243.75 | $20,325.00 | $640.89 – $1,153.60 | 17 |
| C motor evoked lwr limbs CPT 95929 | $413.25 | $551.00 | $381.24 – $686.23 | 17 |
| C motor evoked uppr limbs CPT 95928 | $780.00 | $1,040.00 | $877.34 – $1,579.21 | 17 |
| C motor evoked upr&lwr limbs CPT 95939 | $780.00 | $1,040.00 | $877.34 – $1,579.21 | 17 |
| C-1 esterase, berinert HCPCS J0597 | $13,165.77 | $17,554.35 | $76.05 – $136.89 | 17 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $65.50 – $117.90 | 16 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,418.69 – $4,353.65 | 16 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $593.12 | 16 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $135.93 – $244.67 | 16 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $135.93 – $244.67 | 16 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $135.93 – $244.67 | 16 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $38.16 – $68.69 | 16 |
| C-peptide CPT 84681 | $128.25 | $171.00 | $9.84 – $37.46 | 17 |
| C-reactive protein CPT 86140 | $126.00 | $168.00 | $2.45 – $9.32 | 17 |
| C-reactive protein high sensitivity CPT 86141 | $117.75 | $157.00 | $6.12 – $23.31 | 17 |
| C-reactive protein, quantitative CPT 86406 | $135.75 | $181.00 | $5.75 – $19.15 | 17 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,207.51 – $2,173.53 | 16 |
| C1 esterase inhibitor func - sendout CPT 86161 | $132.75 | $177.00 | $6.57 – $21.60 | 17 |
| CT 3d report other modality w/workstation CPT 76377 | $633.00 | $844.00 | $74.43 – $133.97 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,605.50 | $3,474.00 | $356.43 – $641.57 | 17 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,150.25 | $2,867.00 | $179.20 – $322.56 | 17 |
| CT Angiogram of the Head CPT 70496 | $2,237.25 | $2,983.00 | $179.20 – $322.56 | 17 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,605.50 | $3,474.00 | $356.43 – $641.57 | 17 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,493.75 | $3,325.00 | $356.43 – $641.57 | 17 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,418.75 | $3,225.00 | $243.77 – $438.79 | 17 |
| CT angio hrt w/3d image CPT 75574 | $2,243.25 | $2,991.00 | $356.43 – $641.57 | 17 |
| CT angio pelvis CPT 72191 | $2,418.75 | $3,225.00 | $179.20 – $322.56 | 17 |
| CT bone density axial CPT 77078 | not published | not published | $88.91 – $160.04 | 16 |
| CT cerebral perf w cont & prcssng CPT 70473 | $633.00 | $844.00 | $179.20 – $322.56 | 17 |
| CT colonography dx CPT 74261 | $2,139.00 | $2,852.00 | $106.81 – $192.26 | 17 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $179.20 – $322.56 | 16 |
| CT colonography screening CPT 74263 | not published | not published | $243.77 – $438.79 | 16 |
| CT guid cryo ablat intramuscular CPT 20999 | $1,056.00 | $1,408.00 | $252.01 – $453.62 | 17 |
| CT guid parench tis ablat CPT 77013 | $1,282.50 | $1,710.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $1,632.00 | $2,176.00 | $116.78 – $210.21 | 17 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,047.50 | $2,730.00 | $106.42 – $191.56 | 17 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $2,051.25 | $2,735.00 | $88.91 – $160.04 | 17 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,418.75 | $3,225.00 | $356.43 – $641.57 | 17 |
| CT hrt w/3d image CPT 75572 | $2,883.00 | $3,844.00 | $356.43 – $641.57 | 17 |
| CT limited or localized follow-up study CPT 76380 | $642.75 | $857.00 | $88.91 – $160.04 | 17 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,553.25 | $2,071.00 | $179.20 – $322.56 | 17 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,372.50 | $1,830.00 | $106.81 – $192.26 | 17 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,618.50 | $2,158.00 | $179.20 – $322.56 | 17 |
| CT neck soft tissue w/contrast CPT 70491 | $1,730.25 | $2,307.00 | $179.20 – $322.56 | 17 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,752.75 | $2,337.00 | $179.20 – $322.56 | 17 |
| CT neck soft tissue without contrast CPT 70490 | $1,389.75 | $1,853.00 | $106.81 – $192.26 | 17 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,487.25 | $1,983.00 | $179.20 – $322.56 | 17 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,400.25 | $1,867.00 | $106.81 – $192.26 | 17 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,661.25 | $2,215.00 | $179.20 – $322.56 | 17 |
| CT t-spine w /wo contrast CPT 72130 | $1,817.25 | $2,423.00 | $179.20 – $322.56 | 17 |
| CT thoracic spine w/contrast CPT 72129 | $1,732.50 | $2,310.00 | $179.20 – $322.56 | 17 |
| CT thoracic spine without contrast CPT 72128 | $1,464.00 | $1,952.00 | $106.81 – $192.26 | 17 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $187.50 | $250.00 | $106.81 – $192.26 | 17 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,614.75 | $2,153.00 | $356.43 – $641.57 | 17 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,473.75 | $1,965.00 | $106.81 – $192.26 | 17 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,224.50 | $2,966.00 | $179.20 – $322.56 | 17 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $1,296.00 | $1,728.00 | $950.10 – $1,710.18 | 17 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $53,887.78 | $71,850.37 | $231.05 – $415.89 | 17 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $173.02 | $230.69 | not published | 0 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,025.32 – $3,645.58 | 16 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,247.57 – $4,045.63 | 16 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,420.75 – $4,357.35 | 16 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $168.51 – $303.32 | 16 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $369.76 – $665.57 | 16 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $488.74 – $879.74 | 16 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $586.89 – $1,056.40 | 16 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $658.29 – $1,184.92 | 16 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $748.18 – $1,346.72 | 16 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $472.16 – $849.89 | 16 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $1,959.49 – $3,527.08 | 16 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,219.75 – $3,995.56 | 16 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,265.94 – $4,078.69 | 16 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $1,726.38 – $3,107.49 | 16 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $1,782.47 – $3,208.45 | 16 |
| Cable cath 22-pin diag HCPCS C1730 | $5,737.50 | $7,650.00 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $371.25 | $495.00 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $24.18 – $43.53 | 16 |
| Cacna1a gene full gene seq CPT 81185 | $635.25 | $847.00 | $846.27 – $1,523.29 | 17 |
| Cadd pump refill CPT 96521 | not published | not published | $217.31 – $391.16 | 16 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $106.71 | $142.28 | $4.76 – $4.76 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $82.08 – $147.74 | 16 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $9,840.35 | $13,120.46 | $2,940.56 – $2,940.56 | 1 |
| Calcium 24 hour urine CPT 82340 | $78.75 | $105.00 | $2.85 – $10.85 | 17 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.07 – $0.07 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $71.82 | $95.75 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $62.13 | $82.83 | $0.10 – $0.10 | 1 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $61.76 | $82.34 | $0.18 – $0.18 | 1 |
| Calcium ionized CPT 82330 | $101.25 | $135.00 | $6.46 – $24.62 | 17 |
| Calcium total CPT 82310 | $52.50 | $70.00 | $2.44 – $9.29 | 17 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $23.17 | 16 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $20.84 | 16 |
| Caloric vstblr test w/rec CPT 92538 | $465.75 | $621.00 | $220.60 – $397.08 | 17 |
| Calprotectin fecal CPT 83993 | $351.00 | $468.00 | $9.60 – $35.33 | 17 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $73.81 – $132.86 | 16 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.12 – $23.62 | 16 |
| Canakinumab injection HCPCS J0638 | $79,068.64 | $105,424.85 | $149.57 – $269.23 | 17 |
| Candida dna CPT 87480 | not published | not published | $20.05 – $36.09 | 16 |
| Candida skin test CPT 86485 | not published | not published | $29.55 – $53.19 | 16 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $235,532.25 | $314,043.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $667.07 – $1,200.73 | 16 |
| Canthotomy 67715 CPT 67715 | $2,709.00 | $3,612.00 | $2,428.98 – $4,372.16 | 17 |
| Cap nerve 2x15mm HCPCS C1763 | $28,177.88 | $37,570.50 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $5,400.00 | $7,200.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $20,888.96 | $27,851.94 | $0.03 – $0.05 | 17 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.42 – $6.16 | 16 |
| Capsular contracture release CPT 23020 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $1,052.82 | 16 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $1,052.82 | 16 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $38.16 – $68.69 | 16 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $20.65 – $37.17 | 16 |
| Car-t admn autologous CPT 38228 | not published | not published | $337.46 – $607.43 | 16 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $82.36 – $148.26 | 16 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $33.26 – $59.87 | 16 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $33.59 – $60.47 | 16 |
| Carbamazepine free CPT 80157 | $131.25 | $175.00 | $4.92 – $23.85 | 17 |
| Carbamazepine free -sendout CPT 80161 | $168.75 | $225.00 | $18.64 – $33.55 | 17 |
| Carbamazepine total therapeutic drug level CPT 80156 | $113.25 | $151.00 | $6.89 – $26.23 | 17 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $244.04 – $439.27 | 16 |
| Carbohydrate deficient transf - sendout CPT 82373 | $162.00 | $216.00 | $3.59 – $32.51 | 17 |
| Carbohydrate urine - sendout CPT 84377 | $936.00 | $1,248.00 | $2.57 – $9.90 | 17 |
| Carbon dioxide CPT 82374 | $155.25 | $207.00 | $2.31 – $8.78 | 17 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $45.78 | $61.04 | $5.43 – $5.43 | 1 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $334.92 | $446.55 | $15.56 – $28.01 | 17 |
| Carboxyhemoglobin quantitative CPT 82375 | $102.00 | $136.00 | $5.44 – $22.18 | 17 |
| Carcinoembryonic ag (cea) CPT 82378 | $162.75 | $217.00 | $8.98 – $34.13 | 17 |
| Card MRI veloc flow mapping CPT 75565 | $1,470.75 | $1,961.00 | $42.20 – $75.96 | 17 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $558.25 – $1,004.85 | 16 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $558.25 – $1,004.85 | 16 |
| Cardiac MRI w/stress img CPT 75559 | $4,247.25 | $5,663.00 | $558.25 – $1,004.85 | 17 |
| Cardiac Stress Test CPT 93015 | not published | not published | $69.34 – $124.81 | 16 |
| Cardiac drug stress test CPT 93024 | not published | not published | $456.40 – $821.52 | 16 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $5,794.50 | $7,726.00 | $825.28 – $2,380.84 | 17 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $3,952.50 | $5,270.00 | $545.02 – $2,380.84 | 17 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,367.25 | $5,823.00 | $614.63 – $2,380.84 | 17 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $268.50 | $358.00 | $131.70 – $237.06 | 17 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $216.00 | $288.00 | $131.70 – $237.06 | 17 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $340.23 – $735.17 | 16 |
| Cardioassist internal CPT 92970 | not published | not published | $161.36 – $290.44 | 16 |
| Cardiokymography HCPCS Q0035 | not published | not published | $38.16 – $68.69 | 16 |
| Cardiolipin antibody iga CPT 86147 | $213.75 | $285.00 | $11.27 – $45.81 | 17 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,301.75 | $3,069.00 | $675.26 – $1,215.47 | 17 |
| Cardioversion/elective/internal 92961 CPT 92961 | $1,707.00 | $2,276.00 | $675.26 – $1,215.47 | 17 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $51.12 – $92.02 | 16 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $25.36 – $45.64 | 16 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $13,992.87 | $18,657.15 | $56.24 – $101.23 | 17 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $9,719.27 | $12,959.02 | $241.80 – $435.25 | 17 |
| Carotene CPT 82380 | $75.00 | $100.00 | $4.36 – $16.60 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,306.50 | $1,742.00 | $243.77 – $438.79 | 17 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Caspofungin acetate HCPCS J0637 | $1,158.18 | $1,544.23 | $5.82 – $5.82 | 1 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $3.56 – $6.41 | 16 |
| Cataract Surgery CPT 66984 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.30 – $49.14 | 16 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,115.83 | $1,487.76 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $27,000.00 | $36,000.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,687.50 | $2,250.00 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $7,380.00 | $9,840.00 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,500.00 | $6,000.00 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $64,496.25 | $85,995.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,951.50 | $10,602.00 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $27,000.00 | $36,000.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $7,256.82 | $9,675.75 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,813.25 | $11,751.00 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $5,062.50 | $6,750.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $13,146.00 | $17,528.00 | $3,312.15 – $5,961.87 | 17 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $22.81 – $41.06 | 16 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $6,738.75 | $8,985.00 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,463.75 | $3,285.00 | not published | 0 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $13.61 – $24.50 | 16 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,295.00 | $3,060.00 | not published | 0 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $2.87 – $5.17 | 16 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $7.78 – $14.00 | 16 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $5,309.87 | $7,079.82 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $7,076.25 | $9,435.00 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $6,378.75 | $8,505.00 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $2.43 – $4.37 | 16 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $2,463.75 | $3,285.00 | not published | 0 |
| Cath left heart transseptal punc CPT 93462 | $12,254.25 | $16,339.00 | $199.33 – $358.79 | 17 |
| Cath left heart/lv gram CPT 93452 | $12,170.25 | $16,227.00 | $3,312.15 – $5,961.87 | 17 |
| Cath lt/rt pulm art CPT 36014 | $3,098.25 | $4,131.00 | $695.59 – $1,252.07 | 17 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $6,845.92 | $9,127.89 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $38,250.00 | $51,000.00 | not published | 0 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $38.46 – $69.23 | 16 |
| Cath place 1st order venous 36011 CPT 36011 | $2,613.00 | $3,484.00 | $724.49 – $1,304.09 | 17 |
| Cath place cardio brachytx CPT 92974 | $15,709.50 | $20,946.00 | $137.19 – $246.95 | 17 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $19,300.50 | $25,734.00 | $3,312.15 – $5,961.87 | 17 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $18,666.75 | $24,889.00 | $3,312.15 – $5,961.87 | 17 |
| Cath plc art/grft/angio right hrt CPT 93457 | $20,196.00 | $26,928.00 | $3,312.15 – $5,961.87 | 17 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $12,732.75 | $16,977.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $8,787.00 | $11,716.00 | $3,312.15 – $5,961.87 | 17 |
| Cath right hrt mnpul art CPT 36013 | $2,094.75 | $2,793.00 | $716.21 – $1,289.17 | 17 |
| Cath segmntl pulm art CPT 36015 | $2,868.00 | $3,824.00 | $736.66 – $1,326.00 | 17 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,925.00 | $3,900.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $2,241.75 | $2,989.00 | $209.56 – $377.21 | 17 |
| Cath symplicity spyral HCPCS C1735 | $36,000.00 | $48,000.00 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $1,408.39 | $1,877.85 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $32,626.80 | $43,502.40 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $521.25 | $695.00 | $219.15 – $394.48 | 17 |
| Catheter declot mechanical CPT 36596 | $2,209.50 | $2,946.00 | $1,608.25 – $2,894.85 | 17 |
| Catheter insert artery CPT 36625 | not published | not published | $94.25 – $169.65 | 16 |
| Catheter stripping venous CPT 36595 | $2,902.50 | $3,870.00 | $3,225.87 – $5,806.57 | 17 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $58.50 | $78.00 | $2.50 – $16.81 | 17 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $255.26 – $459.47 | 16 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $81.98 – $147.56 | 16 |
| Cauterization chemical granulation tissue CPT 17250 | $543.75 | $725.00 | $204.98 – $368.96 | 17 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $373.16 | 16 |
| Cdna analysis for variants CPT 81403 | $1,540.50 | $2,054.00 | $185.20 – $333.36 | 17 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $135.93 – $244.67 | 16 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $135.93 – $244.67 | 16 |
| Cebpa gene full sequence CPT 81218 | $387.00 | $516.00 | $241.90 – $435.42 | 17 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $7.78 | $10.37 | $2.14 – $2.14 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $39.95 | $53.26 | $3.17 – $3.17 | 1 |
| Cefotaxime sodium injection HCPCS J0698 | $43.10 | $57.46 | not published | 0 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $43.23 – $43.23 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $94.59 | $126.11 | $13.20 – $13.20 | 1 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $738.72 | $984.96 | $4.25 – $7.66 | 17 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $107.85 | $143.80 | $4.22 – $4.22 | 1 |
| Ceftazidime and avibactam HCPCS J0714 | $1,418.10 | $1,890.79 | $104.75 – $188.55 | 17 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $123.72 | $164.96 | $1.24 – $1.24 | 1 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $18.04 | $24.05 | $5.89 – $5.89 | 1 |
| Cell count body fluid CPT 89050 | $76.50 | $102.00 | $1.80 – $8.50 | 17 |
| Cell count w differential body fluid CPT 89051 | $145.50 | $194.00 | $2.61 – $10.08 | 17 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $23.53 | 16 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $451.40 | 16 |
| Cell function assay w/stim CPT 86352 | $949.50 | $1,266.00 | $28.63 – $244.55 | 17 |
| Cell marker study CPT 88182 | $1,170.00 | $1,560.00 | $44.17 – $95.83 | 17 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $40,395.06 | $53,860.07 | $29.76 – $53.57 | 17 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $18,728.57 – $18,728.57 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $212.23 – $382.01 | 16 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $7,213.50 | $9,618.00 | $3,307.24 – $5,953.03 | 17 |
| Cerebrospinal fld flw imag CPT 78645 | $1,215.75 | $1,621.00 | $554.73 – $998.51 | 17 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $22,182.90 | $29,577.19 | $3.79 – $6.82 | 17 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $156.75 | $209.00 | $103.79 – $186.82 | 17 |
| Cesarean section delivery only 59514 CPT 59514 | $4,472.25 | $5,963.00 | $814.78 – $1,466.60 | 17 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $5,734.83 | $7,646.43 | $80.46 – $144.82 | 17 |
| Cftr gene dup/delet variants CPT 81222 | $918.00 | $1,224.00 | $98.35 – $783.13 | 17 |
| Cftr gene intron poly t CPT 81224 | $285.75 | $381.00 | $55.53 – $303.75 | 17 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $175.00 | 16 |
| Change cystostomy tube simple CPT 51705 | $621.75 | $829.00 | $255.26 – $459.47 | 17 |
| Change cystostomy tube; complex 51710 CPT 51710 | $780.75 | $1,041.00 | $712.40 – $1,282.32 | 17 |
| Change g-tube to g-j perc CPT 49446 | $1,530.00 | $2,040.00 | $1,960.47 – $3,528.85 | 17 |
| Change gastric port open CPT 43888 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Change nephroureteral cath CPT 50387 | $2,969.25 | $3,959.00 | $2,135.66 – $3,844.19 | 17 |
| Change of ureter tube/stent CPT 50688 | $2,397.00 | $3,196.00 | $2,135.66 – $3,844.19 | 17 |
| Change of windpipe airway 31502 CPT 31502 | $609.00 | $812.00 | $241.98 – $435.56 | 17 |
| Change stent via transureth CPT 50385 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Change ureter stent percut CPT 50382 | $4,099.50 | $5,466.00 | $2,135.66 – $3,844.19 | 17 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $129.38 – $313.31 | 16 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $204.98 – $368.96 | 16 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $415.32 – $747.58 | 16 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $415.32 – $747.58 | 16 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $755.08 – $1,359.14 | 16 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,323.75 | $1,765.00 | $337.46 – $607.43 | 17 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $337.46 – $607.43 | 16 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $47.84 – $86.11 | 16 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $337.46 – $607.43 | 16 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $337.46 – $607.43 | 16 |
| Chemo intralesional over 7 CPT 96406 | $246.75 | $329.00 | $217.31 – $391.16 | 17 |
| Chemo intralesional up to 7 96405 CPT 96405 | $83.25 | $111.00 | $73.56 – $132.41 | 17 |
| Chemodener muscle larynx emg CPT 64617 | $801.75 | $1,069.00 | $721.17 – $1,298.11 | 17 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $293.25 | $391.00 | $95.37 – $171.66 | 17 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $281.25 | $375.00 | $123.35 – $222.03 | 17 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $539.25 | $719.00 | $721.17 – $1,298.11 | 17 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $988.50 | $1,318.00 | $721.17 – $1,298.11 | 17 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $313.60 – $564.48 | 16 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $313.60 – $564.48 | 16 |
| Chemodenerv musc migraine 64615 CPT 64615 | $512.25 | $683.00 | $313.60 – $564.48 | 17 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $819.00 | $1,092.00 | $313.60 – $564.48 | 17 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $387.75 | $517.00 | $313.60 – $564.48 | 17 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $822.75 | $1,097.00 | $721.17 – $1,298.11 | 17 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $801.75 | $1,069.00 | $721.17 – $1,298.11 | 17 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $324.28 – $583.70 | 16 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $891.75 | $1,189.00 | $313.60 – $564.48 | 17 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $28.78 | 16 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $337.46 – $607.43 | 16 |
| Chemotx admn pertl cav impl CPT 96446 | $852.00 | $1,136.00 | $337.46 – $607.43 | 17 |
| Chest 2 vws w oblique CPT 71048 | $507.00 | $676.00 | $77.09 – $192.26 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,829.25 | $2,439.00 | $179.20 – $322.56 | 17 |
| Chest CT scan (with contrast) CPT 71260 | $1,747.50 | $2,330.00 | $179.20 – $322.56 | 17 |
| Chest CT scan (without contrast) CPT 71250 | $1,519.50 | $2,026.00 | $106.81 – $192.26 | 17 |
| Chest X-ray CPT 71046 | $366.00 | $488.00 | $57.43 – $160.04 | 17 |
| Chest X-ray (single view) CPT 71045 | $292.50 | $390.00 | $42.69 – $160.04 | 17 |
| Chest apical lordotic proj CPT 71047 | $500.25 | $667.00 | $72.17 – $160.04 | 17 |
| Chg pr pul rehab for copd patients CPT 94626 | $134.25 | $179.00 | $60.27 – $108.49 | 17 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $759.00 | $1,012.00 | $179.20 – $322.56 | 17 |
| Chimerism anal no cell selec CPT 81267 | $1,689.75 | $2,253.00 | $207.46 – $373.43 | 17 |
| Chimerism anal w/cell select CPT 81268 | $822.00 | $1,096.00 | $260.79 – $469.42 | 17 |
| Chlamydia culture CPT 87110 | $105.00 | $140.00 | $9.27 – $35.28 | 17 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $21.56 | 16 |
| Chlamydia type CPT 87140 | not published | not published | $5.57 – $10.03 | 16 |
| Chlnggrphy intraop addl s&i CPT 74301 | $519.00 | $692.00 | $44.55 – $44.55 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | $143.40 | $191.20 | $129.37 – $129.37 | 1 |
| Chloride CPT 82435 | $42.75 | $57.00 | $2.17 – $8.28 | 17 |
| Chloride 24 hour urine CPT 82436 | $60.75 | $81.00 | $2.38 – $10.35 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $69.08 | $92.10 | $0.08 – $0.08 | 1 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $1.52 – $2.45 | 2 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $221.85 | $295.80 | $103.94 – $103.94 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $91.92 | $122.55 | $69.68 – $69.68 | 1 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $1.26 – $1.26 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $337.46 – $607.43 | 16 |
| Cholangiogram percutaneous compl CPT 47532 | $2,959.50 | $3,946.00 | $3,657.95 – $6,584.31 | 17 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $694.50 | $926.00 | $59.40 – $59.40 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,165.40 – $2,097.72 | 16 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,036.28 – $1,865.31 | 16 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,067.97 – $1,922.35 | 16 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,449.25 | $4,599.00 | $3,657.95 – $6,584.31 | 17 |
| Cholesterol CPT 82465 | $63.75 | $85.00 | $2.06 – $7.83 | 17 |
| Cholesterol (Lipid) Test CPT 80061 | $143.25 | $191.00 | $6.02 – $24.10 | 17 |
| Cholesterol body fluid CPT 84999 | not published | not published | $74.72 – $74.72 | 1 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $4,529.57 | 16 |
| Cholinesterase CPT 82480 | $105.00 | $140.00 | $4.10 – $14.17 | 17 |
| Cholinesterase challenge CPT 95857 | not published | not published | $220.60 – $397.08 | 16 |
| Chorion biopsy CPT 59015 | not published | not published | $941.00 – $1,693.80 | 16 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $788.58 | $1,051.43 | $45.07 – $45.07 | 1 |
| Chrom analysis CPT 88273 | $459.75 | $613.00 | $34.81 – $62.66 | 17 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $70.20 | 16 |
| Chromatography CPT 83021 | $252.75 | $337.00 | $9.14 – $32.51 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $293.25 | $391.00 | $57.04 – $102.67 | 17 |
| Chromogenic substrate assay CPT 85130 | $382.50 | $510.00 | $6.26 – $21.40 | 17 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $312.59 | 16 |
| Chromosome analys placenta CPT 88267 | $892.50 | $1,190.00 | $166.42 – $339.43 | 17 |
| Chromosome analysis 100 CPT 88249 | $519.00 | $692.00 | $79.62 – $311.71 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,069.50 | $1,426.00 | $114.71 – $225.88 | 17 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $311.71 | 16 |
| Chromosome analysis 45 CPT 88263 | $1,692.75 | $2,257.00 | $139.54 – $270.52 | 17 |
| Chromosome analysis 5 CPT 88261 | $1,206.00 | $1,608.00 | $163.75 – $475.81 | 17 |
| Chromosome analysis 50-100 CPT 88248 | $519.00 | $692.00 | $160.36 – $311.71 | 17 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $123.48 | 16 |
| Chromosome count additional CPT 88285 | $147.75 | $197.00 | $17.65 – $48.44 | 17 |
| Chromosome karyotype study CPT 88280 | $337.50 | $450.00 | $23.09 – $60.25 | 17 |
| Chromosome study additional CPT 88289 | $136.50 | $182.00 | $25.34 – $61.97 | 17 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $22.43 | 16 |
| Chylomicron screen, bf - sendout CPT 82664 | $336.75 | $449.00 | $16.25 – $110.70 | 17 |
| Cidofovir injection HCPCS J0740 | $1,615.67 | $2,154.22 | $560.79 – $1,009.42 | 17 |
| Cilastatin sodium injection HCPCS J0743 | $36.62 | $48.82 | $17.94 – $17.94 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $588,494.81 – $1,059,290.65 | 16 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $5,641.98 | $7,522.64 | not published | 0 |
| Cine/video x-rays CPT 76120 | not published | not published | $106.81 – $192.26 | 16 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $71.69 – $71.69 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $23.67 | $31.56 | $5.95 – $5.95 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $77.25 – $101.08 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $712.40 – $1,282.32 | 16 |
| Circumcision (newborn) CPT 54150 | $1,549.50 | $2,066.00 | $2,135.66 – $3,844.19 | 17 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $4.99 – $14.70 | 2 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $355.41 | $473.88 | $8.73 – $15.71 | 17 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $19,012.50 | $25,350.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Claviculectomy total CPT 23125 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Clean out mastoid cavity CPT 69222 | $579.00 | $772.00 | $551.01 – $991.82 | 17 |
| Clearance of airways CPT 31720 | $166.50 | $222.00 | $223.72 – $402.70 | 17 |
| Clearance of tear duct CPT 68530 | not published | not published | $324.28 – $583.70 | 16 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $49.74 | $66.31 | $4.30 – $4.30 | 1 |
| Clip ligating vesolock lg HCPCS C1760 | $38,250.00 | $51,000.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Cllr miami j sm HCPCS L0174 | $112.39 | $149.85 | $342.24 – $616.03 | 17 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $11,963.49 | $15,951.32 | $10.94 – $19.69 | 17 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $361.14 | $481.52 | $45.48 – $45.48 | 1 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,896.50 | $3,862.00 | $1,585.19 – $2,853.34 | 17 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,581.10 – $4,645.99 | 16 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $262.50 | $350.00 | $241.98 – $435.56 | 17 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Close tear duct opening CPT 68760 | not published | not published | $324.28 – $583.70 | 16 |
| Close tear duct opening CPT 68761 | not published | not published | $324.28 – $583.70 | 16 |
| Close tear system fistula CPT 68770 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $273.00 | $364.00 | $252.01 – $453.62 | 17 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,198.50 | $1,598.00 | $1,642.82 – $2,957.08 | 17 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,460.00 | $3,280.00 | $1,642.82 – $2,957.08 | 17 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $402.75 | $537.00 | $252.01 – $453.62 | 17 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $551.01 – $991.82 | 16 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,134.50 | $2,846.00 | $1,642.82 – $2,957.08 | 17 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Closed tx sesamoid fx 28530 CPT 28530 | $525.75 | $701.00 | $252.01 – $453.62 | 17 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $306.75 | $409.00 | $252.01 – $453.62 | 17 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $28.80 | 16 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $784.55 – $1,412.18 | 16 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,428.36 – $2,571.05 | 16 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $912.34 – $1,642.22 | 16 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,258.04 – $2,264.47 | 16 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $637.50 | $850.00 | $551.01 – $991.82 | 17 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Closure paravalvlr leak pq CPT 33999 | $31,283.25 | $41,711.00 | $640.89 – $1,153.60 | 17 |
| Clot factor fletcher fact CPT 85292 | $466.50 | $622.00 | $9.95 – $34.07 | 17 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $36.76 | 16 |
| Clot factor wght kininogen CPT 85293 | $393.00 | $524.00 | $9.95 – $34.07 | 17 |
| Clot factor xii hageman CPT 85280 | $246.75 | $329.00 | $5.95 – $34.83 | 17 |
| Clot factor xiii fibrin scrn CPT 85291 | $47.25 | $63.00 | $7.28 – $16.40 | 17 |
| Clot factor xiii fibrin stab CPT 85290 | $292.50 | $390.00 | $7.28 – $29.41 | 17 |
| Clotting assay whole blood CPT 85396 | not published | not published | $15.44 – $27.80 | 16 |
| Clozapine, 25 mg HCPCS S0136 | $242.19 | $322.92 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $252.01 – $453.62 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $358.50 | $478.00 | $252.01 – $453.62 | 17 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $543.00 | $724.00 | $252.01 – $453.62 | 17 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $3,290.25 | $4,387.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $581.25 | $775.00 | $252.01 – $453.62 | 17 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,396.25 | $3,195.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $252.01 – $453.62 | 16 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $451.50 | $602.00 | $252.01 – $453.62 | 17 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $525.75 | $701.00 | $252.01 – $453.62 | 17 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,863.75 | $2,485.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx fracture of radius 25500 CPT 25500 | $442.50 | $590.00 | $252.01 – $453.62 | 17 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,198.50 | $1,598.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $409.50 | $546.00 | $252.01 – $453.62 | 17 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,198.50 | $1,598.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $448.50 | $598.00 | $252.01 – $453.62 | 17 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $374.25 | $499.00 | $252.01 – $453.62 | 17 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $402.75 | $537.00 | $252.01 – $453.62 | 17 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $285.75 – $514.35 | 16 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $551.01 – $991.82 | 16 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $3,332.25 | $4,443.00 | $3,342.87 – $6,017.17 | 17 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $252.01 – $453.62 | 16 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $252.01 – $453.62 | 16 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $252.01 – $453.62 | 16 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,863.75 | $2,485.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,863.75 | $2,485.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,362.75 | $1,817.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $378.75 | $505.00 | $252.01 – $453.62 | 17 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $756.75 | $1,009.00 | $252.01 – $453.62 | 17 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $338.25 | $451.00 | $252.01 – $453.62 | 17 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $411.75 | $549.00 | $252.01 – $453.62 | 17 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $252.01 – $453.62 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $342.75 | $457.00 | $252.01 – $453.62 | 17 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $425.25 | $567.00 | $252.01 – $453.62 | 17 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $353.25 | $471.00 | $252.01 – $453.62 | 17 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $581.25 | $775.00 | $252.01 – $453.62 | 17 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $322.50 | $430.00 | $252.01 – $453.62 | 17 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $378.75 | $505.00 | $252.01 – $453.62 | 17 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $372.00 | $496.00 | $252.01 – $453.62 | 17 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $529.50 | $706.00 | $252.01 – $453.62 | 17 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $377.25 | $503.00 | $252.01 – $453.62 | 17 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $427.50 | $570.00 | $252.01 – $453.62 | 17 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $363.75 | $485.00 | $252.01 – $453.62 | 17 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,600.75 | $4,801.00 | $3,387.27 – $6,097.09 | 17 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $373.50 | $498.00 | $252.01 – $453.62 | 17 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $327.75 | $437.00 | $252.01 – $453.62 | 17 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $434.25 | $579.00 | $252.01 – $453.62 | 17 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $454.50 | $606.00 | $252.01 – $453.62 | 17 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $344.25 | $459.00 | $252.01 – $453.62 | 17 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $600.00 | $800.00 | $252.01 – $453.62 | 17 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $372.00 | $496.00 | $252.01 – $453.62 | 17 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $525.75 | $701.00 | $252.01 – $453.62 | 17 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $546.75 | $729.00 | $252.01 – $453.62 | 17 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $6,789.75 | $9,053.00 | $6,048.05 – $10,886.49 | 17 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,756.50 | $2,342.00 | $1,585.19 – $2,853.34 | 17 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,600.75 | $4,801.00 | $3,387.27 – $6,097.09 | 17 |
| Cltx palatal/max fx wire fix CPT 21421 | $3,794.25 | $5,059.00 | $3,387.27 – $6,097.09 | 17 |
| Cltx post ankle fx CPT 27767 | $333.75 | $445.00 | $252.01 – $453.62 | 17 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,198.50 | $1,598.00 | $1,642.82 – $2,957.08 | 17 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $3,526.50 | $4,702.00 | $252.01 – $453.62 | 17 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $60.27 – $108.49 | 16 |
| Cmptr ophth img optic nerve CPT 92133 | $130.50 | $174.00 | $60.27 – $108.49 | 17 |
| Cmv pcr-sendout CPT 87496 | $501.75 | $669.00 | $17.13 – $63.16 | 17 |
| Co-treatment - group 15 mins, st CPT 92508 | $108.00 | $144.00 | $22.95 – $41.30 | 17 |
| Co2 monitor per day CPT 94681 | $337.50 | $450.00 | $381.24 – $686.23 | 17 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $16,994.46 | $22,659.27 | $2.64 – $4.75 | 17 |
| Coagulation time activated teg CPT 85347 | $114.75 | $153.00 | $2.26 – $7.70 | 17 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $8.08 | 16 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $6.02 – $6.02 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | $857.25 | $1,143.00 | $131.46 – $236.63 | 17 |
| Cochlear implt f/up exam <7 CPT 92601 | $857.25 | $1,143.00 | $131.46 – $236.63 | 17 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $14.53 | 16 |
| Cold agglutinin titer CPT 86157 | $114.75 | $153.00 | $4.31 – $14.51 | 17 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,222.58 – $2,200.64 | 16 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,724.65 – $3,104.37 | 16 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,898.07 – $3,416.52 | 16 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,484.12 – $2,671.42 | 16 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,131.39 – $2,036.51 | 16 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,651.42 – $2,972.55 | 16 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,874.38 – $3,373.89 | 16 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,687.01 – $3,036.62 | 16 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,497.28 – $2,695.10 | 16 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,599.44 – $2,878.99 | 16 |
| Colistimethate sodium inj HCPCS J0770 | $39.42 | $52.56 | $29.29 – $29.29 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | $26,281.91 | $35,042.54 | $78.35 – $141.03 | 17 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $32.51 – $58.52 | 16 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $29.25 | $38.99 | $73.56 – $132.41 | 17 |
| Collar cerv ascend 172 reg HCPCS L0172 | $318.51 | $424.68 | $174.05 – $313.29 | 17 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $131.54 – $236.77 | 16 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $758.49 – $1,365.28 | 16 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $97.50 | $130.00 | $135.93 – $244.67 | 17 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $208.50 | $278.00 | $135.93 – $244.67 | 17 |
| Collection of venous blood by venipuncture CPT 36415 | $22.50 | $30.00 | $3.60 – $16.81 | 17 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $220.60 – $397.08 | 16 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Colonoscopy (diagnostic) CPT 45378 | $2,602.50 | $3,470.00 | $950.10 – $1,710.18 | 17 |
| Colonoscopy (with biopsy) CPT 45380 | $2,538.00 | $3,384.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,472.75 | $3,297.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $3,043.50 | $4,058.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $2,495.25 | $3,327.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Colonoscopy for foreign body CPT 44390 | $3,104.25 | $4,139.00 | $950.10 – $1,710.18 | 17 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $1,368.00 | $1,824.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,368.00 | $1,824.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy submucous njx CPT 45381 | $2,063.25 | $2,751.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy thru stoma spx CPT 44388 | $1,059.00 | $1,412.00 | $950.10 – $1,710.18 | 17 |
| Colonoscopy w/ablation CPT 45388 | $2,571.00 | $3,428.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,413.00 | $1,884.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/band ligation CPT 45398 | $2,495.25 | $3,327.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/control bleed CPT 45382 | $2,352.75 | $3,137.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $950.10 – $1,710.18 | 16 |
| Colonoscopy w/dilation CPT 44405 | $2,495.25 | $3,327.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $3,201.00 | $4,268.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $3,201.00 | $4,268.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/fb removal CPT 45379 | $3,039.00 | $4,052.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/injection CPT 44404 | $2,495.25 | $3,327.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | $2,495.25 | $3,327.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy w/resection CPT 45390 | $3,254.25 | $4,339.00 | $2,835.78 – $5,104.40 | 17 |
| Colonoscopy w/stent plcmt CPT 44402 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Colonoscopy w/ultrasound CPT 44406 | $2,495.25 | $3,327.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy with ablation CPT 44401 | $2,495.25 | $3,327.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy with biopsy CPT 44389 | $1,368.00 | $1,824.00 | $1,222.56 – $2,200.61 | 17 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,095.01 – $1,971.02 | 16 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $898.78 – $1,617.81 | 16 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $838.10 – $1,508.58 | 16 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Colposcopy vulva 56820 CPT 56820 | $344.25 | $459.00 | $206.55 – $371.79 | 17 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $311.33 – $560.39 | 16 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $1,155.75 | $1,541.00 | $311.33 – $560.39 | 17 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $4,866.75 | $6,489.00 | $3,307.24 – $5,953.03 | 17 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $1,651.50 | $2,202.00 | $941.00 – $1,693.80 | 17 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $853.50 | $1,138.00 | $206.55 – $371.79 | 17 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $933.75 | $1,245.00 | $712.40 – $1,282.32 | 17 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $976.50 | $1,302.00 | $712.40 – $1,282.32 | 17 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $165.00 | $220.00 | $24.20 – $313.31 | 17 |
| Compatibility test each unit electronic CPT 86923 | $131.25 | $175.00 | $17.92 – $313.31 | 17 |
| Compatibility test each unit immediate spin technique CPT 86920 | $131.25 | $175.00 | $17.92 – $313.31 | 17 |
| Compatibility test incubate CPT 86921 | not published | not published | $59.62 – $313.31 | 16 |
| Compl oph exam general anes CPT 92018 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Complement antigen each component c3 CPT 86160 | $489.00 | $652.00 | $5.68 – $21.60 | 17 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $18.02 | 16 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,199.74 – $3,959.53 | 16 |
| Complex cystometrogram 51726 CPT 51726 | $287.25 | $383.00 | $255.26 – $459.47 | 17 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $771.75 | $1,029.00 | $415.32 – $747.58 | 17 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,143.50 | $2,858.00 | $755.08 – $1,359.14 | 17 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $607.50 | $810.00 | $220.60 – $397.08 | 17 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $3,168.00 | $4,224.00 | $755.08 – $1,359.14 | 17 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $3,255.75 | $4,341.00 | $755.08 – $1,359.14 | 17 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $424.50 | $566.00 | $180.49 – $324.87 | 17 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $942.00 | $1,256.00 | $415.32 – $747.58 | 17 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,270.50 | $1,694.00 | $415.32 – $747.58 | 17 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $942.00 | $1,256.00 | $160.47 – $288.84 | 17 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $2,126.25 | $2,835.00 | $121.84 – $219.30 | 17 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $755.08 – $1,359.14 | 16 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $2,185.50 | $2,914.00 | $113.93 – $205.08 | 17 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $850.61 – $1,531.10 | 16 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Compre oph exam est pt 1/> CPT 92014 | $214.50 | $286.00 | $136.02 – $244.84 | 17 |
| Compre oph exam new pt 1/> CPT 92004 | $186.00 | $248.00 | $136.02 – $244.84 | 17 |
| Comprehensive hearing test CPT 92557 | $190.50 | $254.00 | $131.46 – $236.63 | 17 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,237.25 | $2,983.00 | $356.43 – $641.57 | 17 |
| Concentration infection agents any type CPT 87015 | $41.25 | $55.00 | $2.73 – $12.02 | 17 |
| Conditioning play audiometry 92582 CPT 92582 | $147.75 | $197.00 | $131.46 – $236.63 | 17 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $620.41 – $620.41 | 1 |
| Condylomata destruction 56420 CPT 56420 | $786.75 | $1,049.00 | $206.55 – $371.79 | 17 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $159.11 – $159.11 | 1 |
| Conization of cervix CPT 57520 | $3,577.50 | $4,770.00 | $3,307.24 – $5,953.03 | 17 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $4,198.50 | $5,598.00 | $3,307.24 – $5,953.03 | 17 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,291.95 | $1,722.60 | $391.72 – $705.09 | 17 |
| Connect omega .5mm HCPCS L8613 | $1,185.42 | $1,580.55 | $418.46 – $753.23 | 17 |
| Connector tis 2x10mm HCPCS C9352 | $7,960.44 | $10,613.91 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Construct vagina with graft CPT 57292 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Construction of vagina CPT 57291 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Consult comp w/report rfrd material CPT 88325 | $777.75 | $1,037.00 | $69.19 – $313.31 | 17 |
| Consultation pathology during surgery CPT 88329 | $141.75 | $189.00 | $20.50 – $108.49 | 17 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $648.75 | $865.00 | $20.50 – $1,481.63 | 17 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $129.00 | $172.00 | $13.39 – $90.97 | 17 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $131.25 | $175.00 | $44.17 – $313.31 | 17 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $231.75 | $309.00 | $44.17 – $95.83 | 17 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $38.16 – $68.69 | 16 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $34.15 – $61.48 | 16 |
| Cont intraop neuro monitor HCPCS G0453 | $335.25 | $447.00 | $26.91 – $48.43 | 17 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $456.40 – $821.52 | 16 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $135.93 – $244.67 | 16 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Contour of face bone lesion CPT 21029 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Contrast baths charges CPT 97034 | $93.00 | $124.00 | $13.45 – $24.21 | 17 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,711.50 | $6,282.00 | $147.50 – $5,806.57 | 17 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $391.58 – $5,806.57 | 16 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $5,378.25 | $7,171.00 | $168.08 – $10,233.02 | 17 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $172.04 – $322.56 | 16 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $248.21 – $641.57 | 16 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $111.89 – $641.57 | 16 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $271.13 – $1,441.62 | 16 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $183.52 – $641.57 | 16 |
| Contrast x-ray of hip CPT 73525 | $1,455.00 | $1,940.00 | $248.21 – $641.57 | 17 |
| Contrast x-ray of knee joint CPT 73580 | $1,143.75 | $1,525.00 | $197.42 – $641.57 | 17 |
| Contrast x-ray of wrist CPT 73115 | $417.75 | $557.00 | $266.22 – $641.57 | 17 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $386.69 – $696.04 | 16 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $241.98 – $435.56 | 16 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Control nosebleed pack+caut 30905 CPT 30905 | $147.00 | $196.00 | $135.93 – $244.67 | 17 |
| Control of nosebleed ant comp 30903 CPT 30903 | $388.50 | $518.00 | $135.93 – $244.67 | 17 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $332.25 | $443.00 | $135.93 – $244.67 | 17 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $638.25 | $851.00 | $551.01 – $991.82 | 17 |
| Control throat bleeding CPT 42961 | not published | not published | $359.29 – $646.72 | 16 |
| Control throat bleeding CPT 42962 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $13,218.75 | $17,625.00 | $17,892.75 – $32,206.95 | 17 |
| Controller infinity pt dbs HCPCS C1787 | $10,901.25 | $14,535.00 | not published | 0 |
| Conv gtube to jtube CPT 44373 | $3,489.75 | $4,653.00 | $1,960.47 – $3,528.85 | 17 |
| Conversion ext bil drg cath CPT 47535 | $2,959.50 | $3,946.00 | $3,657.95 – $6,584.31 | 17 |
| Convert nephrostomy catheter CPT 50434 | $1,549.50 | $2,066.00 | $2,135.66 – $3,844.19 | 17 |
| Coombs direct CPT 86880 | $117.00 | $156.00 | $2.54 – $108.49 | 17 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $215.25 | $287.00 | $3.08 – $313.31 | 17 |
| Coombs indirect titer reference CPT 86886 | $186.75 | $249.00 | $2.67 – $313.31 | 17 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $594.28 – $1,069.70 | 16 |
| Copper intrauterine device HCPCS J7300 | $4,211.46 | $5,615.27 | not published | 0 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $1,890.00 | 16 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Core ndl bx lng/med perq CPT 32408 | $1,428.00 | $1,904.00 | $1,687.37 – $3,037.27 | 17 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $8,022.85 – $14,441.13 | 16 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $9,900.00 | $13,200.00 | not published | 0 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $60.27 – $108.49 | 16 |
| Corneal smear CPT 65430 | $315.75 | $421.00 | $456.40 – $821.52 | 17 |
| Corneal transplant CPT 65710 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Corneal transplant CPT 65730 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Corneal transplant CPT 65750 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Corneal transplant CPT 65755 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $18,352.50 | $24,470.00 | $3,312.15 – $5,961.87 | 17 |
| Coronary angio/lv gram/lt heart CPT 93458 | $16,669.50 | $22,226.00 | $3,312.15 – $5,961.87 | 17 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $18,093.75 | $24,125.00 | $3,312.15 – $5,961.87 | 17 |
| Coronary art/grft angio s&i CPT 93455 | $13,454.25 | $17,939.00 | $3,312.15 – $5,961.87 | 17 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $11,955.75 | $15,941.00 | $3,312.15 – $5,961.87 | 17 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Correct finger deformity CPT 26567 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,350.65 – $2,431.18 | 16 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Correct rectal prolapse CPT 45541 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $950.98 – $1,711.76 | 16 |
| Correct skin color 6.0 cm/< CPT 11920 | $1,137.75 | $1,517.00 | $755.08 – $1,359.14 | 17 |
| Correction claw finger other CPT 26499 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $324.28 – $583.70 | 16 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $135.93 – $244.67 | 16 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Cortisol acth stimulation test - sendout CPT 80400 | $66.00 | $88.00 | $15.43 – $58.72 | 17 |
| Cortisol total am CPT 82533 | $197.25 | $263.00 | $7.71 – $29.34 | 17 |
| Costotransversectomy CPT 21610 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $296.55 | $395.39 | $72.12 – $72.12 | 1 |
| Counseling smoke cess interm >10mins CPT 99407 | $167.25 | $223.00 | $38.28 – $68.90 | 17 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $103.79 – $186.82 | 16 |
| Cover eye w/membrane CPT 65778 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Cover wrist HCPCS L3984 | not published | not published | $387.03 – $696.65 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,100.00 | $10,800.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | not published | not published | $450.50 – $810.90 | 16 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | not published | not published | $450.50 – $810.90 | 16 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $101.25 | $135.00 | $41.52 – $74.74 | 17 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $51.31 – $92.36 | 16 |
| Cptr ophth dx img post segmt CPT 92134 | $105.00 | $140.00 | $60.27 – $108.49 | 17 |
| Cptrized corneal topography CPT 92025 | not published | not published | $60.27 – $108.49 | 16 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $220.60 – $397.08 | 16 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $1,917.96 – $3,452.33 | 16 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,243.75 – $4,038.74 | 16 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,616.48 – $4,709.66 | 16 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $2,756.12 – $4,961.02 | 16 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,790.25 – $3,222.45 | 16 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $1,964.38 – $3,535.88 | 16 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,894.25 – $3,409.64 | 16 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,059.22 – $3,706.59 | 16 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,565.50 – $2,817.89 | 16 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,892.22 – $3,405.99 | 16 |
| Crbrospnl fld flw imag cistern CPT 78630 | $2,313.75 | $3,085.00 | $554.73 – $998.51 | 17 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Create eardrum opening CPT 69436 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Create passage to kidney CPT 52334 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Create tear duct drain CPT 68745 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Create tear duct drain CPT 68750 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Create tear sac drain CPT 68720 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Creatine - sendout CPT 82540 | $81.00 | $108.00 | $2.16 – $8.35 | 17 |
| Creatine isoforms CPT 82554 | not published | not published | $11.87 – $21.37 | 16 |
| Creatine kinase CPT 82550 | $90.00 | $120.00 | $3.08 – $11.72 | 17 |
| Creatine kinase isoenzymes CPT 82552 | $70.50 | $94.00 | $6.33 – $24.10 | 17 |
| Creatine kinase mb CPT 82553 | $114.75 | $153.00 | $4.31 – $20.79 | 17 |
| Creatinine CPT 82565 | $56.25 | $75.00 | $2.42 – $9.22 | 17 |
| Creatinine 24 hour urine CPT 82570 | $73.50 | $98.00 | $2.45 – $9.32 | 17 |
| Creatinine clearance urine CPT 82575 | $178.50 | $238.00 | $4.47 – $17.03 | 17 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Crisis psychotherapy 90839 CPT 90839 | $567.00 | $756.00 | $181.34 – $326.41 | 17 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $219.00 | $292.00 | $75.48 – $135.86 | 17 |
| Critical care 30-74 minutes CPT 99291 | $2,937.75 | $3,917.00 | $843.92 – $1,519.06 | 17 |
| Critical care each additional 30 minutes CPT 99292 | $663.00 | $884.00 | $129.55 – $233.20 | 17 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $9,069.75 | $12,093.00 | $129.94 – $233.90 | 17 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,166.48 – $2,099.66 | 16 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,083.01 – $1,949.42 | 16 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $48.14 | $64.18 | $0.72 – $0.72 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,841.02 – $3,313.83 | 16 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $5,697.75 | $7,597.00 | $723.26 – $1,301.87 | 17 |
| Cryo fib comp path redu each HCPCS P9026 | not published | not published | $549.28 – $988.70 | 16 |
| Cryoablate prostate CPT 55873 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $311.33 – $560.39 | 16 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $69.00 | $92.00 | $3.80 – $25.45 | 17 |
| Cryoprecipitate each unit HCPCS P9012 | $219.00 | $292.00 | $32.40 – $129.51 | 17 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $823.13 – $1,481.63 | 16 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $174.06 – $313.31 | 16 |
| Cryopreservation sperm CPT 89259 | not published | not published | $174.06 – $313.31 | 16 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $450.73 – $811.31 | 16 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $53.24 – $95.83 | 16 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $231.00 | $308.00 | $204.98 – $368.96 | 17 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $60.27 – $108.49 | 16 |
| Cryptococcus abs qn - sendout CPT 86641 | $206.25 | $275.00 | $6.36 – $25.94 | 17 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $21.56 | 16 |
| Crystal identification light microscopy CPT 89060 | $65.25 | $87.00 | $7.33 – $13.19 | 17 |
| Csf leakage imaging CPT 78650 | $1,645.50 | $2,194.00 | $550.04 – $2,380.84 | 17 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $313.79 – $564.82 | 16 |
| Csf ventriculography CPT 78635 | not published | not published | $554.73 – $998.51 | 16 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,422.50 | $3,230.00 | $179.20 – $322.56 | 17 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,718.75 | $3,625.00 | $179.20 – $322.56 | 17 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,807.50 | $2,410.00 | $179.20 – $322.56 | 17 |
| Cta neck without &/or w/contrast CPT 70498 | $1,987.50 | $2,650.00 | $179.20 – $322.56 | 17 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,652.25 | $2,203.00 | $179.20 – $322.56 | 17 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $271.50 | $362.00 | $241.98 – $435.56 | 17 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $174.06 – $313.31 | 16 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $174.06 – $313.31 | 16 |
| Culture aerobic additional method definitive id each CPT 87077 | $78.75 | $105.00 | $3.82 – $14.54 | 17 |
| Culture afb any source CPT 87116 | $132.75 | $177.00 | $9.75 – $19.44 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $8.08 – $14.54 | 16 |
| Culture anaerobic except blood CPT 87075 | $127.50 | $170.00 | $4.48 – $17.05 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $9.44 – $16.99 | 16 |
| Culture body fluid CPT 87070 | $130.50 | $174.00 | $8.62 – $15.52 | 17 |
| Culture fungi definitive id mold CPT 87107 | $63.75 | $85.00 | $5.13 – $18.58 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $66.00 | $88.00 | $4.88 – $18.58 | 17 |
| Culture fungi other (except blood) CPT 87102 | $126.00 | $168.00 | $3.97 – $15.14 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $126.00 | $168.00 | $3.65 – $13.88 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $96.00 | $128.00 | $5.85 – $26.30 | 17 |
| Culture mycoplasma any source CPT 87109 | $145.50 | $194.00 | $7.28 – $27.70 | 17 |
| Culture quantitative aerobic other source CPT 87071 | $99.75 | $133.00 | $4.46 – $17.80 | 17 |
| Culture screening strep group a CPT 87081 | $115.50 | $154.00 | $6.63 – $11.93 | 17 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $13.93 | 16 |
| Culture typing immunologic CPT 87147 | not published | not published | $5.18 – $9.32 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $408.75 | $545.00 | $218.06 – $392.51 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $63.16 | 16 |
| Culture urine each isolate CPT 87088 | not published | not published | $8.09 – $14.56 | 16 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $35.21 | 16 |
| Curette/treat cornea CPT 65435 | $1,133.25 | $1,511.00 | $1,018.47 – $1,833.25 | 17 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Cutter lead HCPCS C1773 | $22,020.89 | $29,361.18 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,100.75 | $2,801.00 | $1,608.25 – $2,894.85 | 17 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $13.38 – $24.08 | 16 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $20.22 – $36.39 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.86 | $34.47 | $2.42 – $2.42 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $76.50 | $102.00 | $6.77 – $25.78 | 17 |
| Cyclic citrullinated peptide antibody CPT 86200 | $249.75 | $333.00 | $6.50 – $23.31 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $4,143.90 | $5,525.20 | $0.77 – $1.39 | 17 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $2,769.06 | $3,692.08 | $5.10 – $5.10 | 1 |
| Cyclosporine 2 hour CPT 80158 | $115.50 | $154.00 | $9.54 – $32.49 | 17 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $243.99 | $325.31 | $187.08 – $187.08 | 1 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $470.55 | $627.40 | $1.96 – $1.96 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | $2,865.39 | $3,820.51 | $5.30 – $5.30 | 1 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $42,849.57 | $57,132.75 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $613.50 | $818.00 | $111.79 – $524.45 | 17 |
| Cyp2c9 gene com variants CPT 81227 | $368.25 | $491.00 | $59.53 – $314.66 | 17 |
| Cyp2d6 gene com variants CPT 81226 | $949.50 | $1,266.00 | $144.37 – $811.64 | 17 |
| Cyp3a4 gene common variants CPT 81230 | $328.50 | $438.00 | $174.81 – $314.66 | 17 |
| Cyp3a5 gene common variants CPT 81231 | $328.50 | $438.00 | $174.81 – $314.66 | 17 |
| Cystatin c CPT 82610 | $78.75 | $105.00 | $6.65 – $33.34 | 17 |
| Cystic fibrosis cftr CPT 81223 | $6,969.00 | $9,292.00 | $499.00 – $898.20 | 17 |
| Cystine urine quantitative CPT 82131 | $239.25 | $319.00 | $18.98 – $41.36 | 17 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $919.50 | $1,226.00 | $64.80 – $641.57 | 17 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $712.40 – $1,282.32 | 16 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $791.30 – $1,424.33 | 16 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $712.40 – $1,282.32 | 16 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy & ureter catheter CPT 52005 | $2,397.00 | $3,196.00 | $2,135.66 – $3,844.19 | 17 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,580.00 | $3,440.00 | $712.40 – $1,282.32 | 17 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy and treatment CPT 52214 | $4,056.00 | $5,408.00 | $3,601.33 – $6,482.39 | 17 |
| Cystoscopy and treatment CPT 52224 | $4,056.00 | $5,408.00 | $3,601.33 – $6,482.39 | 17 |
| Cystoscopy and treatment CPT 52234 | $4,056.00 | $5,408.00 | $3,601.33 – $6,482.39 | 17 |
| Cystoscopy and treatment CPT 52235 | $4,056.00 | $5,408.00 | $3,601.33 – $6,482.39 | 17 |
| Cystoscopy and treatment CPT 52240 | $5,949.75 | $7,933.00 | $5,477.93 – $9,860.27 | 17 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $712.40 – $1,282.32 | 16 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cystoscopy and treatment CPT 52310 | $4,587.75 | $6,117.00 | $2,135.66 – $3,844.19 | 17 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy chemodenervation CPT 52287 | $975.75 | $1,301.00 | $2,135.66 – $3,844.19 | 17 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,396.25 | $3,195.00 | $2,135.66 – $3,844.19 | 17 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cystouretero w/lithotripsy CPT 52353 | $11,789.25 | $15,719.00 | $5,477.93 – $9,860.27 | 17 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $792.47 – $1,426.45 | 16 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,149.71 – $2,069.48 | 16 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,360.25 | $3,147.00 | $2,135.66 – $3,844.19 | 17 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $64.71 | $86.28 | $2.06 – $2.06 | 1 |
| Cyto/molecular report CPT 88291 | not published | not published | $31.74 – $57.12 | 16 |
| Cytogenetics 25-99 CPT 88274 | $143.25 | $191.00 | $42.38 – $76.28 | 17 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $73.26 | 16 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $1,620.00 | 16 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $2,088.00 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $101.25 | $135.00 | $6.81 – $25.90 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $131.25 | $175.00 | $7.97 – $30.33 | 17 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $24.16 | 16 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $6,333.64 | $8,444.85 | $1,808.61 – $3,255.49 | 17 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $45.67 | 16 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $26.37 | 16 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $29.55 – $53.19 | 16 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $29.55 – $53.19 | 16 |
| Cytopath smear other source CPT 88160 | $94.50 | $126.00 | $20.50 – $53.19 | 17 |
| Cytopath smear other source CPT 88162 | not published | not published | $53.24 – $95.83 | 16 |
| Cytopath tbs c/v manual CPT 88164 | $168.75 | $225.00 | $10.47 – $33.37 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $197.25 | $263.00 | $44.17 – $95.83 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $198.75 | $265.00 | $26.61 – $47.90 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $173.25 | $231.00 | $20.26 – $36.47 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $225.00 | $300.00 | $20.50 – $68.69 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $111.00 | $148.00 | $20.50 – $68.69 | 17 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $15.34 – $49.96 | 16 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $131.25 | $175.00 | $20.50 – $313.31 | 17 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $186.75 | $249.00 | $44.17 – $95.83 | 17 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $141.57 | 16 |
| Cytotoxic antibody screening CPT 86808 | $504.75 | $673.00 | $15.60 – $53.42 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $907.50 | $1,210.00 | $69.19 – $313.31 | 17 |
| D&c after delivery 59160 CPT 59160 | $3,102.00 | $4,136.00 | $3,307.24 – $5,953.03 | 17 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $2,361.75 | $3,149.00 | $3,307.24 – $5,953.03 | 17 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $53.55 | $71.39 | $9.81 – $9.81 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $10,014.84 | $13,353.11 | $337.67 – $607.80 | 17 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,061.91 | $8,082.54 | $15.00 – $27.01 | 17 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $46.43 – $113.16 | 2 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.13 – $1.86 | 2 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.08 – $0.28 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $38,894.03 | $51,858.70 | $55.03 – $99.06 | 17 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,546.48 | $7,395.30 | $3.07 – $5.53 | 17 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $5.53 | 16 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $38,568.63 | $51,424.83 | $261.20 – $470.15 | 17 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $300.73 | $400.97 | $50.86 – $50.86 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $204.98 – $368.96 | 16 |
| Dch glucoscan CPT 82948 | $23.25 | $31.00 | $1.50 – $9.07 | 17 |
| Dch pulmonary stress test CPT 94621 | $1,811.25 | $2,415.00 | $381.24 – $686.23 | 17 |
| Dch validity tests CPT 81002 | $34.50 | $46.00 | $2.77 – $6.26 | 17 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $2,238.00 | $2,984.00 | $1,995.02 – $3,591.04 | 17 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Deamidated gliadin antibody iga CPT 86258 | $42.75 | $57.00 | $12.05 – $21.69 | 17 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $615.70 – $1,108.27 | 16 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $25.64 – $46.15 | 16 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $888.00 | $1,184.00 | $755.08 – $1,359.14 | 17 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $3,006.00 | $4,008.00 | $415.32 – $747.58 | 17 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $292.50 | $390.00 | $204.98 – $368.96 | 17 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $723.47 – $1,302.25 | 16 |
| Debride nail1-5 11720 CPT 11720 | $291.75 | $389.00 | $60.27 – $108.49 | 17 |
| Debride nail6 or more 11721 CPT 11721 | $300.75 | $401.00 | $60.27 – $108.49 | 17 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $683.75 – $1,230.75 | 16 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $498.11 – $896.59 | 16 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $723.47 – $1,302.25 | 16 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $940.50 | $1,254.00 | $39.76 – $71.58 | 17 |
| Debridement (>20 cm) charge pt CPT 97598 | $363.75 | $485.00 | $45.22 – $81.40 | 17 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,119.00 | $5,492.00 | $1,687.37 – $3,037.27 | 17 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,148.25 | $1,531.00 | $415.32 – $747.58 | 17 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $654.75 | $873.00 | $73.34 – $132.02 | 17 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,045.25 | $2,727.00 | $123.63 – $222.54 | 17 |
| Decalcification CPT 88311 | $50.25 | $67.00 | $12.63 – $33.70 | 17 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $634.17 | $845.55 | $4.09 – $4.09 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $610.50 | $814.00 | $337.46 – $607.43 | 17 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $283.02 – $509.44 | 16 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompress optic nerve CPT 67570 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Decompress small bowel CPT 44021 | not published | not published | $888.54 – $1,599.37 | 16 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Decompression of leg CPT 27892 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompression of leg CPT 27893 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Decompression of leg CPT 27894 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,244.85 – $4,040.73 | 16 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $102.84 | $137.12 | $23.19 – $23.19 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $3,396.16 | $4,528.21 | $4.46 – $8.02 | 17 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $8,350.42 – $15,030.76 | 16 |
| Delivery of placenta 59414 CPT 59414 | $2,570.25 | $3,427.00 | $3,307.24 – $5,953.03 | 17 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $843.56 – $1,518.40 | 16 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,244.79 – $2,240.62 | 16 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $10,770.75 | $14,361.00 | $585.43 – $1,053.78 | 17 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $136.02 – $244.84 | 16 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $196.50 | $262.00 | $223.72 – $402.70 | 17 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $12,371.55 | $16,495.39 | $29.51 – $53.11 | 17 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $460.50 | $614.00 | $135.93 – $244.67 | 17 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $3.69 – $6.64 | 16 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $120.75 – $159.46 | 2 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $723.47 – $1,302.25 | 16 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $415.32 – $747.58 | 16 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Dermagraft HCPCS Q4106 | $129.00 | $172.00 | $115.68 – $115.68 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $949.52 – $1,709.14 | 16 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $15,243.75 | $20,325.00 | $1,068.08 – $1,922.55 | 17 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,272.67 – $2,290.80 | 16 |
| Description not available HCPCS S0013 | not published | not published | $53.20 – $53.20 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Design mlc device for imrt CPT 77338 | not published | not published | $382.54 – $688.57 | 16 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $172.46 | $229.94 | $10.01 – $10.01 | 1 |
| Desoxycorticosterone CPT 82633 | $364.50 | $486.00 | $15.39 – $55.76 | 17 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $332.25 | $443.00 | $204.98 – $368.96 | 17 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $204.98 – $368.96 | 16 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $366.75 | $489.00 | $204.98 – $368.96 | 17 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,381.25 | $3,175.00 | $1,995.02 – $3,591.04 | 17 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,879.50 | $2,506.00 | $247.48 – $445.46 | 17 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $199.50 | $266.00 | $204.98 – $368.96 | 17 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Destroy vulva lesion simple 56501 CPT 56501 | $3,691.50 | $4,922.00 | $2,107.97 – $3,794.35 | 17 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $332.25 | $443.00 | $204.98 – $368.96 | 17 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $755.08 – $1,359.14 | 16 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $666.75 | $889.00 | $415.32 – $747.58 | 17 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $1,442.25 | $1,923.00 | $2,107.97 – $3,794.35 | 17 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Destruction 2-14 lesions 17003 CPT 17003 | $83.25 | $111.00 | $5.91 – $10.64 | 17 |
| Destruction anal lesion(s) CPT 46910 | $3,711.00 | $4,948.00 | $2,107.97 – $3,794.35 | 17 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $638.25 | $851.00 | $415.32 – $747.58 | 17 |
| Destruction benign lesions < 14 lesions CPT 17110 | $268.50 | $358.00 | $204.98 – $368.96 | 17 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $915.75 | $1,221.00 | $903.63 – $1,626.53 | 17 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,325.75 | $3,101.00 | $1,995.02 – $3,591.04 | 17 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,879.50 | $2,506.00 | $233.26 – $419.87 | 17 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $204.98 – $368.96 | 16 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $415.32 – $747.58 | 16 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $415.32 – $747.58 | 16 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $415.32 – $747.58 | 16 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $954.75 | $1,273.00 | $415.32 – $747.58 | 17 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $415.32 – $747.58 | 16 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $521.25 | $695.00 | $415.32 – $747.58 | 17 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $54.05 | 16 |
| Detect agnt mult dna direc CPT 87800 | $147.75 | $197.00 | $18.97 – $78.61 | 17 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $183.00 | $244.00 | $54.70 – $98.46 | 17 |
| Devel tst phys/qhp 1st hr CPT 96112 | $398.25 | $531.00 | $131.46 – $236.63 | 17 |
| Developmental screen/score/document 96110 CPT 96110 | $573.75 | $765.00 | $11.31 – $20.37 | 17 |
| Device ablt adv novasure HCPCS C1886 | $11,239.88 | $14,986.50 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,175.00 | $6,900.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $4,491.10 | $5,988.13 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $1,454.07 | $1,938.75 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $1,070.85 | $1,427.80 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $417.00 | $556.00 | $54.97 – $160.04 | 17 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $92.55 – $166.58 | 16 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.10 – $3,246.84 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $554.26 | $739.01 | $0.03 – $0.03 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $16.28 | $21.70 | $0.28 – $0.28 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $203.79 – $366.83 | 16 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $465.34 | $620.45 | $49.74 – $89.53 | 17 |
| Dextran 40 infusion HCPCS J7100 | $225.55 | $300.73 | $72.74 – $72.74 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $22.19 | $29.58 | $7.82 – $7.82 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $22.19 | $29.58 | $3.47 – $3.47 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $22.19 | $29.58 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $36.98 | $49.30 | $5.20 – $5.20 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $249.75 | $333.00 | $10.52 – $40.01 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $57.75 | $77.00 | $15.40 – $27.71 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $114.75 | $153.00 | $9.00 – $17.48 | 17 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $38.28 – $68.90 | 16 |
| Diag bronchoscope/catheter CPT 31643 | $4,125.75 | $5,501.00 | $1,818.45 – $3,273.21 | 17 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $655.50 | $874.00 | $146.43 – $263.57 | 17 |
| Diagnostic Mammogram (one breast) CPT 77065 | $502.50 | $670.00 | $115.62 – $208.12 | 17 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $456.40 – $821.52 | 16 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $181.50 | $242.00 | $135.93 – $244.67 | 17 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $70.50 | $94.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $57.00 | $76.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $592.50 | $790.00 | $203.93 – $367.07 | 17 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $381.00 | $508.00 | $203.93 – $367.07 | 17 |
| Diagnostic radio unlisted proc CPT 76499 | $564.75 | $753.00 | $88.91 – $160.04 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $10,461.00 | $13,948.00 | $1,672.43 – $3,010.38 | 17 |
| Dialysis one evaluation CPT 90945 | not published | not published | $426.30 – $767.34 | 16 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.91 – $12.45 | 16 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $58.24 | $77.65 | $0.18 – $0.18 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $143.84 | $191.78 | $15.88 – $15.88 | 1 |
| Dicyclomine injection HCPCS J0500 | $310.41 | $413.88 | $30.04 – $30.04 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.84 – $0.84 | 1 |
| Diffusing capacity CPT 94729 | $504.00 | $672.00 | $58.56 – $105.40 | 17 |
| Digital analysis of eeg CPT 95957 | not published | not published | $288.95 – $520.11 | 16 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $472.14 | $629.51 | $10.30 – $10.30 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $17,050.66 | $22,734.21 | $5,166.99 – $9,300.58 | 17 |
| Digoxin total therapeutic drug level CPT 80162 | $138.75 | $185.00 | $6.28 – $23.90 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $297.86 | $397.14 | $249.86 – $249.86 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $443.68 – $798.62 | 16 |
| Dilate esophagus CPT 43453 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,548.00 | $2,064.00 | $926.63 – $1,667.93 | 17 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $328.98 – $592.16 | 16 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $164.49 – $296.08 | 16 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $468.40 – $843.12 | 16 |
| Dilate tear duct opening CPT 68801 | not published | not published | $456.40 – $821.52 | 16 |
| Dilate urethra stricture CPT 53600 | $513.00 | $684.00 | $255.26 – $459.47 | 17 |
| Dilate urethra stricture CPT 53601 | not published | not published | $135.93 – $244.67 | 16 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Dilate urethra stricture CPT 53621 | not published | not published | $255.26 – $459.47 | 16 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,375.50 | $1,834.00 | $1,222.56 – $2,200.61 | 17 |
| Dilation of salivary duct CPT 42660 | not published | not published | $551.01 – $991.82 | 16 |
| Dilation of urethra CPT 53661 | not published | not published | $135.93 – $244.67 | 16 |
| Dilation of urethra CPT 53665 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Dilation of vagina CPT 57400 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Dilation/female urethra/initial 53660 CPT 53660 | $387.75 | $517.00 | $131.46 – $236.63 | 17 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $712.40 – $1,282.32 | 16 |
| Dilator fascial 10fx20cm HCPCS C2627 | $291.87 | $389.16 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $107.23 | $142.97 | $0.08 – $0.08 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $190.93 – $190.93 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $17.32 | $23.09 | $19.92 – $19.92 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,501.55 | $3,335.40 | $748.98 – $1,348.16 | 17 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $36.98 | $49.30 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.92 | $7.89 | $2.32 – $2.32 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $235.06 – $235.06 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $38.16 – $68.69 | 16 |
| Disability dlco CPT 94727 | $340.50 | $454.00 | $220.60 – $397.08 | 17 |
| Disaccharidases CPT 82657 | $1,265.25 | $1,687.00 | $8.54 – $39.91 | 17 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,277.44 – $2,299.40 | 16 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $185.82 – $334.47 | 16 |
| Discography cerv/thor spine CPT 72285 | $2,691.00 | $3,588.00 | $189.24 – $3,591.04 | 17 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,818.45 – $3,273.21 | 16 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $293.83 – $528.90 | 16 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $6,681.75 | $8,909.00 | $262.85 – $473.13 | 17 |
| Dmd dup/delet analysis CPT 81161 | $2,106.00 | $2,808.00 | $107.98 – $502.20 | 17 |
| Dmpk gene detc abnor allele CPT 81234 | $613.50 | $818.00 | $137.00 – $246.60 | 17 |
| Dna antibody native/double stranded CPT 86225 | $131.25 | $175.00 | $6.50 – $24.73 | 17 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $36.09 | 16 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $40.95 | 16 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $48.38 | 16 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $36.09 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $130.35 | $173.79 | $20.51 – $20.51 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.61 – $91.09 | 16 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,164.72 | $1,552.95 | $0.95 – $0.95 | 1 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $15.98 – $20.93 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $215.32 – $215.32 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $98.91 | $131.88 | $1.67 – $1.67 | 1 |
| Doppler echo complete CPT 93320 | $498.00 | $664.00 | $48.10 – $86.58 | 17 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,066.75 | $4,089.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $946.50 | $1,262.00 | $220.60 – $397.08 | 17 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $885.00 | $1,180.00 | $135.93 – $244.67 | 17 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.84 – $2.84 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | $479.80 | $639.73 | $141.96 – $141.96 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | $77,636.25 | $103,515.00 | $24,109.81 – $43,397.66 | 17 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $247.08 – $444.75 | 16 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $901.65 | $1,202.19 | $7.00 – $7.00 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $129.35 | 16 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $89.34 | $119.11 | $0.28 – $0.28 | 1 |
| Dpyd gene common variants CPT 81232 | $354.00 | $472.00 | $174.81 – $314.66 | 17 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $877.34 – $1,579.21 | 16 |
| Drain blood from under nail 11740 CPT 11740 | $257.25 | $343.00 | $135.93 – $244.67 | 17 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,976.00 | $3,968.00 | $1,687.37 – $3,037.27 | 17 |
| Drain cath image guided visceral pq CPT 49405 | $3,255.75 | $4,341.00 | $1,687.37 – $3,037.27 | 17 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,416.75 | $1,889.00 | $721.17 – $1,298.11 | 17 |
| Drain chest lesion CPT 21502 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $108.33 – $194.99 | 16 |
| Drain finger abscess;simple 26010 CPT 26010 | $228.75 | $305.00 | $204.98 – $368.96 | 17 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Drain lower leg lesion 27603 CPT 27603 | $3,269.25 | $4,359.00 | $2,967.63 – $5,341.73 | 17 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,293.25 | $4,391.00 | $2,967.63 – $5,341.73 | 17 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,079.88 – $1,943.79 | 16 |
| Drain ovarn cyst abd CPT 58805 | $4,305.75 | $5,741.00 | $3,307.24 – $5,953.03 | 17 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,015.89 – $1,828.60 | 16 |
| Drain penis lesion CPT 54015 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $714.37 – $1,285.87 | 16 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $820.50 | $1,094.00 | $723.47 – $1,302.25 | 17 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $820.50 | $1,094.00 | $723.47 – $1,302.25 | 17 |
| Drainage external ear complex 69005 CPT 69005 | $4,074.75 | $5,433.00 | $1,687.37 – $3,037.27 | 17 |
| Drainage external ear simple 69000 CPT 69000 | $741.00 | $988.00 | $723.47 – $1,302.25 | 17 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Drainage mouth roof lesion CPT 42000 | $282.00 | $376.00 | $241.98 – $435.56 | 17 |
| Drainage of arm bursa 23931 CPT 23931 | $2,638.50 | $3,518.00 | $1,687.37 – $3,037.27 | 17 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Drainage of eye CPT 65800 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Drainage of eye CPT 65810 | $2,702.25 | $3,603.00 | $2,357.81 – $4,244.06 | 17 |
| Drainage of eye CPT 65815 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Drainage of kidney lesion CPT 50390 | $1,989.75 | $2,653.00 | $723.47 – $1,302.25 | 17 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $241.98 – $435.56 | 16 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Drainage of mouth lesion CPT 41008 | $3,731.25 | $4,975.00 | $3,387.27 – $6,097.09 | 17 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $551.01 – $991.82 | 16 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $551.01 – $991.82 | 16 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Drainage of mouth lesion CPT 41017 | $3,946.50 | $5,262.00 | $3,387.27 – $6,097.09 | 17 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Drainage of nose lesion int 30000 CPT 30000 | $283.50 | $378.00 | $241.98 – $435.56 | 17 |
| Drainage of nose lesion sept 30020 CPT 30020 | $637.50 | $850.00 | $551.01 – $991.82 | 17 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Drainage of salivary gland CPT 42320 | not published | not published | $551.01 – $991.82 | 16 |
| Drainage of throat abscess CPT 42725 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $712.40 – $1,282.32 | 16 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $417.00 | $556.00 | $415.32 – $747.58 | 17 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $350.25 | $467.00 | $204.98 – $368.96 | 17 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $338.25 | $451.00 | $204.98 – $368.96 | 17 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $716.25 | $955.00 | $755.08 – $1,359.14 | 17 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $9,875.23 | $13,166.97 | $127.14 – $228.85 | 17 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $895.58 – $1,612.05 | 16 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $283.19 – $509.74 | 16 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $725.13 – $1,305.23 | 16 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Drng of eyelid abscess 67700 CPT 67700 | $335.25 | $447.00 | $324.28 – $583.70 | 17 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,253.25 | $1,671.00 | $1,687.37 – $3,037.27 | 17 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $723.47 – $1,302.25 | 16 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $551.01 – $991.82 | 16 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $3,624.75 | $4,833.00 | $3,307.24 – $5,953.03 | 17 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,002.77 – $1,804.99 | 16 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $935.49 – $1,683.89 | 16 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $617.43 – $1,111.38 | 16 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,454.22 – $2,617.60 | 16 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $596.25 | $795.00 | $551.01 – $991.82 | 17 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $1,907.03 | $2,542.70 | $4.30 – $4.30 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $13.80 – $34.58 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,956.48 | $2,608.64 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $31.87 – $228.85 | 16 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $530.83 | $707.76 | $30.12 – $228.85 | 17 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $983.03 | $1,310.70 | $6.38 – $228.85 | 17 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $639.00 | $852.00 | not published | 0 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $15.59 – $28.06 | 16 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $127.14 – $228.85 | 16 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $43.53 – $228.85 | 16 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $26,932.05 | $35,909.40 | $127.14 – $228.85 | 17 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $22,027.50 | $29,370.00 | $127.14 – $228.85 | 17 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $127.14 – $228.85 | 16 |
| Drug admin & hemodynmic meas CPT 93463 | $3,098.25 | $4,131.00 | $93.63 – $168.54 | 17 |
| Drug assay caffeine CPT 80155 | $59.25 | $79.00 | $7.72 – $69.43 | 17 |
| Drug assay posaconazole CPT 80187 | $186.00 | $248.00 | $27.11 – $48.80 | 17 |
| Drug assay rufinamide CPT 80210 | $135.75 | $181.00 | $27.11 – $48.80 | 17 |
| Drug assay vedolizumab CPT 80280 | $949.50 | $1,266.00 | $38.57 – $69.43 | 17 |
| Drug assay voriconazole CPT 80285 | $186.00 | $248.00 | $27.11 – $48.80 | 17 |
| Drug asy hydroxychloroquine CPT 80220 | $531.75 | $709.00 | $18.64 – $33.55 | 17 |
| Drug of abuse screen urine CPT 80305 | $63.75 | $85.00 | $12.60 – $22.68 | 17 |
| Drug screen quant tiagabine CPT 80199 | $260.25 | $347.00 | $9.85 – $48.80 | 17 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $205.97 | 16 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $357.73 | 16 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $444.46 | 16 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $281.86 | 16 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $30.85 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $732.00 | $976.00 | $62.14 – $111.85 | 17 |
| Drvvt confirm - quest CPT 85597 | $255.75 | $341.00 | $9.23 – $32.36 | 17 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $415.32 – $747.58 | 16 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $415.32 – $747.58 | 16 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $755.08 – $1,359.14 | 16 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $755.08 – $1,359.14 | 16 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,746.75 | $2,329.00 | $1,995.02 – $3,591.04 | 17 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $561.91 – $1,011.44 | 16 |
| Ductogram sgl duct CPT 77053 | $515.25 | $687.00 | $243.77 – $438.79 | 17 |
| Duodenal motility study CPT 91022 | $1,729.50 | $2,306.00 | $381.24 – $686.23 | 17 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $835.50 | $1,114.00 | $106.81 – $192.26 | 17 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $963.75 | $1,285.00 | $220.60 – $397.08 | 17 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $782.25 | $1,043.00 | $243.77 – $438.79 | 17 |
| Duplex scan bilateral study 93985 CPT 93985 | $657.75 | $877.00 | $243.77 – $438.79 | 17 |
| Duplex scan unilateral study 93986 CPT 93986 | $124.50 | $166.00 | $106.81 – $192.26 | 17 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $23,482.80 | $31,310.40 | $127.14 – $228.85 | 17 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $67.83 – $67.83 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $86.15 – $155.06 | 16 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $183.00 | $244.00 | $131.46 – $236.63 | 17 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,283.00 | $3,044.00 | $1,818.45 – $3,273.21 | 17 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,886.75 | $3,849.00 | $1,818.45 – $3,273.21 | 17 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,734.50 | $3,646.00 | $1,818.45 – $3,273.21 | 17 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $456.40 – $821.52 | 16 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $926.63 – $1,667.93 | 16 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $926.63 – $1,667.93 | 16 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $220.60 – $397.08 | 16 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $131.46 – $236.63 | 16 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $399.59 – $719.26 | 16 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,818.45 – $3,273.21 | 16 |
| Dxa bone density axl vrt fx CPT 77085 | $591.75 | $789.00 | $96.82 – $192.26 | 17 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $255.26 – $459.47 | 16 |
| Dynamic surface emg CPT 96002 | not published | not published | $220.60 – $397.08 | 16 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $22.79 | 16 |
| E equine encephalitis igg CPT 86652 | $135.75 | $181.00 | $6.98 – $23.74 | 17 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $14.59 – $26.25 | 16 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $14.59 – $26.25 | 16 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $8.15 – $14.67 | 16 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $29.55 – $53.19 | 16 |
| ER Visit (level 1, minor) CPT 99281 | $312.00 | $416.00 | $86.15 – $155.07 | 17 |
| ER Visit (level 2) CPT 99282 | $510.00 | $680.00 | $156.87 – $282.37 | 17 |
| ER Visit (level 3) CPT 99283 | $850.50 | $1,134.00 | $278.89 – $502.00 | 17 |
| ER Visit (level 4) CPT 99284 | $1,334.25 | $1,779.00 | $426.30 – $767.34 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $4,134.00 | $5,512.00 | $608.43 – $1,095.17 | 17 |
| Ear and throat examination CPT 92502 | $579.00 | $772.00 | $551.01 – $991.82 | 17 |
| Ear canal biopsy 69105 CPT 69105 | $1,768.50 | $2,358.00 | $1,585.19 – $2,853.34 | 17 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Ear irrigation 69209 CPT 69209 | $216.75 | $289.00 | $60.27 – $108.49 | 17 |
| Ear protector evaluation CPT 92596 | not published | not published | $38.16 – $68.69 | 16 |
| Ecallantide injection HCPCS J1290 | not published | not published | $578.75 – $1,041.74 | 16 |
| Ecg 12 lead tracing only CPT 93005 | $292.50 | $390.00 | $60.27 – $108.49 | 17 |
| Ecg < 30 days transmission & analysis CPT 93271 | $624.75 | $833.00 | $97.13 – $174.83 | 17 |
| Ecg external < 48 hours recording CPT 93225 | $500.25 | $667.00 | $135.93 – $244.67 | 17 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $567.00 | $756.00 | $60.27 – $108.49 | 17 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $238.50 | $318.00 | $38.16 – $68.69 | 17 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $238.50 | $318.00 | $38.16 – $68.69 | 17 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $6.87 – $12.37 | 16 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $60.27 – $108.49 | 16 |
| Echo exam of eye CPT 76516 | not published | not published | $60.70 – $192.26 | 16 |
| Echo exam of eye CPT 76519 | not published | not published | $94.26 – $192.26 | 16 |
| Echo exam of eye CPT 76529 | not published | not published | $88.91 – $160.04 | 16 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $9.13 – $53.19 | 16 |
| Echo exam of fetal heart CPT 76825 | $644.25 | $859.00 | $451.47 – $1,004.85 | 17 |
| Echo exam of fetal heart CPT 76826 | $480.75 | $641.00 | $243.77 – $438.79 | 17 |
| Echo exam of fetal heart CPT 76827 | $576.75 | $769.00 | $104.92 – $192.26 | 17 |
| Echo exam of fetal heart CPT 76828 | $300.75 | $401.00 | $55.78 – $192.26 | 17 |
| Echo exam uterus 76831- CPT 76831 | $825.75 | $1,101.00 | $202.34 – $438.79 | 17 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $68.07 – $165.83 | 16 |
| Echo guide for amniocentesis CPT 76946 | $680.25 | $907.00 | $32.28 – $58.10 | 17 |
| Echo guide for artery repair CPT 76936 | $1,386.00 | $1,848.00 | $220.60 – $397.08 | 17 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $148.37 – $148.37 | 1 |
| Echo guide for transfusion CPT 76941 | $317.25 | $423.00 | $132.71 – $132.71 | 1 |
| Echo guide villus sampling CPT 76945 | $693.75 | $925.00 | $137.62 – $137.62 | 1 |
| Echo stress CPT 93350 | $1,949.25 | $2,599.00 | $558.25 – $1,004.85 | 17 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $558.25 – $1,004.85 | 16 |
| Echo tee guidance CPT 93355 | $2,007.00 | $2,676.00 | $189.62 – $341.31 | 17 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,282.25 | $3,043.00 | $558.25 – $1,004.85 | 17 |
| Echo transesophageal CPT 93313 | not published | not published | $558.25 – $1,004.85 | 16 |
| Echo transesophageal CPT 93314 | not published | not published | $217.13 – $390.84 | 16 |
| Echo transesophageal CPT 93315 | $1,826.25 | $2,435.00 | $558.25 – $1,004.85 | 17 |
| Echo transesophageal intraop CPT 93318 | $1,165.50 | $1,554.00 | $558.25 – $1,004.85 | 17 |
| Echo transthoracic CPT 93303 | $1,922.25 | $2,563.00 | $558.25 – $1,004.85 | 17 |
| Echo transthoracic CPT 93304 | $1,341.75 | $1,789.00 | $558.25 – $1,004.85 | 17 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,278.75 | $1,705.00 | $243.77 – $438.79 | 17 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,126.25 | $2,835.00 | $558.25 – $1,004.85 | 17 |
| Echocardiography doppler color flow mapping CPT 93325 | $407.25 | $543.00 | $21.85 – $39.34 | 17 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,126.25 | $2,835.00 | $800.90 – $1,441.62 | 17 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $939.00 | $1,252.00 | $243.77 – $438.79 | 17 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $939.00 | $1,252.00 | $356.43 – $641.57 | 17 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $350.25 | $467.00 | $23.64 – $42.56 | 17 |
| Echograp trans r pros study CPT 76873 | not published | not published | $106.81 – $192.26 | 16 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $4,409.25 | $5,879.00 | $206.33 – $371.39 | 17 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $4,324.50 | $5,766.00 | $214.18 – $385.53 | 17 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $3,066.75 | $4,089.00 | $304.72 – $548.49 | 17 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $4,324.50 | $5,766.00 | $276.24 – $497.23 | 17 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $749.13 – $1,348.44 | 16 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $747.67 – $1,345.81 | 16 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $428.05 – $770.49 | 16 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $384.43 – $691.97 | 16 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $426.77 – $768.18 | 16 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $15,762.00 | $21,016.00 | $380.18 – $684.32 | 17 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $465.05 – $837.09 | 16 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $471.75 – $849.16 | 16 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $247.37 – $445.27 | 16 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $167.76 – $301.97 | 16 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $255.65 – $460.17 | 16 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $213.02 – $383.44 | 16 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $446.21 – $803.18 | 16 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $423.43 – $762.17 | 16 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $213.34 – $384.00 | 16 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $167.76 – $301.97 | 16 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $213.34 – $384.00 | 16 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $167.76 – $301.97 | 16 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $38.13 – $68.63 | 16 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $22,430.49 | $29,907.31 | $44.70 – $80.46 | 17 |
| Edetate calcium disodium inj HCPCS J0600 | $20,833.61 | $27,778.14 | $6,102.87 – $10,985.16 | 17 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $30.56 – $55.01 | 16 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,081.50 | $1,442.00 | $220.60 – $397.08 | 17 |
| Eeg during surgery CPT 95955 | $1,512.75 | $2,017.00 | $183.54 – $330.37 | 17 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,099.50 | $1,466.00 | $220.60 – $397.08 | 17 |
| Eeg monitoring/function test CPT 95958 | $2,747.25 | $3,663.00 | $877.34 – $1,579.21 | 17 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $381.24 – $686.23 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,523.25 | $2,031.00 | $220.60 – $397.08 | 17 |
| Eeg recording awake and asleep CPT 95819 | $1,173.00 | $1,564.00 | $220.60 – $397.08 | 17 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $364.50 | $486.00 | $220.60 – $397.08 | 17 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $2,025.00 | $2,700.00 | $220.60 – $397.08 | 17 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $4,050.00 | $5,400.00 | $381.24 – $686.23 | 17 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $2,361.75 | $3,149.00 | $381.24 – $686.23 | 17 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,181.25 | $1,575.00 | $220.60 – $397.08 | 17 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $364.50 | $486.00 | $381.24 – $686.23 | 17 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,116.75 | $1,489.00 | $381.24 – $686.23 | 17 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,091.25 | $1,455.00 | $220.60 – $397.08 | 17 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.61 – $58.69 | 16 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $3,135.75 | $4,181.00 | $1,960.47 – $3,528.85 | 17 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $4,259.25 | $5,679.00 | $1,960.47 – $3,528.85 | 17 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $3,514.50 | $4,686.00 | $1,960.47 – $3,528.85 | 17 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $4,423.50 | $5,898.00 | $1,960.47 – $3,528.85 | 17 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $2,440.50 | $3,254.00 | $1,960.47 – $3,528.85 | 17 |
| Egd control bleeding any CPT 43255 | $2,553.75 | $3,405.00 | $1,960.47 – $3,528.85 | 17 |
| Egd dilate stricture CPT 43245 | $3,148.50 | $4,198.00 | $1,960.47 – $3,528.85 | 17 |
| Egd endo mucosal resection CPT 43254 | $4,083.75 | $5,445.00 | $1,960.47 – $3,528.85 | 17 |
| Egd endoscopic stent place CPT 43266 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Egd esophagogastrc fndoplsty CPT 43210 | $11,934.00 | $15,912.00 | $10,860.07 – $19,548.13 | 17 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Egd flx trnsorl rmvl balo CPT 43291 | $1,051.50 | $1,402.00 | $926.63 – $1,667.93 | 17 |
| Egd guide wire insertion CPT 43248 | $2,765.25 | $3,687.00 | $926.63 – $1,667.93 | 17 |
| Egd injection varices CPT 43243 | $2,571.75 | $3,429.00 | $1,960.47 – $3,528.85 | 17 |
| Egd lesion ablation CPT 43270 | $3,672.75 | $4,897.00 | $1,960.47 – $3,528.85 | 17 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Egd remove foreign body CPT 43247 | $2,295.00 | $3,060.00 | $926.63 – $1,667.93 | 17 |
| Egd remove lesion snare CPT 43251 | $2,597.25 | $3,463.00 | $1,960.47 – $3,528.85 | 17 |
| Egd varices ligation CPT 43244 | $3,264.00 | $4,352.00 | $1,960.47 – $3,528.85 | 17 |
| Egd w/thrml txmnt gerd CPT 43257 | $5,043.00 | $6,724.00 | $3,938.98 – $7,090.16 | 17 |
| Egd w/transmural drain cyst CPT 43240 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $2,502.75 | $3,337.00 | $1,960.47 – $3,528.85 | 17 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $2,736.75 | $3,649.00 | $1,960.47 – $3,528.85 | 17 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $584.24 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $105.00 | $140.00 | $35.09 – $63.16 | 17 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $669.75 | $893.00 | $313.79 – $564.82 | 17 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.23 – $20.21 | 16 |
| Elect analysis of infusion pump 62367 CPT 62367 | $509.25 | $679.00 | $313.79 – $564.82 | 17 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $313.79 – $564.82 | 16 |
| Electrd sq emblem s-icd HCPCS C1896 | $12,127.50 | $16,170.00 | not published | 0 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $70.61 – $127.09 | 16 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $89.16 – $160.49 | 16 |
| Electrical stimulation/unattended 97014 CPT 97014 | $125.25 | $167.00 | $12.14 – $21.86 | 17 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $135.93 – $244.67 | 16 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $97.50 | $130.00 | not published | 0 |
| Electrocochleography CPT 92584 | $1,054.50 | $1,406.00 | $131.46 – $236.63 | 17 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,353.00 | $1,804.00 | $877.34 – $1,579.21 | 17 |
| Electrocorticography durng sx CPT 95829 | $4,220.25 | $5,627.00 | $1,820.56 – $3,277.01 | 17 |
| Electrode stimulation brain CPT 95961 | $1,137.75 | $1,517.00 | $877.34 – $1,579.21 | 17 |
| Electroejaculation CPT 55870 | not published | not published | $941.00 – $1,693.80 | 16 |
| Electrogastrography CPT 91132 | not published | not published | $220.60 – $397.08 | 16 |
| Electrogastrography w/test CPT 91133 | not published | not published | $135.93 – $244.67 | 16 |
| Electrolyte panel CPT 80051 | $120.00 | $160.00 | $2.14 – $12.62 | 17 |
| Electron microscopy diagnostic CPT 88348 | $2,129.25 | $2,839.00 | $197.23 – $1,481.63 | 17 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $642.00 | $856.00 | $43.72 – $78.69 | 17 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $1,237.50 | $1,650.00 | $97.13 – $174.83 | 17 |
| Electrophys map 3d add-on CPT 93613 | $8,985.00 | $11,980.00 | $244.93 – $440.88 | 17 |
| Electrophysiologic study CPT 93624 | $10,470.75 | $13,961.00 | $7,968.60 – $14,343.48 | 17 |
| Electrophysiology evaluation CPT 93619 | $5,625.00 | $7,500.00 | $7,968.60 – $14,343.48 | 17 |
| Electrophysiology evaluation CPT 93620 | $13,146.75 | $17,529.00 | $7,968.60 – $14,343.48 | 17 |
| Electrophysiology evaluation CPT 93621 | $10,838.25 | $14,451.00 | not published | 0 |
| Electrophysiology evaluation CPT 93622 | $6,516.00 | $8,688.00 | not published | 0 |
| Electrophysiology evaluation CPT 93641 | $3,130.50 | $4,174.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $3,121.50 | $4,162.00 | $1,243.91 – $2,239.04 | 17 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $181.52 – $326.74 | 16 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $311.95 – $561.50 | 16 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $11,443.25 | $15,257.66 | $8.04 – $14.47 | 17 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $186.79 – $336.22 | 16 |
| Emb w/colposcopy 58110 CPT 58110 | $1,077.00 | $1,436.00 | $49.28 – $88.71 | 17 |
| Emb without cervical dilation 58100 CPT 58100 | $1,692.75 | $2,257.00 | $206.55 – $371.79 | 17 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Embo or occlude vascular arterial s&i CPT 37242 | $13,812.00 | $18,416.00 | $18,728.69 – $33,711.64 | 17 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $11,680.50 | $15,574.00 | $11,794.23 – $21,229.61 | 17 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $11,680.50 | $15,574.00 | $11,794.23 – $21,229.61 | 17 |
| Embo or occlude vascular venous s&i CPT 37241 | $15,038.25 | $20,051.00 | $11,794.23 – $21,229.61 | 17 |
| Embolization s&i CPT 75894 | $6,008.25 | $8,011.00 | $297.07 – $534.73 | 17 |
| Embryo hatching CPT 89253 | not published | not published | $174.06 – $313.31 | 16 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $941.00 – $1,693.80 | 16 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $725.25 | $967.00 | $135.93 – $244.67 | 17 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $869.25 | $1,159.00 | $131.46 – $236.63 | 17 |
| Emg cranial nerve bilateral CPT 95868 | $807.00 | $1,076.00 | $220.60 – $397.08 | 17 |
| Emg needle test 1-extremity CPT 95860 | $398.25 | $531.00 | $135.93 – $244.67 | 17 |
| Emg needle test 4-extremities CPT 95864 | $1,050.00 | $1,400.00 | $131.46 – $236.63 | 17 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $383.25 | $511.00 | $220.60 – $397.08 | 17 |
| Encephalitis, california igg/igm CPT 86651 | $135.75 | $181.00 | $6.98 – $23.74 | 17 |
| Encephalitis, st louis igg/igm CPT 86653 | $135.75 | $181.00 | $6.98 – $23.74 | 17 |
| Encephalitis, western equine igg/igm CPT 86654 | $135.75 | $181.00 | $6.98 – $23.74 | 17 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $6,948.00 | $9,264.00 | $3,225.87 – $5,806.57 | 17 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $6,527.25 | $8,703.00 | $3,225.87 – $5,806.57 | 17 |
| Endo cath bile duct s&i CPT 74328 | $864.00 | $1,152.00 | $131.06 – $131.06 | 1 |
| Endo cath panc duct s&i CPT 74329 | $771.75 | $1,029.00 | $105.46 – $105.46 | 1 |
| Endo cholangiopancreatograph CPT 43261 | $3,543.00 | $4,724.00 | $3,938.98 – $7,090.16 | 17 |
| Endo cholangiopancreatograph CPT 43262 | $3,536.25 | $4,715.00 | $3,938.98 – $7,090.16 | 17 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Endo outlet restrict w/tube HCPCS C9785 | $12,180.75 | $16,241.00 | $10,860.07 – $19,548.13 | 17 |
| Endo sleeve gastro w/tube HCPCS C9784 | $12,180.75 | $16,241.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $592.50 | $790.00 | $311.33 – $560.39 | 17 |
| Endocervical curettage 57505 CPT 57505 | $956.25 | $1,275.00 | $941.00 – $1,693.80 | 17 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $350.80 – $631.44 | 16 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $1,203.00 | $1,604.00 | $444.47 – $800.04 | 17 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,315.00 | $4,420.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $3,258.00 | $4,344.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $3,226.50 | $4,302.00 | $1,960.47 – $3,528.85 | 17 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Endoscopic pancreatoscopy CPT 43273 | $2,117.25 | $2,823.00 | $100.07 – $180.13 | 17 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $14.21 – $25.57 | 16 |
| Endoscopy bowel pouch/biop CPT 44386 | $2,199.75 | $2,933.00 | $950.10 – $1,710.18 | 17 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $2,187.00 | $2,916.00 | $950.10 – $1,710.18 | 17 |
| Endoscopy of ureter CPT 50951 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Endoscopy swallow (fees) vid CPT 92612 | $551.25 | $735.00 | $186.12 – $335.02 | 17 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,209.50 | $2,946.00 | $1,818.45 – $3,273.21 | 17 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $180.84 – $325.52 | 16 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $948.80 – $1,707.84 | 16 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $10,604.25 | $14,139.00 | $1,361.89 – $2,451.40 | 17 |
| Endovasc tempory vessel occl CPT 61623 | $8,869.50 | $11,826.00 | $11,794.23 – $21,229.61 | 17 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $3,548.25 | $4,731.00 | $5,685.01 – $10,233.02 | 17 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $4,050.75 | $5,401.00 | $135.23 – $243.42 | 17 |
| Endovenous laser vein addon 36479 CPT 36479 | $2,203.50 | $2,938.00 | $292.51 – $526.52 | 17 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $225.74 – $406.33 | 16 |
| Endovenous rf abl vein addl CPT 36476 | $6,432.75 | $8,577.00 | $263.94 – $475.09 | 17 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $15,579.42 | $20,772.56 | $36.71 – $66.07 | 17 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $109.71 | $146.28 | $1.44 – $1.44 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $89.25 | $119.00 | $6.05 – $21.56 | 17 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $213.59 – $384.45 | 16 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,112.61 – $2,002.70 | 16 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,203.34 – $2,166.01 | 16 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $3,938.98 – $7,090.16 | 16 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,456.13 – $2,621.03 | 16 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Enzyme cell activity ra CPT 82658 | $1,045.50 | $1,394.00 | $8.54 – $79.25 | 17 |
| Enzyme histochemistry CPT 88319 | $648.75 | $865.00 | $20.50 – $1,481.63 | 17 |
| Ep & ablate supravent arrhyt CPT 93653 | $23,285.25 | $31,047.00 | $26,703.99 – $48,067.18 | 17 |
| Ep & ablate ventric tachy CPT 93654 | $36,500.25 | $48,667.00 | $26,703.99 – $48,067.18 | 17 |
| Ep induct arrhy by elect pacing CPT 93618 | $3,894.75 | $5,193.00 | $1,243.91 – $2,239.04 | 17 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $56.92 – $102.45 | 16 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $159.21 – $286.57 | 16 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $117.57 – $211.62 | 16 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $903.63 – $1,626.53 | 16 |
| Epidural lysis on single day 62264 CPT 62264 | $2,673.00 | $3,564.00 | $903.63 – $1,626.53 | 17 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,182.00 | $1,576.00 | $110.44 – $198.80 | 17 |
| Epiglottidectomy CPT 31420 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $4,407.41 | 16 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $831.94 | $1,109.25 | $5.59 – $5.59 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $424.18 | $565.57 | $3.40 – $3.40 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.49 – $1.49 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $46.16 | $61.54 | $5.87 – $5.87 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $161.59 | $215.45 | $4.07 – $4.07 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $2,952.75 | $3,937.00 | $3,307.24 – $5,953.03 | 17 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $379.58 | $506.10 | $7.31 – $13.15 | 17 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.96 – $5.92 | 2 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $336.66 | $448.88 | $7.88 – $14.19 | 17 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $3.63 – $10.29 | 2 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $208.65 | $278.20 | $41.70 – $41.70 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $136.50 | $182.00 | $6.21 – $23.62 | 17 |
| Epstein barr nuclear antigen antibody CPT 86664 | $120.75 | $161.00 | $6.50 – $27.52 | 17 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $120.75 | $161.00 | $6.50 – $32.65 | 17 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $924.38 | $1,232.50 | $3.26 – $5.87 | 17 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $7,173.42 | $9,564.55 | $20.55 – $36.98 | 17 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Ercp biliary & pancreas CPT 74330 | $943.50 | $1,258.00 | $178.07 – $178.07 | 1 |
| Ercp ea duct/ampulla dilate CPT 43277 | $4,199.25 | $5,599.00 | $3,938.98 – $7,090.16 | 17 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $5,948.25 | $7,931.00 | $3,938.98 – $7,090.16 | 17 |
| Ercp lithotripsy calculi CPT 43265 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Ercp remove duct calculi 43264 CPT 43264 | $3,955.50 | $5,274.00 | $3,938.98 – $7,090.16 | 17 |
| Ercp remove forgn body duct 43275 CPT 43275 | $3,726.00 | $4,968.00 | $1,960.47 – $3,528.85 | 17 |
| Ercp sphincter pressure meas CPT 43263 | $3,552.00 | $4,736.00 | $1,960.47 – $3,528.85 | 17 |
| Ercp stent exchange w/dilate CPT 43276 | $4,497.75 | $5,997.00 | $6,202.39 – $11,164.30 | 17 |
| Ercp w/specimen collection CPT 43260 | $4,277.25 | $5,703.00 | $3,938.98 – $7,090.16 | 17 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $10.66 – $17.05 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,213.48 | $6,951.30 | $76.76 – $138.16 | 17 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $107.31 | $143.08 | $23.22 – $23.22 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $209.75 | $279.66 | $193.18 – $193.18 | 1 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $4,440.75 | $5,921.00 | $3,938.98 – $7,090.16 | 17 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $240.34 | $320.45 | $0.72 – $0.72 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $1.06 – $1.68 | 2 |
| Esoph balloon distension tst CPT 91040 | $622.50 | $830.00 | $381.24 – $686.23 | 17 |
| Esoph egd dilation <30 mm CPT 43249 | $2,597.25 | $3,463.00 | $1,960.47 – $3,528.85 | 17 |
| Esoph endoscopy dilation CPT 43226 | $2,205.75 | $2,941.00 | $1,960.47 – $3,528.85 | 17 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $771.27 – $1,388.29 | 16 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,040.71 – $1,873.29 | 16 |
| Esoph imped funct test > 1hr CPT 91038 | $1,232.25 | $1,643.00 | $381.24 – $686.23 | 17 |
| Esoph imped function test CPT 91037 | $1,190.25 | $1,587.00 | $220.60 – $397.08 | 17 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Esoph scope w/sclerosis inj CPT 43204 | $1,968.00 | $2,624.00 | $1,960.47 – $3,528.85 | 17 |
| Esoph scope w/submucous inj CPT 43201 | $3,268.50 | $4,358.00 | $1,960.47 – $3,528.85 | 17 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,938.98 – $7,090.16 | 16 |
| Esophageal dilat s&i CPT 74360 | $787.50 | $1,050.00 | $208.58 – $208.58 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $102.46 – $184.44 | 16 |
| Esophageal motility CPT 78258 | not published | not published | $405.73 – $735.17 | 16 |
| Esophageal recording CPT 93615 | not published | not published | $1,243.91 – $2,239.04 | 16 |
| Esophageal recording CPT 93616 | $5,991.75 | $7,989.00 | $1,243.91 – $2,239.04 | 17 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,224.45 – $2,204.01 | 16 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,253.99 – $2,257.18 | 16 |
| Esophagosc dilate balloon 30 CPT 43214 | $2,101.50 | $2,802.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagosc flex trnsn biopsy CPT 43198 | $2,230.50 | $2,974.00 | $926.63 – $1,667.93 | 17 |
| Esophagoscop mucosal resect CPT 43211 | $3,837.00 | $5,116.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscop stent placement CPT 43212 | $6,977.25 | $9,303.00 | $6,202.39 – $11,164.30 | 17 |
| Esophagoscop ultrasound exam CPT 43231 | $3,936.00 | $5,248.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy balloon <30mm CPT 43220 | $3,333.00 | $4,444.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy control bleed CPT 43227 | $3,333.00 | $4,444.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy flex biopsy CPT 43202 | $2,676.75 | $3,569.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy flex dx brush CPT 43197 | $1,930.50 | $2,574.00 | $926.63 – $1,667.93 | 17 |
| Esophagoscopy flex remove fb CPT 43215 | $289.50 | $386.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy lesion ablate CPT 43229 | $2,951.25 | $3,935.00 | $3,938.98 – $7,090.16 | 17 |
| Esophagoscopy lesion removal CPT 43216 | $3,778.50 | $5,038.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy retro balloon CPT 43213 | $2,101.50 | $2,802.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,938.98 – $7,090.16 | 16 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Esophagoscopy snare les remv CPT 43217 | $3,438.00 | $4,584.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy w/us needle bx CPT 43232 | $4,181.25 | $5,575.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $2,623.50 | $3,498.00 | $926.63 – $1,667.93 | 17 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $2,690.25 | $3,587.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Esophagus endoscopy/ligation CPT 43205 | $3,386.25 | $4,515.00 | $1,960.47 – $3,528.85 | 17 |
| Esophagus motility study CPT 91010 | $1,332.75 | $1,777.00 | $381.24 – $686.23 | 17 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,341.75 | $1,789.00 | $26.48 – $47.66 | 17 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,235.24 – $5,823.43 | 16 |
| Essure 58565 CPT 58565 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Establish access to aorta CPT 36160 | $1,294.50 | $1,726.00 | $506.27 – $911.29 | 17 |
| Establish access to artery CPT 36100 | $2,063.25 | $2,751.00 | $481.91 – $867.44 | 17 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $990.27 – $1,782.48 | 16 |
| Established Patient Office Visit (level 1) CPT 99211 | $109.50 | $146.00 | $22.82 – $41.07 | 17 |
| Established Patient Office Visit (level 2) CPT 99212 | $114.00 | $152.00 | $56.51 – $101.71 | 17 |
| Established Patient Office Visit (level 3) CPT 99213 | $126.00 | $168.00 | $90.97 – $163.75 | 17 |
| Established Patient Office Visit (level 4) CPT 99214 | $147.75 | $197.00 | $129.83 – $233.70 | 17 |
| Established Patient Office Visit (level 5) CPT 99215 | $168.75 | $225.00 | $184.45 – $332.02 | 17 |
| Estradiol total CPT 82670 | $174.00 | $232.00 | $13.22 – $50.29 | 17 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $19.85 – $87.01 | 2 |
| Estrogens total-sendout CPT 82672 | $270.00 | $360.00 | $10.26 – $39.06 | 17 |
| Etanercept injection HCPCS J1438 | $7,314.47 | $9,752.62 | not published | 0 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,622.73 | $2,163.63 | $518.63 – $933.53 | 17 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Ethylene glycol -sendout CPT 82693 | $79.50 | $106.00 | $7.59 – $26.82 | 17 |
| Etonogestrel implant system HCPCS J7307 | $4,715.65 | $6,287.53 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $213.17 | $284.22 | $3.35 – $3.35 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | $5,934.05 | $7,912.06 | $86.84 – $156.31 | 17 |
| Euflexxa inj per dose HCPCS J7323 | $1,186.77 | $1,582.36 | $105.58 – $190.04 | 17 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $15.14 | 16 |
| Evacuate mole of uterus CPT 59870 | $5,835.00 | $7,780.00 | $3,307.24 – $5,953.03 | 17 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $219.00 | $292.00 | $131.46 – $236.63 | 17 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $431.25 | $575.00 | $117.02 – $210.63 | 17 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $237.00 | $316.00 | $36.26 – $176.60 | 17 |
| Evaluation heart device CPT 93640 | $3,057.00 | $4,076.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $393.00 | $524.00 | $128.22 – $230.79 | 17 |
| Evaluation psychiatric diagnostic CPT 90791 | $509.25 | $679.00 | $181.34 – $326.41 | 17 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,127.75 | $2,837.00 | $516.31 – $929.36 | 17 |
| Evasc prlng admn rx agnt add CPT 61651 | $272.25 | $363.00 | $220.69 – $397.25 | 17 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $15,243.75 | $20,325.00 | $1,102.48 – $1,984.46 | 17 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $3,078.00 | $4,104.00 | $1,104.36 – $1,987.85 | 17 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $2,142.00 | $2,856.00 | $1,616.54 – $2,909.78 | 17 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $15,243.75 | $20,325.00 | $2,035.06 – $3,663.11 | 17 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $15,243.75 | $20,325.00 | $394.81 – $710.65 | 17 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $3,078.00 | $4,104.00 | $1,225.88 – $2,206.59 | 17 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $10,196.25 | $13,595.00 | $2,006.94 – $3,612.49 | 17 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $1,826.25 | $2,435.00 | $1,039.72 – $1,871.49 | 17 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,826.25 | $2,435.00 | $1,638.20 – $2,948.77 | 17 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $839.54 – $1,511.17 | 16 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $668.27 – $1,202.88 | 16 |
| Event monitor CPT 93270 | $330.00 | $440.00 | $38.13 – $68.63 | 17 |
| Evok oa screening qual CPT 92558 | $286.50 | $382.00 | $9.37 – $16.86 | 17 |
| Evoked auditory tst complete CPT 92588 | $628.50 | $838.00 | $381.24 – $686.23 | 17 |
| Evoked oa emissions ltd CPT 92587 | $234.00 | $312.00 | $220.60 – $397.08 | 17 |
| Evoked potential visual not glaucoma CPT 95930 | $1,172.25 | $1,563.00 | $220.60 – $397.08 | 17 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $632.25 | $843.00 | $25.46 – $45.83 | 17 |
| Evoked potentials upper limbs CPT 95925 | $1,179.00 | $1,572.00 | $220.60 – $397.08 | 17 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $3,629.25 | $4,839.00 | $3,387.27 – $6,097.09 | 17 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $3,845.25 | $5,127.00 | $1,687.37 – $3,037.27 | 17 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $2,397.75 | $3,197.00 | $1,687.37 – $3,037.27 | 17 |
| Exam of vagina w/scope 57420 CPT 57420 | $1,230.00 | $1,640.00 | $311.33 – $560.39 | 17 |
| Exam pelvic add-on CPT 99459 | not published | not published | $15.86 – $28.54 | 16 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,880.25 | $2,507.00 | $1,687.37 – $3,037.27 | 17 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $2,531.25 | $3,375.00 | $1,687.37 – $3,037.27 | 17 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $2,448.00 | $3,264.00 | $723.47 – $1,302.25 | 17 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,319.75 | $3,093.00 | $1,687.37 – $3,037.27 | 17 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,447.50 | $1,930.00 | $723.47 – $1,302.25 | 17 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,989.75 | $2,653.00 | $723.47 – $1,302.25 | 17 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,967.25 | $2,623.00 | $1,687.37 – $3,037.27 | 17 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,483.00 | $4,644.00 | $2,967.63 – $5,341.73 | 17 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $2,131.50 | $2,842.00 | $415.32 – $747.58 | 17 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,743.00 | $2,324.00 | $723.47 – $1,302.25 | 17 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $3,069.75 | $4,093.00 | $1,687.37 – $3,037.27 | 17 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,306.25 | $3,075.00 | $1,687.37 – $3,037.27 | 17 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $2,040.00 | $2,720.00 | $723.47 – $1,302.25 | 17 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,206.49 – $2,171.68 | 16 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $720.02 – $1,296.03 | 16 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc excessive skin hip CPT 15834 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc excessive skin leg CPT 15833 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $6,184.50 | $8,246.00 | $2,967.63 – $5,341.73 | 17 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $723.47 – $1,302.25 | 16 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $2,185.50 | $2,914.00 | $1,687.37 – $3,037.27 | 17 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc forearm les sc 3 cm/> CPT 25071 | $3,778.50 | $5,038.00 | $1,687.37 – $3,037.27 | 17 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc hand les sc < 1.5 cm CPT 26115 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $3,294.00 | $4,392.00 | $2,967.63 – $5,341.73 | 17 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $3,294.00 | $4,392.00 | $2,967.63 – $5,341.73 | 17 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,920.08 – $3,456.15 | 16 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $3,401.25 | $4,535.00 | $3,387.27 – $6,097.09 | 17 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $2,151.75 | $2,869.00 | $415.32 – $747.58 | 17 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,521.75 | $2,029.00 | $723.47 – $1,302.25 | 17 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,891.50 | $2,522.00 | $723.47 – $1,302.25 | 17 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $2,185.50 | $2,914.00 | $723.47 – $1,302.25 | 17 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $723.47 – $1,302.25 | 16 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $723.47 – $1,302.25 | 16 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $2,306.25 | $3,075.00 | $1,687.37 – $3,037.27 | 17 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $1,407.75 | $1,877.00 | $723.47 – $1,302.25 | 17 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $1,407.75 | $1,877.00 | $723.47 – $1,302.25 | 17 |
| Exc mandible 21025 CPT 21025 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exc neck tum deep 5 cm/> CPT 21554 | $3,294.00 | $4,392.00 | $2,967.63 – $5,341.73 | 17 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $979.99 – $1,763.99 | 16 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $683.73 – $1,230.72 | 16 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Exc prtl bn phlnx toe CPT 28124 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $2,185.50 | $2,914.00 | $723.47 – $1,302.25 | 17 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $2,444.25 | $3,259.00 | $1,687.37 – $3,037.27 | 17 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $4,381.50 | $5,842.00 | $1,687.37 – $3,037.27 | 17 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $5,280.00 | $7,040.00 | $2,967.63 – $5,341.73 | 17 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $4,661.25 | $6,215.00 | $2,967.63 – $5,341.73 | 17 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $3,293.25 | $4,391.00 | $2,967.63 – $5,341.73 | 17 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $5,596.50 | $7,462.00 | $1,222.56 – $2,200.61 | 17 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $1,880.25 | $2,507.00 | $1,687.37 – $3,037.27 | 17 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $2,732.25 | $3,643.00 | $1,687.37 – $3,037.27 | 17 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $3,163.50 | $4,218.00 | $2,967.63 – $5,341.73 | 17 |
| Exchange biliary drg cath CPT 47536 | $2,959.50 | $3,946.00 | $3,657.95 – $6,584.31 | 17 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $450.73 – $811.31 | 16 |
| Exchange drainage catheter CPT 49423 | $2,774.25 | $3,699.00 | $1,960.47 – $3,528.85 | 17 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Exchange nephrostomy cath CPT 50435 | $2,515.50 | $3,354.00 | $2,135.66 – $3,844.19 | 17 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $204.98 – $368.96 | 16 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $204.98 – $368.96 | 16 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $415.32 – $747.58 | 16 |
| Excis partial tal calc CPT 28120 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise anal ext tag/papilla CPT 46220 | $1,380.00 | $1,840.00 | $1,222.56 – $2,200.61 | 17 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excise inferior turbinate CPT 30130 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $777.79 – $1,400.02 | 16 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Excise lesion testis CPT 54512 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Excise lip or cheek fold CPT 40819 | $2,247.75 | $2,997.00 | $1,585.19 – $2,853.34 | 17 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise mandible lesion CPT 21040 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $551.01 – $991.82 | 16 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise pharynx lesion CPT 42808 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $1,961.84 – $3,531.31 | 16 |
| Excise sublingual gland CPT 42450 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise submaxillary gland CPT 42440 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Excise/repair mouth lesion CPT 40812 | $3,501.00 | $4,668.00 | $1,585.19 – $2,853.34 | 17 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $142.06 – $255.71 | 16 |
| Excision aural polyp CPT 69540 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $1,447.50 | $1,930.00 | $723.47 – $1,302.25 | 17 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,064.75 | $2,753.00 | $1,687.37 – $3,037.27 | 17 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,520.25 | $2,027.00 | $723.47 – $1,302.25 | 17 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,723.75 | $4,965.00 | $1,687.37 – $3,037.27 | 17 |
| Excision breast lesion CPT 19125 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision graft extremity CPT 35903 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,515.08 – $2,727.15 | 16 |
| Excision gum each quadrant CPT 41820 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excision lesion mouth roof CPT 42106 | $3,600.75 | $4,801.00 | $3,387.27 – $6,097.09 | 17 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Excision of anal lesion(s) CPT 46922 | $3,190.50 | $4,254.00 | $2,835.78 – $5,104.40 | 17 |
| Excision of gum flap CPT 41821 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Excision of gum lesion CPT 41822 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Excision of gum lesion CPT 41823 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excision of gum lesion CPT 41826 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of gum lesion CPT 41827 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excision of gum lesion CPT 41828 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $788.25 – $1,418.85 | 16 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $718.84 – $1,293.92 | 16 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of neck cyst CPT 42815 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of penis lesion(s) 54060 CPT 54060 | $2,371.50 | $3,162.00 | $2,107.97 – $3,794.35 | 17 |
| Excision of rectal lesion CPT 45160 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Excision of rectal stricture CPT 45150 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Excision of salivary cyst CPT 42408 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,879.16 – $3,382.49 | 16 |
| Excision of stomach lesion CPT 43610 | not published | not published | $899.04 – $1,618.27 | 16 |
| Excision of tongue lesion CPT 41112 | $3,732.00 | $4,976.00 | $3,387.27 – $6,097.09 | 17 |
| Excision of tongue lesion CPT 41114 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of tonsil tags CPT 42860 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Excision of uvula CPT 42140 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Excision olecranon bursa CPT 24105 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excision radial head CPT 24130 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $3,255.75 | $4,341.00 | $1,687.37 – $3,037.27 | 17 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $969.13 – $1,744.44 | 16 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $116.00 – $208.80 | 16 |
| Exercise tst brncspsm w/ecg CPT 94617 | $337.50 | $450.00 | $135.93 – $244.67 | 17 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $60.27 – $108.49 | 16 |
| Exercise w/hemodynamic meas CPT 93464 | $3,198.75 | $4,265.00 | $209.04 – $376.28 | 17 |
| Exome sequence analysis CPT 81415 | $7,002.00 | $9,336.00 | $800.00 – $8,604.00 | 17 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $4,848.75 | $6,465.00 | $1,019.30 – $1,834.74 | 17 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $7,852.50 | $10,470.00 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $710.49 – $1,278.88 | 16 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $373.55 – $672.40 | 16 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $365.12 – $657.21 | 16 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $375.45 – $675.81 | 16 |
| Exploration for testis CPT 54550 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Exploration for testis CPT 54560 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Exploration of ankle joint CPT 27612 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $476.00 – $856.80 | 16 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $743.23 – $1,337.81 | 16 |
| Exploration of foot joint CPT 28020 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exploration of foot joint CPT 28022 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exploration of knee joint CPT 27310 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Exploration of middle ear CPT 69440 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Exploration of sinuses CPT 31090 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Exploration of toe joint CPT 28024 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,529.77 – $2,753.59 | 16 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,104.34 – $1,987.82 | 16 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,754.11 – $3,157.39 | 16 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $986.77 – $1,776.19 | 16 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $1,840.54 – $3,312.97 | 16 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Explore epididymis CPT 54865 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Explore inner ear CPT 69805 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Explore inner ear CPT 69806 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Explore parathyroid glands CPT 60500 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,971.00 | $2,628.00 | $1,687.37 – $3,037.27 | 17 |
| Explore scrotum CPT 55110 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $894.29 – $1,609.73 | 16 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $551.01 – $991.82 | 16 |
| Explore woundchest 20101 CPT 20101 | $2,113.50 | $2,818.00 | $2,107.97 – $3,794.35 | 17 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Explore/drain eye socket CPT 67405 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Explore/drain eye socket CPT 67440 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $324.28 – $583.70 | 16 |
| Explore/repair chest 32110 CPT 32110 | not published | not published | $1,365.37 – $2,457.67 | 16 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Explore/treat eye socket CPT 67412 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Explore/treat eye socket CPT 67420 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Explore/treat eye socket CPT 67430 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Explore/treat finger joint CPT 26075 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Explore/treat finger joint CPT 26080 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Explore/treat knee joint CPT 27331 | $4,723.50 | $6,298.00 | $3,342.87 – $6,017.17 | 17 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $303.18 – $545.72 | 16 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $115.99 – $208.78 | 16 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $238.50 | $318.00 | $135.93 – $244.67 | 17 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $238.50 | $318.00 | $135.93 – $244.67 | 17 |
| Extended culture of oocytes CPT 89272 | not published | not published | $823.13 – $1,481.63 | 16 |
| Extended visual field xm CPT 92083 | $162.75 | $217.00 | $135.93 – $244.67 | 17 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,383.41 – $2,490.14 | 16 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Extensive surgery of throat CPT 42842 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Extensive surgery of throat CPT 42844 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,450.80 – $2,611.43 | 16 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,297.67 – $2,335.80 | 16 |
| External cannula declotting CPT 36860 | not published | not published | $1,608.25 – $2,894.85 | 16 |
| External chromosome analysis 20-25 cells CPT 88264 | $457.50 | $610.00 | $57.35 – $260.30 | 17 |
| External ocular photography CPT 92285 | not published | not published | $38.16 – $68.69 | 16 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $29.55 – $53.19 | 16 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $6,971.40 | 16 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $943.50 | $1,258.00 | $66.48 – $258.75 | 17 |
| Extnd color vision xm CPT 92283 | not published | not published | $60.27 – $108.49 | 16 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $234.00 | $312.00 | $8.48 – $32.27 | 17 |
| Extraction of lens CPT 66930 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Extraction of lens CPT 66940 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $135.93 – $244.67 | 16 |
| Eye allergy tests CPT 95060 | not published | not published | $135.93 – $244.67 | 16 |
| Eye implant band 40 HCPCS C1784 | $356.07 | $474.75 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $2,773.11 | $3,697.47 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $5,679.38 | $7,572.50 | $1,825.64 – $3,286.15 | 17 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $322.27 – $580.09 | 16 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,080.00 | 16 |
| Face bone graft CPT 21210 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Facial bones <3 CPT 70140 | $570.00 | $760.00 | $55.78 – $160.04 | 17 |
| Facial nerve function test CPT 92516 | not published | not published | $220.60 – $397.08 | 16 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Factor ix CPT 85250 | $254.25 | $339.00 | $5.95 – $34.27 | 17 |
| Factor ix alprolix recomb HCPCS J7201 | $38,712.83 | $51,617.10 | $3.58 – $6.44 | 17 |
| Factor ix complex HCPCS J7194 | $4,991.63 | $6,655.50 | $1.70 – $3.07 | 17 |
| Factor ix idelvion inj HCPCS J7202 | $36,235.50 | $48,314.00 | $5.32 – $9.57 | 17 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.37 – $2.46 | 16 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.50 – $8.09 | 16 |
| Factor ix recombinant nos HCPCS J7195 | $7,321.05 | $9,761.40 | $1.84 – $3.30 | 17 |
| Factor viii CPT 85240 | $274.50 | $366.00 | $5.95 – $32.22 | 17 |
| Factor viii HCPCS J7190 | not published | not published | $1.39 – $2.51 | 16 |
| Factor viii fc fusion recomb HCPCS J7205 | $17,969.85 | $23,959.80 | $2.46 – $4.43 | 17 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $2.13 | 16 |
| Factor viii pegylated recomb HCPCS J7207 | $11.10 | $14.79 | $2.14 – $3.86 | 17 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.41 – $2.54 | 16 |
| Factor viii recomb obizur HCPCS J7188 | $5,435.33 | $7,247.10 | $3.24 – $5.82 | 17 |
| Factor viii recombinant nos HCPCS J7192 | $11.10 | $14.79 | $1.57 – $2.82 | 17 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.78 – $19.40 | 16 |
| Factor xiii recomb a-subunit HCPCS J7181 | $68.26 | $91.01 | $18.33 – $33.00 | 17 |
| Fallopian tube recnl CPT 58345 | $3,624.75 | $4,833.00 | $3,307.24 – $5,953.03 | 17 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $31.26 – $56.27 | 16 |
| Family therapy with patient 50 min 90847 CPT 90847 | $297.00 | $396.00 | $181.34 – $326.41 | 17 |
| Family therapy without pt 50min 90846 CPT 90846 | $309.75 | $413.00 | $181.34 – $326.41 | 17 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $8.88 | $11.84 | not published | 0 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $65.92 | 16 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $5.10 – $9.18 | 16 |
| Fatty acids nonesterified CPT 82725 | $121.50 | $162.00 | $6.30 – $33.79 | 17 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $956.25 | $1,275.00 | $205.51 – $369.92 | 17 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $8.21 | 16 |
| Fecal microbiota prep instil HCPCS G0455 | $1,059.00 | $1,412.00 | $950.10 – $1,710.18 | 17 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $64.32 – $115.78 | 16 |
| Feeding tube reposition CPT 74355 | not published | not published | $238.17 – $238.17 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $214.43 – $385.98 | 16 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $97.50 | $130.00 | $18.64 – $33.55 | 17 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $210.75 – $379.35 | 16 |
| Feno poc CPT 95012 | $153.75 | $205.00 | $38.16 – $68.69 | 17 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $35.94 | $47.92 | $2.47 – $2.47 | 1 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $17.53 | 16 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,736.68 | $4,982.24 | $1.10 – $1.99 | 17 |
| Ferritin CPT 82728 | $242.25 | $323.00 | $6.44 – $24.53 | 17 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $4,030.11 | $5,373.48 | $0.23 – $0.41 | 17 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.23 – $0.41 | 16 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $831.75 | $1,109.00 | $106.81 – $192.26 | 17 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,366.29 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $267.75 | $357.00 | $206.55 – $371.79 | 17 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $311.33 – $560.39 | 16 |
| Fetal fibronectin CPT 82731 | not published | not published | $64.41 – $115.94 | 16 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $311.33 – $560.39 | 16 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | not published | not published | $7.73 – $13.91 | 16 |
| Fetal hemoglobin rosette CPT 85461 | $204.00 | $272.00 | $3.80 – $16.85 | 17 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $34.78 | 16 |
| Fetal non stress test CPT 59025 | $478.50 | $638.00 | $206.55 – $371.79 | 17 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $311.33 – $560.39 | 16 |
| Fetal shunt placement w/us CPT 59076 | $355.50 | $474.00 | $311.33 – $560.39 | 17 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $19.97 – $51.66 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $162.00 | $216.00 | $5.44 – $18.32 | 17 |
| Fibrin degradation products CPT 85362 | $171.00 | $228.00 | $3.59 – $12.40 | 17 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $17.50 | 16 |
| Fibrinogen activity CPT 85384 | $113.25 | $151.00 | $7.28 – $17.50 | 17 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $72.00 | $96.00 | $7.22 – $27.86 | 17 |
| Fibrinolytic antiplasmin CPT 85410 | $103.50 | $138.00 | $3.59 – $13.88 | 17 |
| Fibrinolytic plasminogen CPT 85415 | $650.25 | $867.00 | $7.49 – $30.94 | 17 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $544.50 | $726.00 | $3.39 – $11.75 | 17 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,964.97 | $2,619.96 | $1.02 – $1.83 | 17 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $492.48 | $656.64 | $0.28 – $0.51 | 17 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,504.82 | $2,006.42 | $0.35 – $0.64 | 17 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $8,212.50 | $10,950.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,659.75 | $6,213.00 | not published | 0 |
| Filtered speech hearing test CPT 92571 | $237.00 | $316.00 | $38.16 – $68.69 | 17 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $708.45 – $1,275.21 | 16 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.53 – $0.53 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $642.75 | $857.00 | $415.32 – $747.58 | 17 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,165.50 | $1,554.00 | $132.81 – $239.06 | 17 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,219.50 | $1,626.00 | $723.47 – $1,302.25 | 17 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,165.50 | $1,554.00 | $58.09 – $104.56 | 17 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $226.50 | $302.00 | $51.17 – $92.10 | 17 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $549.94 – $989.89 | 16 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $610.46 – $1,098.83 | 16 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $60.27 – $108.49 | 16 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $60.27 – $108.49 | 16 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $38.16 – $68.69 | 16 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $38.16 – $68.69 | 16 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $206.55 – $371.79 | 16 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $926.63 – $1,667.93 | 16 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fixation of knee joint CPT 27570 | $1,863.75 | $2,485.00 | $1,642.82 – $2,957.08 | 17 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fl exam g/colon tube w contrast CPT 49465 | $565.50 | $754.00 | $243.77 – $438.79 | 17 |
| Flebogamma injection HCPCS J1572 | $3,562.92 | $4,750.55 | $90.74 – $163.33 | 17 |
| Flecainide (tambocor)-sendout CPT 80181 | $96.00 | $128.00 | $18.64 – $33.55 | 17 |
| Flexible Sigmoidoscopy CPT 45330 | $1,763.25 | $2,351.00 | $950.10 – $1,710.18 | 17 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,584.67 – $2,852.41 | 16 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $667.80 | 16 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $671.22 – $1,208.19 | 16 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $77.32 – $139.17 | 16 |
| Flow cytometry marker each additional CPT 88185 | $181.50 | $242.00 | $17.02 – $37.87 | 17 |
| Flow cytometry one marker technical component CPT 88184 | $270.75 | $361.00 | $20.50 – $659.18 | 17 |
| Floxuridine injection HCPCS J9200 | $14,923.11 | $19,897.48 | $4,250.97 – $7,651.74 | 17 |
| Flt3 gene CPT 81245 | $206.25 | $275.00 | $89.11 – $297.92 | 17 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $149.40 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $24.41 | $32.54 | $5.79 – $5.79 | 1 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $601.96 | $802.61 | $184.40 – $184.40 | 1 |
| Fluid pressure muscle 20950 CPT 20950 | $445.50 | $594.00 | $723.47 – $1,302.25 | 17 |
| Fluidotherapy charges pt CPT 97022 | $139.50 | $186.00 | $14.86 – $26.75 | 17 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $509.81 – $917.66 | 16 |
| Fluocinolone acetonide implt HCPCS J7311 | $70,344.94 | $93,793.25 | $338.79 – $609.83 | 17 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $381.24 – $686.23 | 16 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $220.60 – $397.08 | 16 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $220.60 – $397.08 | 16 |
| Fluorescent antibody titer dna CPT 86256 | $429.75 | $573.00 | $12.05 – $21.69 | 17 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $34.04 | 16 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $855.55 – $1,539.99 | 16 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $828.76 | 16 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $843.75 | $1,125.00 | $97.32 – $175.18 | 17 |
| Fluoroguide needle placement CPT 77002 | $599.25 | $799.00 | $112.36 – $202.26 | 17 |
| Fluoroscopy up to 1 hour CPT 76000 | $818.25 | $1,091.00 | $68.88 – $438.79 | 17 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $203.74 | $271.65 | $4.40 – $4.40 | 1 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $380.85 | $507.79 | $19.38 – $19.38 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,944.01 – $3,499.22 | 16 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $243.77 – $438.79 | 16 |
| Fmri brain by tech CPT 70554 | $1,157.25 | $1,543.00 | $243.77 – $438.79 | 17 |
| Fna bx w/ct gdn 1st les CPT 10009 | $900.75 | $1,201.00 | $723.47 – $1,302.25 | 17 |
| Fna bx w/ct gdn ea addl CPT 10010 | $847.50 | $1,130.00 | $220.03 – $396.05 | 17 |
| Fna bx w/mr gdn 1st les CPT 10011 | $900.75 | $1,201.00 | $723.47 – $1,302.25 | 17 |
| Fna bx w/mr gdn ea addl CPT 10012 | $847.50 | $1,130.00 | not published | 0 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $34.04 | 16 |
| Folic acid CPT 82746 | $85.50 | $114.00 | $6.95 – $26.46 | 17 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $78.99 | $105.31 | $0.13 – $0.13 | 1 |
| Follow-up angiography CPT 75898 | $2,599.50 | $3,466.00 | $3,225.87 – $5,806.57 | 17 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $136.02 – $244.84 | 16 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,261.49 | $1,681.98 | $6.54 – $11.77 | 17 |
| Fondaparinux sodium HCPCS J1652 | $121.83 | $162.44 | $1.83 – $1.83 | 1 |
| Foot X-ray CPT 73630 | $420.00 | $560.00 | $64.80 – $160.04 | 17 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $94.92 – $170.86 | 16 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Forensic cytopathology CPT 88125 | not published | not published | $28.50 – $95.83 | 16 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $285.00 | $380.00 | $255.26 – $459.47 | 17 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,233.17 | $1,644.22 | $0.28 – $0.28 | 1 |
| Foscarnet sodium injection HCPCS J1455 | $1,101.86 | $1,469.14 | $40.10 – $40.10 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $94.85 | $126.46 | $1.33 – $2.40 | 17 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $51.30 | 16 |
| Fracture assessment via dxa CPT 77086 | $771.00 | $1,028.00 | $63.15 – $160.04 | 17 |
| Fragmenting of kidney stone CPT 50590 | $9,827.25 | $13,103.00 | $3,601.33 – $6,482.39 | 17 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,497.57 – $2,695.62 | 16 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $998.33 – $1,797.00 | 16 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Frenotomy 40806 CPT 40806 | not published | not published | $551.01 – $991.82 | 16 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $168.75 | $225.00 | $73.77 – $132.79 | 17 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $223.50 | $298.00 | $85.98 – $154.76 | 17 |
| Fresh frozen plasma thawing ea un CPT 86927 | $131.25 | $175.00 | $9.90 – $313.31 | 17 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $38.16 – $68.69 | 16 |
| Frozen blood prep CPT 86930 | not published | not published | $174.06 – $313.31 | 16 |
| Frozen blood thaw CPT 86931 | not published | not published | $165.73 – $313.31 | 16 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $21.76 | 16 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $2.21 – $100.73 | 16 |
| Fructosamine glycated protein CPT 82985 | $76.50 | $102.00 | $6.46 – $30.17 | 17 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $153.50 – $276.30 | 16 |
| Full field erg w/i&r CPT 92273 | not published | not published | $220.60 – $397.08 | 16 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $104.92 – $438.79 | 16 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,910.75 | $3,881.00 | $2,107.97 – $3,794.35 | 17 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $126.29 – $227.32 | 16 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $135.93 – $244.67 | 16 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $19.53 | $26.04 | $0.05 – $0.05 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,917.48 – $5,251.47 | 16 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,010.91 – $1,819.63 | 16 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of big toe joint CPT 28755 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Fusion of foot bones CPT 28730 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Fusion of foot bones CPT 28735 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of hand joint CPT 26843 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of knuckle CPT 26850 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion of thumb CPT 26841 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Fusion of toes CPT 28280 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,684.50 | $2,246.00 | $877.34 – $1,579.21 | 17 |
| G-tube reposition CPT 43761 | $631.50 | $842.00 | $255.26 – $459.47 | 17 |
| G0180 home health certification HCPCS G0180 | not published | not published | $53.89 – $97.00 | 16 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $105.28 | 16 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $1,080.00 | 16 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $314.66 | 16 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $675.45 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $482.02 – $482.02 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $156.00 | $208.00 | $49.63 – $89.33 | 17 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $177.43 | $236.57 | $0.67 – $0.67 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $3.78 – $18.76 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $119.29 | $159.05 | $0.28 – $0.28 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $486.60 | $648.79 | $37.84 – $37.84 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $85.50 | $114.00 | $11.18 – $37.93 | 17 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $38.66 | 16 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $21.13 | 16 |
| Galectin-3 CPT 82777 | $280.50 | $374.00 | $7.12 – $79.65 | 17 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $6.50 | 16 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $990.23 | 16 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $654.30 | 16 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $861.34 | 16 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $652.50 | 16 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.95 – $88.12 | 16 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $288.51 | 16 |
| Gamma glutamyltransferase CPT 82977 | $77.25 | $103.00 | $3.41 – $12.96 | 17 |
| Gammaglobulin iga CPT 82784 | $183.00 | $244.00 | $4.40 – $16.74 | 17 |
| Gammaglobulin ige CPT 82785 | $148.50 | $198.00 | $7.79 – $29.63 | 17 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.65 – $116.37 | 16 |
| Gamunex-c/gammaked HCPCS J1561 | $8,519.04 | $11,358.72 | $49.73 – $89.51 | 17 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $94.28 | $125.70 | $101.96 – $101.96 | 1 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $75.17 | 16 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $12.08 | 16 |
| Gastric emptying imag study CPT 78265 | not published | not published | $408.43 – $735.17 | 16 |
| Gastric emptying imag study CPT 78266 | not published | not published | $554.73 – $998.51 | 16 |
| Gastric motility studies CPT 91020 | $1,942.50 | $2,590.00 | $381.24 – $686.23 | 17 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $387.83 – $735.17 | 16 |
| Gastrin test CPT 82938 | $138.00 | $184.00 | $9.34 – $31.84 | 17 |
| Gastroesophageal reflux study CPT 78262 | $1,232.25 | $1,643.00 | $408.43 – $735.17 | 17 |
| Gastroesophageal reflux test CPT 91034 | $1,635.75 | $2,181.00 | $381.24 – $686.23 | 17 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,228.64 – $2,211.56 | 16 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $926.63 – $1,667.93 | 16 |
| Gated heart multiple CPT 78473 | not published | not published | $408.43 – $735.17 | 16 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $85.05 | 16 |
| Gel-one HCPCS J7326 | not published | not published | $526.79 – $948.21 | 16 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1,330.04 | $1,773.38 | $0.68 – $1.22 | 17 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $168.02 | $224.02 | $7.59 – $7.59 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $37,698.54 | $50,264.71 | $240.17 – $432.30 | 17 |
| General health panel CPT 80050 | not published | not published | $79.25 – $87.00 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | $83,687.18 | $111,582.90 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $61,875.00 | $82,500.00 | $27,448.00 – $27,448.00 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $11,208.75 | $14,945.00 | $2,448.56 – $4,407.41 | 17 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Genioplasty augmentation CPT 21120 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Genome sequence analysis CPT 81425 | $8,306.25 | $11,075.00 | $0.03 – $9,056.16 | 17 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $85.57 | $114.09 | $6.72 – $6.72 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $156.75 | $209.00 | $8.52 – $29.48 | 17 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $6.62 | 16 |
| Ghs HIV antibody CPT 86703 | $147.75 | $197.00 | $6.49 – $24.68 | 17 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $166.50 | $222.00 | $47.84 – $86.11 | 17 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $784.50 | $1,046.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $784.50 | $1,046.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $784.50 | $1,046.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $541.50 | $722.00 | $337.46 – $607.43 | 17 |
| Ghs abscess perianal iandd CPT 46050 | $2,153.25 | $2,871.00 | $950.10 – $1,710.18 | 17 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,318.50 | $5,758.00 | $2,967.63 – $5,341.73 | 17 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $133.50 | $178.00 | $4.00 – $17.66 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $858.00 | $1,144.00 | $8.41 – $30.80 | 17 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $184.07 | 16 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $829.50 | $1,106.00 | $135.93 – $244.67 | 17 |
| Ghs antibodies (torch) igm CPT 86694 | $131.25 | $175.00 | $6.81 – $25.90 | 17 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $255.26 – $459.47 | 16 |
| Ghs bladder cath - complex-foley CPT 51703 | $277.50 | $370.00 | $131.46 – $236.63 | 17 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $8.68 | 16 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,471.50 | $1,962.00 | $721.17 – $1,298.11 | 17 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,676.75 | $3,569.00 | $3,225.87 – $5,806.57 | 17 |
| Ghs change cysto/gastrost CPT 43762 | $909.00 | $1,212.00 | $255.26 – $459.47 | 17 |
| Ghs chemo >8 hrs CPT 96416 | $862.50 | $1,150.00 | $337.46 – $607.43 | 17 |
| Ghs chemo IV push, ea addtl CPT 96411 | $736.50 | $982.00 | $73.56 – $132.41 | 17 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $337.46 – $607.43 | 16 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $744.75 | $993.00 | $17.13 – $63.16 | 17 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $471.75 | $629.00 | $252.01 – $453.62 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $630.00 | $840.00 | $252.01 – $453.62 | 17 |
| Ghs closed reduction ankle dislocation CPT 27840 | $732.75 | $977.00 | $252.01 – $453.62 | 17 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,198.50 | $1,598.00 | $1,642.82 – $2,957.08 | 17 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $273.00 | $364.00 | $252.01 – $453.62 | 17 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,547.25 | $2,063.00 | $1,642.82 – $2,957.08 | 17 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,182.50 | $2,910.00 | $3,620.48 – $6,516.86 | 17 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,659.50 | $3,546.00 | $1,642.82 – $2,957.08 | 17 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $321.00 | $428.00 | $252.01 – $453.62 | 17 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Ghs community re-entry 15 minutes CPT 97537 | $96.75 | $129.00 | $30.70 – $55.26 | 17 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $393.00 | $524.00 | $456.40 – $821.52 | 17 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $351.75 | $469.00 | $135.93 – $244.67 | 17 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $372.00 | $496.00 | $135.93 – $244.67 | 17 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $422.25 | $563.00 | $456.40 – $821.52 | 17 |
| Ghs cricothyroidotomy CPT 31605 | $271.50 | $362.00 | $241.98 – $435.56 | 17 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $456.40 – $821.52 | 16 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $135.93 – $244.67 | 16 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $27.38 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | $525.75 | $701.00 | $252.01 – $453.62 | 17 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $3,175.50 | $4,234.00 | $926.63 – $1,667.93 | 17 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $303.75 | $405.00 | $285.75 – $514.35 | 17 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $721.17 – $1,298.11 | 16 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $843.75 | $1,125.00 | $220.60 – $397.08 | 17 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $131.46 – $236.63 | 16 |
| Ghs elect vertical elct CPT 92547 | $256.50 | $342.00 | $10.06 – $18.11 | 17 |
| Ghs electrostagmgraphy CPT 92537 | $931.50 | $1,242.00 | $131.46 – $236.63 | 17 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $377.25 | $503.00 | $415.32 – $747.58 | 17 |
| Ghs excision ingrown nail CPT 11765 | $311.25 | $415.00 | $415.32 – $747.58 | 17 |
| Ghs eye exam CPT 92002 | $136.50 | $182.00 | $136.02 – $244.84 | 17 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $349.50 | $466.00 | $324.28 – $583.70 | 17 |
| Ghs fat & muscle CPT 89160 | $45.75 | $61.00 | $1.54 – $8.73 | 17 |
| Ghs fb removal - incisional CPT 10121 | $1,253.25 | $1,671.00 | $1,687.37 – $3,037.27 | 17 |
| Ghs fb removal - non-incisional CPT 20520 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,538.75 | $3,385.00 | $1,687.37 – $3,037.27 | 17 |
| Ghs fb removal from muscle - complicated CPT 20525 | $5,736.75 | $7,649.00 | $2,967.63 – $5,341.73 | 17 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $76.50 | $102.00 | $3.69 – $12.56 | 17 |
| Ghs fish cytogen CPT 88271 | $1,133.25 | $1,511.00 | $13.45 – $38.56 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $566.25 | $755.00 | $51.19 – $92.14 | 17 |
| Ghs flow volume loop CPT 94375 | $364.50 | $486.00 | $220.60 – $397.08 | 17 |
| Ghs gastric intub aspiration lavage CPT 43753 | $363.75 | $485.00 | $220.60 – $397.08 | 17 |
| Ghs hcv amplificaiton CPT 87521 | $442.50 | $590.00 | $19.49 – $63.16 | 17 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $41.35 | 16 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $828.00 | $1,104.00 | $7.49 – $27.88 | 17 |
| Ghs hgb stability-thal CPT 83068 | $252.75 | $337.00 | $4.01 – $17.05 | 17 |
| Ghs histoplasma antigen CPT 87385 | $492.00 | $656.00 | $5.75 – $23.85 | 17 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $191.05 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,134.00 | $5,512.00 | $2,135.66 – $3,844.19 | 17 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,297.75 | $4,397.00 | $1,222.56 – $2,200.61 | 17 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,460.00 | $3,280.00 | $723.47 – $1,302.25 | 17 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $825.00 | $1,100.00 | $723.47 – $1,302.25 | 17 |
| Ghs immun0electrophoresis CPT 86320 | $178.50 | $238.00 | $17.95 – $53.86 | 17 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $526.50 | $702.00 | $255.26 – $459.47 | 17 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $203.93 – $367.07 | 16 |
| Ghs inf midline insertion CPT 36140 | $2,032.50 | $2,710.00 | $462.38 – $832.28 | 17 |
| Ghs inhibitor screen CPT 85335 | $662.25 | $883.00 | $6.09 – $23.17 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $485.25 | $647.00 | $204.98 – $368.96 | 17 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $3,021.75 | $4,029.00 | $903.63 – $1,626.53 | 17 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,300.25 | $3,067.00 | $903.63 – $1,626.53 | 17 |
| Ghs inj tendon origin/insertion CPT 20551 | $293.25 | $391.00 | $313.60 – $564.48 | 17 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,320.00 | $1,760.00 | $134.27 – $241.68 | 17 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,727.25 | $2,303.00 | $903.63 – $1,626.53 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $366.75 | $489.00 | $456.40 – $821.52 | 17 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $2,315.25 | $3,087.00 | $415.32 – $747.58 | 17 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $735.00 | $980.00 | $755.08 – $1,359.14 | 17 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,912.25 | $3,883.00 | $2,107.97 – $3,794.35 | 17 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $240.00 | $320.00 | $29.25 – $52.65 | 17 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $286.50 | $382.00 | $255.26 – $459.47 | 17 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $478.50 | $638.00 | $456.40 – $821.52 | 17 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $396.00 | $528.00 | $415.32 – $747.58 | 17 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,428.75 | $1,905.00 | $415.32 – $747.58 | 17 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $550.50 | $734.00 | $415.32 – $747.58 | 17 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,967.25 | $2,623.00 | $415.32 – $747.58 | 17 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $2,092.50 | $2,790.00 | $415.32 – $747.58 | 17 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $2,133.00 | $2,844.00 | $415.32 – $747.58 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $876.00 | $1,168.00 | $415.32 – $747.58 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $735.00 | $980.00 | $755.08 – $1,359.14 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $471.75 | $629.00 | $415.32 – $747.58 | 17 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $979.50 | $1,306.00 | $755.08 – $1,359.14 | 17 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $471.75 | $629.00 | $415.32 – $747.58 | 17 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $755.08 – $1,359.14 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $471.75 | $629.00 | $415.32 – $747.58 | 17 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $471.75 | $629.00 | $415.32 – $747.58 | 17 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $15.48 | 16 |
| Ghs mbp CPT 83873 | $108.00 | $144.00 | $9.03 – $30.96 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $738.00 | $984.00 | $58.27 – $104.88 | 17 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $525.75 | $701.00 | $80.69 – $145.24 | 17 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | not published | not published | $11.35 – $20.42 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $69.75 | $93.00 | $53.48 – $96.26 | 17 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $667.50 | $890.00 | $70.35 – $126.63 | 17 |
| Ghs musc test done w/n test comp CPT 95886 | $392.25 | $523.00 | $93.72 – $168.69 | 17 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $291.75 | $389.00 | $82.61 – $148.69 | 17 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $372.75 | $497.00 | $59.88 – $107.78 | 17 |
| Ghs myocardial strain img spckl track CPT 93356 | $138.00 | $184.00 | $34.28 – $61.70 | 17 |
| Ghs nailbed repair/nail removal CPT 11760 | $900.00 | $1,200.00 | $755.08 – $1,359.14 | 17 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,618.50 | $2,158.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,471.50 | $1,962.00 | $721.17 – $1,298.11 | 17 |
| Ghs nerve block axillary nerve CPT 64417 | $1,907.25 | $2,543.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block brachial plexus CPT 64415 | $1,828.50 | $2,438.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block celiac plexus CPT 64530 | $2,300.25 | $3,067.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block interscaline CPT 64510 | $1,926.75 | $2,569.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,907.25 | $2,543.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,745.25 | $2,327.00 | $721.17 – $1,298.11 | 17 |
| Ghs nerve block suprascapular CPT 64418 | $1,471.50 | $1,962.00 | $721.17 – $1,298.11 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $684.75 | $913.00 | $456.40 – $821.52 | 17 |
| Ghs o2 saturation CPT 82810 | $106.50 | $142.00 | $9.77 – $17.59 | 17 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $131.46 – $236.63 | 16 |
| Ghs o2 uptake rest & indirect CPT 94690 | $433.50 | $578.00 | $60.27 – $108.49 | 17 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $47.84 – $86.11 | 16 |
| Ghs opcc repair cvp w subq port CPT 36576 | $5,914.50 | $7,886.00 | $1,608.25 – $2,894.85 | 17 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,205.00 | $2,940.00 | $640.89 – $1,153.60 | 17 |
| Ghs optokenetic CPT 92544 | $256.50 | $342.00 | $131.46 – $236.63 | 17 |
| Ghs oscillating trac CPT 92545 | $256.50 | $342.00 | $220.60 – $397.08 | 17 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $54.00 | $72.00 | $22.06 – $39.71 | 17 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $88.50 | $118.00 | $22.06 – $39.71 | 17 |
| Ghs ot dds rom CPT 95851 | $196.50 | $262.00 | $24.28 – $43.71 | 17 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $20.83 – $37.49 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | $138.75 | $185.00 | $38.38 – $69.09 | 17 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $138.75 | $185.00 | $56.93 – $102.47 | 17 |
| Ghs pacing - transcutaneous CPT 92953 | $940.50 | $1,254.00 | $675.26 – $1,215.47 | 17 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,236.75 | $1,649.00 | $96.88 – $174.39 | 17 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,053.00 | $1,404.00 | $93.37 – $168.06 | 17 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $22.71 – $40.89 | 16 |
| Ghs peritonsillar abscess i andd CPT 42700 | $765.75 | $1,021.00 | $241.98 – $435.56 | 17 |
| Ghs phenylketonurid CPT 84030 | $148.50 | $198.00 | $2.60 – $9.90 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $6,876.75 | $9,169.00 | $1,608.25 – $2,894.85 | 17 |
| Ghs plngl fx pm cl CPT 26725 | $418.50 | $558.00 | $252.01 – $453.62 | 17 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $7.76 | 16 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $877.34 – $1,579.21 | 16 |
| Ghs pos nystagmus CPT 92542 | $678.00 | $904.00 | $135.93 – $244.67 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | $52.50 | $70.00 | $6.84 – $53.19 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $134.25 | $179.00 | $60.27 – $108.49 | 17 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $87.00 | $116.00 | $5.13 – $17.39 | 17 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $10.10 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $60.75 | $81.00 | $7.49 – $25.83 | 17 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $138.75 | $185.00 | $6.46 – $22.05 | 17 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $26.28 | 16 |
| Ghs refill of implantable pump CPT 95990 | $870.75 | $1,161.00 | $337.46 – $607.43 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | $531.75 | $709.00 | $135.93 – $244.67 | 17 |
| Ghs removal pharyngeal foreign body CPT 42809 | $478.50 | $638.00 | $456.40 – $821.52 | 17 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $28.60 | 16 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $7.76 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $25.04 | 16 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $7.69 | 16 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $22.16 | 16 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $17.71 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $78.75 | $105.00 | $3.26 – $13.46 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $368.25 | $491.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $368.25 | $491.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $374.25 | $499.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $374.25 | $499.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $364.50 | $486.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $362.25 | $483.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $364.50 | $486.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $381.75 | $509.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $381.75 | $509.00 | $204.98 – $368.96 | 17 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $220.60 – $397.08 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,464.00 | $1,952.00 | $220.60 – $397.08 | 17 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,091.75 | $2,789.00 | $877.34 – $1,579.21 | 17 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $365.25 | $487.00 | $98.01 – $176.42 | 17 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $230.25 | $307.00 | $45.64 – $82.16 | 17 |
| Ghs sphenopalatine ganglion block CPT 64505 | $2,005.50 | $2,674.00 | $313.60 – $564.48 | 17 |
| Ghs spont nystagmus CPT 92541 | $256.50 | $342.00 | $135.93 – $244.67 | 17 |
| Ghs st - eval for alt comm CPT 92567 | $99.75 | $133.00 | $38.16 – $68.69 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $468.00 | $624.00 | $68.59 – $123.47 | 17 |
| Ghs strapping shoulder - 29240 CPT 29240 | $257.25 | $343.00 | $135.93 – $244.67 | 17 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $47.84 – $86.11 | 16 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $269.25 | $359.00 | $217.31 – $391.16 | 17 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $471.75 | $629.00 | $415.32 – $747.58 | 17 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $728.25 | $971.00 | $755.08 – $1,359.14 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $13.14 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $405.75 | $541.00 | $252.01 – $453.62 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $252.01 – $453.62 | 16 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $43.74 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $499.50 | $666.00 | $7.49 – $26.48 | 17 |
| Ghs vaginal delivery only CPT 59409 | $2,361.75 | $3,149.00 | $3,307.24 – $5,953.03 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,699.25 | $3,599.00 | $381.24 – $686.23 | 17 |
| Ghs windowing of cast CPT 29730 | not published | not published | $166.02 – $298.84 | 16 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $243.77 – $438.79 | 16 |
| Gi inhouse confirmation CPT 87045 | $79.50 | $106.00 | $4.46 – $16.99 | 17 |
| Gi protein loss CPT 78282 | not published | not published | $408.43 – $735.17 | 16 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,745.00 | $3,660.00 | $926.63 – $1,667.93 | 17 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $950.10 – $1,710.18 | 16 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $926.63 – $1,667.93 | 16 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $926.63 – $1,667.93 | 16 |
| Giardia lamblia antibody CPT 86674 | $147.00 | $196.00 | $7.59 – $26.50 | 17 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $182.02 | 16 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $110.74 | 16 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $63.00 | 16 |
| Glassia injection HCPCS J0257 | $2,551.28 | $3,401.70 | $5.66 – $10.19 | 17 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $29.55 – $53.19 | 16 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $38.16 – $68.69 | 16 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Glove finger flexion right lg xl HCPCS L3912 | $36.75 | $49.00 | $117.84 – $212.11 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $263.40 | 16 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $509.06 | $678.74 | $135.00 – $243.00 | 17 |
| Glucagon plasma - sendout CPT 82943 | $63.00 | $84.00 | $6.76 – $25.72 | 17 |
| Glucose 1 hr post dose CPT 82950 | $168.00 | $224.00 | $2.25 – $8.55 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $39.00 | $52.00 | $3.27 – $5.90 | 17 |
| Glucose blood quantitative CPT 82947 | $45.00 | $60.00 | $3.93 – $7.07 | 17 |
| Glucose body fluid CPT 82945 | $72.75 | $97.00 | $2.05 – $7.07 | 17 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $60.27 – $108.49 | 16 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $201.75 | $269.00 | $4.63 – $23.17 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $63.00 | $84.00 | $1.80 – $7.06 | 17 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $55.50 | $74.00 | $2.87 – $10.89 | 17 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $102.50 | $136.66 | $1.11 – $1.11 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,166.65 | $9,555.53 | $11.29 – $20.32 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $187.50 | $250.00 | $8.79 – $33.44 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $129.00 | $172.00 | $8.76 – $33.34 | 17 |
| Gonioscopy CPT 92020 | not published | not published | $135.93 – $244.67 | 16 |
| Goniotomy CPT 65820 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $11,433.78 | $15,245.04 | $1,889.70 – $1,889.70 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,026.25 | $4,035.00 | $77.99 – $228.85 | 17 |
| Graft axiofill 1000mg HCPCS J3590 | $675,000.00 | $900,000.00 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $127.14 – $228.85 | 16 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $17,736.75 | $23,649.00 | $127.14 – $228.85 | 17 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $31,488.75 | $41,985.00 | $127.14 – $228.85 | 17 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $2,670.08 – $2,670.08 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $27,652.41 | $36,869.88 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $78,750.00 | $105,000.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $29,670.10 | $39,560.13 | $127.14 – $228.85 | 17 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $6,187.50 | $8,250.00 | $127.14 – $228.85 | 17 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,013.23 – $1,823.82 | 16 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,075.00 | $8,100.00 | $127.14 – $228.85 | 17 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,746.75 | $10,329.00 | $125.74 – $228.85 | 17 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $127.14 – $228.85 | 16 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $66,548.25 | $88,731.00 | $127.14 – $228.85 | 17 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $127.14 – $228.85 | 16 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $2,227.50 | $2,970.00 | $127.14 – $228.85 | 17 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $99,296.10 | $132,394.80 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $6,187.50 | $8,250.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $10.71 – $10.71 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.57 – $3.22 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $10,319.40 – $10,319.40 | 1 |
| Great toe with reduction 28495 CPT 28495 | $581.25 | $775.00 | $252.01 – $453.62 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $196.37 – $353.46 | 16 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $16.31 – $29.36 | 16 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $28.33 | 16 |
| Growth stimulation gene 2 CPT 83006 | $1,637.25 | $2,183.00 | $7.12 – $136.08 | 17 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,741.36 – $3,134.45 | 16 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,712.25 | $2,283.00 | $199.07 – $3,844.19 | 17 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $35.31 – $63.56 | 16 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,108.25 | $2,811.00 | $681.49 – $1,226.68 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $20,413.63 | $27,218.17 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $3,593.25 | $4,791.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $542.25 | $723.00 | $723.47 – $1,302.25 | 17 |
| Gum graft CPT 41870 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Gw stiffened micro access kit HCPCS C1894 | $101,250.00 | $135,000.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $121.25 | 16 |
| H pylori (c-13) breath CPT 83013 | $342.75 | $457.00 | $31.86 – $121.25 | 17 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $28.80 | 16 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $14.15 | 16 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $39.46 | 16 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.44 – $128.58 | 16 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.49 – $0.88 | 16 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.15 – $12.86 | 16 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $755.08 – $1,359.14 | 16 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $415.32 – $747.58 | 16 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $415.32 – $747.58 | 16 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $120.02 | $160.02 | $12.05 – $12.05 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $8.58 | $11.44 | $2.14 – $2.14 | 1 |
| Hand X-ray CPT 73130 | $431.25 | $575.00 | $71.33 – $160.04 | 17 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $118.11 – $212.60 | 16 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $33.89 – $61.00 | 16 |
| Haptoglobin quantitative CPT 83010 | $105.00 | $140.00 | $5.95 – $22.64 | 17 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $67.32 – $121.17 | 16 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $304.88 – $548.78 | 16 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $450.73 – $811.31 | 16 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $285.21 – $513.39 | 16 |
| Hast w/i&r phys/qhp CPT 94452 | $351.00 | $468.00 | $135.93 – $244.67 | 17 |
| Hast w/oxygen titrate CPT 94453 | $422.25 | $563.00 | $135.93 – $244.67 | 17 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,051.50 | $1,402.00 | $600.00 – $1,080.00 | 17 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $743.25 | $991.00 | $202.40 – $364.32 | 17 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $675.45 | 16 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $584.24 | 16 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $314.66 | 16 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $364.32 | 16 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $675.45 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $738.75 | $985.00 | $140.59 – $253.06 | 17 |
| Hc ea ha check monaural CPT 92594 | $58.50 | $78.00 | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $179.20 – $322.56 | 16 |
| Hc hearing aid chck binaurl CPT 92593 | $23.25 | $31.00 | not published | 0 |
| Hc hearing aid chck monarl CPT 92592 | $24.75 | $33.00 | not published | 0 |
| Hc hearing aid exam both ears CPT 92591 | $161.25 | $215.00 | not published | 0 |
| Hc hearing aid exam one ear CPT 92590 | $129.75 | $173.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $755.08 – $1,359.14 | 16 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $378.17 – $680.71 | 16 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $755.08 – $1,359.14 | 16 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $74.97 – $134.94 | 16 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $361.49 – $650.69 | 16 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $295.89 – $998.51 | 16 |
| Hc nm fusion spect CT unlisted CPT 78999 | $680.25 | $907.00 | $408.43 – $735.17 | 17 |
| Hc nm kidney imaging with flow CPT 78701 | $1,419.75 | $1,893.00 | $408.43 – $735.17 | 17 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,006.50 | $1,342.00 | $401.63 – $998.51 | 17 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,680.75 | $6,241.00 | $1,322.69 – $2,380.84 | 17 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $2,175.00 | $2,900.00 | $114.72 – $206.49 | 17 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $27.52 | 16 |
| Hcg qualitative CPT 84703 | $138.00 | $184.00 | $3.55 – $13.54 | 17 |
| Hcg quantitative CPT 84702 | $88.50 | $118.00 | $7.12 – $27.09 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $582.28 – $1,280.81 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $711.56 – $1,280.81 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $711.56 – $1,280.81 | 16 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $394.05 – $709.29 | 16 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $394.05 – $709.29 | 16 |
| Head CT scan (with and without contrast) CPT 70470 | $1,629.00 | $2,172.00 | $179.20 – $322.56 | 17 |
| Head CT scan (with contrast) CPT 70460 | $1,496.25 | $1,995.00 | $179.20 – $322.56 | 17 |
| Head CT scan (without contrast) CPT 70450 | $1,257.00 | $1,676.00 | $106.81 – $192.26 | 17 |
| Heart first pass add-on CPT 78496 | $1,157.25 | $1,543.00 | $40.25 – $72.45 | 17 |
| Heart first pass multiple CPT 78483 | not published | not published | $380.35 – $998.51 | 16 |
| Heart image spect CPT 78494 | not published | not published | $387.72 – $735.17 | 16 |
| Heart infarct image CPT 78466 | not published | not published | $332.86 – $735.17 | 16 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $360.69 – $998.51 | 16 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $118.35 – $213.02 | 16 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $7.56 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $16.85 – $30.33 | 16 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $14.74 | 16 |
| Hematocrit CPT 85014 | $52.50 | $70.00 | $1.12 – $4.27 | 17 |
| Hematopoietic nuclear tx CPT 79403 | $2,648.25 | $3,531.00 | $238.39 – $429.10 | 17 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $41,382.91 | $55,177.21 | $35.31 – $63.56 | 17 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $701.18 – $1,262.12 | 16 |
| Hemoglobin CPT 85018 | $52.50 | $70.00 | $2.37 – $4.27 | 17 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $7.22 | 16 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $19.33 | 16 |
| Hemoglobin fetal qualitative CPT 83033 | $57.00 | $76.00 | $3.08 – $14.40 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $132.75 | $177.00 | $3.80 – $14.76 | 17 |
| Hemoglobin plasma CPT 83051 | $187.50 | $250.00 | $3.46 – $13.16 | 17 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $7.11 | 16 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.34 – $24.01 | 16 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $15.97 | 16 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $12.11 – $21.80 | 16 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $15.79 | 16 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $28.51 | 16 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,314.00 | $1,752.00 | $950.10 – $1,710.18 | 17 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Hepagam b im injection HCPCS J1571 | $2,543.59 | $3,391.45 | $70.23 – $126.42 | 17 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $70.23 – $126.42 | 16 |
| Heparin assay CPT 85520 | $194.25 | $259.00 | $6.87 – $23.56 | 17 |
| Heparin bolus from bag HCPCS J1644 | $57.46 | $76.61 | $0.54 – $0.54 | 1 |
| Heparin neutralization CPT 85525 | $187.50 | $250.00 | $4.31 – $21.31 | 17 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $6.20 | $8.26 | $0.03 – $0.03 | 1 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,118.96 – $3,814.13 | 16 |
| Hepatitis a antibody igm CPT 86709 | $84.00 | $112.00 | $5.33 – $20.27 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $127.50 | $170.00 | $5.57 – $21.19 | 17 |
| Hepatitis b core antibody total CPT 86704 | $84.75 | $113.00 | $5.70 – $21.69 | 17 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,890.21 | $2,520.27 | $140.21 – $252.38 | 17 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $45.58 | 16 |
| Hepatitis b surface antibody CPT 86706 | $88.50 | $118.00 | $5.08 – $19.33 | 17 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $51.75 | $69.00 | $164.42 – $295.96 | 17 |
| Hepatitis c antibody CPT 86803 | $106.50 | $142.00 | $6.23 – $25.69 | 17 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $56.20 | 16 |
| Hepatitis d quantification CPT 87523 | $1,161.75 | $1,549.00 | $42.84 – $77.11 | 17 |
| Hepatobiliary system imaging CPT 78226 | $1,494.00 | $1,992.00 | $408.43 – $735.17 | 17 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $1,235.62 – $2,347.11 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.98 – $21.56 | 16 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.98 – $21.56 | 16 |
| Herpes simplex type 1 antibody igg CPT 86695 | $100.50 | $134.00 | $6.24 – $23.74 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $111.00 | $148.00 | $9.16 – $34.83 | 17 |
| Herpes simplex virus isolation CPT 87255 | $54.75 | $73.00 | $16.02 – $60.95 | 17 |
| Heterophile antibodies screening CPT 86308 | $97.50 | $130.00 | $2.45 – $9.32 | 17 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $11.65 | 16 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $13.27 | 16 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $92.61 | 16 |
| Hhv-6 dna quant CPT 87533 | $652.50 | $870.00 | $17.13 – $75.17 | 17 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Hip X-ray CPT 73502 | $436.50 | $582.00 | $88.91 – $160.04 | 17 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Histamine CPT 83088 | $189.00 | $252.00 | $13.97 – $53.15 | 17 |
| Histochemical stains add-on CPT 88314 | not published | not published | $76.09 – $136.96 | 16 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $15.15 – $68.69 | 16 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $43.31 | 16 |
| Hizentra injection HCPCS J1559 | $4,991.26 | $6,655.01 | $14.52 – $26.13 | 17 |
| Hla class i high defin qual CPT 86832 | $666.75 | $889.00 | $69.76 – $582.75 | 17 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $171.94 | 16 |
| Hla class i semiquant panel CPT 86834 | $697.50 | $930.00 | $196.60 – $643.61 | 17 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $64.19 – $115.54 | 16 |
| Hla class i/ii antibody qual CPT 86829 | $435.00 | $580.00 | $16.32 – $115.54 | 17 |
| Hla class ii high defin qual CPT 86833 | $568.50 | $758.00 | $63.42 – $586.44 | 17 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $147.38 | 16 |
| Hla class ii semiquant panel CPT 86835 | $620.25 | $827.00 | $177.57 – $581.33 | 17 |
| Hla i & ii type verify lr CPT 81371 | $342.00 | $456.00 | $216.34 – $728.14 | 17 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $622.03 | 16 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $723.82 | 16 |
| Hla i low res one antigen equiv ea CPT 81374 | $197.25 | $263.00 | $74.33 – $133.79 | 17 |
| Hla i typing 1 locus hr CPT 81380 | $177.00 | $236.00 | $118.47 – $319.05 | 17 |
| Hla i typing complete hr CPT 81379 | $381.00 | $508.00 | $107.17 – $603.68 | 17 |
| Hla i typing complete lr CPT 81372 | $488.25 | $651.00 | $361.63 – $726.46 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $201.75 | $269.00 | $154.84 – $305.82 | 17 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $229.37 | 16 |
| Hla ii typing 1 loc hr CPT 81382 | $867.00 | $1,156.00 | $97.30 – $222.62 | 17 |
| Hla ii typing ag equiv lr CPT 81375 | $193.50 | $258.00 | $219.19 – $397.33 | 17 |
| Hla typing a b or c CPT 86813 | not published | not published | $58.00 – $104.40 | 16 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.17 – $54.31 | 16 |
| Hla x-match noncytotoxc addl CPT 86826 | $168.00 | $224.00 | $27.79 – $65.75 | 17 |
| Hla x-math non-cytotoxic CPT 86825 | $429.75 | $573.00 | $30.54 – $197.08 | 17 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $4.83 – $8.69 | 16 |
| Hlth bhv assmt/reassessment CPT 96156 | $117.00 | $156.00 | $103.79 – $186.82 | 17 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $115.50 | $154.00 | $38.28 – $68.90 | 17 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $117.00 | $156.00 | $38.28 – $68.90 | 17 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $115.50 | $154.00 | $181.34 – $326.41 | 17 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.53 – $0.53 | 1 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $52.51 | $70.01 | $0.72 – $0.72 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.54 – $1.72 | 2 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $3.16 – $5.69 | 16 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $41.93 – $75.48 | 16 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $220.60 – $397.08 | 16 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $220.60 – $397.08 | 16 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $220.60 – $397.08 | 16 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $76.55 – $137.79 | 16 |
| Homocysteine CPT 83090 | $90.75 | $121.00 | $17.85 – $32.26 | 17 |
| Homogenization tissue CPT 87176 | not published | not published | $5.88 – $10.58 | 16 |
| Homovanillic acid (hva) CPT 83150 | $220.50 | $294.00 | $9.16 – $40.34 | 17 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $38.28 – $68.90 | 16 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $103.79 – $186.82 | 16 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $38.28 – $68.90 | 16 |
| Hpa-1 genotyping CPT 81105 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-15 genotyping CPT 81112 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-2 genotyping CPT 81106 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-3 genotyping CPT 81107 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-4 genotyping CPT 81108 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-5 genotyping CPT 81109 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-6 genotyping CPT 81110 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-9 genotyping CPT 81111 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $63.16 | 16 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $72.99 | 16 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,052.82 | 16 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,052.82 | 16 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Htt gene detc abnor alleles CPT 81271 | $345.75 | $461.00 | $137.00 – $246.60 | 17 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $20.81 – $37.46 | 16 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.72 – $3.09 | 16 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $81.21 – $199.22 | 2 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $414.18 | $552.24 | $1.26 – $1.26 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.93 – $1.33 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $51.42 | $68.56 | $13.33 – $13.33 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $456.75 | $609.00 | $47.84 – $86.11 | 17 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $722.25 | $963.00 | $217.31 – $391.16 | 17 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $569.91 | $759.87 | $54.57 – $54.57 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $72.63 | $96.83 | $0.21 – $0.21 | 1 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $277.32 | $369.75 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $83.64 | $111.52 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $87.60 | $116.79 | $43.55 – $43.55 | 1 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.35 – $0.35 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $32.22 | 16 |
| Hymenotomy CPT 56442 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Hymovis injection 1 mg HCPCS J7322 | $2,459.97 | $3,279.95 | $18.13 – $32.64 | 17 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Hyoscyamine sulfate inj HCPCS J1980 | $308.52 | $411.36 | $91.27 – $91.27 | 1 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $711.56 – $1,280.81 | 16 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $394.05 – $709.29 | 16 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $564.51 – $1,016.12 | 16 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $564.51 – $1,016.12 | 16 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $564.51 – $1,016.12 | 16 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.80 – $33.85 | 16 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $857.08 – $1,542.75 | 16 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $913.28 – $1,643.91 | 16 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $791.95 – $1,425.51 | 16 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $243.61 – $438.50 | 16 |
| Hysterosalpingography s&i CPT 74740 | $1,139.25 | $1,519.00 | $185.98 – $438.79 | 17 |
| Hysteroscopy ablation CPT 58563 | $5,865.75 | $7,821.00 | $5,110.80 – $9,199.44 | 17 |
| Hysteroscopy biopsy CPT 58558 | $5,110.50 | $6,814.00 | $3,307.24 – $5,953.03 | 17 |
| Hysteroscopy dx sep proc CPT 58555 | $3,568.50 | $4,758.00 | $3,307.24 – $5,953.03 | 17 |
| Hysteroscopy lysis CPT 58559 | $5,766.75 | $7,689.00 | $5,110.80 – $9,199.44 | 17 |
| Hysteroscopy remove fb CPT 58562 | $5,843.25 | $7,791.00 | $3,307.24 – $5,953.03 | 17 |
| Hysteroscopy remove myoma CPT 58561 | $4,302.75 | $5,737.00 | $5,110.80 – $9,199.44 | 17 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $650.11 | $866.81 | not published | 0 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $3,761.25 | $5,015.00 | $3,342.87 – $6,017.17 | 17 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| I&d lacrimal sac CPT 68420 | $2,729.25 | $3,639.00 | $2,428.98 – $4,372.16 | 17 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| I-123 iobenguane diag HCPCS A9582 | $17,222.25 | $22,963.00 | $2,317.50 – $4,171.50 | 17 |
| I-123 ioflupane diag HCPCS A9584 | $9,058.88 | $12,078.50 | $1,387.74 – $2,497.93 | 17 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $379.26 – $379.26 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $953.01 – $1,715.42 | 16 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $24.07 – $43.33 | 16 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.77 – $37.39 | 16 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $456.75 | $609.00 | $73.56 – $132.41 | 17 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $454.50 | $606.00 | $19.43 – $34.98 | 17 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $456.75 | $609.00 | $47.84 – $86.11 | 17 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $722.25 | $963.00 | $217.31 – $391.16 | 17 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $99.09 – $735.17 | 16 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $456.40 – $821.52 | 16 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $36.75 | $49.00 | $6.12 – $32.56 | 17 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $81.50 | 16 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $24.16 | 16 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $329.25 | $439.00 | $17.13 – $63.16 | 17 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $839.85 | $1,119.80 | $79.28 – $79.28 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $4,407.41 | 16 |
| Ibuprofen injection HCPCS J1741 | $86.20 | $114.93 | $7.82 – $7.82 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,022.55 | $1,363.40 | $219.22 – $394.59 | 17 |
| Icatibant injection HCPCS J1744 | $3,697.02 | $4,929.36 | $322.55 – $322.55 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $48,847.50 | $65,130.00 | $25,258.00 – $25,258.00 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $44,003.25 | $58,671.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $15,759.00 | $21,012.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $6,463.81 | $8,618.40 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $220.60 – $397.08 | 16 |
| Icut allergy test drug/bug CPT 95024 | $118.50 | $158.00 | $60.27 – $108.49 | 17 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $38.16 – $68.69 | 16 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $29.55 – $53.19 | 16 |
| Idarubicin hcl injection HCPCS J9211 | $249.51 | $332.68 | $95.34 – $95.34 | 1 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $559,781.08 – $1,007,605.95 | 16 |
| Identify sperm tissue CPT 89264 | not published | not published | $53.24 – $95.83 | 16 |
| Idet 1 or more levels CPT 22527 | not published | not published | $1,466.67 – $2,640.01 | 16 |
| Idet single level CPT 22526 | not published | not published | $1,789.01 – $3,220.21 | 16 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $347.85 | 16 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $532.42 | 16 |
| Idursulfase injection HCPCS J1743 | $11,942.56 | $15,923.41 | $558.22 – $1,004.80 | 17 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $132.07 | 16 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $294.81 | $393.07 | $60.46 – $60.46 | 1 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $123.39 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $464.25 | $619.00 | $119.46 – $356.38 | 17 |
| Igh@ var region somatic mutation analy CPT 81263 | $607.50 | $810.00 | $117.14 – $530.14 | 17 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $373.16 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $310.91 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $309.75 | $413.00 | $39.74 – $157.73 | 17 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $318.75 | $425.00 | $69.16 – $659.18 | 17 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $310.50 | $414.00 | $44.17 – $313.31 | 17 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $70.76 | 16 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $945.49 – $1,701.89 | 16 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,980.50 | $3,974.00 | $11.56 – $20.81 | 17 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $10.61 – $10.61 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $849.78 – $1,529.60 | 16 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $58.17 – $104.70 | 16 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $38.16 – $68.69 | 16 |
| Img rta detc/mntr ds poc aly CPT 92229 | $71.25 | $95.00 | $60.27 – $108.49 | 17 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $60.27 – $108.49 | 16 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $120.25 – $216.45 | 16 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $134.01 | $178.67 | $127.15 – $228.87 | 17 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $67.77 | $90.35 | $70.75 – $127.35 | 17 |
| Immobilizer shldr sling med HCPCS L3660 | $29.14 | $38.85 | $115.57 – $208.03 | 17 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $8,350.42 – $15,030.76 | 16 |
| Immune complex assay CPT 86332 | $89.25 | $119.00 | $11.53 – $43.87 | 17 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $339.43 – $339.43 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $2,613.77 | $3,485.02 | $49.08 – $88.35 | 17 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $3,486.01 | $4,648.01 | $47.04 – $84.66 | 17 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $2,778.42 | $3,704.55 | $80.40 – $144.71 | 17 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $104.25 | $139.00 | $10.26 – $37.46 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $130.50 | $174.00 | $10.26 – $37.46 | 17 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $46.03 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $108.00 | $144.00 | $6.26 – $21.56 | 17 |
| Immunodiffusion nes CPT 86329 | $189.75 | $253.00 | $6.64 – $25.29 | 17 |
| Immunofixation electrophoresis serum CPT 86334 | $231.00 | $308.00 | $17.59 – $40.21 | 17 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $511.50 | $682.00 | $52.45 – $178.80 | 17 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $408.00 | $544.00 | $44.17 – $313.31 | 17 |
| Immunoglobulin assay CPT 86023 | $258.00 | $344.00 | $5.75 – $22.43 | 17 |
| Immunology procedure CPT 86849 | not published | not published | $74.72 – $74.72 | 1 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Impedence cardiogram CPT 93701 | not published | not published | $135.93 – $244.67 | 16 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $974.58 – $1,754.24 | 16 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,867.13 – $3,360.83 | 16 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $4,133.93 – $7,441.07 | 16 |
| Impl neurostim electr perc CPT 63650 | $5,517.75 | $7,357.00 | $6,511.03 – $11,719.85 | 17 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,518.75 | $2,025.00 | $1,051.71 – $1,893.08 | 17 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,431.31 – $2,576.36 | 16 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $101,250.00 | $135,000.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $33,686.28 – $60,635.30 | 16 |
| Implant cochlear osia osi300 HCPCS L8690 | $20,655.00 | $27,540.00 | $5,857.74 – $10,543.93 | 17 |
| Implant eye drug system CPT 67027 | not published | not published | $14,255.17 – $25,659.31 | 16 |
| Implant hormone pellet(s) 11980 CPT 11980 | $315.75 | $421.00 | $456.40 – $821.52 | 17 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,451.61 – $2,612.89 | 16 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,151.22 – $3,872.20 | 16 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $19,820.31 – $35,676.56 | 16 |
| Implant neuroelectrodes CPT 64553 | $12,807.00 | $17,076.00 | $11,384.04 – $20,491.27 | 17 |
| Implant neuroelectrodes CPT 64555 | $5,517.75 | $7,357.00 | $6,511.03 – $11,719.85 | 17 |
| Implant neuroelectrodes CPT 64561 | $6,447.00 | $8,596.00 | $6,511.03 – $11,719.85 | 17 |
| Implant neurostim arrays CPT 61886 | not published | not published | $31,526.06 – $56,746.91 | 16 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $2,812.50 | $3,750.00 | $955.35 – $1,719.63 | 17 |
| Implant pulse generator remede el HCPCS C1823 | $57,375.00 | $76,500.00 | not published | 0 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,165.51 – $2,097.91 | 16 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Implant spine infusion pump CPT 62361 | not published | not published | $18,414.24 – $33,145.63 | 16 |
| Implant spine infusion pump CPT 62362 | not published | not published | $18,414.24 – $33,145.63 | 16 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,112.56 – $2,002.61 | 16 |
| Implant ureth bulk agent HCPCS L8606 | $2,587.50 | $3,450.00 | $252.88 – $455.18 | 17 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $16,817.36 – $30,271.25 | 16 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $217.09 – $390.77 | 16 |
| Implnt spinl canal catheter 62350 CPT 62350 | $7,722.75 | $10,297.00 | $8,965.93 – $16,138.67 | 17 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $78.28 – $140.90 | 16 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $537.73 | 16 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $241.98 – $435.56 | 16 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.83 – $77.09 | 16 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $435.00 | $580.00 | $57.33 – $211.71 | 17 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $384.75 | $513.00 | $69.19 – $313.31 | 17 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,103.19 – $1,985.74 | 16 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $15,029.56 – $15,029.56 | 1 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,730.29 – $3,114.52 | 16 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $2,808.00 | $3,744.00 | $831.46 – $1,496.63 | 17 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,156.25 | $2,875.00 | $745.62 – $1,342.12 | 17 |
| In-111 pentetreotide HCPCS A9572 | $47,542.46 | $63,389.94 | $2,000.94 – $3,601.69 | 17 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incise inner ear CPT 69801 | $3,648.00 | $4,864.00 | $1,585.19 – $2,853.34 | 17 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $561.91 – $1,011.44 | 16 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Incise inner eye strands CPT 67030 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incise nerve back of head CPT 64744 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Incise skull for treatment CPT 61770 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $324.28 – $583.70 | 16 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incise/drain eyelid lining CPT 68020 | $1,104.00 | $1,472.00 | $1,018.47 – $1,833.25 | 17 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,867.00 | $5,156.00 | $1,687.37 – $3,037.27 | 17 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision anal septum infant CPT 46070 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Incision of achilles tendon CPT 27605 | $1,863.75 | $2,485.00 | $1,642.82 – $2,957.08 | 17 |
| Incision of achilles tendon CPT 27606 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of anal sphincter CPT 46080 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Incision of ankle bone CPT 28302 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,210.55 – $2,178.99 | 16 |
| Incision of breast lesion CPT 19020 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Incision of brow nerve CPT 64732 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incision of burn scab initi CPT 16035 | not published | not published | $415.32 – $747.58 | 16 |
| Incision of cheek nerve CPT 64734 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incision of chin nerve CPT 64736 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incision of eardrum CPT 69420 | $1,272.00 | $1,696.00 | $241.98 – $435.56 | 17 |
| Incision of eardrum CPT 69421 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Incision of esophagus CPT 43020 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Incision of eye CPT 65850 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incision of eye CPT 66172 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incision of eyelid CPT 67710 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Incision of facial nerve CPT 64742 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incision of fibula CPT 27707 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of finger tendon CPT 26455 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Incision of foot fascia CPT 28008 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $812.45 – $1,462.41 | 16 |
| Incision of heel bone CPT 28300 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of hip bones CPT 27151 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of hip tendon CPT 27000 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Incision of hip tendon CPT 27001 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of hip tendon CPT 27003 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of hip tendons CPT 27006 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Incision of iris CPT 66500 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incision of iris CPT 66505 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incision of jaw joint CPT 21010 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Incision of jaw nerve CPT 64738 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incision of knee joint CPT 27435 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of lymph channels CPT 38308 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Incision of metatarsal CPT 28306 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of metatarsal CPT 28307 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of metatarsal CPT 28308 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of metatarsals CPT 28309 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of midfoot bones CPT 28304 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of palm tendon CPT 26450 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of prostate CPT 52450 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $663.12 – $1,193.61 | 16 |
| Incision of rectal abscess CPT 46060 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $763.27 – $1,373.88 | 16 |
| Incision of sperm duct CPT 55200 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incision of tendon & muscle CPT 23405 | $8,293.50 | $11,058.00 | $7,413.38 – $13,344.08 | 17 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Incision of thigh tendon CPT 27306 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Incision of thigh tendon CPT 27390 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of thigh tendons CPT 27307 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of thigh tendons CPT 27391 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of thigh tendons CPT 27392 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision of tibia CPT 27705 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Incision of tongue fold CPT 41010 | $1,792.50 | $2,390.00 | $1,585.19 – $2,853.34 | 17 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Incision of urethra CPT 53000 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Incision of urethra CPT 53010 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Incision of urethra CPT 53020 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Incision of urethra CPT 53025 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Incision of windpipe CPT 31601 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Incision of windpipe CPT 31610 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Incision secondary cataract CPT 66820 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Incision tendon sheath CPT 26055 | $2,124.75 | $2,833.00 | $1,642.82 – $2,957.08 | 17 |
| Incisn of toe tndn CPT 28010 | $2,825.25 | $3,767.00 | $1,642.82 – $2,957.08 | 17 |
| Incisn windpipe CPT 31600 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Incobotulinumtoxin a HCPCS J0588 | $1,889.43 | $2,519.23 | $5.29 – $9.52 | 17 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $586.73 | $782.30 | $9.30 – $16.74 | 17 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $376.82 – $678.27 | 16 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $439.65 – $791.37 | 16 |
| Induced abortion d&c CPT 59840 | $3,624.75 | $4,833.00 | $3,307.24 – $5,953.03 | 17 |
| Induced abortion dilat&evac CPT 59841 | $6,344.25 | $8,459.00 | $3,307.24 – $5,953.03 | 17 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $234.75 | $313.00 | $70.20 – $126.36 | 17 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $248.26 – $446.86 | 16 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $386.59 – $695.87 | 16 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $251.85 – $453.33 | 16 |
| Infect ag drug suscept pheno predict CPT 87900 | $479.25 | $639.00 | $65.40 – $234.63 | 17 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $27.00 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $25.43 | 16 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $2,588.25 | $3,451.00 | $141.55 – $463.41 | 17 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $463.41 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $301.50 | $402.00 | $72.46 – $231.71 | 17 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $603.75 | $805.00 | $126.40 – $463.41 | 17 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $58.99 | 16 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $35.29 – $63.52 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $101.25 | $135.00 | $16.00 – $29.79 | 17 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $21.56 | 16 |
| Infect ag if hep delta agent CPT 87380 | $189.75 | $253.00 | $7.77 – $33.05 | 17 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $28.93 | 16 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $22.05 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | $85.50 | $114.00 | $5.75 – $28.08 | 17 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $28.98 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $21.56 | 16 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $24.16 | 16 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $96.25 | 16 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $63.16 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | $324.75 | $433.00 | $17.13 – $77.11 | 17 |
| Infect ag na hpv high-risk types CPT 87624 | $272.25 | $363.00 | $16.60 – $63.16 | 17 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $175.50 | $234.00 | $47.90 – $172.44 | 17 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $92.36 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $180.00 | $240.00 | $51.31 – $92.36 | 17 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,414.50 | $1,886.00 | $229.16 – $750.20 | 17 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $108.00 | $144.00 | $272.71 – $879.59 | 17 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $1,288.50 | $1,718.00 | $14.67 – $46.93 | 17 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $74.48 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $196.50 | $262.00 | $5.67 – $21.56 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $60.75 | $81.00 | $6.05 – $24.16 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $96.00 | $128.00 | $5.67 – $24.88 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $87.00 | $116.00 | $5.67 – $21.56 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $14.38 – $25.88 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $64.50 | $86.00 | $4.40 – $18.59 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $10.33 – $18.59 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $88.50 | $118.00 | $8.62 – $43.34 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $420.75 | $561.00 | $5.67 – $21.56 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $126.00 | $168.00 | $5.67 – $21.56 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $21.56 | 16 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $126.32 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $357.75 | $477.00 | $76.77 – $138.19 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $751.50 | $1,002.00 | $16.60 – $63.16 | 17 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $173.25 | $231.00 | $16.60 – $63.16 | 17 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $141.00 | $188.00 | $20.50 – $67.09 | 17 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $861.00 | $1,148.00 | $416.78 – $750.20 | 17 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $306.75 | $409.00 | $16.60 – $63.16 | 17 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $129.00 | $172.00 | $17.61 – $63.16 | 17 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $596.25 | $795.00 | $17.13 – $75.02 | 17 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $168.75 | $225.00 | $16.60 – $63.16 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $141.00 | $188.00 | $51.31 – $92.36 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $299.25 | $399.00 | $142.63 – $256.73 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $299.25 | $399.00 | $142.63 – $256.73 | 17 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $88.50 | $118.00 | $17.13 – $63.16 | 17 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $129.00 | $172.00 | $19.15 – $63.16 | 17 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $1,223.59 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $984.00 | $1,312.00 | $229.16 – $750.20 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $436.50 | $582.00 | $70.54 – $230.92 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $261.75 | $349.00 | $117.35 – $473.38 | 17 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,929.00 | $2,572.00 | $20.26 – $77.11 | 17 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $307.50 | $410.00 | $17.13 – $77.11 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $1,154.25 | $1,539.00 | $20.26 – $77.11 | 17 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $588.00 | $784.00 | $40.25 – $153.18 | 17 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $225.75 | $301.00 | $70.54 – $256.73 | 17 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,702.78 | $2,270.37 | $31.04 – $55.87 | 17 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $50.47 | 16 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,713.99 | $2,285.31 | $26.04 – $46.86 | 17 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $52.60 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $98.16 – $176.69 | 16 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $29.71 – $53.49 | 16 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,706.39 – $4,871.51 | 16 |
| Infuse radioactive materials CPT 77750 | not published | not published | $313.36 – $709.29 | 16 |
| Ingest challenge ea addl 60 min CPT 95079 | $274.50 | $366.00 | $81.63 – $146.93 | 17 |
| Ingest challenge ini 120 min CPT 95076 | $547.50 | $730.00 | $381.24 – $686.23 | 17 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $386.25 | $515.00 | $223.72 – $402.70 | 17 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $136.02 – $244.84 | 16 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $291.28 – $524.31 | 16 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $136.52 – $245.74 | 16 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $187.16 – $336.89 | 16 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $78.75 – $141.75 | 16 |
| Initiation & management bipap/cpap initial day CPT 94660 | $576.00 | $768.00 | $223.72 – $402.70 | 17 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.17 | 16 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $46.31 – $46.31 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $5,937.23 | $7,916.30 | $3.81 – $6.86 | 17 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $51.59 – $92.86 | 16 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $236.10 | 16 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $20,116.77 | $26,822.36 | $18.31 – $32.95 | 17 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.40 – $186.12 | 16 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $81.20 – $146.17 | 16 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $7,487.44 | $9,983.25 | $214.02 – $385.24 | 17 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,668.84 – $3,003.91 | 16 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $22.16 | $29.54 | $2.03 – $2.03 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $2.57 – $3.92 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $2.34 – $5.25 | 2 |
| Inj ceftolozane tazobactam HCPCS J0695 | $597.69 | $796.91 | $8.84 – $15.90 | 17 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $461.25 | $615.00 | $168.33 – $302.99 | 17 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $2,687.59 – $4,712.40 | 2 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.58 – $31.64 | 16 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.10 – $16.39 | 16 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $0.91 | 16 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.52 – $0.93 | 16 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.10 – $0.32 | 2 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.09 – $5.57 | 16 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,321,376.38 – $5,978,477.48 | 16 |
| Inj disk cerv-thor ea lev CPT 62291 | $3,232.50 | $4,310.00 | $317.01 – $570.63 | 17 |
| Inj dupuytren cord w/enzyme CPT 20527 | $592.50 | $790.00 | $313.60 – $564.48 | 17 |
| Inj dx for sinogram CPT 20501 | $1,089.75 | $1,453.00 | $126.18 – $227.13 | 17 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.33 – $61.79 | 16 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $38.96 – $70.12 | 16 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,184.75 | $2,913.00 | $721.17 – $1,298.11 | 17 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,623.75 | $2,165.00 | $903.63 – $1,626.53 | 17 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.71 – $253.28 | 16 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $19.10 – $34.27 | 2 |
| Inj for ext venography CPT 36005 | $1,434.75 | $1,913.00 | $226.43 – $407.58 | 17 |
| Inj for mammo ductogram CPT 19030 | $150.00 | $200.00 | $150.27 – $270.48 | 17 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $524.18 – $943.52 | 16 |
| Inj givosiran 0.5 mg HCPCS J0223 | $162,298.07 | $216,397.42 | $120.98 – $217.77 | 17 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,840.68 – $5,113.22 | 16 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $4.76 – $9.10 | 2 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $7.72 – $11.31 | 2 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $56.02 – $100.83 | 16 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,110.00 | $1,480.00 | $44.85 – $80.73 | 17 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $2,622.00 | $3,496.00 | $49.40 – $88.93 | 17 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $1,192.50 | $1,590.00 | $52.43 – $94.37 | 17 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,239.00 | $1,652.00 | $25.90 – $46.61 | 17 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $5,894.25 | $7,859.00 | $24.85 – $44.74 | 17 |
| Inj human fibrinogen con nos HCPCS J7178 | $4,326.08 | $5,768.10 | $1.52 – $2.74 | 17 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.44 – $9.80 | 16 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $48.69 – $48.69 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $1,083.72 | $1,444.95 | $6.72 – $6.72 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $206.25 | $275.00 | $204.98 – $368.96 | 17 |
| Inj intralesional > 7 lsns CPT 11901 | $222.75 | $297.00 | $204.98 – $368.96 | 17 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4,194.45 | $5,592.60 | $49.53 – $89.16 | 17 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $122.28 | $163.04 | $62.52 – $62.52 | 1 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,070.09 – $5,526.16 | 16 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,471.50 | $1,962.00 | $127.08 – $228.75 | 17 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $1,713.99 | $2,285.31 | $120.67 – $217.20 | 17 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $795.00 – $1,431.00 | 16 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $28.41 | $37.87 | $9.83 – $9.83 | 1 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $4.17 – $5.85 | 2 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $17,682.90 | $23,577.19 | $253.47 – $456.24 | 17 |
| Inj multihance HCPCS A9577 | $166.47 | $221.95 | $4.48 – $4.48 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $522.75 | $697.00 | $712.40 – $1,282.32 | 17 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,371.50 | $3,162.00 | $2,107.97 – $3,794.35 | 17 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,569.00 | $2,092.00 | $2,107.97 – $3,794.35 | 17 |
| Inj ogivri 10 mg HCPCS Q5114 | $8,661.59 | $11,548.78 | $35.78 – $64.41 | 17 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $395.60 – $712.08 | 16 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,587,087.26 – $4,656,757.06 | 16 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $29.81 – $53.65 | 16 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $23.21 – $23.21 | 1 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $12,400.57 | $16,534.09 | $72.02 – $215.35 | 17 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.66 – $17.38 | 16 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $9.76 – $19.77 | 16 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $26.62 – $39.27 | 2 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $5.20 – $9.36 | 16 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $35.20 – $63.36 | 16 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $38.39 – $69.11 | 16 |
| Inj proc ankle arthr CPT 27648 | $219.00 | $292.00 | $191.94 – $345.49 | 17 |
| Inj proc elbow arthro CPT 24220 | $212.25 | $283.00 | $174.29 – $313.73 | 17 |
| Inj proc for lymphang CPT 38790 | not published | not published | $73.52 – $132.34 | 16 |
| Inj proc lumbr disk ea lvl CPT 62290 | $3,232.50 | $4,310.00 | $347.22 – $625.00 | 17 |
| Inj proc myelogram lumbar CPT 62284 | $1,300.50 | $1,734.00 | $169.23 – $304.62 | 17 |
| Inj proc sialogram CPT 42550 | not published | not published | $138.10 – $248.59 | 16 |
| Inj progesterone per 50 mg HCPCS J2675 | $123.09 | $164.12 | $1.60 – $1.60 | 1 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $3.63 – $11.48 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.23 – $4.01 | 16 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.93 – $3.92 | 2 |
| Inj retro urethrocysto CPT 51610 | $629.25 | $839.00 | $120.45 – $216.80 | 17 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $12,553.71 – $22,596.68 | 16 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $28.52 – $51.33 | 16 |
| Inj scleros sol mult veins CPT 36471 | $520.50 | $694.00 | $415.32 – $747.58 | 17 |
| Inj scleros sol sgl vein CPT 36470 | $489.00 | $652.00 | $415.32 – $747.58 | 17 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $540.18 – $972.32 | 16 |
| Inj secretin synthetic human HCPCS J2850 | $2,444.05 | $3,258.73 | $40.23 – $72.41 | 17 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $18.04 – $32.48 | 16 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $336.56 | $448.74 | $47.85 – $47.85 | 1 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $34.50 – $62.10 | 16 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.96 – $3.54 | 16 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $38.39 – $69.11 | 16 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.13 – $0.32 | 2 |
| Inj testosterone cypionate HCPCS J1071 | $473.66 | $631.54 | $0.08 – $0.08 | 1 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $8,689.13 | $11,585.50 | $5.74 – $10.33 | 17 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $2,207.25 | $2,943.00 | $155.25 – $279.45 | 17 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,471.50 | $1,962.00 | $134.29 – $241.72 | 17 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $160.01 – $288.02 | 16 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $18.64 – $33.54 | 16 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $465.23 – $837.42 | 16 |
| Inj w/fluor eval cv device CPT 36598 | $1,032.00 | $1,376.00 | $217.31 – $391.16 | 17 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $47.78 – $86.00 | 16 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $25.00 – $44.99 | 16 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $33.57 – $60.42 | 16 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $467.25 | $623.00 | $415.32 – $747.58 | 17 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.02 – $10.84 | 16 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $9,281.66 | $12,375.54 | $7.27 – $13.09 | 17 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,282.30 – $115,708.14 | 16 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $15.37 – $20.13 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.58 – $64.04 | 16 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $301.18 – $542.12 | 16 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $2.83 | 16 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.13 – $221.63 | 16 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.56 – $17.21 | 16 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $6.65 – $6.65 | 1 |
| Inj, artesunate, 1mg HCPCS J0391 | $39,774.01 | $53,032.01 | $51.83 – $93.29 | 17 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $56.29 – $101.31 | 16 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.83 – $71.69 | 16 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.87 – $12.55 | 16 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $6.23 | 16 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $417.21 – $750.98 | 16 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $353.07 – $635.52 | 16 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $1.72 – $1.72 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,326.75 | $1,768.99 | $1.41 – $2.54 | 17 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.13 – $874.65 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $13.05 – $30.87 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $846.06 | $1,128.08 | $2.42 – $4.35 | 17 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $83.48 – $150.26 | 16 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $92.40 – $166.32 | 16 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $12.60 – $12.60 | 1 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $992.72 | 16 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.65 – $6.58 | 16 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.13 – $0.53 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $7.45 | 16 |
| Inj, durolane 1 mg HCPCS J7318 | $4,122.72 | $5,496.96 | $6.73 – $12.12 | 17 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $355.74 | 16 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $33.28 | $44.37 | $9.95 – $17.92 | 17 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.87 – $59.16 | 16 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.55 – $4.58 | 16 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $0.06 | 16 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $1,713.99 | $2,285.31 | $8.55 – $48.80 | 17 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $75.01 | 16 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.88 – $6.98 | 16 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,691,450.00 – $6,644,610.00 | 16 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $80.22 – $80.22 | 1 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.31 – $0.70 | 2 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.95 – $23.31 | 16 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.97 – $3.55 | 16 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.56 – $2.82 | 16 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $32.19 – $57.94 | 16 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.34 – $2.40 | 16 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.30 – $40.14 | 16 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $244.63 | $326.17 | $6.96 – $12.53 | 17 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $13.20 – $26.74 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $42.09 – $75.77 | 16 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $26.48 – $47.66 | 16 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $22.42 – $40.95 | 2 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.17 – $3.90 | 16 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.60 – $170.28 | 16 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $4.62 – $4.62 | 1 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $55.29 – $99.52 | 16 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $73.83 – $132.89 | 16 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $596.30 – $1,073.34 | 16 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $95.45 – $171.81 | 16 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $147.81 – $266.05 | 16 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.51 – $67.51 | 16 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $82.02 – $147.63 | 16 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $70.48 – $126.86 | 16 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.32 – $0.58 | 16 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $2,348.22 | $3,130.95 | $13.28 – $23.91 | 17 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.03 – $23.45 | 16 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $2.16 – $3.89 | 16 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.13 – $2.04 | 16 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $65.73 – $118.31 | 16 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $76.20 – $137.16 | 16 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $19.64 – $35.36 | 16 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $40.66 – $73.18 | 16 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $58.27 – $104.89 | 16 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.26 – $9.47 | 16 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $3.27 – $5.89 | 16 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.44 – $7.98 | 16 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $25.16 – $45.28 | 16 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $28.70 – $28.70 | 1 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $1.53 – $2.76 | 16 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $34.65 – $62.38 | 16 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.93 – $901.67 | 16 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $70.90 – $127.63 | 16 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.92 – $30.46 | 16 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.91 – $50.25 | 16 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.93 – $39.47 | 16 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $17,286.71 | $23,048.94 | $59.91 – $107.84 | 17 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $172,856.28 | $230,475.04 | $495.55 – $891.98 | 17 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.66 – $4.78 | 16 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $327.72 – $589.89 | 16 |
| Inj. mycophenolate mofetil HCPCS J7519 | $387.27 | $516.36 | $1.06 – $1.06 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | $96,378.67 | $128,504.89 | $686.09 – $1,234.97 | 17 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.99 – $14.39 | 16 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $124,816.51 | $166,422.01 | $357.28 – $643.10 | 17 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $66,625.08 | $88,833.43 | $367.91 – $662.23 | 17 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $15.37 – $27.66 | 16 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.25 – $5.85 | 16 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $19,707.27 | $26,276.36 | $163.36 – $294.04 | 17 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.14 – $691.44 | 16 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $58,842.17 | $78,456.22 | $55.64 – $100.15 | 17 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.43 – $34.97 | 16 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.24 – $2.23 | 16 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $67.81 – $122.06 | 16 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $77.68 – $139.82 | 16 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $42.11 | 16 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $759.87 | $1,013.15 | $2.17 – $3.91 | 17 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.13 – $7.44 | 16 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $36,180.04 | $48,240.05 | $100.90 – $181.61 | 17 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.17 – $21.91 | 16 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.51 – $6.31 | 16 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $118.20 – $212.76 | 16 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.55 – $18.98 | 16 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,723.76 – $6,702.76 | 16 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $529.89 – $953.80 | 16 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,233.50 | $2,978.00 | $903.63 – $1,626.53 | 17 |
| Inject sacroiliac joint CPT 27096 | $492.00 | $656.00 | $165.03 – $297.06 | 17 |
| Inject/treat eye socket CPT 67500 | not published | not published | $324.28 – $583.70 | 16 |
| Inject/treat eye socket CPT 67505 | not published | not published | $324.28 – $583.70 | 16 |
| Inject/treat eye socket CPT 67515 | not published | not published | $324.28 – $583.70 | 16 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $678.75 | $905.00 | $721.17 – $1,298.11 | 17 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $660.00 | $880.00 | $216.41 – $389.54 | 17 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $853.50 | $1,138.00 | $313.60 – $564.48 | 17 |
| Injection during cath supravalvular aortography CPT 93567 | $2,211.75 | $2,949.00 | $36.03 – $64.85 | 17 |
| Injection epidural blood patch or clot CPT 62273 | $1,618.50 | $2,158.00 | $721.17 – $1,298.11 | 17 |
| Injection eye drug CPT 67028 | $387.00 | $516.00 | $337.46 – $607.43 | 17 |
| Injection for arthrography wrist (both sides) CPT 25246 | $551.25 | $735.00 | $175.92 – $316.66 | 17 |
| Injection for bladder x-ray CPT 51600 | $498.00 | $664.00 | $192.16 – $345.89 | 17 |
| Injection for hip x-ray CPT 27095 | not published | not published | $302.27 – $544.08 | 16 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $540.75 | $721.00 | $146.46 – $263.63 | 17 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $107.95 – $194.31 | 16 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $54.03 – $97.25 | 16 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $119.51 – $215.11 | 16 |
| Injection for ureter x-ray CPT 50690 | $544.50 | $726.00 | $110.40 – $198.71 | 17 |
| Injection glatiramer acetate HCPCS J1595 | $1,749.29 | $2,332.38 | not published | 0 |
| Injection into brain canal CPT 61026 | not published | not published | $721.17 – $1,298.11 | 16 |
| Injection into brain canal CPT 61055 | not published | not published | $313.60 – $564.48 | 16 |
| Injection into hemorrhoid(s) CPT 46500 | $1,058.25 | $1,411.00 | $950.10 – $1,710.18 | 17 |
| Injection into spinal artery CPT 62294 | not published | not published | $903.63 – $1,626.53 | 16 |
| Injection into vocal cord CPT 31513 | not published | not published | $399.59 – $719.26 | 16 |
| Injection jugular CPT 36299 | $1,890.00 | $2,520.00 | not published | 0 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $73.56 – $132.41 | 16 |
| Injection of sinus tract CPT 20500 | $1,670.25 | $2,227.00 | $1,585.19 – $2,853.34 | 17 |
| Injection px peyronie ds CPT 54200 | $287.25 | $383.00 | $255.26 – $459.47 | 17 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $787.50 | $1,050.00 | $408.43 – $735.17 | 17 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $721.17 – $1,298.11 | 16 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $609.75 | $813.00 | $217.31 – $391.16 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $573.00 | $764.00 | $47.84 – $86.11 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $573.00 | $764.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $174.00 | $232.00 | $73.56 – $132.41 | 17 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $10.61 – $10.61 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Injection treatment of nerve CPT 64605 | $2,238.00 | $2,984.00 | $1,995.02 – $3,591.04 | 17 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Injection treatment of nerve CPT 64681 | $2,708.25 | $3,611.00 | $903.63 – $1,626.53 | 17 |
| Injection treatment of nose CPT 30200 | not published | not published | $551.01 – $991.82 | 16 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,471.50 | $1,962.00 | $721.17 – $1,298.11 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,567.50 | $2,090.00 | $721.17 – $1,298.11 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,668.00 | $2,224.00 | $903.63 – $1,626.53 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,236.75 | $1,649.00 | $96.64 – $173.96 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,777.50 | $2,370.00 | $903.63 – $1,626.53 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,334.25 | $1,779.00 | $90.62 – $163.12 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,512.75 | $2,017.00 | $903.63 – $1,626.53 | 17 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,233.50 | $2,978.00 | $721.17 – $1,298.11 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,943.25 | $2,591.00 | $721.17 – $1,298.11 | 17 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $255.00 | $340.00 | $313.60 – $564.48 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,078.50 | $1,438.00 | $313.60 – $564.48 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $656.25 | $875.00 | $313.60 – $564.48 | 17 |
| Injection, belinostat, 10mg HCPCS J9032 | $9,355.72 | $12,474.29 | $53.11 – $95.60 | 17 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $498.72 – $897.69 | 16 |
| Injection, cangrelor HCPCS C9460 | $3,425.21 | $4,566.94 | $20.02 – $36.04 | 17 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $70.77 – $127.39 | 16 |
| Injection, doxercalciferol HCPCS J1270 | $23.86 | $31.81 | $0.95 – $0.95 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $15.18 – $27.32 | 16 |
| Injection, fulvestrant HCPCS J9395 | $3,584.82 | $4,779.76 | $17.94 – $17.94 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.61 – $22.70 | 16 |
| Injection, isavuconazonium HCPCS J1833 | $1,350.22 | $1,800.29 | $1.01 – $1.81 | 17 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $10.32 | 16 |
| Injection, peramivir HCPCS J2547 | $1,257.68 | $1,676.90 | $1.68 – $3.02 | 17 |
| Injection, renflexis HCPCS Q5104 | $2,582.56 | $3,443.41 | $26.80 – $48.25 | 17 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.68 – $66.02 | 16 |
| Injection, siltuximab HCPCS J2860 | $23,535.37 | $31,380.49 | $174.08 – $313.34 | 17 |
| Injection,onabotulinumtoxina HCPCS J0585 | $4,814.15 | $6,418.86 | $6.51 – $11.72 | 17 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $88,429.23 | $117,905.64 | $2,816.77 – $5,070.18 | 17 |
| Ins cath ren art 1st bi CPT 36252 | $6,033.75 | $8,045.00 | $3,225.87 – $5,806.57 | 17 |
| Ins cath ren art 1st uni CPT 36251 | $5,074.50 | $6,766.00 | $3,225.87 – $5,806.57 | 17 |
| Ins cath ren art 2nd+ bi CPT 36254 | $7,922.25 | $10,563.00 | $3,225.87 – $5,806.57 | 17 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,184.00 | $6,912.00 | $5,685.01 – $10,233.02 | 17 |
| Ins cerv dilator (sep proc) CPT 59200 | $1,127.25 | $1,503.00 | $311.33 – $560.39 | 17 |
| Ins icd gen exist mlt leads CPT 33231 | $26,801.25 | $35,735.00 | $32,068.73 – $57,723.71 | 17 |
| Ins icd gen exist sgl lead CPT 33240 | $23,742.75 | $31,657.00 | $22,725.36 – $40,905.65 | 17 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $702.52 – $1,264.54 | 16 |
| Ins lv lead exist pm/icd CPT 33224 | $9,178.50 | $12,238.00 | $10,678.38 – $19,221.08 | 17 |
| Ins mark abd/pel for right perq CPT 49411 | $2,376.00 | $3,168.00 | $1,414.11 – $2,545.40 | 17 |
| Ins mark thor for right perq CPT 32553 | $2,831.25 | $3,775.00 | $1,414.11 – $2,545.40 | 17 |
| Ins picad w subq port 5yr> CPT 36571 | $5,089.50 | $6,786.00 | $3,225.87 – $5,806.57 | 17 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $728.25 | $971.00 | $640.89 – $1,153.60 | 17 |
| Ins pm gen exist dual lead CPT 33230 | $19,065.75 | $25,421.00 | $22,725.36 – $40,905.65 | 17 |
| Ins pm gen w/exist mlt leads CPT 33221 | $15,600.75 | $20,801.00 | $19,678.89 – $35,422.00 | 17 |
| Ins pq tunnld ip cath w/img CPT 49418 | $4,113.75 | $5,485.00 | $3,657.95 – $6,584.31 | 17 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $104.84 – $188.72 | 16 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $4,564.50 | $6,086.00 | $5,685.01 – $10,233.02 | 17 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,218.00 | $5,624.00 | $3,225.87 – $5,806.57 | 17 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Ins tun intraperit dia cath CPT 49421 | $4,896.00 | $6,528.00 | $3,657.95 – $6,584.31 | 17 |
| Ins vag brachytx device CPT 57156 | not published | not published | $311.33 – $560.39 | 16 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $14,352.75 | $19,137.00 | $19,678.89 – $35,422.00 | 17 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $11,005.50 | $14,674.00 | $10,678.38 – $19,221.08 | 17 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $7,319.25 | $9,759.00 | $8,454.63 – $15,218.33 | 17 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $8,724.00 | $11,632.00 | $10,678.38 – $19,221.08 | 17 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $25,362.75 | $33,817.00 | $19,820.31 – $35,676.56 | 17 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $22,814.25 | $30,419.00 | $29,304.62 – $52,748.32 | 17 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $36,000.00 | $48,000.00 | $31,526.06 – $56,746.91 | 17 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Insemination of oocytes CPT 89268 | not published | not published | $174.06 – $313.31 | 16 |
| Insert abdomen-venous drain CPT 49425 | $7,121.25 | $9,495.00 | $726.26 – $1,307.27 | 17 |
| Insert and remove bone pin CPT 20650 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Insert ant drainage device CPT 66183 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Insert cath pleura with image CPT 32557 | $1,734.75 | $2,313.00 | $1,608.25 – $2,894.85 | 17 |
| Insert cath pleura without image CPT 32556 | $2,019.00 | $2,692.00 | $1,960.47 – $3,528.85 | 17 |
| Insert cv cath inf & sup app HCPCS C9780 | not published | not published | $8,250.50 – $14,850.90 | 16 |
| Insert drug del implant, >=4 HCPCS G0516 | not published | not published | $456.40 – $821.52 | 16 |
| Insert drug delivery implant CPT 11981 | $1,418.25 | $1,891.00 | $135.93 – $244.67 | 17 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $754.59 – $1,358.27 | 16 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $724.14 – $1,303.46 | 16 |
| Insert eye socket implant CPT 67550 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Insert hepatic shunt (tips) CPT 37182 | $10,536.00 | $14,048.00 | $18,728.69 – $33,711.64 | 17 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $295.87 – $532.56 | 16 |
| Insert intrauterine device iud CPT 58300 | $723.75 | $965.00 | $99.56 – $179.21 | 17 |
| Insert lens prosthesis CPT 66985 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $1,736.25 – $3,125.25 | 16 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Insert nasal septal button CPT 30220 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Insert ocular implant CPT 65130 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Insert ocular implant CPT 65135 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Insert palate implants HCPCS C9727 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Insert pelv fixation device CPT 22848 | not published | not published | $312.50 – $562.50 | 16 |
| Insert pessary/other device CPT 57160 | $332.25 | $443.00 | $206.55 – $371.79 | 17 |
| Insert picvad cath CPT 36570 | $2,907.75 | $3,877.00 | $3,225.87 – $5,806.57 | 17 |
| Insert pm/icd lead dual CPT 33217 | $6,880.50 | $9,174.00 | $8,454.63 – $15,218.33 | 17 |
| Insert prost urethral stent CPT 53855 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $13,479.22 – $24,262.60 | 16 |
| Insert spine fixation device CPT 22843 | not published | not published | $716.84 – $1,290.31 | 16 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $18,414.24 – $33,145.63 | 16 |
| Insert sq defib electrode CPT 33271 | $6,820.50 | $9,094.00 | $8,454.63 – $15,218.33 | 17 |
| Insert swan-ganz cath CPT 93503 | $6,580.50 | $8,774.00 | $1,608.25 – $2,894.85 | 17 |
| Insert tandem cuff CPT 53444 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $5,018.25 | $6,691.00 | $3,225.87 – $5,806.57 | 17 |
| Insert tunneled cv cath CPT 36560 | $3,252.75 | $4,337.00 | $3,225.87 – $5,806.57 | 17 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Insert vad art access left hrt art & vein access CPT 33991 | $15,454.50 | $20,606.00 | $411.25 – $740.25 | 17 |
| Insert vad art access left hrt arterial access CPT 33990 | $5,240.25 | $6,987.00 | $309.71 – $557.48 | 17 |
| Insert/repl sq defib w/eltrd CPT 33270 | $26,801.25 | $35,735.00 | $32,068.73 – $57,723.71 | 17 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Insertion catheter bladder non indwelling CPT 51701 | $327.75 | $437.00 | $135.93 – $244.67 | 17 |
| Insertion catheter bladder temporary simple CPT 51702 | $323.25 | $431.00 | $135.93 – $244.67 | 17 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,782.00 | $6,376.00 | $3,657.95 – $6,584.31 | 17 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,576.75 | $4,769.00 | $222.41 – $400.33 | 17 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $311.03 – $559.86 | 16 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $6,702.00 | $8,936.00 | $5,685.01 – $10,233.02 | 17 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,712.75 | $3,617.00 | $3,225.87 – $5,806.57 | 17 |
| Insertion of cannula CPT 36810 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,286.58 – $2,315.84 | 16 |
| Insertion of catheter vein CPT 36481 | $2,687.25 | $3,583.00 | $1,517.83 – $2,732.10 | 17 |
| Insertion of catheter vein CPT 36500 | $2,808.00 | $3,744.00 | $158.44 – $285.19 | 17 |
| Insertion of heart electrode 33211 CPT 33211 | $6,820.50 | $9,094.00 | $8,454.63 – $15,218.33 | 17 |
| Insertion of infusion pump CPT 36260 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $11,024.25 | $14,699.00 | $10,678.38 – $19,221.08 | 17 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $8,834.25 | $11,779.00 | $10,678.38 – $19,221.08 | 17 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $9,855.00 | $13,140.00 | $389.80 – $701.64 | 17 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,077.25 | $4,103.00 | $1,608.25 – $2,894.85 | 17 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,242.75 | $1,657.00 | $1,608.25 – $2,894.85 | 17 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $6,820.50 | $9,094.00 | $8,454.63 – $15,218.33 | 17 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $7,037.25 | $9,383.00 | $8,454.63 – $15,218.33 | 17 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $4,604.25 | $6,139.00 | $3,225.87 – $5,806.57 | 17 |
| Insertion ureth cath CPT 51045 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $26,801.25 | $35,735.00 | $32,068.73 – $57,723.71 | 17 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $6,820.50 | $9,094.00 | $8,454.63 – $15,218.33 | 17 |
| Insitu hybridization (fish) CPT 88366 | $907.50 | $1,210.00 | $88.67 – $313.31 | 17 |
| Insitu hybridization auto CPT 88367 | not published | not published | $156.63 – $659.18 | 16 |
| Insitu hybridization manual CPT 88368 | $459.75 | $613.00 | $69.19 – $659.18 | 17 |
| Insj biomechanical device CPT 22859 | not published | not published | $295.50 – $531.90 | 16 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $225.14 – $405.25 | 16 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $309.31 – $556.76 | 16 |
| Insj phrnc nrv stim sys CPT 33276 | $54,756.75 | $73,009.00 | $45,000.50 – $81,000.90 | 17 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Insj stablj dev without dcmprn CPT 22869 | $15,258.00 | $20,344.00 | $13,116.76 – $23,610.17 | 17 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $38.25 | $51.00 | $90.65 – $163.17 | 17 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $31,526.06 – $56,746.91 | 16 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,359.75 | $1,813.00 | $640.89 – $1,153.60 | 17 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $1,025.25 | $1,367.00 | $640.89 – $1,153.60 | 17 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $5.03 – $9.05 | 16 |
| Inst via cath agent pleurds CPT 32560 | $2,517.75 | $3,357.00 | $640.89 – $1,153.60 | 17 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $3,666.23 – $4,819.50 | 2 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $1,250.50 – $2,250.90 | 16 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $2.70 – $2.70 | 1 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $970.50 | $1,294.00 | $712.40 – $1,282.32 | 17 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $255.26 – $459.47 | 16 |
| Insulin total CPT 83525 | $103.50 | $138.00 | $5.41 – $20.57 | 17 |
| Int hrhc lig 1 hroid without img CPT 46945 | $3,491.25 | $4,655.00 | $2,835.78 – $5,104.40 | 17 |
| Int hrhc lig 2+hroid without img CPT 46946 | $3,767.25 | $5,023.00 | $2,835.78 – $5,104.40 | 17 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $9,970.16 | $13,293.54 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $35,280.97 | $47,041.29 | $127.14 – $228.85 | 17 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $6,018.75 | $8,025.00 | not published | 0 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $131.70 – $237.06 | 16 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $131.70 – $237.06 | 16 |
| Interdental fixation CPT 21110 | $1,733.25 | $2,311.00 | $1,585.19 – $2,853.34 | 17 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Interdiscal perq aspir dx CPT 62267 | $822.75 | $1,097.00 | $723.47 – $1,302.25 | 17 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $83.84 – $109.73 | 2 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $29,609.96 | $39,479.94 | $143.17 – $143.17 | 1 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $7,709.24 – $7,709.24 | 1 |
| Intermediate visual field xm CPT 92082 | $73.50 | $98.00 | $60.27 – $108.49 | 17 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $141.95 – $255.51 | 16 |
| Interrog dev eval icpms ip CPT 93290 | $112.50 | $150.00 | $38.13 – $68.63 | 17 |
| Interrog dev eval scrms ip CPT 93291 | $285.75 | $381.00 | $29.55 – $53.19 | 17 |
| Interrog device eval heart CPT 93289 | $636.75 | $849.00 | $38.13 – $68.63 | 17 |
| Interrog evl pm/ldls pm ip CPT 93288 | $202.50 | $270.00 | $38.13 – $68.63 | 17 |
| Interrog without prgrmg ipnss CPT 93153 | $108.00 | $144.00 | $97.13 – $174.83 | 17 |
| Interrog&prgrmg ipnss CPT 93151 | $108.00 | $144.00 | $97.13 – $174.83 | 17 |
| Interrogate subq defib CPT 93261 | $336.75 | $449.00 | $38.13 – $68.63 | 17 |
| Interrogation vad in person CPT 93750 | not published | not published | $97.13 – $174.83 | 16 |
| Interstitial brachy inter CPT 77799 | not published | not published | $104.24 – $187.63 | 16 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $973.05 – $1,751.48 | 16 |
| Intra-atrial pacing CPT 93610 | $5,625.00 | $7,500.00 | $7,968.60 – $14,343.48 | 17 |
| Intra-atrial recording CPT 93602 | $6,184.50 | $8,246.00 | $7,968.60 – $14,343.48 | 17 |
| Intracard echo interv w/s&i CPT 93662 | $4,089.00 | $5,452.00 | not published | 0 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,330.29 – $2,394.51 | 16 |
| Intracranial angioplasty CPT 61630 | $9,051.00 | $12,068.00 | $1,229.57 – $2,213.22 | 17 |
| Intracranial complete study CPT 93886 | $1,464.00 | $1,952.00 | $243.77 – $438.79 | 17 |
| Intracranial limited study CPT 93888 | $1,091.25 | $1,455.00 | $106.81 – $192.26 | 17 |
| Intranasal biopsy 30100 CPT 30100 | $3,322.50 | $4,430.00 | $1,585.19 – $2,853.34 | 17 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $551.01 – $991.82 | 16 |
| Intrapul surf admin endo tube CPT 94610 | $256.50 | $342.00 | $223.72 – $402.70 | 17 |
| Intrauterine transfusion ftl CPT 36460 | $1,788.00 | $2,384.00 | $450.73 – $811.31 | 17 |
| Intraventricular pacing CPT 93612 | $5,625.00 | $7,500.00 | $7,968.60 – $14,343.48 | 17 |
| Intrinsic factor antibody CPT 86340 | $77.25 | $103.00 | $7.59 – $27.14 | 17 |
| Intrm oph exam est patient CPT 92012 | $161.25 | $215.00 | $136.02 – $244.84 | 17 |
| Intro cath dialysis circuit CPT 36901 | $1,643.25 | $2,191.00 | $1,608.25 – $2,894.85 | 17 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,422.50 | $11,230.00 | $5,814.84 – $10,466.71 | 17 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $13,140.75 | $17,521.00 | $11,794.23 – $21,229.61 | 17 |
| Intro cath svc/ivc CPT 36010 | $1,942.50 | $2,590.00 | $475.28 – $855.51 | 17 |
| Intro catheter aorta CPT 36200 | $2,623.50 | $3,498.00 | $527.01 – $948.62 | 17 |
| Intro long gi tube CPT 44500 | $876.00 | $1,168.00 | $926.63 – $1,667.93 | 17 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $185.44 – $185.44 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,818.45 – $3,273.21 | 16 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,510.75 | $4,681.00 | $823.86 – $1,482.95 | 17 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $978.00 | $1,304.00 | $159.87 – $287.77 | 17 |
| Intubation endotracheal emergency procedure CPT 31500 | $934.50 | $1,246.00 | $241.98 – $435.56 | 17 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $60.27 – $108.49 | 16 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $38.13 – $68.63 | 16 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $1,110.38 – $13,544.68 | 16 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $1,024.89 – $13,544.68 | 16 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $396.32 – $713.38 | 16 |
| Ionm in operatng room 15 min CPT 95940 | $320.25 | $427.00 | $26.23 – $47.22 | 17 |
| Ionm remote/>1 pt or per hr CPT 95941 | $1,336.50 | $1,782.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $199.60 | $266.13 | $1.13 – $1.13 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $244.04 | $325.38 | $0.39 – $0.39 | 1 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $1.16 – $1.16 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $133,919.31 | $178,559.08 | $187.17 – $336.90 | 17 |
| Ipratropium bromide non-comp HCPCS J7644 | $2.43 | $3.23 | $1.00 – $1.00 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $378.32 | $504.42 | $3.58 – $3.58 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $11,014.86 | $14,686.47 | $66.37 – $119.47 | 17 |
| Iron CPT 83540 | $428.25 | $571.00 | $3.06 – $11.65 | 17 |
| Iron binding capacity CPT 83550 | $89.25 | $119.00 | $4.13 – $15.73 | 17 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $140.34 | $187.12 | $18.11 – $32.59 | 17 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $12.38 | 16 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $133.11 | $177.48 | $0.57 – $0.57 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $206.25 | $275.00 | $11.90 – $68.69 | 17 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $153.75 | $205.00 | $60.27 – $108.49 | 17 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $60.27 – $108.49 | 16 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $15,760.97 | $21,014.62 | $83.58 – $150.44 | 17 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Ivc venogram s&i CPT 75825 | $4,438.50 | $5,918.00 | $151.58 – $5,806.57 | 17 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $179.20 – $322.56 | 16 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $179.20 – $322.56 | 16 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $22,346.52 | $29,795.35 | $139.75 – $251.55 | 17 |
| J-tube placement CPT 44015 | $904.50 | $1,206.00 | $124.95 – $224.92 | 17 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $333.36 | 16 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Jejunstmy tube plcmt CPT 44372 | $3,895.50 | $5,194.00 | $1,960.47 – $3,528.85 | 17 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $30.40 | 16 |
| Keratoprosthesis CPT 65770 | not published | not published | $14,820.30 – $26,676.54 | 16 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $127.14 – $228.85 | 16 |
| Ketamine and metabolite screen - quest CPT 80357 | $136.50 | $182.00 | $0.03 – $25.87 | 3 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $27.85 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $285.75 | $381.00 | $3.59 – $14.71 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $17.11 | $22.81 | $0.34 – $0.61 | 17 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $972.75 | $1,297.00 | $106.81 – $192.26 | 17 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Kidney function study CPT 78725 | $1,133.25 | $1,511.00 | $196.94 – $735.17 | 17 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $554.73 – $998.51 | 16 |
| Kidney imaging morphology CPT 78700 | $1,238.25 | $1,651.00 | $339.42 – $735.17 | 17 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,584.75 | $2,113.00 | $422.12 – $998.51 | 17 |
| Kit case 4.2mm spinejack HCPCS C1062 | $9,652.39 | $12,869.85 | not published | 0 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $52.48 – $94.46 | 16 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $9.97 – $17.95 | 16 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $10,575.00 | $14,100.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $268.50 | $358.00 | $124.87 – $224.77 | 17 |
| Kit hfx iq ipg bundle HCPCS C1822 | $58,500.00 | $78,000.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $51,750.00 | $69,000.00 | not published | 0 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $19.70 – $35.46 | 16 |
| Kit lead specify 5-6-5 HCPCS C1778 | $73,912.50 | $98,550.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $801.57 | $1,068.75 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $67.13 – $228.85 | 16 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $2,120.58 – $3,817.04 | 16 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,836.08 | $3,781.44 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee MRI (with and without contrast) CPT 73723 | $2,628.75 | $3,505.00 | $356.43 – $641.57 | 17 |
| Knee MRI (with contrast) CPT 73722 | $2,259.00 | $3,012.00 | $800.90 – $1,441.62 | 17 |
| Knee MRI (without contrast) CPT 73721 | $2,628.75 | $3,505.00 | $243.77 – $438.79 | 17 |
| Knee X-ray CPT 73564 | $508.50 | $678.00 | $89.34 – $192.26 | 17 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.25 – $347.85 | 16 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.25 – $347.85 | 16 |
| Kyleena, 19.5 mg HCPCS J7296 | $4,491.10 | $5,988.13 | $2,601.59 – $2,601.59 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $39.58 | 16 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $26.14 – $47.06 | 16 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $22.89 – $41.20 | 16 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $22.19 | $29.58 | $0.98 – $0.98 | 1 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $237.75 | $317.00 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $65.25 | $87.00 | $2.86 – $10.87 | 17 |
| Lactated ringers intravenous solution HCPCS J7120 | $22.19 | $29.58 | $6.33 – $6.33 | 1 |
| Lactic acid CPT 83605 | $209.25 | $279.00 | $5.05 – $20.83 | 17 |
| Lactoferrin fecal qualitative CPT 83630 | $72.75 | $97.00 | $9.28 – $35.46 | 17 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $35.33 | 16 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $226.12 – $407.02 | 16 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $201.50 – $362.69 | 16 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $1,885.29 – $3,393.53 | 16 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,992.11 – $3,585.80 | 16 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Laminotomy single cervical CPT 63040 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $35,355.50 | $47,140.66 | $35.72 – $64.30 | 17 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $2,066.54 | $2,755.38 | not published | 0 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $1,487.97 – $2,678.34 | 16 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $1,199.67 – $2,159.41 | 16 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $1,881.08 – $3,385.94 | 16 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $1,616.46 – $2,909.62 | 16 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $1,762.80 – $3,173.04 | 16 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $1,108.68 – $1,995.63 | 16 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $1,260.82 – $2,269.48 | 16 |
| Lap enterolysis CPT 44180 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $140.29 – $252.52 | 16 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $1,585.04 – $2,853.07 | 16 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $995.69 – $1,792.24 | 16 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $162.78 – $293.00 | 16 |
| Lap myotomy heller CPT 43279 | not published | not published | $1,175.71 – $2,116.28 | 16 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,566.55 – $2,819.79 | 16 |
| Lap place gastr adj device CPT 43770 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,362.66 – $2,452.78 | 16 |
| Lap radical hyst CPT 58548 | not published | not published | $1,688.26 – $3,038.86 | 16 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,755.32 – $3,159.57 | 16 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $213.28 – $383.90 | 16 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $3,938.98 – $7,090.16 | 16 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $3,938.98 – $7,090.16 | 16 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $987.45 – $1,777.41 | 16 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,588.83 – $2,859.89 | 16 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $167.37 – $301.27 | 16 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,383.35 – $2,490.02 | 16 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,164.26 – $2,095.68 | 16 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $1,817.19 – $3,270.93 | 16 |
| Laparo urethral suspension CPT 51990 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,056.64 – $1,901.95 | 16 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,019.31 – $1,834.75 | 16 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,081.18 – $1,946.13 | 16 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscopy lysis CPT 58660 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Laparoscopye procstom 43659 CPT 43659 | $6,827.25 | $9,103.00 | $6,176.47 – $11,117.65 | 17 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $1,075.88 – $1,936.59 | 16 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $1,735.23 – $3,123.41 | 16 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $917.56 – $1,651.61 | 16 |
| Largsc w/laser dstrj les CPT 31572 | $6,297.75 | $8,397.00 | $3,809.10 – $6,856.38 | 17 |
| Largsc w/njx augmentation CPT 31574 | $3,180.00 | $4,240.00 | $1,818.45 – $3,273.21 | 17 |
| Largsc w/removal lesion CPT 31578 | $8,732.25 | $11,643.00 | $3,809.10 – $6,856.38 | 17 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $399.59 – $719.26 | 16 |
| Largsc w/ther injection CPT 31573 | $3,151.50 | $4,202.00 | $1,818.45 – $3,273.21 | 17 |
| Laronidase injection HCPCS J1931 | $4,116.73 | $5,488.97 | $39.95 – $71.92 | 17 |
| Laryngeal function studies CPT 92520 | $360.00 | $480.00 | $135.93 – $244.67 | 17 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laryngoscope w/vc inj CPT 31570 | $4,485.00 | $5,980.00 | $3,809.10 – $6,856.38 | 17 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $142.24 – $256.03 | 16 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,968.00 | $2,624.00 | $1,818.45 – $3,273.21 | 17 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy telescopic CPT 31579 | $1,185.75 | $1,581.00 | $399.59 – $719.26 | 17 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy w/exc of tumor CPT 31540 | $7,290.00 | $9,720.00 | $3,809.10 – $6,856.38 | 17 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy w/fb removal CPT 31530 | $2,017.50 | $2,690.00 | $1,818.45 – $3,273.21 | 17 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $473.25 | $631.00 | $399.59 – $719.26 | 17 |
| Laryngoscopy with biopsy CPT 31576 | $8,027.25 | $10,703.00 | $1,818.45 – $3,273.21 | 17 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Laser surgery eye strands CPT 67031 | not published | not published | $561.91 – $1,011.44 | 16 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Laser surgery of prostate CPT 52648 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Laser treatment of retina CPT 67039 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Laser treatment of retina CPT 67040 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Lateral canthopexy CPT 21282 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Lavage cannulation maxillary sinus CPT 31000 | $1,871.25 | $2,495.00 | $241.98 – $435.56 | 17 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,863.24 | $6,484.32 | not published | 0 |
| Lead capillary CPT 83655 | $101.25 | $135.00 | $7.00 – $21.80 | 17 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $7,616.25 | $10,155.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $13,488.75 | $17,985.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,209.00 | $1,612.00 | $243.77 – $438.79 | 17 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Leishmania antibody CPT 86717 | $182.25 | $243.00 | $6.77 – $22.05 | 17 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Lengthening of palate CPT 42227 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,238.75 | $2,985.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,136.25 | $1,515.00 | $145.73 – $262.31 | 17 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $191.25 | $255.00 | $145.73 – $262.31 | 17 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $83.13 | $110.83 | $10.14 – $10.14 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $143.45 – $313.31 | 16 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $18.70 | 16 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $42,325.47 | $56,433.96 | $1,765.57 – $3,178.03 | 17 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $30,791.46 | $41,055.27 | $176.20 – $317.16 | 17 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $568.18 – $1,248.40 | 16 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $39.95 – $71.90 | 16 |
| Levalbuterol non-comp unit HCPCS J7614 | $5.40 | $7.19 | $0.21 – $0.21 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $97.62 | $130.16 | $0.10 – $0.10 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $215.25 | $287.00 | $7.24 – $23.85 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $47.70 | $63.60 | $5.02 – $5.02 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $652.50 | $870.00 | $19.79 – $19.79 | 1 |
| Liberta rc ipg HCPCS C1820 | $63,376.43 | $84,501.90 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $25.89 | $34.51 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $78.00 | $104.00 | $6.95 – $26.44 | 17 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $90.65 – $163.17 | 16 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $46.87 – $84.37 | 16 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Lig/band angioaccess av fistula CPT 37607 | $3,213.75 | $4,285.00 | $3,225.87 – $5,806.57 | 17 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $64.32 – $115.78 | 16 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $358.87 – $645.96 | 16 |
| Liletta, 52 mg HCPCS J7297 | $3,445.08 | $4,593.43 | not published | 0 |
| Limb exercise test CPT 95875 | not published | not published | $131.46 – $236.63 | 16 |
| Limited visual field xm CPT 92081 | $96.75 | $129.00 | $60.27 – $108.49 | 17 |
| Lincomycin injection HCPCS J2010 | not published | not published | $14.44 – $33.92 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $119.81 | $159.74 | $8.93 – $8.93 | 1 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Lip surgery procedure CPT 40799 | not published | not published | $241.98 – $435.56 | 16 |
| Lipase CPT 83690 | $177.75 | $237.00 | $3.26 – $12.40 | 17 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $60.95 | 16 |
| Lipoprotein blood quant CPT 83704 | $254.25 | $339.00 | $15.83 – $61.54 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | $93.75 | $125.00 | $3.87 – $14.74 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $104.25 | $139.00 | $4.51 – $18.90 | 17 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $61.54 | 16 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $562,260.84 – $1,012,069.50 | 16 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $23.74 | 16 |
| Lithium therapeutic drug level CPT 80178 | $94.50 | $126.00 | $3.13 – $11.90 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,650.25 | $4,867.00 | $120.71 – $217.27 | 17 |
| Liver Function Test CPT 80076 | $141.75 | $189.00 | $2.99 – $14.71 | 17 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,113.94 – $2,005.09 | 16 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $812.25 | $1,083.00 | $176.19 – $317.14 | 17 |
| Liver elastography 91200 CPT 91200 | $552.75 | $737.00 | $131.46 – $236.63 | 17 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,305.99 – $2,350.79 | 16 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $421.28 – $998.51 | 16 |
| Liver imaging CPT 78201 | $1,241.25 | $1,655.00 | $386.07 – $998.51 | 17 |
| Liver/spleen imag static only CPT 78215 | $1,856.25 | $2,475.00 | $392.63 – $735.17 | 17 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $251.91 – $735.17 | 16 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $2.38 – $4.63 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $104,719.60 | $139,626.13 | $221.49 – $398.69 | 17 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $49.14 | $65.52 | $3.37 – $3.37 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $220.60 – $397.08 | 16 |
| Low back disk surgery CPT 63030 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $204.98 – $368.96 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,817.25 | $2,423.00 | $179.20 – $322.56 | 17 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,829.25 | $2,439.00 | $356.43 – $641.57 | 17 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,734.75 | $2,313.00 | $106.81 – $192.26 | 17 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,590.50 | $3,454.00 | $356.43 – $641.57 | 17 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,441.25 | $3,255.00 | $356.43 – $641.57 | 17 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,265.75 | $3,021.00 | $243.77 – $438.79 | 17 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $439.50 | $586.00 | $72.17 – $192.26 | 17 |
| Lower jaw bone graft CPT 21215 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Lumbar diskogram s&i CPT 72295 | $2,909.25 | $3,879.00 | $177.80 – $3,591.04 | 17 |
| Lumizyme injection HCPCS J0221 | $3,672.96 | $4,897.27 | $207.51 – $373.52 | 17 |
| Lung Function Test (Spirometry) CPT 94010 | $478.50 | $638.00 | $220.60 – $397.08 | 17 |
| Lung function test (mbc/mvv) CPT 94200 | $220.50 | $294.00 | $60.27 – $108.49 | 17 |
| Lung perfusion imaging CPT 78580 | $1,789.50 | $2,386.00 | $408.43 – $735.17 | 17 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,376.25 – $2,477.24 | 16 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $30,504.38 | $40,672.50 | $212.10 – $381.78 | 17 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $45,624.83 | $60,833.10 | $42.75 – $76.95 | 17 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $319.94 – $575.90 | 16 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $259.60 – $467.27 | 16 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,059.75 | $1,413.00 | $628.84 – $1,131.91 | 17 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.55 – $53.19 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | $2,379.00 | $3,172.00 | $640.89 – $1,153.60 | 17 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,379.00 | $3,172.00 | $1,608.25 – $2,894.85 | 17 |
| Lymph vessel x-ray trunk CPT 75805 | $2,489.25 | $3,319.00 | $3,225.87 – $5,806.57 | 17 |
| Lymph vessel x-ray trunk CPT 75807 | $2,489.25 | $3,319.00 | $3,225.87 – $5,806.57 | 17 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $8,350.42 – $15,030.76 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $2,091.75 | $2,789.00 | $554.73 – $998.51 | 17 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $65.81 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | $858.75 | $1,145.00 | $23.19 – $88.25 | 17 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $341.12 | 16 |
| Lysis intranasal synechia 30560 CPT 30560 | $3,098.25 | $4,131.00 | $551.01 – $991.82 | 17 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| M.avium-intra dna amp prob CPT 87561 | $489.75 | $653.00 | $17.13 – $63.16 | 17 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $49.12 | 16 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $48.38 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $59.63 – $107.33 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $435.00 | $580.00 | $126.65 – $313.31 | 17 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $103.68 – $313.31 | 16 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $119.75 – $215.55 | 16 |
| MRA abdomen post contrast CPT 74185 | $2,229.00 | $2,972.00 | $312.07 – $561.72 | 17 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,121.75 | $2,829.00 | $310.78 – $559.41 | 17 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $356.43 – $641.57 | 16 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $243.77 – $438.79 | 16 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $356.43 – $641.57 | 16 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,229.00 | $2,972.00 | $313.31 – $563.97 | 17 |
| MRA pelvis CPT 72198 | $2,229.00 | $2,972.00 | $312.31 – $562.15 | 17 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $356.43 – $641.57 | 16 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $243.77 – $438.79 | 16 |
| MRA spinal canal CPT 72159 | $1,320.00 | $1,760.00 | $313.53 – $564.35 | 17 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,574.25 | $2,099.00 | $300.88 – $541.59 | 17 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $356.43 – $641.57 | 16 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $356.43 – $641.57 | 16 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $243.77 – $438.79 | 16 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $243.77 – $438.79 | 16 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $356.43 – $641.57 | 16 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $356.43 – $641.57 | 16 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $356.43 – $641.57 | 16 |
| MRI brain w/dye CPT 70558 | not published | not published | $179.20 – $322.56 | 16 |
| MRI brain without & w/dye CPT 70559 | $2,608.50 | $3,478.00 | $179.20 – $322.56 | 17 |
| MRI brain without dye CPT 70557 | not published | not published | $558.25 – $1,004.85 | 16 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $243.77 – $438.79 | 16 |
| MRI breast c-+ w/cad uni CPT 77048 | $303.75 | $405.00 | $311.38 – $560.49 | 17 |
| MRI breast w IV cont bi CPT 77049 | $303.75 | $405.00 | $317.15 – $570.87 | 17 |
| MRI breast without cont bi CPT 77047 | $262.50 | $350.00 | $243.77 – $438.79 | 17 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,379.00 | $3,172.00 | $243.77 – $438.79 | 17 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,945.25 | $3,927.00 | $356.43 – $641.57 | 17 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $3,879.75 | $5,173.00 | $800.90 – $1,441.62 | 17 |
| MRI chest w IV cont CPT 71551 | $2,105.25 | $2,807.00 | $800.90 – $1,441.62 | 17 |
| MRI chest without & w/contrast CPT 71552 | $2,877.75 | $3,837.00 | $356.43 – $641.57 | 17 |
| MRI chest without contrast CPT 71550 | $1,818.00 | $2,424.00 | $243.77 – $438.79 | 17 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $185.53 – $333.96 | 16 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $243.77 – $438.79 | 16 |
| MRI guid ndl plc s&i CPT 77021 | $1,454.25 | $1,939.00 | $394.22 – $709.60 | 17 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $1,160.78 – $1,160.78 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,259.00 | $3,012.00 | $356.43 – $641.57 | 17 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,628.75 | $3,505.00 | $356.43 – $641.57 | 17 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,127.00 | $2,836.00 | $243.77 – $438.79 | 17 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,776.50 | $3,702.00 | $356.43 – $641.57 | 17 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,181.00 | $2,908.00 | $356.43 – $641.57 | 17 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,883.25 | $2,511.00 | $243.77 – $438.79 | 17 |
| MRI tmj CPT 70336 | $1,860.00 | $2,480.00 | $243.77 – $438.79 | 17 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,628.75 | $3,505.00 | $356.43 – $641.57 | 17 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,127.00 | $2,836.00 | $243.77 – $438.79 | 17 |
| MRI upper extremity w/dye CPT 73219 | $2,550.75 | $3,401.00 | $356.43 – $641.57 | 17 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $356.43 – $641.57 | 16 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $179.20 – $322.56 | 16 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $356.43 – $641.57 | 16 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $356.43 – $641.57 | 16 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $14.50 – $57.05 | 16 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $7.69 | 16 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.31 – $7.76 | 16 |
| Magnesium CPT 83735 | $96.00 | $128.00 | $2.73 – $12.06 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $23.30 | $31.06 | $1.26 – $1.26 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $243.77 – $438.79 | 16 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $74.49 – $74.49 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $23.74 | 16 |
| Male sling procedure CPT 53440 | not published | not published | $13,479.22 – $24,262.60 | 16 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,718.97 – $4,894.15 | 16 |
| Manipulat palm cord post inj CPT 26341 | $532.50 | $710.00 | $252.01 – $453.62 | 17 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $216.75 | $289.00 | $135.93 – $244.67 | 17 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $219.00 | $292.00 | $135.93 – $244.67 | 17 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Manipulation of spine CPT 22505 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $5.74 – $16.56 | 2 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $9.13 | 16 |
| Map tachycard site(s) CPT 93609 | $10,926.00 | $14,568.00 | not published | 0 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $1,137.75 | $1,517.00 | $291.63 – $524.94 | 17 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $141.31 – $254.36 | 16 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $9,885.94 | $13,181.25 | $53.27 – $95.89 | 17 |
| Marker biop eviva buckle ss HCPCS A4648 | $819.00 | $1,092.00 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,254.00 – $2,257.20 | 16 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,045.22 – $1,881.39 | 16 |
| Mast mod rad CPT 19307 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Mast simple complete CPT 19303 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Mastectomy partial CPT 19301 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mastoidectomy CPT 69501 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mastoids complete CPT 70130 | $524.25 | $699.00 | $106.81 – $192.26 | 17 |
| Mastopexy CPT 19316 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $127.14 – $228.85 | 16 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,545.00 – $6,545.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $53.64 – $228.85 | 16 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $117.00 | $156.00 | $7.28 – $26.03 | 17 |
| Mayo aathr protein s free CPT 85306 | $226.50 | $302.00 | $8.11 – $27.58 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $170.25 | $227.00 | $7.49 – $27.58 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $3,813.75 | $5,085.00 | $38.57 – $69.43 | 17 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $70.50 | $94.00 | $0.03 – $17.64 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $627.75 | $837.00 | $0.03 – $28.22 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $222.00 | $296.00 | $7.00 – $26.60 | 17 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $270.75 | $361.00 | $0.03 – $49.02 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $398.25 | $531.00 | $6.36 – $24.19 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $207.75 | $277.00 | $8.00 – $27.14 | 17 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $94.50 | $126.00 | $0.03 – $25.38 | 3 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $102.75 | $137.00 | $0.03 – $25.44 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $218.93 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $215.25 | $287.00 | $43.83 – $164.99 | 17 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $368.25 | $491.00 | $137.00 – $246.60 | 17 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,416.75 | $1,889.00 | $16.07 – $2,088.00 | 17 |
| Mayo androstenedione CPT 82157 | $249.00 | $332.00 | $13.85 – $52.70 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $59.25 | $79.00 | $7.59 – $26.28 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $88.50 | $118.00 | $5.85 – $19.46 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $106.50 | $142.00 | $6.50 – $27.09 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $911.25 | $1,215.00 | $9.42 – $55.55 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $105.00 | $140.00 | $35.09 – $63.16 | 17 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $501.00 | $668.00 | $0.03 – $18.70 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $104.25 | $139.00 | $5.03 – $18.32 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $318.75 | $425.00 | $60.88 – $260.71 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $386.32 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $262.50 | $350.00 | $6.36 – $23.22 | 17 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $128.25 | $171.00 | $0.03 – $28.03 | 3 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $135.75 | $181.00 | $6.24 – $23.74 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | $324.75 | $433.00 | $5.13 – $16.07 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $183.00 | $244.00 | $6.43 – $24.48 | 17 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $333.75 | $445.00 | $0.03 – $29.32 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $110.25 | $147.00 | $7.70 – $30.37 | 17 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $773.25 | $1,031.00 | $13.09 – $48.20 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $333.00 | $444.00 | $120.18 – $220.00 | 17 |
| Mayo ceruloplasmin CPT 82390 | $117.75 | $157.00 | $5.08 – $19.33 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $377.25 | $503.00 | $6.68 – $25.42 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $423.00 | $564.00 | $6.87 – $23.18 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $128.25 | $171.00 | $5.59 – $21.28 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $93.00 | $124.00 | $6.01 – $22.82 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $519.00 | $692.00 | $61.25 – $209.68 | 17 |
| Mayo chromium CPT 82495 | $129.75 | $173.00 | $9.60 – $36.50 | 17 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $297.00 | $396.00 | $0.03 – $24.74 | 3 |
| Mayo coccidioides antibody CPT 86635 | $124.50 | $166.00 | $6.16 – $20.65 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $1,213.50 | $1,618.00 | $8.31 – $43.36 | 17 |
| Mayo cortisol free CPT 82530 | $183.00 | $244.00 | $7.91 – $30.08 | 17 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $122.25 | $163.00 | $42.13 – $75.83 | 17 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $110.25 | $147.00 | $6.36 – $21.82 | 17 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $156.00 | $208.00 | $0.03 – $32.33 | 3 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $161.25 | $215.00 | $0.03 – $19.01 | 3 |
| Mayo cyanide CPT 82600 | $170.25 | $227.00 | $9.06 – $34.92 | 17 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $174.06 – $313.31 | 16 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $96.00 | $128.00 | $6.98 – $23.85 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $276.75 | $369.00 | $11.96 – $45.49 | 17 |
| Mayo dihydrotestosterone CPT 82642 | $169.50 | $226.00 | $29.28 – $52.70 | 17 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $17.35 | 16 |
| Mayo efpo chloride stool CPT 82438 | $102.00 | $136.00 | $2.57 – $9.00 | 17 |
| Mayo estriol CPT 82677 | $173.25 | $231.00 | $11.44 – $43.52 | 17 |
| Mayo estrone CPT 82679 | $123.00 | $164.00 | $9.64 – $44.91 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $138.75 | $185.00 | $8.52 – $29.41 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $245.25 | $327.00 | $7.49 – $24.71 | 17 |
| Mayo factor ii CPT 85210 | $190.50 | $254.00 | $5.85 – $23.36 | 17 |
| Mayo factor v CPT 85220 | $219.00 | $292.00 | $5.95 – $31.77 | 17 |
| Mayo factor vii CPT 85230 | $204.00 | $272.00 | $5.95 – $32.22 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $150.00 | $200.00 | $12.11 – $41.29 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $656.25 | $875.00 | $12.11 – $41.29 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $414.75 | $553.00 | $12.11 – $41.29 | 17 |
| Mayo factor x CPT 85260 | $250.50 | $334.00 | $5.95 – $32.22 | 17 |
| Mayo factor xi CPT 85270 | $288.75 | $385.00 | $5.95 – $32.22 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $62.25 | $83.00 | $7.95 – $30.24 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $127.50 | $170.00 | $4.62 – $36.83 | 17 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $80.46 – $144.83 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $57.75 | $77.00 | $2.47 – $14.08 | 17 |
| Mayo fibrinogen antigen CPT 85385 | $230.25 | $307.00 | $4.02 – $26.03 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $159.75 | $213.00 | $7.24 – $39.01 | 17 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $7,125.00 | $9,500.00 | $0.01 – $0.01 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $50.25 | $67.00 | $2.15 – $8.55 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $237.75 | $317.00 | $16.60 – $63.16 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $63.16 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $161.25 | $215.00 | $6.57 – $24.82 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $46.46 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $274.50 | $366.00 | $4.20 – $16.00 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | not published | not published | $13.52 – $24.34 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $120.75 | $161.00 | $12.85 – $48.91 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,192.50 | $1,590.00 | $6.12 – $31.09 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $154.50 | $206.00 | $7.09 – $26.98 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $83.25 | $111.00 | $10.26 – $37.46 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $186.75 | $249.00 | $6.76 – $37.46 | 17 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $63.16 | 16 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $141.75 | $189.00 | $5.67 – $28.93 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $351.00 | $468.00 | $6.02 – $21.56 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $554.25 | $739.00 | $17.61 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $98.25 | $131.00 | $35.09 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $744.75 | $993.00 | $17.13 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $292.50 | $390.00 | $35.09 – $63.16 | 17 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $546.75 | $729.00 | $17.13 – $77.11 | 17 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $258.75 | $345.00 | $72.19 – $129.94 | 17 |
| Mayo infliximab therapeutic drug level CPT 80230 | $4,117.50 | $5,490.00 | $38.57 – $69.43 | 17 |
| Mayo inhab inhibin a CPT 86336 | $309.75 | $413.00 | $15.59 – $28.06 | 17 |
| Mayo insft insulin free CPT 83527 | $56.25 | $75.00 | $10.67 – $23.31 | 17 |
| Mayo insulin antibodies CPT 86337 | $117.00 | $156.00 | $12.21 – $38.54 | 17 |
| Mayo iodine CPT 83789 | $571.50 | $762.00 | $8.31 – $43.40 | 17 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $159.00 | $212.00 | $27.11 – $48.80 | 17 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $265.50 | $354.00 | $27.11 – $48.80 | 17 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $171.00 | $228.00 | $7.24 – $23.85 | 17 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $104.25 | $139.00 | $6.77 – $23.02 | 17 |
| Mayo legionella antibody CPT 86713 | $87.00 | $116.00 | $8.00 – $27.54 | 17 |
| Mayo leptospira antibody igm CPT 86720 | $82.50 | $110.00 | $6.98 – $29.16 | 17 |
| Mayo lipoprotein electrophoresis CPT 83700 | $45.75 | $61.00 | $5.55 – $20.27 | 17 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $180.00 | $240.00 | $7.33 – $27.88 | 17 |
| Mayo manganese CPT 83785 | $148.50 | $198.00 | $11.63 – $47.97 | 17 |
| Mayo metanephrines plasma CPT 83835 | $803.25 | $1,071.00 | $8.01 – $30.49 | 17 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $127.50 | $170.00 | $0.03 – $26.66 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $507.00 | $676.00 | $12.05 – $21.69 | 17 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $18.40 – $33.12 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $177.00 | $236.00 | $6.88 – $26.19 | 17 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $503.25 | $671.00 | $5.44 – $33.55 | 17 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $886.50 | $1,182.00 | $50.00 – $246.60 | 17 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $333.36 | 16 |
| Mayo muramidase CPT 85549 | $96.75 | $129.00 | $8.87 – $33.75 | 17 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,833.00 | $2,444.00 | $18.40 – $33.12 | 17 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $581.25 | $775.00 | $9.85 – $32.49 | 17 |
| Mayo myoglobin CPT 83874 | $165.00 | $220.00 | $6.87 – $23.26 | 17 |
| Mayo nickel CPT 83885 | $90.00 | $120.00 | $11.59 – $44.12 | 17 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $99.00 | $132.00 | $0.03 – $41.98 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $86.25 | $115.00 | $0.03 – $35.78 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $111.00 | $148.00 | $0.03 – $31.91 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $375.75 | $501.00 | $7.79 – $38.18 | 17 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $29.61 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $183.00 | $244.00 | $6.09 – $26.01 | 17 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $20.75 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $136.50 | $182.00 | $7.11 – $27.05 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,833.00 | $2,444.00 | $12.05 – $21.69 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $735.00 | $980.00 | $16.60 – $63.16 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $255.75 | $341.00 | $10.12 – $32.36 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $120.75 | $161.00 | $7.28 – $24.77 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $131.25 | $175.00 | $4.41 – $15.19 | 17 |
| Mayo pregnenolone CPT 84140 | $175.50 | $234.00 | $15.90 – $37.21 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $157.50 | $210.00 | $8.11 – $29.86 | 17 |
| Mayo proinsulin CPT 84206 | $206.25 | $275.00 | $8.21 – $48.04 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $128.25 | $171.00 | $8.70 – $33.10 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,768.50 | $2,358.00 | $6.39 – $33.12 | 17 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $277.50 | $370.00 | $5.44 – $24.05 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $159.00 | $212.00 | $18.57 – $65.83 | 17 |
| Mayo renin CPT 84244 | $147.75 | $197.00 | $8.21 – $39.58 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $69.00 | $92.00 | $13.62 – $32.09 | 17 |
| Mayo selenium CPT 84255 | $177.00 | $236.00 | $12.08 – $45.95 | 17 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $27.90 | 16 |
| Mayo serotonin CPT 84260 | $202.50 | $270.00 | $14.65 – $55.76 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $122.25 | $163.00 | $9.54 – $34.83 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $250.50 | $334.00 | $6.88 – $24.71 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $137.25 | $183.00 | $92.03 – $165.65 | 17 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $52.50 | $70.00 | $2.02 – $7.69 | 17 |
| Mayo tau phosphorylated 217 each CPT 84393 | $504.00 | $672.00 | $128.92 – $232.06 | 17 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $501.75 | $669.00 | $150.97 – $376.06 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $121.50 | $162.00 | $12.04 – $45.85 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $193.50 | $258.00 | $9.64 – $46.46 | 17 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $39.91 | 16 |
| Mayo thyroglobulin CPT 84432 | $665.25 | $887.00 | $7.60 – $28.91 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $189.00 | $252.00 | $4.81 – $18.32 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $153.75 | $205.00 | $6.57 – $22.30 | 17 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $69.75 | $93.00 | $0.03 – $25.87 | 3 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $92.30 | 16 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $55.50 | $74.00 | $5.64 – $25.49 | 17 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $126.00 | $168.00 | $4.54 – $24.37 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $326.25 | $435.00 | $27.09 – $63.59 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $104.25 | $139.00 | $10.67 – $36.43 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | $147.00 | $196.00 | $5.85 – $30.71 | 17 |
| Mayo vitamin k CPT 84597 | $458.25 | $611.00 | $7.08 – $24.70 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $300.00 | $400.00 | $7.24 – $23.85 | 17 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $800.30 – $1,440.54 | 16 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $70.76 | 16 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $381.24 – $686.23 | 16 |
| Measure kidney pressure CPT 50396 | not published | not published | $712.40 – $1,282.32 | 16 |
| Measure ureter pressure CPT 50686 | not published | not published | $131.46 – $236.63 | 16 |
| Measurement post void urine by ultrasound CPT 51798 | $266.25 | $355.00 | $60.27 – $108.49 | 17 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $1,105.65 – $1,105.65 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $270.00 | 16 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $950.17 | 16 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $216.00 | 16 |
| Med physic dos eval rad exps CPT 76145 | $621.00 | $828.00 | $381.24 – $686.23 | 17 |
| Medial canthopexy CPT 21280 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $252.10 | $336.13 | $1.47 – $1.47 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $877.34 – $1,579.21 | 16 |
| Meg spontaneous CPT 95965 | not published | not published | $877.34 – $1,579.21 | 16 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.98 – $0.98 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $3,037.50 | $4,050.00 | $127.14 – $228.85 | 17 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $4,218.75 | $5,625.00 | $70.30 – $70.30 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $127.14 – $228.85 | 16 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $127.14 – $228.85 | 16 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $235,134.00 | $313,512.00 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $127.14 – $228.85 | 16 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $127.14 – $228.85 | 16 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $23.88 | $31.84 | $40.39 – $40.39 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $11,523.04 | $15,364.05 | $31.82 – $57.28 | 17 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $102.84 | $137.11 | $1.11 – $1.11 | 1 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $127.14 – $228.85 | 16 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $64.37 – $64.37 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $216.35 – $389.44 | 16 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $73.95 | $98.60 | $3.42 – $3.42 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $123.00 | $164.00 | $3.47 – $15.23 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $198.00 | $264.00 | $5.00 – $19.01 | 17 |
| Metabolic panel ionized ca CPT 80047 | $121.50 | $162.00 | $9.77 – $24.71 | 17 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $2,776.62 | $3,702.15 | $4.43 – $4.43 | 1 |
| Methadone injection HCPCS J1230 | $725.09 | $966.78 | $58.97 – $58.97 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $38.39 | $51.18 | $12.30 – $12.30 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $215.83 | $287.77 | $5.82 – $5.82 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $466.63 | $622.17 | $0.49 – $0.49 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $66.75 | $89.00 | $38.57 – $69.43 | 17 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $4,037.33 | $5,383.10 | $10.29 – $18.52 | 17 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $76.59 | $102.12 | $56.76 – $56.76 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $582.48 | $776.63 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $685.89 | $914.52 | $0.59 – $0.59 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $67.62 | $90.15 | $0.31 – $0.31 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $306.72 | $408.95 | $0.64 – $0.64 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $12.40 | $16.53 | $2.55 – $2.55 | 1 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $7.59 | $10.11 | $0.33 – $0.33 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $11.84 | $15.78 | $0.05 – $0.05 | 1 |
| Mgmt promoter methylation analysis CPT 81287 | $261.75 | $349.00 | $99.61 – $224.35 | 17 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $691.44 | $921.91 | $0.77 – $0.77 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $11.21 | 16 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $72.31 | 16 |
| Microdissection laser CPT 88380 | not published | not published | $110.69 – $199.25 | 16 |
| Microdissection manual CPT 88381 | $262.50 | $350.00 | $126.82 – $311.49 | 17 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $40.46 | 16 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $627.41 | 16 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $195.04 – $351.07 | 16 |
| Microvolt t-wave assess CPT 93025 | $1,542.00 | $2,056.00 | $131.46 – $236.63 | 17 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $102.80 | $137.06 | $0.41 – $0.41 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $97.25 | $129.66 | $0.39 – $0.39 | 1 |
| Middle cerebral artery echo CPT 76821 | $645.75 | $861.00 | $106.81 – $192.26 | 17 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $127.93 – $127.93 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $58.43 | $77.90 | $3.60 – $3.60 | 1 |
| Minocycline hydrochloride HCPCS J2265 | $884.76 | $1,179.68 | $2.66 – $4.80 | 17 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.13 – $128.03 | 16 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $4,332.81 | $5,777.08 | $28.46 – $51.23 | 17 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $323.17 – $581.71 | 16 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $437.16 | $582.88 | $38.61 – $69.51 | 17 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,577.95 – $4,640.31 | 16 |
| Mlh1 gene CPT 81288 | $290.25 | $387.00 | $192.32 – $346.18 | 17 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $364.32 | 16 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,215.72 | 16 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $595.80 | 16 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $88.91 – $160.04 | 16 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $82.52 – $148.54 | 16 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $30.31 – $54.56 | 16 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $105.44 – $189.80 | 16 |
| Modification of contact lens CPT 92325 | not published | not published | $135.93 – $244.67 | 16 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $554.31 – $997.77 | 16 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,265.97 – $2,278.75 | 16 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $924.00 | $1,232.00 | $14.46 – $67.91 | 17 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $20.42 | 16 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,575.00 | $14,100.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | $2,155.28 | $2,873.70 | $655.34 – $1,179.61 | 17 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $136.02 – $244.84 | 16 |
| Mopath procedure level 1 CPT 81400 | $1,012.50 | $1,350.00 | $25.00 – $115.13 | 17 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $270.59 | 16 |
| Mopath procedure level 5 CPT 81404 | $1,825.50 | $2,434.00 | $274.83 – $494.69 | 17 |
| Mopath procedure level 6 CPT 81405 | $2,340.75 | $3,121.00 | $301.35 – $542.43 | 17 |
| Mopath procedure level 7 CPT 81406 | $2,340.75 | $3,121.00 | $282.88 – $509.18 | 17 |
| Mopath procedure level 8 CPT 81407 | $1,587.00 | $2,116.00 | $800.00 – $1,523.29 | 17 |
| Mopath procedure level 9 CPT 81408 | $2,250.00 | $3,000.00 | $1,000.00 – $3,600.00 | 17 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,132.55 | $1,510.06 | $27.77 – $27.77 | 1 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $46.08 | $61.43 | $11.69 – $11.69 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $8.37 | $11.16 | $20.93 – $20.93 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $174.06 – $313.31 | 16 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $311.25 | $415.00 | $69.19 – $659.18 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $311.25 | $415.00 | $44.17 – $313.31 | 17 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $654.54 – $1,178.18 | 16 |
| Motion analysis video/3d CPT 96000 | not published | not published | $381.24 – $686.23 | 16 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $877.34 – $1,579.21 | 16 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $456.40 – $821.52 | 16 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $270.59 | 16 |
| Mr elastography CPT 76391 | not published | not published | $243.77 – $438.79 | 16 |
| Mr safety determination physician/other qhp CPT 76016 | $102.75 | $137.00 | $88.91 – $160.04 | 17 |
| Mr safety implant elec prepj CPT 76018 | $108.00 | $144.00 | $97.13 – $174.83 | 17 |
| Mr safety implt pos&/immoblj CPT 76019 | $70.50 | $94.00 | $60.27 – $108.49 | 17 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $30.00 | $40.00 | $29.55 – $53.19 | 17 |
| Mr sfty med physics xm cstmz CPT 76017 | $283.50 | $378.00 | $243.77 – $438.79 | 17 |
| Mr spectroscopy CPT 76390 | $1,610.25 | $2,147.00 | $88.91 – $160.04 | 17 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $356.43 – $641.57 | 16 |
| Mra, w/dye, upper extremity HCPCS C8934 | $1,976.25 | $2,635.00 | $356.43 – $641.57 | 17 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $417.75 | $557.00 | $356.43 – $641.57 | 17 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $356.43 – $641.57 | 16 |
| Mra, without dye, spinal canal HCPCS C8932 | $1,867.50 | $2,490.00 | $243.77 – $438.79 | 17 |
| Mra, without dye, upper extr HCPCS C8935 | $1,833.75 | $2,445.00 | $243.77 – $438.79 | 17 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $383.94 | 16 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $687.06 | 16 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $607.91 | 16 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $428.40 | 16 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,155.33 | 16 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $554.40 | 16 |
| Mthfr gene analy common variants CPT 81291 | $986.25 | $1,315.00 | $43.83 – $117.61 | 17 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $10.55 | 16 |
| Mucopolysaccharides CPT 83864 | $911.25 | $1,215.00 | $6.87 – $51.30 | 17 |
| Multi family grp psychotherapy CPT 90849 | $370.50 | $494.00 | $181.34 – $326.41 | 17 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $131.46 – $236.63 | 16 |
| Multiple sleep latency test CPT 95805 | $2,395.50 | $3,194.00 | $877.34 – $1,579.21 | 17 |
| Mumps antibody igg CPT 86735 | $148.50 | $198.00 | $6.17 – $23.49 | 17 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Muscle test cran nerv unilat CPT 95867 | $773.25 | $1,031.00 | $220.60 – $397.08 | 17 |
| Muscle test hemidiaphragm CPT 95866 | $733.50 | $978.00 | $131.46 – $236.63 | 17 |
| Muscle test larynx CPT 95865 | $771.00 | $1,028.00 | $135.93 – $244.67 | 17 |
| Muscle test one fiber CPT 95872 | $645.75 | $861.00 | $220.60 – $397.08 | 17 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Muscle transfers CPT 23397 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Mycobacteria dna amp probe CPT 87551 | $444.75 | $593.00 | $17.13 – $86.83 | 17 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6,452.88 | $8,603.84 | $0.39 – $0.39 | 1 |
| Mycophenolic acid HCPCS J7518 | $6,135.49 | $8,180.65 | $0.93 – $0.93 | 1 |
| Mycoplasma antibody igm CPT 86738 | $183.00 | $244.00 | $6.27 – $23.83 | 17 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $370.50 | $494.00 | $175.40 – $315.72 | 17 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $217.08 – $1,441.62 | 16 |
| Myelography l-s spine CPT 72265 | not published | not published | $171.23 – $1,441.62 | 16 |
| Myelography neck spine CPT 72240 | not published | not published | $169.59 – $1,441.62 | 16 |
| Myelography thoracic spine CPT 72255 | not published | not published | $159.76 – $1,441.62 | 16 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,226.50 | $4,302.00 | $800.90 – $1,441.62 | 17 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,186.00 | $4,248.00 | $800.90 – $1,441.62 | 17 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,333.25 | $3,111.00 | $800.90 – $1,441.62 | 17 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,226.50 | $4,302.00 | $800.90 – $1,441.62 | 17 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $911.25 | $1,215.00 | $5.46 – $20.75 | 17 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,415.44 – $4,347.79 | 16 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,460.92 – $2,629.66 | 16 |
| Myocrd img pet 1std rst/strs CPT 78491 | $4,928.25 | $6,571.00 | $1,460.92 – $2,629.66 | 17 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $2,250.50 – $4,050.90 | 16 |
| Myocrd img pet mlt rst&strs CPT 78492 | $5,301.00 | $7,068.00 | $1,460.92 – $2,629.66 | 17 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $1,460.92 – $2,629.66 | 16 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $995.07 – $1,791.13 | 16 |
| Myomectomy abdom method CPT 58140 | not published | not published | $795.57 – $1,432.02 | 16 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Myringoplasty CPT 69620 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| N block inj common digit CPT 64632 | not published | not published | $313.60 – $564.48 | 16 |
| N block inj hypogas plxs CPT 64517 | $2,031.75 | $2,709.00 | $903.63 – $1,626.53 | 17 |
| N-invas est c ffr sw aly cta CPT 75580 | $2,020.50 | $2,694.00 | $877.34 – $1,579.21 | 17 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $79.98 | $106.63 | $0.13 – $0.13 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $178.93 | $238.57 | $9.03 – $9.03 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $116.48 | $155.30 | $0.15 – $0.15 | 1 |
| Naltrexone, depot form HCPCS J2315 | $5,794.40 | $7,725.86 | $4.25 – $7.64 | 17 |
| Narcosynthesis CPT 90865 | not published | not published | $181.34 – $326.41 | 16 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $600.00 | $800.00 | $203.93 – $367.07 | 17 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $283.50 | $378.00 | $241.98 – $435.56 | 17 |
| Nasal function studies CPT 92512 | not published | not published | $220.60 – $397.08 | 16 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,818.45 – $3,273.21 | 16 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $4,086.00 | $5,448.00 | $1,818.45 – $3,273.21 | 17 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $399.59 – $719.26 | 16 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,818.45 – $3,273.21 | 16 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $279.75 | $373.00 | $203.93 – $367.07 | 17 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $32,830.92 | $43,774.56 | $24.32 – $43.78 | 17 |
| Natriuretic peptide CPT 83880 | $206.25 | $275.00 | $16.06 – $70.67 | 17 |
| Natural killer cells total count CPT 86357 | $262.50 | $350.00 | $18.92 – $67.91 | 17 |
| Navigational bronchoscopy 31627 CPT 31627 | $190.50 | $254.00 | $1,061.12 – $1,910.02 | 17 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $255.26 – $459.47 | 16 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $376.50 | $502.00 | $135.93 – $244.67 | 17 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $22.50 | $30.00 | $29.55 – $53.19 | 17 |
| Ndl insj without njx 3+ musc CPT 20561 | $34.50 | $46.00 | $29.55 – $53.19 | 17 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $60.27 – $108.49 | 16 |
| Ndl round specialty proguide HCPCS C1715 | $27.00 | $36.00 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | not published | not published | $179.20 – $322.56 | 16 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,732.50 | $2,310.00 | $356.43 – $641.57 | 17 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,568.25 | $2,091.00 | $106.81 – $192.26 | 17 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,590.50 | $3,454.00 | $356.43 – $641.57 | 17 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,373.75 | $3,165.00 | $356.43 – $641.57 | 17 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,194.50 | $2,926.00 | $243.77 – $438.79 | 17 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,229.00 | $2,972.00 | $356.43 – $641.57 | 17 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,998.00 | $2,664.00 | $356.43 – $641.57 | 17 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,779.75 | $2,373.00 | $243.77 – $438.79 | 17 |
| Neck spine disk surgery CPT 63020 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $213.66 – $384.60 | 16 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $182.25 | $243.00 | $74.57 – $134.23 | 17 |
| Neisseria meningitidis CPT 86741 | $433.50 | $578.00 | $6.98 – $23.74 | 17 |
| Nelarabine injection HCPCS J9261 | $2,265.28 | $3,020.37 | $52.71 – $94.87 | 17 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $99.51 | $132.67 | not published | 0 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $942.04 – $1,695.67 | 16 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $323.25 | $431.00 | $220.60 – $397.08 | 17 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $127.50 | $170.00 | $73.92 – $133.06 | 17 |
| Nerve conduction 7-8 studies CPT 95910 | $2,176.50 | $2,902.00 | $381.24 – $686.23 | 17 |
| Nerve conduction studies 1-2 CPT 95907 | $797.25 | $1,063.00 | $220.60 – $397.08 | 17 |
| Nerve conduction studies 11-12 CPT 95912 | $3,818.25 | $5,091.00 | $381.24 – $686.23 | 17 |
| Nerve conduction studies 13+ CPT 95913 | $4,900.50 | $6,534.00 | $381.24 – $686.23 | 17 |
| Nerve conduction studies 3-4 CPT 95908 | $1,221.75 | $1,629.00 | $220.60 – $397.08 | 17 |
| Nerve conduction studies 5-6 CPT 95909 | $1,914.00 | $2,552.00 | $220.60 – $397.08 | 17 |
| Nerve conduction studies 9-10 CPT 95911 | $3,230.25 | $4,307.00 | $381.24 – $686.23 | 17 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nerve teasing preparations CPT 88362 | not published | not published | $239.07 – $1,481.63 | 16 |
| Nesiritide injection HCPCS J2325 | not published | not published | $251.93 – $251.93 | 1 |
| Neurectomy foot CPT 28055 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Neurectomy hamstring CPT 27325 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Neurectomy popliteal CPT 27326 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Neuroeltrd stim post tibial CPT 64566 | $710.25 | $947.00 | $313.60 – $564.48 | 17 |
| Neurolysis celiac plexus CPT 64680 | $2,847.00 | $3,796.00 | $903.63 – $1,626.53 | 17 |
| Neurolysis trigeminal nerve CPT 64600 | $1,056.75 | $1,409.00 | $903.63 – $1,626.53 | 17 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $420.00 | $560.00 | $131.46 – $236.63 | 17 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.13 – $75.83 | 16 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $143.30 | 16 |
| Neutron beam tx complex CPT 77423 | not published | not published | $207.82 – $1,016.12 | 16 |
| New Patient Office Visit (level 2) CPT 99202 | not published | not published | $71.54 – $128.77 | 16 |
| New Patient Office Visit (level 3) CPT 99203 | not published | not published | $112.50 – $202.50 | 16 |
| New Patient Office Visit (level 4) CPT 99204 | not published | not published | $170.25 – $306.44 | 16 |
| New Patient Office Visit (level 5) CPT 99205 | not published | not published | $227.52 – $409.54 | 16 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $473.38 | 16 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.21 – $0.35 | 2 |
| Nipple exploration CPT 19110 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $13.61 – $24.50 | 16 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $74.88 | $99.84 | $3.63 – $3.63 | 1 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $29,956.95 | $39,942.59 | $33.62 – $60.52 | 17 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $201.76 – $363.16 | 16 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $903.63 – $1,626.53 | 16 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $801.75 | $1,069.00 | $721.17 – $1,298.11 | 17 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $903.63 – $1,626.53 | 16 |
| Njx aa&/strd vagus nrv CPT 64408 | $345.75 | $461.00 | $313.60 – $564.48 | 17 |
| Njx cath slct p angrph mapca CPT 93575 | $1,301.25 | $1,735.00 | $88.18 – $158.73 | 17 |
| Njx cath slct p-art angrp bi CPT 93573 | $1,951.50 | $2,602.00 | $59.75 – $107.55 | 17 |
| Njx cath slct pulm vn angrph CPT 93574 | $1,301.25 | $1,735.00 | $65.65 – $118.17 | 17 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Njx cth slct p-art angrp uni CPT 93569 | $1,301.25 | $1,735.00 | $36.25 – $65.25 | 17 |
| Njx interlaminar crv/thrc CPT 62324 | $1,843.50 | $2,458.00 | $903.63 – $1,626.53 | 17 |
| Njx interlaminar crv/thrc CPT 62325 | $2,067.00 | $2,756.00 | $903.63 – $1,626.53 | 17 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,953.00 | $2,604.00 | $903.63 – $1,626.53 | 17 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,970.25 | $2,627.00 | $903.63 – $1,626.53 | 17 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $612.00 | $816.00 | $712.40 – $1,282.32 | 17 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,543.25 | $3,391.00 | $408.43 – $735.17 | 17 |
| Nm imaging bone/joint whole body CPT 78306 | $2,499.75 | $3,333.00 | $408.43 – $735.17 | 17 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,746.00 | $2,328.00 | $406.54 – $735.17 | 17 |
| Nm imaging gastric emptying study CPT 78264 | $1,431.75 | $1,909.00 | $408.43 – $735.17 | 17 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,023.50 | $2,698.00 | $408.43 – $735.17 | 17 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,326.50 | $3,102.00 | $554.73 – $998.51 | 17 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,674.75 | $2,233.00 | $295.30 – $998.51 | 17 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,622.00 | $3,496.00 | $554.73 – $998.51 | 17 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,419.00 | $1,892.00 | $408.43 – $735.17 | 17 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,642.50 | $2,190.00 | $126.31 – $429.10 | 17 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $27,500.50 – $49,500.90 | 16 |
| Non-card vasc flow imaging CPT 78445 | $914.25 | $1,219.00 | $404.92 – $735.17 | 17 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $38.16 – $68.69 | 16 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $38.16 – $68.69 | 16 |
| Non-imaging heart function CPT 78414 | not published | not published | $119.50 – $998.51 | 16 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $356.43 – $641.57 | 16 |
| Noninv pace analysis CPT 93724 | $504.00 | $672.00 | $313.79 – $564.82 | 17 |
| Noonan spectrum disorders CPT 81442 | $2,412.00 | $3,216.00 | $722.52 – $3,858.48 | 17 |
| Npm1 gene CPT 81310 | $376.50 | $502.00 | $44.71 – $443.74 | 17 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $115.50 | $154.00 | $27.78 – $50.01 | 17 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $117.00 | $156.00 | $4.89 – $8.81 | 17 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $115.50 | $154.00 | $24.83 – $44.70 | 17 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $316.50 | $422.00 | $381.24 – $686.23 | 17 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $153.75 | $205.00 | $95.11 – $171.20 | 17 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $1,826.78 – $3,288.20 | 16 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $295.79 – $532.42 | 16 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $6,921.00 | $9,228.00 | $6,048.05 – $10,886.49 | 17 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,818.45 – $3,273.21 | 16 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $932.90 | 16 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $2,322.99 – $2,322.99 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $2,322.99 – $2,322.99 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,417.25 | $7,223.00 | $881.87 – $2,380.84 | 17 |
| Nuclear exam of tear flow CPT 78660 | $951.75 | $1,269.00 | $275.54 – $735.17 | 17 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $39.20 | 16 |
| Nuclear rx IV admin CPT 79101 | $1,315.50 | $1,754.00 | $132.03 – $429.10 | 17 |
| Nuclear rx intra-arterial CPT 79445 | $1,467.00 | $1,956.00 | $216.76 – $429.10 | 17 |
| Nuclear rx intra-articular CPT 79440 | $288.75 | $385.00 | $97.66 – $429.10 | 17 |
| Nuclear rx intracav admin CPT 79200 | $1,755.00 | $2,340.00 | $129.71 – $429.10 | 17 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $103.01 – $429.10 | 16 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $524.45 | 16 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $83.02 – $149.43 | 16 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $134.05 – $241.30 | 16 |
| Nushield 1 square cm HCPCS Q4160 | $501.00 | $668.00 | $127.14 – $228.85 | 17 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $492,978.44 | $657,304.58 | $1,285.78 – $2,314.41 | 17 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $596.25 | $795.00 | $106.81 – $192.26 | 17 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $409.50 | $546.00 | $68.88 – $128.32 | 17 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $33,278.55 | $44,371.39 | $81.81 – $147.25 | 17 |
| Observation direct referral from physician office for admission HCPCS G0379 | $551.25 | $735.00 | $608.43 – $1,095.17 | 17 |
| Observation per hour HCPCS G0378 | $3,767.25 | $5,023.00 | not published | 0 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $186.85 – $336.33 | 16 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $86.89 – $156.40 | 16 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $140.73 – $253.31 | 16 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $962.83 – $1,733.09 | 16 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $86.06 | 16 |
| Obtaining screen pap smear HCPCS Q0091 | $23.25 | $31.00 | $10.99 – $53.19 | 17 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $76,319.96 | $101,759.94 | $59.60 – $107.27 | 17 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $887.40 | $1,183.20 | $1.54 – $1.54 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $23,458.95 | $31,278.59 | $188.35 – $339.03 | 17 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $561.91 – $1,011.44 | 16 |
| Ocular reconst transplant CPT 65780 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Ocular reconst transplant CPT 65782 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $2,224.00 | $2,965.33 | $62.23 – $112.02 | 17 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $181.34 – $326.41 | 16 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $181.34 – $326.41 | 16 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $857.48 | $1,143.30 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $172.31 | $229.74 | $2.32 – $2.32 | 1 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $7.49 – $10.01 | 2 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $5,445.54 | $7,260.71 | $41.82 – $75.28 | 17 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,255.41 – $2,259.74 | 16 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $310.80 – $559.45 | 16 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $6,971.40 | 16 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $6,971.40 | 16 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $6,480.00 | 16 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $1,614.60 | 16 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $468.90 | 16 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $5,608.80 | 16 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $915.97 | 16 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,043.03 | 16 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $319.61 | 16 |
| Oncology prostate prob score CPT 81539 | $1,623.75 | $2,165.00 | $722.52 – $1,368.00 | 17 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $6,750.00 | 16 |
| Oncoprotein dcp CPT 83951 | $537.00 | $716.00 | $44.99 – $115.94 | 17 |
| Oncoprotein her-2/neu CPT 83950 | $237.00 | $316.00 | $32.52 – $115.94 | 17 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $1.61 – $1.61 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.03 – $0.42 | 2 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $34.32 | $45.76 | $0.23 – $0.23 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $174.06 – $313.31 | 16 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,100.60 – $1,981.08 | 16 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,315.61 – $2,368.11 | 16 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,589.64 – $2,861.35 | 16 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,739.09 – $3,130.37 | 16 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $704.99 – $1,268.98 | 16 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $207.18 – $372.93 | 16 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,955.33 – $3,519.59 | 16 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $752.41 – $1,354.34 | 16 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $106.54 – $192.26 | 16 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $127.50 | $170.00 | $54.16 – $192.26 | 17 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $74.63 – $244.67 | 16 |
| Ophthalmic biometry CPT 92136 | not published | not published | $135.93 – $244.67 | 16 |
| Ophthalmic mitomycin HCPCS J7315 | $1,327.41 | $1,769.87 | not published | 0 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $38.16 – $68.69 | 16 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $2,102.41 – $3,784.34 | 16 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $1,192.89 – $2,147.21 | 16 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $242.77 – $436.99 | 16 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $45,000.50 – $81,000.90 | 16 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $19,820.31 – $35,676.56 | 16 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $6,511.03 – $11,719.85 | 16 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $31,526.06 – $56,746.91 | 16 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $426.30 – $767.34 | 16 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $1,573.53 – $1,573.53 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $60.27 – $108.49 | 16 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $60.27 – $108.49 | 16 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx lunate dislocation CPT 25695 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx medial ankle fx CPT 27766 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx sho dislc fx CPT 23670 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Oral aprepitant HCPCS J8501 | $3,616.34 | $4,821.78 | $6.98 – $6.98 | 1 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $18.22 | 16 |
| Oral everolimus HCPCS J7527 | $2,255.34 | $3,007.11 | $5.10 – $5.10 | 1 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.71 – $33.68 | 16 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.30 – $40.13 | 16 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $397.79 – $716.03 | 16 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Organic acids total quant ea spec CPT 83918 | $508.50 | $678.00 | $7.79 – $42.48 | 17 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.72 – $78.69 | 16 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $11,913.61 | $15,884.81 | $28.57 – $51.42 | 17 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,186.00 | $4,248.00 | $1,585.19 – $2,853.34 | 17 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $31.68 | $42.24 | $24.30 – $24.30 | 1 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $559.36 – $1,006.85 | 16 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $129.00 | $172.00 | $322.97 – $581.35 | 17 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $836.99 – $1,506.58 | 16 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,434.15 – $2,581.47 | 16 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.11 – $212.60 | 16 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $52.50 | $70.00 | $302.90 – $545.22 | 17 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $389.25 | $519.00 | $359.28 – $646.70 | 17 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $26.25 | $35.00 | $302.90 – $545.22 | 17 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $153.00 | $204.00 | $398.43 – $717.17 | 17 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $72.75 | $97.00 | $1,109.16 – $1,996.49 | 17 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $60.27 – $108.49 | 16 |
| Orthopantogram CPT 70355 | $270.00 | $360.00 | $21.41 – $160.04 | 17 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $497.56 – $895.61 | 16 |
| Orthovisc inj per dose HCPCS J7324 | $443.85 | $591.80 | $109.09 – $196.37 | 17 |
| Oscillation chest wall mechanical per session CPT 94669 | $237.75 | $317.00 | $223.72 – $402.70 | 17 |
| Osmolality blood CPT 83930 | $77.25 | $103.00 | $3.13 – $11.90 | 17 |
| Osmolality urine CPT 83935 | $75.75 | $101.00 | $3.22 – $12.28 | 17 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $125.25 | $167.00 | $22.06 – $39.71 | 17 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $147.00 | $196.00 | $22.06 – $39.71 | 17 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $183.75 | $245.00 | $22.06 – $39.71 | 17 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Ot evaluation high complexity patient/family CPT 97167 | $297.00 | $396.00 | $96.30 – $173.33 | 17 |
| Ot evaluation low complexity patient/family CPT 97165 | $297.00 | $396.00 | $96.30 – $173.33 | 17 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $297.00 | $396.00 | $96.30 – $173.33 | 17 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $138.00 | $184.00 | $47.17 – $84.90 | 17 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $138.75 | $185.00 | $43.57 – $78.42 | 17 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $138.75 | $185.00 | $26.59 – $47.87 | 17 |
| Ot re-evaluation patient/family CPT 97168 | $212.25 | $283.00 | $65.34 – $117.61 | 17 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $156.75 | $209.00 | $33.33 – $59.99 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $98.25 | $131.00 | $20.61 – $37.09 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $98.25 | $131.00 | $21.92 – $39.45 | 17 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $143.25 | $191.00 | $27.87 – $50.17 | 17 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $138.75 | $185.00 | $31.37 – $56.47 | 17 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $138.75 | $185.00 | $30.92 – $55.66 | 17 |
| Oth resp proc, group HCPCS G0239 | $187.50 | $250.00 | $38.16 – $68.69 | 17 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $29.55 – $53.19 | 16 |
| Other immunoelectrophoresis CPT 86325 | $186.00 | $248.00 | $17.59 – $41.63 | 17 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $104.25 | $139.00 | $26.78 – $48.20 | 17 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,462.87 – $2,633.17 | 16 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $2.11 – $10.43 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $342.84 | $457.11 | $0.23 – $0.23 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $35.06 | $46.74 | $2.34 – $2.34 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $278.24 – $500.83 | 16 |
| PSA (Prostate) Test CPT 84153 | $127.50 | $170.00 | $8.70 – $33.10 | 17 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $57,937.50 | $77,250.00 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $34.43 | $45.90 | $0.26 – $0.26 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $5,416.36 | $7,221.81 | $6.02 – $10.84 | 17 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $1,217.70 | 16 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $542.43 | 16 |
| Palifermin injection HCPCS J2425 | $11,767.98 | $15,690.63 | $36.72 – $66.09 | 17 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $6,272.41 | $8,363.21 | $15.08 – $27.14 | 17 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $9,797.53 | $13,063.37 | $436.75 – $786.15 | 17 |
| Palonosetron hcl HCPCS J2469 | $184.88 | $246.50 | $1.13 – $1.13 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $148.35 | $197.80 | $28.73 – $28.73 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,805.62 – $5,050.12 | 16 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,424.89 – $2,564.80 | 16 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $27,287.26 | $36,383.01 | $174.39 – $313.89 | 17 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $18.49 | $24.65 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $143.71 | $191.61 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $500.25 | $667.00 | $19.53 – $74.30 | 17 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,445.00 | $3,260.00 | $554.73 – $998.51 | 17 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,171.39 – $2,108.50 | 16 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $208.20 – $374.76 | 16 |
| Parathyroid planar imaging CPT 78070 | $1,436.25 | $1,915.00 | $408.43 – $735.17 | 17 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,424.75 | $3,233.00 | $408.43 – $735.17 | 17 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Paricalcitol HCPCS J2501 | $35.52 | $47.35 | $1.72 – $1.72 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $291.75 | $389.00 | $204.98 – $368.96 | 17 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,106.58 – $1,991.84 | 16 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial excision of lip CPT 40500 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Partial hip replacement CPT 27125 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Partial hysterectomy CPT 58180 | not published | not published | $848.01 – $1,526.41 | 16 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,006.75 – $1,812.16 | 16 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of bladder CPT 51550 | not published | not published | $852.33 – $1,534.20 | 16 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,972.72 – $5,350.90 | 16 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,292.80 – $4,127.05 | 16 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,844.03 – $3,319.26 | 16 |
| Partial removal of lip CPT 40530 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,373.59 – $2,472.45 | 16 |
| Partial removal of nose CPT 30150 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Partial removal of penis CPT 54120 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Partial removal of radius CPT 25151 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of radius CPT 25230 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of rib CPT 21600 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of toe CPT 28160 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Partial removal tear gland CPT 68505 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $7,702.14 | $10,269.51 | $6.56 – $6.56 | 1 |
| Passy muir valve metal trach HCPCS L8501 | $1,016.73 | $1,355.64 | $147.88 – $266.18 | 17 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $8.16 – $14.69 | 16 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $174.06 – $313.31 | 16 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $97.96 – $313.31 | 16 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $45.50 – $95.83 | 16 |
| Patient recorded spirometry CPT 94014 | not published | not published | $456.40 – $821.52 | 16 |
| Patient recorded spirometry CPT 94015 | not published | not published | $220.60 – $397.08 | 16 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $7.50 | $10.00 | $28.11 – $50.60 | 17 |
| Pdgfra gene CPT 81314 | $618.00 | $824.00 | $329.51 – $593.12 | 17 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $204.98 – $368.96 | 16 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $131.46 – $236.63 | 16 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $131.46 – $236.63 | 16 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Pegaspargase injection HCPCS J9266 | $82,241.50 | $109,655.33 | $28,424.06 – $51,163.31 | 17 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $16,623.78 | $22,165.04 | $127.38 – $229.28 | 17 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $239.96 | 16 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $11,163.13 | $14,884.17 | $135.89 – $244.60 | 17 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $284.86 | 16 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $6,455.84 | $8,607.78 | $79.50 – $143.10 | 17 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $201.84 | 16 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $113,672.22 | $151,562.95 | $3,824.52 – $6,884.14 | 17 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.40 – $402.12 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,881.00 | $2,508.00 | $179.20 – $322.56 | 17 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,710.75 | $2,281.00 | $179.20 – $322.56 | 17 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,392.75 | $1,857.00 | $106.81 – $192.26 | 17 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,590.50 | $3,454.00 | $356.43 – $641.57 | 17 |
| Pelvic MRI (with contrast) CPT 72196 | $2,373.75 | $3,165.00 | $356.43 – $641.57 | 17 |
| Pelvic MRI (without contrast) CPT 72195 | $2,221.50 | $2,962.00 | $243.77 – $438.79 | 17 |
| Pelvic Ultrasound (complete) CPT 76856 | $919.50 | $1,226.00 | $106.81 – $192.26 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $567.00 | $756.00 | $64.80 – $192.26 | 17 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $21,806.82 | $29,075.76 | $61.25 – $110.25 | 17 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $13,859.24 | $18,478.98 | $4.04 – $7.27 | 17 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $450.50 – $810.90 | 16 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.52 – $35.14 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,592.13 | $3,456.17 | $31.47 – $56.64 | 17 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $203.37 | $271.15 | $2.24 – $2.24 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $111.63 – $164.05 | 2 |
| Penile injection CPT 54235 | $306.75 | $409.00 | $255.26 – $459.47 | 17 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $26,765.44 | $35,687.25 | not published | 0 |
| Penile vascular study CPT 93980 | $1,240.50 | $1,654.00 | $106.81 – $192.26 | 17 |
| Penile vascular study CPT 93981 | $792.00 | $1,056.00 | $106.81 – $192.26 | 17 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Penis study CPT 54240 | not published | not published | $220.60 – $397.08 | 16 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $572.10 | $762.79 | not published | 0 |
| Pentamidine non-comp unit HCPCS J2545 | $396.65 | $528.86 | $212.02 – $212.02 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $3,170.80 | $4,227.73 | $36.84 – $66.31 | 17 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $8,715.64 | $11,620.85 | $2,626.33 – $4,727.39 | 17 |
| Perc cryo ablate renal tum CPT 50593 | $6,669.00 | $8,892.00 | $10,860.07 – $19,548.13 | 17 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $32,979.75 | $43,973.00 | $18,728.69 – $33,711.64 | 17 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $27,913.50 | $37,218.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $32,979.75 | $43,973.00 | $11,794.23 – $21,229.61 | 17 |
| Perc d-e cor stent ather br HCPCS C9603 | $27,915.00 | $37,220.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $32,979.75 | $43,973.00 | $18,728.69 – $33,711.64 | 17 |
| Perc drug-el cor stent bran HCPCS C9601 | $16,054.50 | $21,406.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,258.50 | $21,678.00 | $11,794.23 – $21,229.61 | 17 |
| Perc rf ablate renal tumor CPT 50592 | $5,724.00 | $7,632.00 | $6,176.47 – $11,117.65 | 17 |
| Percut ablate liver rf CPT 47382 | $6,566.25 | $8,755.00 | $6,176.47 – $11,117.65 | 17 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $321.71 | $428.94 | $106.05 – $106.05 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Peri-proc device eval icd CPT 93287 | $609.75 | $813.00 | $48.64 – $87.55 | 17 |
| Peri-proc device eval pm CPT 93286 | $327.75 | $437.00 | $41.46 – $74.64 | 17 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,796.50 | $5,062.00 | $177.52 – $319.54 | 17 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,272.59 – $4,090.67 | 16 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,472.75 | $3,297.00 | $1,608.25 – $2,894.85 | 17 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $766.77 – $1,380.19 | 16 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Peripheral vascular rehab CPT 93668 | $184.50 | $246.00 | $60.27 – $108.49 | 17 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $408.43 – $735.17 | 16 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $558.25 – $1,004.85 | 16 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.68 – $1.68 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $9,473.25 | $12,631.00 | $746.29 – $1,343.32 | 17 |
| Perq clsr tcat l atr apndge CPT 33340 | $7,520.25 | $10,027.00 | $601.25 – $1,082.26 | 17 |
| Perq dev breast 1st mr guide CPT 19287 | $4,497.00 | $5,996.00 | $723.47 – $1,302.25 | 17 |
| Perq dev breast 1st strtctc CPT 19283 | $3,114.75 | $4,153.00 | $723.47 – $1,302.25 | 17 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $27,235.50 | $36,314.00 | $11,794.23 – $21,229.61 | 17 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $44,278.50 | $59,038.00 | $18,728.69 – $33,711.64 | 17 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $27,235.50 | $36,314.00 | $11,794.23 – $21,229.61 | 17 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $27,235.50 | $36,314.00 | $11,794.23 – $21,229.61 | 17 |
| Perq p-art revsc each addl CPT 33904 | $13,844.25 | $18,459.00 | $254.60 – $458.28 | 17 |
| Perq plmt bile duct stent CPT 47538 | $4,355.25 | $5,807.00 | $6,176.47 – $11,117.65 | 17 |
| Perq plmt bile duct stent CPT 47539 | $4,355.25 | $5,807.00 | $6,176.47 – $11,117.65 | 17 |
| Perq plmt bile duct stent CPT 47540 | $4,355.25 | $5,807.00 | $6,176.47 – $11,117.65 | 17 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,159.50 | $1,546.00 | $255.26 – $459.47 | 17 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Perq transcath closure each CPT 93592 | $12,118.50 | $16,158.00 | $322.93 – $581.27 | 17 |
| Perq transcath closure pda CPT 93582 | not published | not published | $18,728.69 – $33,711.64 | 16 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $18,728.69 – $33,711.64 | 16 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $18,728.69 – $33,711.64 | 16 |
| Perq transcath septal reduxn CPT 93583 | $15,793.50 | $21,058.00 | $634.32 – $1,141.78 | 17 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $496.66 – $893.99 | 16 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $21.56 | 16 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $51,456.39 | $68,608.52 | $60.23 – $108.41 | 17 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $25,218.78 | $33,625.03 | $17.02 – $30.63 | 17 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $72.57 – $130.63 | 16 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,854.75 | $6,473.00 | $1,460.92 – $2,629.66 | 17 |
| Pet CT whole body initial CPT 78816 | $4,915.50 | $6,554.00 | $1,460.92 – $2,629.66 | 17 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,834.50 | $6,446.00 | $1,460.92 – $2,629.66 | 17 |
| Pet image full body CPT 78813 | not published | not published | $1,460.92 – $2,629.66 | 16 |
| Pet image ltd area CPT 78811 | $4,590.75 | $6,121.00 | $1,322.69 – $2,380.84 | 17 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,460.92 – $2,629.66 | 16 |
| Pet image w/ct lmtd CPT 78814 | $4,680.75 | $6,241.00 | $1,460.92 – $2,629.66 | 17 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $408.43 – $735.17 | 16 |
| Pet scan brain perf study CPT 78609 | $4,525.50 | $6,034.00 | $69.63 – $125.33 | 17 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,024,537.50 | $1,366,050.00 | not published | 0 |
| Ph body fluid CPT 83986 | $104.25 | $139.00 | $1.69 – $6.44 | 17 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $25.28 – $45.50 | 16 |
| Phencyclidine (pcp) CPT 83992 | $498.00 | $664.00 | $0.03 – $24.98 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $203.37 | $271.15 | $70.42 – $70.42 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $153.00 | $204.00 | $5.13 – $27.54 | 17 |
| Phentolaine mesylate inj HCPCS J2760 | $1,028.40 | $1,371.19 | $257.45 – $463.41 | 17 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.61 – $173.90 | 16 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $58.80 | $78.39 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.71 | $10.28 | $1.67 – $1.67 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $135.00 | $180.00 | $6.27 – $23.85 | 17 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,682.50 | $4,910.00 | $3,225.87 – $5,806.57 | 17 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,629.25 | $4,839.00 | $3,225.87 – $5,806.57 | 17 |
| Phlebotomy therapeutic CPT 99195 | $308.25 | $411.00 | $135.93 – $244.67 | 17 |
| Phosphorus CPT 84100 | $57.75 | $77.00 | $2.24 – $8.53 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $108.75 | $145.00 | $2.45 – $10.40 | 17 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $60.27 – $108.49 | 16 |
| Photo patch test CPT 95052 | not published | not published | $60.27 – $108.49 | 16 |
| Photochemotherapy puva CPT 96912 | not published | not published | $60.27 – $108.49 | 16 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $415.32 – $747.58 | 16 |
| Photopheresis CPT 36522 | not published | not published | $4,449.84 – $8,009.71 | 16 |
| Photosensitivity tests CPT 95056 | not published | not published | $135.93 – $244.67 | 16 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $53.24 – $95.83 | 16 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $100.76 – $313.31 | 16 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $29.55 – $53.19 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $158.14 | $210.85 | $7.31 – $7.31 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $346.49 – $623.68 | 16 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $494.69 | 16 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $892.05 – $1,605.69 | 16 |
| Pin caspar distraction 12mm HCPCS C1821 | $53,100.00 | $70,800.00 | not published | 0 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $755.08 – $1,359.14 | 16 |
| Pinworm exam CPT 87172 | $40.50 | $54.00 | $2.02 – $7.69 | 17 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $407.95 | $543.93 | $2.83 – $2.83 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $14,079.44 – $25,342.99 | 16 |
| Place cath intracranial art CPT 36228 | $7,997.25 | $10,663.00 | $1,423.61 – $2,562.49 | 17 |
| Place cath xtrnl carotid CPT 36227 | $6,755.25 | $9,007.00 | $257.74 – $463.94 | 17 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,414.11 – $2,545.40 | 16 |
| Place duod/jej tube perc CPT 49441 | $1,596.00 | $2,128.00 | $1,960.47 – $3,528.85 | 17 |
| Place endorectal app HCPCS C9725 | not published | not published | $950.10 – $1,710.18 | 16 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $963.25 – $1,733.85 | 16 |
| Place gastrostomy tube perc CPT 49440 | $2,093.25 | $2,791.00 | $1,960.47 – $3,528.85 | 17 |
| Place ndl musc/tis for right CPT 20555 | $3,220.50 | $4,294.00 | $3,342.87 – $6,017.17 | 17 |
| Place needles h&n for right CPT 41019 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Place needles pelvic for right CPT 55920 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,710.75 | $6,281.00 | $3,225.87 – $5,806.57 | 17 |
| Place po breast cath for rad CPT 19296 | not published | not published | $8,350.42 – $15,030.76 | 16 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,414.11 – $2,545.40 | 16 |
| Place slctv cath carotd art uni CPT 36224 | $10,950.75 | $14,601.00 | $5,685.01 – $10,233.02 | 17 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,498.00 | $8,664.00 | $3,225.87 – $5,806.57 | 17 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $10,186.50 | $13,582.00 | $5,685.01 – $10,233.02 | 17 |
| Place slctv cath subclavian art CPT 36225 | $5,625.00 | $7,500.00 | $3,225.87 – $5,806.57 | 17 |
| Place slctv cath vertebral art uni CPT 36226 | $9,490.50 | $12,654.00 | $5,685.01 – $10,233.02 | 17 |
| Placement bile duct support CPT 47801 | not published | not published | $1,010.64 – $1,819.15 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,732.25 | $3,643.00 | $1,687.37 – $3,037.27 | 17 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,658.00 | $3,544.00 | $153.44 – $276.20 | 17 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,838.00 | $3,784.00 | $723.47 – $1,302.25 | 17 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,842.00 | $2,456.00 | $2,135.66 – $3,844.19 | 17 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,262.25 | $1,683.00 | not published | 0 |
| Placement of seton CPT 46020 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $12,427.50 | $16,570.00 | $11,794.23 – $21,229.61 | 17 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $36.40 | 16 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | not published | not published | $132.05 – $237.69 | 16 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $8.11 – $14.60 | 16 |
| Plasma volume multiple CPT 78111 | not published | not published | $158.46 – $2,380.84 | 16 |
| Plasma volume single CPT 78110 | not published | not published | $151.09 – $2,380.84 | 16 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $35.32 – $63.58 | 16 |
| Platelet aggregation each agent teg CPT 85576 | $223.50 | $298.00 | $13.92 – $44.84 | 17 |
| Platelet automated CPT 85049 | $43.50 | $58.00 | $2.12 – $8.06 | 17 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $450.73 – $811.31 | 16 |
| Platelet pheresis each unit HCPCS P9034 | $1,015.50 | $1,354.00 | $308.96 – $556.13 | 17 |
| Platelet pheresis irr ea HCPCS P9036 | $2,500.50 | $3,334.00 | $949.13 – $1,708.43 | 17 |
| Platelet survival CPT 78191 | not published | not published | $246.29 – $735.17 | 16 |
| Platelets each unit HCPCS P9019 | $1,876.50 | $2,502.00 | $53.17 – $95.71 | 17 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $40.50 – $1,274.51 | 16 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $295.38 – $707.35 | 16 |
| Platelets leukocytes reduced each unit HCPCS P9031 | not published | not published | $144.26 – $259.67 | 16 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $189.59 – $341.26 | 16 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $250.49 – $450.88 | 16 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | not published | not published | $503.45 – $906.21 | 16 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,982.25 | $2,643.00 | $511.59 – $920.86 | 17 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,989.00 | $2,652.00 | $680.61 – $1,225.10 | 17 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,487.00 | $3,316.00 | $607.43 – $1,093.37 | 17 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $4,497.00 | $5,996.00 | $421.19 – $758.13 | 17 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $2,616.00 | $3,488.00 | $264.34 – $475.82 | 17 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $169.09 – $304.36 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,959.50 | $3,946.00 | $3,657.95 – $6,584.31 | 17 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $10,059.75 | $13,413.00 | $1,284.34 – $2,311.81 | 17 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,677.50 | $3,570.00 | $3,601.33 – $6,482.39 | 17 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $2,677.50 | $3,570.00 | $3,601.33 – $6,482.39 | 17 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $7,148.25 | $9,531.00 | $713.70 – $1,284.66 | 17 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,124.25 | $1,499.00 | $723.47 – $1,302.25 | 17 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $560.25 | $747.00 | $268.07 – $482.52 | 17 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $5,988.00 | $7,984.00 | $286.95 – $516.50 | 17 |
| Plerixafor injection HCPCS J2562 | $36,856.95 | $49,142.59 | $32.74 – $58.94 | 17 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $368.25 | $491.00 | $381.24 – $686.23 | 17 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $867.28 – $1,561.10 | 16 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Plmt biliary drainage cath CPT 47534 | $2,959.50 | $3,946.00 | $3,657.95 – $6,584.31 | 17 |
| Plmt nephroureteral catheter CPT 50433 | $2,677.50 | $3,570.00 | $3,601.33 – $6,482.39 | 17 |
| Plmt ureteral stent prq CPT 50694 | $2,677.50 | $3,570.00 | $3,601.33 – $6,482.39 | 17 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $89.55 – $161.19 | 16 |
| Pm device progr eval dual CPT 93280 | $237.75 | $317.00 | $38.13 – $68.63 | 17 |
| Pm device progr eval multi CPT 93281 | $245.25 | $327.00 | $38.13 – $68.63 | 17 |
| Pm phone r-strip device eval CPT 93293 | $181.50 | $242.00 | $38.13 – $68.63 | 17 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $373.16 | 16 |
| Pmp22 gene dup/delet CPT 81324 | $1,054.50 | $1,406.00 | $627.82 – $1,365.05 | 17 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $1,385.24 | 16 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $83.88 | 16 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $366.30 | 16 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,217.70 | 16 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $595.80 | 16 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $640.89 – $1,153.60 | 16 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $249.75 | $333.00 | $25.14 – $46.93 | 17 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $68,815.70 | $91,754.26 | $137.23 – $247.01 | 17 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $877.34 – $1,579.21 | 16 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $877.34 – $1,579.21 | 16 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $6,604.50 | $8,806.00 | $877.34 – $1,579.21 | 17 |
| Porfimer sodium injection HCPCS J9600 | $75,528.84 | $100,705.11 | $57,406.38 – $57,406.38 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $657.62 – $1,183.71 | 16 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $381.24 – $686.23 | 16 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $669.20 – $1,204.56 | 16 |
| Postpartum Care Only CPT 59430 | $255.75 | $341.00 | $250.75 – $451.35 | 17 |
| Potassium 24 hour urine CPT 84133 | $93.00 | $124.00 | $2.03 – $8.51 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $137.19 | $182.91 | $0.41 – $0.41 | 1 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $10.49 | 16 |
| Potassium serum/plasma/whole blood CPT 84132 | $101.25 | $135.00 | $2.17 – $8.57 | 17 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $7.85 – $14.13 | 16 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $6.21 – $11.18 | 16 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.96 – $5.33 | 16 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $5.11 – $9.20 | 16 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $5.20 – $9.36 | 16 |
| Pq biliary strict dil s&i CPT 74363 | $1,803.00 | $2,404.00 | $187.06 – $187.06 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $4,221.75 | $5,629.00 | $88.27 – $158.88 | 17 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,145.50 | $12,194.00 | $7,413.38 – $13,344.08 | 17 |
| Pq thr inj ext pse CPT 36002 | $993.00 | $1,324.00 | $640.89 – $1,153.60 | 17 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,061.75 | $2,749.00 | $689.08 – $1,240.35 | 17 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,787.00 | $3,716.00 | $3,342.87 – $6,017.17 | 17 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Pr application of long arm splint CPT 29105 | $467.25 | $623.00 | $166.02 – $298.84 | 17 |
| Pr application splint static short arm CPT 29125 | $307.50 | $410.00 | $135.93 – $244.67 | 17 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $39.75 | $53.00 | $38.16 – $68.69 | 17 |
| Pr biopsy skin punch single lesion CPT 11104 | $311.25 | $415.00 | $415.32 – $747.58 | 17 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $120.75 | $161.00 | $38.28 – $68.90 | 17 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $578.25 | $771.00 | $204.98 – $368.96 | 17 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $73.05 – $131.49 | 16 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $104.03 – $187.26 | 16 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $167.25 | $223.00 | $132.75 – $238.94 | 17 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $8.15 – $14.67 | 16 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $17.30 – $31.14 | 16 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $3,061.50 | $4,082.00 | $1,960.47 – $3,528.85 | 17 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $394.50 | $526.00 | $181.34 – $326.41 | 17 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $130.50 | $174.00 | $136.02 – $244.84 | 17 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,533.00 | $2,044.00 | $1,687.37 – $3,037.27 | 17 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,709.00 | $3,612.00 | $1,687.37 – $3,037.27 | 17 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,716.75 | $2,289.00 | $415.32 – $747.58 | 17 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,938.98 – $7,090.16 | 16 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $153.78 – $276.80 | 16 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $115.02 – $207.03 | 16 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $73.34 – $132.02 | 16 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $105.13 – $189.23 | 16 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $69.35 – $124.82 | 16 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $43.41 – $78.14 | 16 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $382.50 | $510.00 | $415.32 – $747.58 | 17 |
| Pr incision & drainage abscess simple/single CPT 10060 | $561.75 | $749.00 | $204.98 – $368.96 | 17 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $465.75 | $621.00 | $311.33 – $560.39 | 17 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $676.50 | $902.00 | $415.32 – $747.58 | 17 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $136.02 – $244.84 | 16 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $229.50 | $306.00 | $136.02 – $244.84 | 17 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $330.00 | $440.00 | $47.78 – $86.01 | 17 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $176.25 | $235.00 | $103.79 – $186.82 | 17 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $33.04 – $59.47 | 16 |
| Pr removal drug delivery implant CPT 11982 | $1,448.25 | $1,931.00 | $456.40 – $821.52 | 17 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $313.50 | $418.00 | $135.93 – $244.67 | 17 |
| Pr removal intrauterine device CPT 58301 | $270.75 | $361.00 | $311.33 – $560.39 | 17 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $980.25 | $1,307.00 | $415.32 – $747.58 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $335.25 | $447.00 | $204.98 – $368.96 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $317.25 | $423.00 | $204.98 – $368.96 | 17 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $330.00 | $440.00 | $204.98 – $368.96 | 17 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $352.50 | $470.00 | $204.98 – $368.96 | 17 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $34.92 – $62.86 | 16 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,108.25 | $2,811.00 | $1,608.25 – $2,894.85 | 17 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $16.88 – $30.38 | 16 |
| Pralatrexate injection HCPCS J9307 | $46,709.38 | $62,279.17 | $392.72 – $706.89 | 17 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $297.18 | $396.23 | $236.55 – $236.55 | 1 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $3,798.00 | $5,064.00 | $248.97 – $448.15 | 17 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,798.00 | $5,064.00 | $211.85 – $381.33 | 17 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $381.24 – $686.23 | 16 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $220.60 – $397.08 | 16 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $381.24 – $686.23 | 16 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $877.34 – $1,579.21 | 16 |
| Prealbumin CPT 84134 | $144.75 | $193.00 | $6.90 – $26.26 | 17 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3,856.50 | $5,141.99 | $0.69 – $0.69 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $398.89 | $531.85 | not published | 0 |
| Pregabalin - sendout CPT 80366 | $65.25 | $87.00 | $0.03 – $25.87 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $867.00 | $1,156.00 | $106.81 – $192.26 | 17 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $801.75 | $1,069.00 | $106.81 – $192.26 | 17 |
| Pregnancy associated plasma protein-a CPT 84163 | $75.00 | $100.00 | $7.12 – $27.09 | 17 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $554.56 – $998.21 | 16 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,018.21 – $1,832.77 | 16 |
| Prep skin to 100cm2 other CPT 15004 | $2,049.75 | $2,733.00 | $415.32 – $747.58 | 17 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,410.00 | $1,880.00 | $755.08 – $1,359.14 | 17 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,018.50 | $1,358.00 | $71.15 – $128.06 | 17 |
| Preparation palate mold CPT 42280 | not published | not published | $551.01 – $991.82 | 16 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $53.24 – $95.83 | 16 |
| Prepare penis study CPT 54230 | not published | not published | $105.28 – $189.51 | 16 |
| Pressure max expiratory/inspiratory CPT 94799 | $260.25 | $347.00 | $131.46 – $236.63 | 17 |
| Pressure velocity wire add ves CPT 93572 | $2,646.00 | $3,528.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $131.25 | $175.00 | $19.80 – $108.49 | 17 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $77.30 – $313.31 | 16 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $55.03 – $108.49 | 16 |
| Pretreat rbc w enzyme reference CPT 86971 | $270.75 | $361.00 | $16.20 – $313.31 | 17 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $66.15 – $313.31 | 16 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,091.75 | $6,789.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | $336.75 | $449.00 | $38.13 – $68.63 | 17 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $204.00 | $272.00 | $38.13 – $68.63 | 17 |
| Prgrmg dev eval scrms ip CPT 93285 | $289.50 | $386.00 | $38.13 – $68.63 | 17 |
| Prgrmg eval implantable dfb CPT 93282 | $300.00 | $400.00 | $38.13 – $68.63 | 17 |
| Prgrmg eval implantable dfb CPT 93283 | $510.00 | $680.00 | $38.13 – $68.63 | 17 |
| Prgrmg eval implantable dfb CPT 93284 | $329.25 | $439.00 | $38.13 – $68.63 | 17 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $18,078.00 | $24,104.00 | $18,728.69 – $33,711.64 | 17 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,235.00 | $6,980.00 | $430.17 – $774.31 | 17 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,175.00 | $6,900.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $324.28 – $583.70 | 16 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,611.15 | $2,148.19 | $214.81 – $386.66 | 17 |
| Procalcitonin CPT 84145 | $99.00 | $132.00 | $11.19 – $49.00 | 17 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $530.22 – $530.22 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $63.42 | $84.56 | $6.49 – $6.49 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $1.13 – $1.23 | 2 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,606.71 – $2,892.07 | 16 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,631.58 – $2,936.84 | 16 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $1,989.75 | $2,653.00 | $1,222.56 – $2,200.61 | 17 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $2,371.50 | $3,162.00 | $950.10 – $1,710.18 | 17 |
| Proctosigmoidoscopy removal CPT 45308 | $2,967.75 | $3,957.00 | $2,835.78 – $5,104.40 | 17 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $2,566.50 | $3,422.00 | $1,222.56 – $2,200.61 | 17 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,251.25 | $4,335.00 | $2,835.78 – $5,104.40 | 17 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $6,202.39 – $11,164.30 | 16 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $127.14 – $228.85 | 16 |
| Progesterone CPT 84144 | $99.00 | $132.00 | $9.06 – $37.55 | 17 |
| Prolactin CPT 84146 | $162.00 | $216.00 | $9.17 – $34.88 | 17 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $42.00 | $56.00 | $31.17 – $56.11 | 17 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $217.31 – $391.16 | 16 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.32 – $0.32 | 1 |
| Promethazine hcl injection HCPCS J2550 | $10.99 | $14.65 | $7.36 – $7.36 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $324.28 – $583.70 | 16 |
| Proph rta dtchmnt pc CPT 67145 | $642.00 | $856.00 | $561.91 – $1,011.44 | 17 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $35.88 | $47.83 | $0.23 – $0.23 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $16.46 | $21.94 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $8.17 – $14.71 | 16 |
| Prostate biopsy, any mthd HCPCS G0416 | $711.00 | $948.00 | $197.23 – $659.18 | 17 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,329.00 | $1,772.00 | $134.48 – $242.06 | 17 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $51.55 – $92.79 | 16 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $112.23 | $149.63 | $4.20 – $4.20 | 1 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $5,366.25 | $7,155.00 | not published | 0 |
| Protein c activity CPT 85303 | $87.00 | $116.00 | $7.28 – $24.91 | 17 |
| Protein c concentrate HCPCS J2724 | not published | not published | $3.86 – $27.09 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $84.00 | $112.00 | $10.74 – $19.33 | 17 |
| Protein s total CPT 85305 | $181.50 | $242.00 | $6.16 – $20.90 | 17 |
| Protein total 24 hour urine CPT 84156 | $62.25 | $83.00 | $1.73 – $6.61 | 17 |
| Protein total body fluid CPT 84157 | $114.00 | $152.00 | $1.85 – $7.20 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $46.50 | $62.00 | $1.73 – $6.61 | 17 |
| Prothrombin complex kcentra HCPCS J7168 | $7,912.65 | $10,550.20 | $2.05 – $3.70 | 17 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $62.25 | $83.00 | $1.87 – $7.09 | 17 |
| Proton treatment complex CPT 77525 | not published | not published | $1,276.81 – $2,298.26 | 16 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,276.81 – $2,298.26 | 16 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,276.81 – $2,298.26 | 16 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $564.51 – $1,016.12 | 16 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $17.53 | 16 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $136.02 – $244.84 | 16 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $405.02 – $729.03 | 16 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $20,328.00 | $27,104.00 | $18,728.69 – $33,711.64 | 17 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $18,728.69 – $33,711.64 | 16 |
| Prq card revasc mi 1 vsl CPT 92941 | $31,300.50 | $41,734.00 | $583.47 – $1,050.25 | 17 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $35,208.75 | $46,945.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $29,319.00 | $39,092.00 | $11,794.23 – $21,229.61 | 17 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $12,034.50 | $16,046.00 | $11,794.23 – $21,229.61 | 17 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $6,903.00 | $9,204.00 | $18,728.69 – $33,711.64 | 17 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $32,826.75 | $43,769.00 | $11,794.23 – $21,229.61 | 17 |
| Prq trlml c athrc st angiop1 CPT 92933 | $29,319.00 | $39,092.00 | $18,728.69 – $33,711.64 | 17 |
| Prq trluml c angiop 1art&/br CPT 92920 | $9,413.25 | $12,551.00 | $5,814.84 – $10,466.71 | 17 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $9,140.25 | $12,187.00 | $11,794.23 – $21,229.61 | 17 |
| Prq trluml revsc ch occ ant CPT 92943 | $29,319.00 | $39,092.00 | $11,794.23 – $21,229.61 | 17 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $450.73 – $811.31 | 16 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $316.50 | $422.00 | $135.93 – $244.67 | 17 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $153.75 | $205.00 | $35.19 – $63.34 | 17 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $102.00 | $136.00 | $32.32 – $58.18 | 17 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $316.50 | $422.00 | $220.60 – $397.08 | 17 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $127.50 | $170.00 | $84.71 – $152.48 | 17 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $29.55 – $53.19 | 16 |
| Psychoanalysis CPT 90845 | not published | not published | $181.34 – $326.41 | 16 |
| Psychotherapy group therapy CPT 90853 | $271.50 | $362.00 | $103.79 – $186.82 | 17 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $193.50 | $258.00 | $181.34 – $326.41 | 17 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $267.00 | $356.00 | $181.34 – $326.41 | 17 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $328.50 | $438.00 | $181.34 – $326.41 | 17 |
| Psycl/nrpsyc tech 1st CPT 96138 | $210.75 | $281.00 | $456.40 – $821.52 | 17 |
| Psytx complex interactive CPT 90785 | $54.00 | $72.00 | $14.38 – $25.88 | 17 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $290.25 | $387.00 | $79.60 – $143.28 | 17 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $399.00 | $532.00 | $100.79 – $181.42 | 17 |
| Psytx pt w/e&m 53+ min CPT 90838 | $492.00 | $656.00 | $133.42 – $240.15 | 17 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $164.25 | $219.00 | $14.18 – $25.52 | 17 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $19.50 | $26.00 | $6.31 – $11.35 | 17 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $133.50 | $178.00 | $18.17 – $32.70 | 17 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $117.00 | $156.00 | $13.75 – $24.76 | 17 |
| Pt application of modality traction mechanical CPT 97012 | $135.75 | $181.00 | $13.84 – $24.92 | 17 |
| Pt evaluation high complexity patient/family CPT 97163 | $297.00 | $396.00 | $93.86 – $168.94 | 17 |
| Pt evaluation low complexity patient/family CPT 97161 | $264.00 | $352.00 | $93.86 – $168.94 | 17 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $264.00 | $352.00 | $93.86 – $168.94 | 17 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.11 – $43.40 | 16 |
| Pt re-evaluation patient/family CPT 97164 | $177.00 | $236.00 | $64.42 – $115.96 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $150.75 | $201.00 | $39.39 – $70.90 | 17 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.14 – $21.86 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $138.75 | $185.00 | $27.87 – $50.17 | 17 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $115.50 | $154.00 | $28.19 – $50.74 | 17 |
| Pt wheelchair management each 15 minutes CPT 97542 | $123.00 | $164.00 | $29.79 – $53.62 | 17 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $540.00 | 16 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,080.00 | 16 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $83.88 | 16 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Pul art balloon repr percut CPT 92997 | $8,869.50 | $11,826.00 | $11,794.23 – $21,229.61 | 17 |
| Pul art balloon repr percut CPT 92998 | $4,406.25 | $5,875.00 | $272.10 – $489.78 | 17 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,799.08 – $6,838.34 | 16 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $934.66 – $1,682.39 | 16 |
| Pulmonary vent imaging CPT 78579 | $478.50 | $638.00 | $368.77 – $735.17 | 17 |
| Pulse ox continuous overnight monitoring CPT 94762 | $376.50 | $502.00 | $131.46 – $236.63 | 17 |
| Pulse ox multiple CPT 94761 | $309.00 | $412.00 | $4.00 – $7.19 | 17 |
| Pulse ox single CPT 94760 | $151.50 | $202.00 | $3.69 – $6.64 | 17 |
| Punc of shunt for asp or inj CPT 61070 | $801.75 | $1,069.00 | $721.17 – $1,298.11 | 17 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $138.00 | $184.00 | $135.93 – $244.67 | 17 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $382.50 | $510.00 | $415.32 – $747.58 | 17 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,088.25 | $1,451.00 | $721.17 – $1,298.11 | 17 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Puraply 1 sq cm HCPCS Q4195 | $18,720.00 | $24,960.00 | $127.14 – $228.85 | 17 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $680.25 | $907.00 | $74.72 – $134.50 | 17 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $721.17 – $1,298.11 | 16 |
| Pvb thoracic single inj site CPT 64461 | $801.75 | $1,069.00 | $721.17 – $1,298.11 | 17 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $850.88 – $1,531.59 | 16 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $29.11 | $38.81 | $32.92 – $32.92 | 1 |
| Pyruvate CPT 84210 | $108.75 | $145.00 | $5.14 – $26.06 | 17 |
| Pyruvate kinase CPT 84220 | $252.75 | $337.00 | $5.03 – $16.99 | 17 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $135.93 – $244.67 | 16 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,580.00 | $3,440.00 | $554.73 – $998.51 | 17 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,789.50 | $2,386.00 | $370.41 – $735.17 | 17 |
| Quest t3 uptake CPT 84479 | $108.75 | $145.00 | $3.06 – $11.65 | 17 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $1,271.48 – $1,663.66 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| R hrt cath chd nml nt cnj CPT 93593 | $7,495.50 | $9,994.00 | $3,312.15 – $5,961.87 | 17 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $3,103.43 | $4,137.90 | $352.44 – $634.39 | 17 |
| Rabies ig ht&sol human im/sc CPT 90377 | $8,111.40 | $10,815.19 | $242.18 – $435.92 | 17 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $11,649.94 | $15,533.25 | $275.18 – $495.32 | 17 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $426.35 | 16 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Radiation handling CPT 77790 | not published | not published | $17.14 – $30.85 | 16 |
| Radiation physics consult CPT 77336 | not published | not published | $137.32 – $247.18 | 16 |
| Radiation therapy dose plan CPT 77300 | $949.50 | $1,266.00 | $79.49 – $247.18 | 17 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $37.04 – $247.18 | 16 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $137.32 – $247.18 | 16 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $154.95 – $688.57 | 16 |
| Radiation treatment delivery CPT 77401 | not published | not published | $512.87 – $512.87 | 1 |
| Radiation treatment delivery CPT 77402 | not published | not published | $104.24 – $187.63 | 16 |
| Radiation treatment delivery CPT 77412 | not published | not published | $541.78 – $1,016.12 | 16 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,640.07 – $2,952.12 | 16 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Radiesse injection HCPCS Q2026 | not published | not published | $349.19 – $628.54 | 16 |
| Radiology port images(s) CPT 77417 | not published | not published | $0.67 – $1.21 | 16 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,414.11 – $2,545.40 | 16 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $171.09 – $307.96 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,841.00 | $3,788.00 | $554.73 – $998.51 | 17 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,232.50 | $4,310.00 | $554.73 – $998.51 | 17 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,322.69 – $2,380.84 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,619.00 | $3,492.00 | $554.73 – $998.51 | 17 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $408.43 – $735.17 | 16 |
| Radphm quant measure sgl area add-on CPT 78835 | $46.50 | $62.00 | $83.46 – $150.23 | 17 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $75.47 – $135.85 | 16 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $67.85 – $122.14 | 16 |
| Rapid Strep Test CPT 87880 | $100.50 | $134.00 | $11.39 – $29.75 | 17 |
| Rapid desensitization CPT 95180 | not published | not published | $456.40 – $821.52 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $20,465.52 | $27,287.36 | $382.19 – $687.94 | 17 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $88,558.68 | $118,078.24 | $223.68 – $402.62 | 17 |
| Rbc count only automated CPT 85041 | $37.50 | $50.00 | $1.36 – $5.44 | 17 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,524.00 | $2,032.00 | $313.00 – $563.40 | 17 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $450.73 – $811.31 | 16 |
| Rbc irradiated each unit HCPCS P9038 | $1,046.25 | $1,395.00 | $145.22 – $261.40 | 17 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $59.62 – $821.52 | 16 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $827.03 – $1,488.65 | 16 |
| Re-explore parathyroids CPT 60502 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Realignment of knee CPT 27457 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Realignment of tendons CPT 26437 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,373.30 – $2,471.95 | 16 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,090.57 – $1,963.03 | 16 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,230.38 – $2,214.68 | 16 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,144.39 – $2,059.89 | 16 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,260.78 – $2,269.40 | 16 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,102.13 – $1,983.84 | 16 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,280.88 – $2,305.58 | 16 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $27,721.73 – $49,899.11 | 16 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reconstruct extra finger CPT 26587 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Reconstruct finger joint CPT 26545 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Reconstruct finger joint CPT 26548 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Reconstruct head of radius CPT 24365 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reconstruct head of radius CPT 24366 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,393.20 – $2,507.76 | 16 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Reconstruction knee CPT 27427 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reconstruction knee CPT 27428 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reconstruction knee CPT 27429 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,430.66 – $2,575.19 | 16 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Reconstruction of jaw CPT 21245 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of jaw CPT 21246 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of jaw CPT 21248 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of jaw CPT 21249 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $27,721.73 – $49,899.11 | 16 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of mouth CPT 40840 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of mouth CPT 40842 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of mouth CPT 40843 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of mouth CPT 40844 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of mouth CPT 40845 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Reconstruction of nose CPT 30410 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of nose CPT 30420 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of orbit CPT 21256 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of throat CPT 42950 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reconstruction of urethra CPT 53410 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Reconstruction of urethra CPT 53415 | not published | not published | $990.31 – $1,782.56 | 16 |
| Reconstruction of urethra CPT 53430 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Reconstruction of urethra CPT 54308 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Reconstruction of urethra CPT 54316 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Reconstruction of urethra CPT 54318 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Reconstruction of urethra CPT 54322 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Reconstruction of urethra CPT 54326 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Red blood cells each unit HCPCS P9021 | $1,275.00 | $1,700.00 | $150.57 – $271.03 | 17 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $422.69 – $760.84 | 16 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | not published | not published | $249.40 – $448.92 | 16 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $830.25 | $1,107.00 | $60.00 – $332.84 | 17 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $837.00 | $1,116.00 | $265.41 – $477.74 | 17 |
| Red blood cells washed each unit HCPCS P9022 | $1,280.25 | $1,707.00 | $368.58 – $663.44 | 17 |
| Red cell mass multiple CPT 78121 | not published | not published | $158.46 – $998.51 | 16 |
| Red cell mass single CPT 78120 | not published | not published | $151.09 – $735.17 | 16 |
| Red cell sequestration CPT 78140 | not published | not published | $210.14 – $735.17 | 16 |
| Red cell survival study CPT 78130 | not published | not published | $246.29 – $735.17 | 16 |
| Redo endovas vena cava filtr CPT 37192 | $3,682.50 | $4,910.00 | $3,225.87 – $5,806.57 | 17 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $861.01 – $1,549.82 | 16 |
| Reduce testis torsion CPT 54600 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Reduction of facial bones CPT 21209 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reduction of procidentia 45900 CPT 45900 | $1,067.25 | $1,423.00 | $950.10 – $1,710.18 | 17 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $340.54 – $612.98 | 16 |
| Refill maint impl spine pump CPT 95991 | $352.50 | $470.00 | $313.60 – $564.48 | 17 |
| Refill/maint pump/resvr syst CPT 96522 | $630.00 | $840.00 | $217.31 – $391.16 | 17 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $698.06 | $930.74 | $7.44 – $7.44 | 1 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $131.29 – $236.31 | 16 |
| Reinforce clavicle CPT 23490 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reinforce eye wall CPT 67250 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Reinforce thigh CPT 27495 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reinforce tibia CPT 27745 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Reinnervate larynx CPT 31590 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reinsert ocular implant CPT 65155 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Release encircling material CPT 67115 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Release eye tissue CPT 67343 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Release facial nerve CPT 69720 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Release facial nerve CPT 69725 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Release facial nerve CPT 69955 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Release finger contracture CPT 26525 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release inner ear canal CPT 69960 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Release knuckle contracture CPT 26520 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release middle ear bone CPT 69650 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Release muscles of hand CPT 26593 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release of eye fluid CPT 67015 | $2,667.75 | $3,557.00 | $2,357.81 – $4,244.06 | 17 |
| Release of foot tendon CPT 28220 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release of foot tendons CPT 28222 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release of foot tendons CPT 28226 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release of lower leg tendon CPT 27680 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release of lower leg tendons CPT 27681 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,500.63 – $2,701.13 | 16 |
| Release of midfoot joint CPT 28260 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Release of shoulder ligament CPT 23415 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Release palm & finger tendon CPT 26442 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release palm contracture CPT 26040 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Release palm contracture CPT 26121 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release palm contracture CPT 26123 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release palm contracture CPT 26125 | not published | not published | $224.06 – $403.30 | 16 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Release thumb contracture CPT 26508 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Relieve bladder contracture CPT 52640 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,937.61 – $3,487.70 | 16 |
| Relocation of testis(es) CPT 54680 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Relocation skin pocket aicd CPT 33223 | $3,869.25 | $5,159.00 | $2,107.97 – $3,794.35 | 17 |
| Relocation skin pocket pm CPT 33222 | $2,939.25 | $3,919.00 | $2,107.97 – $3,794.35 | 17 |
| Rem endovas vena cava filter CPT 37193 | $5,661.75 | $7,549.00 | $3,225.87 – $5,806.57 | 17 |
| Rem interrog dev eval icpms CPT 93297 | $109.50 | $146.00 | $38.13 – $68.63 | 17 |
| Rem interrog dev eval scrms CPT 93298 | $109.50 | $146.00 | $38.13 – $68.63 | 17 |
| Rem interrog evl pm/ids CPT 93296 | $204.00 | $272.00 | $38.13 – $68.63 | 17 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $84.00 | $112.00 | $38.13 – $68.63 | 17 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $295.50 | $394.00 | $136.02 – $244.84 | 17 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $38.13 – $68.63 | 16 |
| Rem/biv cast full arm/leg CPT 29705 | $320.25 | $427.00 | $285.75 – $514.35 | 17 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $285.75 – $514.35 | 16 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2,406.04 | $3,208.05 | $6.90 – $12.42 | 17 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $381.24 – $686.23 | 16 |
| Remov/replc penis pros comp CPT 54411 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $644.81 – $1,160.66 | 16 |
| Removal anal seton other marker 46030 CPT 46030 | $1,368.00 | $1,824.00 | $1,222.56 – $2,200.61 | 17 |
| Removal biliary drg cath CPT 47537 | $2,025.75 | $2,701.00 | $926.63 – $1,667.93 | 17 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,899.75 | $2,533.00 | $640.89 – $1,153.60 | 17 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,838.00 | $3,784.00 | $1,608.25 – $2,894.85 | 17 |
| Removal cerclage w/anes CPT 59871 | $3,577.50 | $4,770.00 | $3,307.24 – $5,953.03 | 17 |
| Removal cerclage without anes CPT 59899 | $778.50 | $1,038.00 | $206.55 – $371.79 | 17 |
| Removal cerumen impacted (both sides) CPT 69210 | $170.25 | $227.00 | $60.27 – $108.49 | 17 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $5,270.25 | $7,027.00 | $5,685.01 – $10,233.02 | 17 |
| Removal clot in graft xcp 35876 CPT 35876 | $5,270.25 | $7,027.00 | $5,685.01 – $10,233.02 | 17 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $63.94 – $115.09 | 16 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $343.50 | $458.00 | $204.98 – $368.96 | 17 |
| Removal duct glbldr calculi CPT 47544 | $3,895.50 | $5,194.00 | $734.12 – $1,321.42 | 17 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $876.00 | $1,168.00 | $926.63 – $1,667.93 | 17 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Removal foreign body foot cmplx CPT 28193 | $2,117.25 | $2,823.00 | $1,687.37 – $3,037.27 | 17 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,181.25 | $1,575.00 | $723.47 – $1,302.25 | 17 |
| Removal foreign body gum 41805 CPT 41805 | $1,692.75 | $2,257.00 | $1,585.19 – $2,853.34 | 17 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Removal foreign body mouth CPT 40805 | not published | not published | $551.01 – $991.82 | 16 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Removal implant superficial separate procedure CPT 20670 | $3,387.00 | $4,516.00 | $1,687.37 – $3,037.27 | 17 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Removal of adenoids CPT 42830 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of adenoids CPT 42831 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of adenoids CPT 42836 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of anal fissure CPT 46200 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Removal of anal tags CPT 46230 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Removal of ankle bone CPT 28130 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of ankle implant CPT 27704 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,249.28 – $2,248.71 | 16 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $827.18 – $1,488.92 | 16 |
| Removal of bladder lesion CPT 51520 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of bladder stone CPT 51050 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Removal of bone for graft CPT 20900 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of bone for graft CPT 20902 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of bone lesion CPT 23140 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of bone lesion CPT 23145 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of bone lesion CPT 23146 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $2,100.79 – $3,781.42 | 16 |
| Removal of breast lesion CPT 19120 | $3,704.25 | $4,939.00 | $4,000.24 – $7,200.43 | 17 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Removal of calcium deposits CPT 23000 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $1,964.02 – $3,535.24 | 16 |
| Removal of epididymis CPT 54860 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of epididymis CPT 54861 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Removal of external ear CPT 69120 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of eye CPT 65101 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Removal of eye CPT 65110 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Removal of eye lesion CPT 65400 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Removal of eye lesion CPT 65420 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Removal of eye lesion CPT 65426 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Removal of face wrinkles CPT 15828 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $711.53 – $1,280.75 | 16 |
| Removal of fascia for graft CPT 20920 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Removal of fascia for graft CPT 20922 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Removal of finger lesion CPT 26210 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of finger tendon CPT 26180 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of foot fascia CPT 28062 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of foot joint lining CPT 28070 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of foot joint lining CPT 28072 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of foot lesion CPT 28080 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of foot lesion CPT 28090 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of foot lesion CPT 28104 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of forearm lesion CPT 25120 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Removal of foreign body CPT 27372 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Removal of frontal sinus CPT 31080 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of frontal sinus CPT 31081 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of frontal sinus CPT 31084 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of frontal sinus CPT 31086 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of frontal sinus CPT 31087 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $985.79 – $1,774.43 | 16 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $1,147.69 – $2,065.85 | 16 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $1,255.77 – $2,260.38 | 16 |
| Removal of gum tissue CPT 41830 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of head of humerus CPT 23195 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of heel bone CPT 28118 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of heel spur CPT 28119 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of humerus lesion CPT 23150 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of humerus lesion CPT 23155 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of humerus lesion CPT 23156 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of hydrocele CPT 55040 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Removal of hydrocele CPT 55500 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of hydroceles CPT 55041 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Removal of implant deep CPT 20680 | $5,565.75 | $7,421.00 | $2,967.63 – $5,341.73 | 17 |
| Removal of infusion pump CPT 36262 | not published | not published | $3,817.90 – $6,872.22 | 16 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $561.91 – $1,011.44 | 16 |
| Removal of intranasal lesion CPT 30117 | $3,732.00 | $4,976.00 | $3,387.27 – $6,097.09 | 17 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of iris CPT 66605 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Removal of iris CPT 66625 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Removal of iris CPT 66630 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Removal of iris CPT 66635 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Removal of ischial bursa CPT 27060 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of jaw joint CPT 21050 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of knee cartilage CPT 27332 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of knee cartilage CPT 27333 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of knee cyst CPT 27345 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of kneecap CPT 27350 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of larynx lesion CPT 31300 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Removal of lens lesion CPT 66830 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Removal of lens material CPT 66840 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Removal of lens material CPT 66850 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Removal of lens material CPT 66852 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $1,601.14 – $2,882.04 | 16 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $951.36 – $1,712.45 | 16 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $1,232.27 – $2,218.09 | 16 |
| Removal of metatarsal CPT 28140 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Removal of nerve lesion CPT 64790 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Removal of nerve lesion CPT 64792 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Removal of nose CPT 30160 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of nose lesion CPT 30124 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Removal of nose lesion CPT 30125 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of ocular implant CPT 65175 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $499.11 – $898.40 | 16 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $679.83 – $1,223.69 | 16 |
| Removal of palm tendon each CPT 26170 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of rib CPT 21615 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of salivary stone CPT 42340 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Removal of scrotum CPT 55150 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of shunt CPT 49429 | $6,577.50 | $8,770.00 | $3,225.87 – $5,806.57 | 17 |
| Removal of skin tags each add'l 10 CPT 11201 | $421.50 | $562.00 | $17.68 – $31.83 | 17 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $1,073.73 – $1,932.72 | 16 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of spinal shunt CPT 63746 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $232.76 – $418.96 | 16 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $2,052.62 – $3,694.72 | 16 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $1,326.73 – $2,388.11 | 16 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $1,839.52 – $3,311.14 | 16 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Removal of tail bone CPT 27080 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of tear gland CPT 68500 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Removal of tear sac CPT 68520 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Removal of tendon for graft CPT 20924 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Removal of tendon lesion CPT 27630 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of testis CPT 54520 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of testis CPT 54530 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Removal of thyroid CPT 60240 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Removal of thyroid CPT 60252 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of thyroid CPT 60271 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Removal of toe lesions CPT 28092 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of toe lesions CPT 28108 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of ureter stone CPT 51060 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Removal of urethra CPT 53210 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of urethra CPT 53215 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Removal of urethra gland CPT 53250 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of urethra gland CPT 53270 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Removal of urethra lesion CPT 53230 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Removal of urethra lesion CPT 53235 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Removal of vein clot CPT 34421 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Removal of vein clot CPT 34471 | not published | not published | $640.89 – $1,153.60 | 16 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Removal of wrist bone CPT 25210 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of wrist bones CPT 25215 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of wrist lesion CPT 25130 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal prosth radial head CPT 24164 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $292.50 | $390.00 | $204.98 – $368.96 | 17 |
| Removal sutr and stapl no anes CPT 15854 | not published | not published | $16.19 – $29.15 | 16 |
| Removal sutr or stapl no anes CPT 15853 | $328.50 | $438.00 | $12.23 – $22.01 | 17 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Removal tunnled intprtnl cath CPT 49422 | $4,377.00 | $5,836.00 | $3,225.87 – $5,806.57 | 17 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $3,072.00 | $4,096.00 | $456.40 – $821.52 | 17 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $9,527.25 | $12,703.00 | $10,678.38 – $19,221.08 | 17 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | not published | $955.29 – $1,719.53 | 16 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $236.26 – $425.26 | 16 |
| Remove anal fist complex CPT 46280 | $3,371.25 | $4,495.00 | $2,835.78 – $5,104.40 | 17 |
| Remove anal fist inter CPT 46275 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Remove anal fist subq CPT 46270 | $3,249.75 | $4,333.00 | $2,835.78 – $5,104.40 | 17 |
| Remove ankle joint lining CPT 27625 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove ankle joint lining CPT 27626 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Remove bladder stone CPT 52317 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Remove bladder stone CPT 52318 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Remove blood clot from eye CPT 65930 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove brain canal fluid CPT 61050 | not published | not published | $313.60 – $564.48 | 16 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $614.66 – $1,106.39 | 16 |
| Remove brain lining lesion 61512 CPT 61512 | not published | not published | $2,402.80 – $4,325.04 | 16 |
| Remove cartilage for graft CPT 20910 | not published | not published | $755.08 – $1,359.14 | 16 |
| Remove cartilage for graft CPT 20912 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Remove collar bone lesion CPT 23170 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove coronoid process CPT 21070 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $721.17 – $1,298.11 | 16 |
| Remove cva lumen obstruct CPT 75902 | $2,241.75 | $2,989.00 | $79.94 – $143.89 | 17 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove drug implant HCPCS G0517 | not published | not published | $456.40 – $821.52 | 16 |
| Remove ear canal lesion(s) CPT 69145 | $3,293.25 | $4,391.00 | $2,967.63 – $5,341.73 | 17 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $756.02 – $1,360.84 | 16 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $1,274.19 – $2,293.54 | 16 |
| Remove epididymis lesion CPT 54830 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Remove epididymis lesion CPT 54840 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $256.39 – $256.39 | 1 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Remove eye implant material CPT 67120 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove eye implant material CPT 67121 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove eye lesion CPT 65900 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove eye lesion CPT 66130 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Remove eye/attach implant CPT 65105 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Remove eye/insert implant CPT 65103 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Remove eye/revise socket CPT 65112 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Remove eye/revise socket CPT 65114 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Remove eyelid lesion CPT 67800 | not published | not published | $324.28 – $583.70 | 16 |
| Remove eyelid lesion CPT 67840 | $1,133.25 | $1,511.00 | $1,018.47 – $1,833.25 | 17 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Remove eyelid lesions CPT 67801 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Remove eyelid lesions CPT 67805 | not published | not published | $324.28 – $583.70 | 16 |
| Remove femur lesion CPT 27355 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove finger bone CPT 26185 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove foreign body from eye CPT 65235 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove foreign body from eye CPT 65260 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove foreign body from eye CPT 65265 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Remove hand bone lesion CPT 26200 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Remove hip bone les deep CPT 27066 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove hip bone les super CPT 27065 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove hip foreign body 27086 CPT 27086 | $417.75 | $557.00 | $2,967.63 – $5,341.73 | 17 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $3,348.75 | $4,465.00 | $2,967.63 – $5,341.73 | 17 |
| Remove humerus lesion CPT 23174 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove humerus lesion CPT 23184 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove implant of eye CPT 65920 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Remove in/ex hem grps w/fist CPT 46262 | $3,255.75 | $4,341.00 | $2,835.78 – $5,104.40 | 17 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $1,196.26 – $2,153.26 | 16 |
| Remove inner ear CPT 69905 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove inner ear lesion CPT 69970 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Remove intact mammary implant CPT 19328 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Remove iris and lesion CPT 66600 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove knee cyst CPT 27347 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove knee joint lining CPT 27334 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove knee joint lining CPT 27335 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $2,413.48 – $4,344.26 | 16 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $1,279.11 – $2,302.41 | 16 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $1,458.60 – $2,625.48 | 16 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove mastoid air cells CPT 69670 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove mastoid structures CPT 69505 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove middle ear nerve CPT 69676 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Remove nasal foreign body CPT 30310 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Remove nasal foreign body CPT 30320 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Remove nerve lesion CPT 64784 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $722.02 – $1,299.64 | 16 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Remove prostate regrowth CPT 52630 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Remove renal tube w/fluoro CPT 50389 | $1,281.75 | $1,709.00 | $712.40 – $1,282.32 | 17 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,879.50 | $2,506.00 | $1,687.37 – $3,037.27 | 17 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $870.98 – $1,567.77 | 16 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $184.39 – $331.90 | 16 |
| Remove spine eltrd perq aray CPT 63661 | $2,238.75 | $2,985.00 | $1,995.02 – $3,591.04 | 17 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Remove spine fixation device CPT 22850 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine fixation device CPT 22852 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine infusion device CPT 62365 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove stent via transureth CPT 50386 | $1,638.75 | $2,185.00 | $2,135.66 – $3,844.19 | 17 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove tear gland lesion CPT 68540 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Remove tear gland lesion CPT 68550 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove tonsils and adenoids CPT 42821 | $3,600.75 | $4,801.00 | $3,387.27 – $6,097.09 | 17 |
| Remove ureter calculus CPT 51065 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Remove ureter stent percut CPT 50384 | $3,552.00 | $4,736.00 | $2,135.66 – $3,844.19 | 17 |
| Remove uro sphincter CPT 53446 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Remove vagina tissue part CPT 57107 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Remove vaginal foreign body 57415 CPT 57415 | $3,577.50 | $4,770.00 | $3,307.24 – $5,953.03 | 17 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $7,210.32 – $12,978.58 | 16 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $3,809.10 – $6,856.38 | 16 |
| Remove ventilating tube CPT 69424 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $1,020.16 – $1,836.28 | 16 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $1,616.97 – $2,910.55 | 16 |
| Remove w insert drug implant HCPCS G0518 | not published | not published | $456.40 – $821.52 | 16 |
| Remove windpipe lesion CPT 31785 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove wrist joint implant CPT 25449 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove wrist joint lining CPT 25105 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove wrist joint lining CPT 26130 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove wrist tendon lesion CPT 25110 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Remove/revise male sling CPT 53442 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Remove/transplant tendon CPT 23440 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $1,406.73 – $2,532.12 | 16 |
| Remv/repl penis contain pros CPT 54416 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Remv/replc penis pros compl CPT 54417 | not published | not published | $21,175.04 – $38,115.07 | 16 |
| Remvl peritoneal fb frm cavity CPT 49402 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Renal abscess open drng 50020 CPT 50020 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Renal cyst study s&i CPT 74470 | not published | not published | $558.25 – $1,004.85 | 16 |
| Renal endoscopy 50572 CPT 50572 | not published | not published | $712.40 – $1,282.32 | 16 |
| Renal function panel CPT 80069 | $188.25 | $251.00 | $4.11 – $15.62 | 17 |
| Renal scope w/tumor resect CPT 50562 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Renal venogram bil s&i CPT 75833 | $3,386.25 | $4,515.00 | $195.08 – $5,806.57 | 17 |
| Reopen fallopian tube CPT 58350 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Reopening of recent laparotomy 49002 CPT 49002 | not published | not published | $953.04 – $1,715.47 | 16 |
| Reoperation bypass graft 35700 CPT 35700 | not published | not published | $135.92 – $244.65 | 16 |
| Reoperation carotid add-on 35390 CPT 35390 | not published | not published | $142.37 – $256.26 | 16 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $1,173.60 – $2,112.48 | 16 |
| Repair achilles tendon CPT 27650 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair anal fistula CPT 46288 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair anorectal fist w/plug CPT 46707 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair aortic valve supraval stenosis 33417 CPT 33417 | not published | not published | $1,548.74 – $2,787.73 | 16 |
| Repair arm/leg nerve CPT 64857 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Repair art rupture aorta 35082 CPT 35082 | not published | not published | $1,937.47 – $3,487.44 | 16 |
| Repair art rupture arm 35013 CPT 35013 | not published | not published | $1,069.45 – $1,925.01 | 16 |
| Repair art rupture chest 35022 CPT 35022 | not published | not published | $1,347.98 – $2,426.37 | 16 |
| Repair art rupture groin 35132 CPT 35132 | not published | not published | $1,474.47 – $2,654.05 | 16 |
| Repair artery rupture thigh 35142 CPT 35142 | not published | not published | $1,181.86 – $2,127.34 | 16 |
| Repair av fistula ext 35190 CPT 35190 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair biceps tendon CPT 23430 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair bladder & vagina CPT 57289 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Repair bladder defect CPT 57288 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Repair bladder neck CPT 51845 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Repair bladder-vagina lesion CPT 57320 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Repair bladder-vagina lesion CPT 57330 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Repair blood ves direct neck 35201 CPT 35201 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair blood vess/direct/intra/abd 35221 CPT 35221 | not published | not published | $1,318.10 – $2,372.57 | 16 |
| Repair blood vessel dir lower extr CPT 35226 | not published | not published | $723.47 – $1,302.25 | 16 |
| Repair blood vessel dir upper extr CPT 35206 | $3,682.50 | $4,910.00 | $3,225.87 – $5,806.57 | 17 |
| Repair blood vessel direct hand finger CPT 35207 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Repair blood vessel direct intrathoracic without bypass 35216 CPT 35216 | not published | not published | $1,872.57 – $3,370.63 | 16 |
| Repair blood vessel lesion CPT 35180 | not published | not published | $1,608.25 – $2,894.85 | 16 |
| Repair blood vessel lesion CPT 35184 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Repair blood vessel lesion CPT 35188 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair blood vessel lesion CPT 35261 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Repair blood vessel lesion CPT 35266 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair blood vessel lesion 35211 CPT 35211 | not published | not published | $1,293.94 – $2,329.09 | 16 |
| Repair blood vessel w/graft intra-abd 35281 CPT 35246 | not published | not published | $1,455.77 – $2,620.39 | 16 |
| Repair blood vessel w/graft lower extremity 35286 CPT 35256 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair blood vessel w/vein graft lower extremity 35256 CPT 35231 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Repair bowel fistula 44650 CPT 44650 | not published | not published | $1,296.83 – $2,334.29 | 16 |
| Repair bowel-bladder fistula 44660 CPT 44660 | not published | not published | $1,192.20 – $2,145.96 | 16 |
| Repair bowel-bladder fistula 44661 CPT 44661 | not published | not published | $1,387.13 – $2,496.83 | 16 |
| Repair brow defect CPT 67900 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair cardiac wound without bypass CPT 33300 | not published | not published | $2,233.38 – $4,020.08 | 16 |
| Repair carpal bone shorten CPT 25394 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair cleft hand CPT 26580 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair cleft lip/nasal CPT 40700 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair cleft lip/nasal CPT 40701 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair cleft lip/nasal CPT 40702 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair cleft lip/nasal CPT 40720 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Repair cleft lip/nasal CPT 40761 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $969.00 | $1,292.00 | $415.32 – $747.58 | 17 |
| Repair corporeal tear CPT 54437 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair defect arm art 35045 CPT 35045 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair defect of artery CPT 35131 | not published | not published | $1,245.28 – $2,241.50 | 16 |
| Repair defect of artery 35011 CPT 35011 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair defect of artery 35081 CPT 35081 | not published | not published | $1,558.35 – $2,805.03 | 16 |
| Repair defect of artery 35102 CPT 35102 | not published | not published | $1,685.09 – $3,033.17 | 16 |
| Repair defect of artery 35121 CPT 35121 | not published | not published | $1,426.17 – $2,567.10 | 16 |
| Repair defect of artery aneurysm 35151 CPT 35151 | not published | not published | $1,111.18 – $2,000.12 | 16 |
| Repair defect of artery carotid subclav 35001 CPT 35001 | not published | not published | $994.36 – $1,789.84 | 16 |
| Repair deformity of toe CPT 28313 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair dental ellis ii fx CPT 41899 | $3,575.25 | $4,767.00 | $241.98 – $435.56 | 17 |
| Repair detached retina CPT 67107 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Repair detached retina CPT 67108 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Repair detached retina CPT 67110 | $2,701.50 | $3,602.00 | $2,357.81 – $4,244.06 | 17 |
| Repair detached retina crtx CPT 67101 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Repair detached retina pc CPT 67105 | $666.75 | $889.00 | $561.91 – $1,011.44 | 17 |
| Repair eardrum structures CPT 69631 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair elbow perc CPT 24357 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair esophagus opening CPT 43420 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $877.59 – $1,579.66 | 16 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $2,366.58 – $4,259.85 | 16 |
| Repair extns tendon finger without grft ea CPT 26418 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Repair extra toe(s) CPT 28344 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair eyelid defect CPT 67901 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67902 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Repair eyelid defect CPT 67903 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67904 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67906 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Repair eyelid defect CPT 67908 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67914 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67915 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67916 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67917 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67921 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67922 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67923 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid defect CPT 67924 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair eyelid wound CPT 67930 | $2,675.25 | $3,567.00 | $2,428.98 – $4,372.16 | 17 |
| Repair eyelid wound CPT 67935 | $2,675.25 | $3,567.00 | $2,428.98 – $4,372.16 | 17 |
| Repair facial nerve CPT 69740 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair facial nerve CPT 69745 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair fibula nonunion CPT 27726 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair finger deformity CPT 26590 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Repair finger tendon CPT 26433 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair foot dislocation CPT 28555 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair foot dislocation CPT 28585 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair foot dislocation CPT 28615 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair hand joint CPT 26540 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair hand joint with graft CPT 26541 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair hand joint with graft CPT 26542 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $1,710.82 – $3,079.48 | 16 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $1,666.87 – $3,000.36 | 16 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $3,717.02 – $6,690.63 | 16 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $1,530.87 – $2,755.57 | 16 |
| Repair humerus with graft CPT 24435 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Repair lac palate<2 cm CPT 42180 | not published | not published | $551.01 – $991.82 | 16 |
| Repair leg fascia defect CPT 27656 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $579.00 | $772.00 | $551.01 – $991.82 | 17 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,768.50 | $2,358.00 | $1,585.19 – $2,853.34 | 17 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $1,254.42 – $2,257.96 | 16 |
| Repair liver wound 47360 CPT 47360 | not published | not published | $1,707.67 – $3,073.80 | 16 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair lower leg tendons CPT 27675 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair lower leg tendons CPT 27676 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair lumbar hernia CPT 49540 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Repair lung hernia 32800 CPT 32800 | not published | not published | $893.94 – $1,609.09 | 16 |
| Repair major blood vessel(s) w/bypass 33322 CPT 33322 | not published | not published | $1,300.79 – $2,341.43 | 16 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | not published | not published | $995.85 – $1,792.54 | 16 |
| Repair meningocele <5cm diam 63700 CPT 63700 | not published | not published | $1,280.51 – $2,304.93 | 16 |
| Repair middle ear structures CPT 69666 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Repair middle ear structures CPT 69667 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Repair muscles of hand CPT 26591 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair nasal septum defect CPT 30630 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Repair nasal stenosis CPT 30465 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair nerve add-on CPT 64837 | not published | not published | $306.34 – $551.41 | 16 |
| Repair nerve add-on 64832 CPT 64832 | not published | not published | $276.48 – $497.66 | 16 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair nonunion hand CPT 26546 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair of achilles tendon CPT 27654 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of anal sphincter CPT 46760 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair of anal sphincter CPT 46761 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair of anal stricture CPT 46700 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair of aneurysm CPT 35141 | not published | not published | $980.14 – $1,764.25 | 16 |
| Repair of ankle ligament CPT 27695 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of ankle ligament CPT 27698 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of arm nerves CPT 64861 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Repair of bladder opening CPT 51880 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair of body cast CPT 29720 | not published | not published | $166.02 – $298.84 | 16 |
| Repair of bowel lesion CPT 44605 | not published | not published | $1,192.66 – $2,146.78 | 16 |
| Repair of circumcision CPT 54163 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Repair of enterocele abdominal approach 57270 CPT 57270 | not published | not published | $704.12 – $1,267.41 | 16 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Repair of eye socket wound CPT 65290 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Repair of eye wound CPT 65270 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair of eye wound CPT 65272 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair of eye wound CPT 65275 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Repair of eye wound CPT 65280 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Repair of eye wound CPT 65285 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Repair of eye wound CPT 65286 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Repair of facial nerve CPT 64864 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Repair of facial nerve CPT 64865 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of foot bones CPT 28320 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Repair of foot tendon CPT 28200 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $1,612.63 – $2,902.73 | 16 |
| Repair of humerus CPT 24430 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair of knee cartilage CPT 27403 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of knee ligament CPT 27405 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of knee ligament CPT 27407 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of knee ligaments CPT 27409 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of leg nerve CPT 64840 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Repair of leg tendon each CPT 27658 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of leg tendon each CPT 27659 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of leg tendon each CPT 27665 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of low back nerves CPT 64862 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $691.27 – $1,244.28 | 16 |
| Repair of metatarsals CPT 28322 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $2,507.58 – $4,513.65 | 16 |
| Repair of nasal septum CPT 30520 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Repair of penis CPT 54440 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair of rectum CPT 45500 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair of rectum CPT 45505 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $1,177.28 – $2,119.10 | 16 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of shoulder CPT 23420 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $950.59 – $1,711.06 | 16 |
| Repair of sperm duct CPT 55400 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair of thigh muscle CPT 27385 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of tibia CPT 27720 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of toe dislocation CPT 28675 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Repair of urethra defect CPT 53275 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair of urethra defect CPT 53520 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Repair of urethra injury CPT 53505 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Repair of urethra injury CPT 53510 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Repair of urethra injury CPT 53515 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair of urethral lesion CPT 57230 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Repair of web finger CPT 26560 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Repair of web finger CPT 26561 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of web finger CPT 26562 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair of windpipe CPT 31750 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair of windpipe CPT 31755 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair of windpipe defect CPT 31825 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair palate CPT 42182 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair palate CPT 42235 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair paravag defect lap CPT 57423 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Repair penis CPT 54380 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Repair penis CPT 54385 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Repair pm/icd lead dual CPT 33220 | $6,205.50 | $8,274.00 | $3,817.90 – $6,872.22 | 17 |
| Repair pm/icd lead sgl CPT 33218 | $4,257.75 | $5,677.00 | $3,817.90 – $6,872.22 | 17 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $1,555.19 – $2,799.35 | 16 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $1,359.99 – $2,447.97 | 16 |
| Repair radius & ulna CPT 25415 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair radius or ulna CPT 25400 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair rectum & vagina CPT 57250 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $873.85 – $1,572.93 | 16 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,319.54 – $2,375.17 | 16 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $262.50 | $350.00 | $241.98 – $435.56 | 17 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $579.00 | $772.00 | $551.01 – $991.82 | 17 |
| Repair salivary duct CPT 42500 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair salivary duct CPT 42505 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Repair shoulder capsule CPT 23450 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair shoulder capsule CPT 23455 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair shoulder capsule CPT 23460 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair shoulder capsule CPT 23462 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair shoulder capsule CPT 23465 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair shoulder capsule CPT 23466 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $896.75 – $1,614.15 | 16 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair stomach opening CPT 43870 | $4,451.25 | $5,935.00 | $3,938.98 – $7,090.16 | 17 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,465.98 – $2,638.77 | 16 |
| Repair tear ducts CPT 68700 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,752.25 | $5,003.00 | $3,342.87 – $6,017.17 | 17 |
| Repair testis injury CPT 54670 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $847.65 – $1,525.77 | 16 |
| Repair throat wound CPT 42900 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Repair toe dislocation CPT 28645 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $262.50 | $350.00 | $241.98 – $435.56 | 17 |
| Repair umbilical lesion CPT 49600 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,037.43 – $1,867.38 | 16 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $8,293.50 | $11,058.00 | $7,413.38 – $13,344.08 | 17 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Repair uro sphincter CPT 53449 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Repair vagina CPT 57335 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Repair vagina/perineum CPT 57210 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Repair valve femoral vein CPT 34501 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,020.85 – $1,837.53 | 16 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Repair windpipe opening CPT 31614 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Repair/graft finger tendon CPT 26420 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair/graft hand tendon CPT 26352 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft hand tendon CPT 26372 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft of thigh CPT 27472 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft of tibia CPT 27722 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft of tibia CPT 27724 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $2,089.75 – $3,761.56 | 16 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $2,636.71 – $4,746.08 | 16 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $3,069.67 – $5,525.41 | 16 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,206.15 – $2,171.08 | 16 |
| Replace aortic valve open femoral 33362 CPT 33362 | $31,283.25 | $41,711.00 | $1,161.00 – $2,089.80 | 17 |
| Replace aortic valve open iliac 33364 CPT 33364 | $44,969.25 | $59,959.00 | $1,247.68 – $2,245.83 | 17 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $1,258.66 – $2,265.59 | 16 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $884.29 – $1,591.72 | 16 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $669.23 – $1,204.61 | 16 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | $44,969.25 | $59,959.00 | $552.28 – $994.11 | 17 |
| Replace duod/jej tube perc CPT 49451 | $1,464.75 | $1,953.00 | $926.63 – $1,667.93 | 17 |
| Replace elbow joint CPT 24363 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Replace eye fluid CPT 67025 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Replace g-j tube perc CPT 49452 | $1,479.75 | $1,973.00 | $926.63 – $1,667.93 | 17 |
| Replace g/c tube perc CPT 49450 | $1,059.75 | $1,413.00 | $926.63 – $1,667.93 | 17 |
| Replace picvad cath CPT 36585 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,010.02 – $1,818.04 | 16 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Replace tunneled cv cath CPT 36578 | $4,034.25 | $5,379.00 | $3,225.87 – $5,806.57 | 17 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $8,965.93 – $16,138.67 | 16 |
| Replacement of contact lens CPT 92326 | not published | not published | $60.27 – $108.49 | 16 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $2,112.97 – $3,803.35 | 16 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $2,522.89 – $4,541.20 | 16 |
| Replacment pt electronic sys HCPCS G0555 | not published | not published | $877.34 – $1,579.21 | 16 |
| Replantation digit complete CPT 20822 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Replantation thumb complete CPT 20827 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Repos lv lead pm/icd CPT 33226 | $3,322.50 | $4,430.00 | $3,225.87 – $5,806.57 | 17 |
| Repos sq defib eltrd CPT 33273 | $10,506.75 | $14,009.00 | $3,817.90 – $6,872.22 | 17 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $4,023.75 | $5,365.00 | $3,571.83 – $6,429.29 | 17 |
| Reposition intraocular lens CPT 66825 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Reposition pm/icd lead CPT 33215 | $4,089.00 | $5,452.00 | $3,225.87 – $5,806.57 | 17 |
| Reposition vad w/image rt/lt sep session CPT 33993 | not published | not published | $140.52 – $252.94 | 16 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Reprogram cochlear implt 7/> CPT 92604 | $382.50 | $510.00 | $131.46 – $236.63 | 17 |
| Reprogram cochlear implt <7 CPT 92602 | $762.75 | $1,017.00 | $131.46 – $236.63 | 17 |
| Reptilase test CPT 85635 | $138.75 | $185.00 | $4.31 – $17.73 | 17 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $1,884.61 – $3,392.30 | 16 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $1,660.51 – $2,988.92 | 16 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $739.45 – $1,331.02 | 16 |
| Resect distal finger tumor CPT 26262 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Resect enlarged toe CPT 28341 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,265.56 – $2,278.00 | 16 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $946.29 – $1,703.32 | 16 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect inferior turbinate CPT 30140 | $3,810.75 | $5,081.00 | $3,387.27 – $6,097.09 | 17 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $813.81 – $1,464.86 | 16 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,044.40 – $1,879.92 | 16 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,039.99 – $1,871.98 | 16 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,299.89 – $2,339.81 | 16 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Resect prox finger tumor CPT 26260 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect tarsal tumor CPT 28171 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $2,506.08 – $4,510.94 | 16 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $1,872.68 – $3,370.82 | 16 |
| Resection of elbow joint CPT 24155 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $4,119.02 | $5,492.02 | $11.53 – $20.76 | 17 |
| Resp virus 6-11 targets CPT 87632 | $1,559.25 | $2,079.00 | $117.35 – $392.51 | 17 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $372.84 – $671.11 | 16 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $2,727.77 – $4,909.99 | 16 |
| Resuscitation cardiopulmonary CPT 92950 | $1,155.00 | $1,540.00 | $220.60 – $397.08 | 17 |
| Resuscitation delivery/birthing room CPT 99465 | $721.50 | $962.00 | $675.26 – $1,215.47 | 17 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,904.58 – $5,228.24 | 16 |
| Reticulated platelet assay CPT 85055 | $99.00 | $132.00 | $13.75 – $64.33 | 17 |
| Reticulocyte automated CPT 85045 | $54.75 | $73.00 | $1.89 – $7.18 | 17 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $5.57 – $10.03 | 16 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $30.40 – $54.73 | 16 |
| Retrieval of oocyte CPT 58970 | not published | not published | $941.00 – $1,693.80 | 16 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.59 – $35.26 | 16 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $3,945.00 | $5,260.00 | $3,571.83 – $6,429.29 | 17 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $31,526.06 – $56,746.91 | 16 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $9,528.00 | $12,704.00 | $5,814.84 – $10,466.71 | 17 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $9,528.00 | $12,704.00 | $5,814.84 – $10,466.71 | 17 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $16,954.50 | $22,606.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $16,954.50 | $22,606.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $21,221.25 | $28,295.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $16,936.50 | $22,582.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $16,936.50 | $22,582.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $11,497.50 | $15,330.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $11,497.50 | $15,330.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $9,998.25 | $13,331.00 | $5,814.84 – $10,466.71 | 17 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $14,052.00 | $18,736.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $14,052.00 | $18,736.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $9,804.00 | $13,072.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $9,804.00 | $13,072.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $14,665.50 | $19,554.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $14,665.50 | $19,554.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc intra lithotrip-ather HCPCS C9766 | $20,329.50 | $27,106.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc intra lithotrip-stent HCPCS C9765 | $20,329.50 | $27,106.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc intravasc lithotripsy HCPCS C9764 | $12,754.50 | $17,006.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $20,329.50 | $27,106.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $20,329.50 | $27,106.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $20,329.50 | $27,106.00 | $18,728.69 – $33,711.64 | 17 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $12,754.50 | $17,006.00 | $11,794.23 – $21,229.61 | 17 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $20,329.50 | $27,106.00 | $18,728.69 – $33,711.64 | 17 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revise abdomen-venous shunt CPT 49426 | $7,104.75 | $9,473.00 | $3,657.95 – $6,584.31 | 17 |
| Revise additional leg tendon CPT 27692 | not published | not published | $88.13 – $158.63 | 16 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Revise circulation to head CPT 61708 | not published | not published | $2,391.12 – $4,304.02 | 16 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,244.90 – $2,240.82 | 16 |
| Revise eye CPT 65091 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise eye muscle CPT 67311 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise eye muscle CPT 67314 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise eye socket implant CPT 67560 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise eye sockets CPT 21260 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise eye sockets CPT 21261 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise eye sockets CPT 21263 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise eye sockets CPT 21267 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise eye with implant CPT 65093 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise eyelashes CPT 67825 | not published | not published | $324.28 – $583.70 | 16 |
| Revise eyelashes CPT 67835 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise eyelid defect CPT 67909 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise eyelid defect CPT 67911 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Revise eyelid lining CPT 68360 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise eyelid lining CPT 68362 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise finger joint each CPT 26135 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise finger joint each CPT 26140 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Revise graft w/vein CPT 35879 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise head/neck of femur CPT 27179 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Revise hip joint replacement CPT 27134 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revise hip joint replacement CPT 27138 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revise kneecap CPT 27437 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise kneecap with implant CPT 27438 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revise knuckle joint CPT 26530 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise knuckle with implant CPT 26531 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Revise lower leg tendon CPT 27690 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise lower leg tendon CPT 27691 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise lower leg tendons CPT 27686 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear bone CPT 69660 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear bone CPT 69661 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise middle ear bone CPT 69662 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revise ocular implant CPT 65125 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise ocular implant CPT 65150 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise penis/urethra CPT 54328 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revise penis/urethra CPT 54332 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revise penis/urethra CPT 54336 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Revise radius & ulna CPT 25365 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revise radius & ulna CPT 25375 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise radius or ulna CPT 25370 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $6,511.03 – $11,719.85 | 16 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $1,485.11 – $2,673.19 | 16 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise thumb tendon CPT 26490 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise thumb tendon CPT 26496 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise two eye muscles CPT 67312 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise two eye muscles CPT 67316 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Revise ureter CPT 50727 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Revise windpipe scar CPT 31830 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Revise wrist joint CPT 25332 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Revise/implant finger joint CPT 26536 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Revise/remove sling repair CPT 57287 | $3,720.00 | $4,960.00 | $3,307.24 – $5,953.03 | 17 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $1,241.43 – $2,234.57 | 16 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Revise/replace knee joint CPT 27486 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revise/replace knee joint CPT 27487 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,556.35 – $2,801.44 | 16 |
| Revision of amputation CPT 24935 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of ankle joint CPT 27700 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Revision of big toe CPT 28310 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of bladder neck CPT 52500 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revision of calf tendon CPT 27687 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revision of cervix CPT 57720 | $5,771.25 | $7,695.00 | $3,307.24 – $5,953.03 | 17 |
| Revision of cervix CPT 59320 | $7,213.50 | $9,618.00 | $3,307.24 – $5,953.03 | 17 |
| Revision of collar bone CPT 23480 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of collar bone CPT 23485 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revision of colostomy CPT 44340 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Revision of cornea CPT 65600 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Revision of eyelid CPT 67880 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revision of eyelid CPT 67882 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revision of eyelid CPT 67950 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revision of eyelid CPT 67961 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revision of eyelid CPT 67966 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Revision of foot CPT 28116 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revision of foot and ankle CPT 28262 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of foot bones CPT 28737 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revision of foot tendon CPT 28238 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,590.57 – $2,863.03 | 16 |
| Revision of hip tendon CPT 27097 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Revision of infusion pump CPT 36261 | not published | not published | $3,817.90 – $6,872.22 | 16 |
| Revision of iris CPT 66761 | $2,392.50 | $3,190.00 | $561.91 – $1,011.44 | 17 |
| Revision of iris CPT 66762 | not published | not published | $561.91 – $1,011.44 | 16 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Revision of knee joint CPT 27440 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revision of knee joint CPT 27441 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revision of knee joint CPT 27442 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revision of knee joint CPT 27443 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revision of knee joint CPT 27446 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Revision of larynx CPT 31400 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Revision of neck muscle CPT 21700 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revision of neck muscle CPT 21725 | not published | not published | $723.47 – $1,302.25 | 16 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of nose CPT 30120 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Revision of nose CPT 30430 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision of nose CPT 30435 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision of nose CPT 30450 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision of nose CPT 30460 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision of nose CPT 30462 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision of penis CPT 54300 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revision of penis CPT 54304 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revision of penis CPT 54420 | $4,040.25 | $5,387.00 | $3,601.33 – $6,482.39 | 17 |
| Revision of penis CPT 54430 | not published | not published | $566.59 – $1,019.86 | 16 |
| Revision of penis CPT 54435 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision of radius CPT 25350 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of radius CPT 25355 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Revision of scrotum CPT 55175 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revision of scrotum CPT 55180 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Revision of testis CPT 54660 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of toe CPT 28312 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,208.79 – $3,975.82 | 16 |
| Revision of ulna CPT 25360 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revision of urethra CPT 53450 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revision of urethra CPT 53460 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Revision of urethra CPT 57220 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revision tips CPT 37183 | $7,994.25 | $10,659.00 | $5,814.84 – $10,466.71 | 17 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $127.14 – $228.85 | 16 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.79 – $19.42 | 16 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,746.75 | $2,329.00 | $1,995.02 – $3,591.04 | 17 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $11.05 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $98.25 | $131.00 | $2.68 – $10.21 | 17 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $71.69 – $106.54 | 2 |
| Rho d immune globulin inj HCPCS J2790 | $194.25 | $259.00 | $212.15 – $212.15 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $295.72 – $295.72 | 1 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $12.77 – $36.79 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $5,242.06 | $6,989.41 | $34.26 – $61.66 | 17 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $300.54 | $400.72 | $0.39 – $0.39 | 1 |
| Right ventric recording CPT 93603 | $3,039.75 | $4,053.00 | $1,243.91 – $2,239.04 | 17 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $7.26 – $13.07 | 16 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,509.75 | $2,013.00 | $837.02 – $1,506.64 | 17 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $7.26 – $13.07 | 16 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.60 – $26.28 | 16 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $38.28 – $68.90 | 16 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $4,536.51 | $6,048.67 | $10.80 – $19.43 | 17 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $27,790.74 | $37,054.31 | $36.28 – $65.31 | 17 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $74.16 – $133.48 | 16 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $9,097.89 | $12,130.52 | $31.28 – $56.30 | 17 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $20.26 – $36.46 | 16 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,464.14 | $11,285.51 | $13.69 – $24.63 | 17 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,478.25 | $1,971.00 | $723.47 – $1,302.25 | 17 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $241.37 – $434.47 | 16 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $15,792.75 | $21,057.00 | $11,384.04 – $20,491.27 | 17 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $36,000.00 | $48,000.00 | $31,526.06 – $56,746.91 | 17 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $124.57 – $224.22 | 16 |
| Rmvl icd by tv extr CPT 33244 | $4,848.75 | $6,465.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $22,197.75 | $29,597.00 | $22,725.36 – $40,905.65 | 17 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $26,801.25 | $35,735.00 | $32,068.73 – $57,723.71 | 17 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $21,319.50 | $28,426.00 | $22,725.36 – $40,905.65 | 17 |
| Rmvl icd pulse gen only CPT 33241 | $4,307.25 | $5,743.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $446.21 – $803.18 | 16 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,141.72 – $3,855.10 | 16 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,230.50 | $2,974.00 | $640.89 – $1,153.60 | 17 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $181.68 – $327.02 | 16 |
| Rmvl perm pm pulse gen CPT 33233 | $6,820.50 | $9,094.00 | $8,454.63 – $15,218.33 | 17 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $138.11 – $248.60 | 16 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $4,023.75 | $5,365.00 | $3,571.83 – $6,429.29 | 17 |
| Rmvl phrnc nrv stim sys CPT 33278 | $4,023.75 | $5,365.00 | $3,571.83 – $6,429.29 | 17 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $3,945.00 | $5,260.00 | $3,571.83 – $6,429.29 | 17 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $18,045.00 | $24,060.00 | $19,678.89 – $35,422.00 | 17 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $8,797.50 | $11,730.00 | $8,454.63 – $15,218.33 | 17 |
| Rmvl pq iabp CPT 33968 | $84.00 | $112.00 | $29.39 – $52.90 | 17 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $6,116.25 | $8,155.00 | $163.30 – $293.94 | 17 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmvl sq defib electrode CPT 33272 | $4,551.75 | $6,069.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl subq card rhythm mntr CPT 33286 | $7,037.25 | $9,383.00 | $723.47 – $1,302.25 | 17 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $456.40 – $821.52 | 16 |
| Rmvl tv pm lead dual CPT 33235 | $3,988.50 | $5,318.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl tv pm lead sgl CPT 33234 | $3,303.75 | $4,405.00 | $3,817.90 – $6,872.22 | 17 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $3.99 – $13.16 | 2 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $11,827.02 | $15,769.35 | $30.80 – $55.43 | 17 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $20,356.48 | $27,141.97 | $11.11 – $19.99 | 17 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $8,372.44 | $11,163.25 | $12.19 – $21.94 | 17 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $184.88 | $246.50 | $0.15 – $0.15 | 1 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $32.81 | 16 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $204.98 – $368.96 | 16 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.40 – $42.11 | 16 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $408.43 – $735.17 | 16 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,531.25 | $3,375.00 | $907.04 – $2,380.84 | 17 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,460.92 – $2,629.66 | 16 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $238.39 – $429.10 | 16 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,703.00 | $3,604.00 | $1,608.25 – $2,894.85 | 17 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,534.25 | $3,379.00 | $1,608.25 – $2,894.85 | 17 |
| Rpl tun cvc wo subq port CPT 36581 | $2,957.25 | $3,943.00 | $3,225.87 – $5,806.57 | 17 |
| Rpl tun-cvad w subq port CPT 36582 | $3,880.50 | $5,174.00 | $3,225.87 – $5,806.57 | 17 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $922.98 – $1,661.36 | 16 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $771.70 – $1,389.05 | 16 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,115.45 – $2,007.80 | 16 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $796.09 – $1,432.96 | 16 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,051.42 – $1,892.55 | 16 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $868.13 – $1,562.63 | 16 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $789.61 – $1,421.31 | 16 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,614.04 – $11,905.27 | 16 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $672.78 – $1,211.00 | 16 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $837.13 – $1,506.83 | 16 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,657.95 – $6,584.31 | 16 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $60.27 – $108.49 | 16 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Rsv assay w/optic CPT 87807 | not published | not published | $13.10 – $23.58 | 16 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $136.02 – $244.84 | 16 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $38.13 – $68.63 | 16 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $38.13 – $68.63 | 16 |
| Rubella antibody igg CPT 86762 | $84.00 | $112.00 | $6.81 – $25.90 | 17 |
| Rubeola antibody igg CPT 86765 | $171.00 | $228.00 | $6.09 – $23.18 | 17 |
| Russell viper venom diluted CPT 85613 | $108.00 | $144.00 | $4.31 – $17.24 | 17 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,650.74 | 16 |
| S bowel endoscope w/stent CPT 44379 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $9,478.55 | $12,638.06 | $36.80 – $66.23 | 17 |
| Salivary gland function exam CPT 78232 | not published | not published | $205.25 – $735.17 | 16 |
| Salivary gland imaging CPT 78230 | $585.00 | $780.00 | $350.87 – $735.17 | 17 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $205.25 – $735.17 | 16 |
| Salmonella antibody CPT 86768 | $29.25 | $39.00 | $6.98 – $23.74 | 17 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $136.02 – $244.84 | 16 |
| Sargramostim injection HCPCS J2820 | $1,092.15 | $1,456.20 | $61.89 – $111.40 | 17 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $92.57 | 16 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $126.52 | 16 |
| Sarscov coronavirus ag ia CPT 87426 | $59.25 | $79.00 | $35.33 – $63.59 | 17 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $157.92 – $284.26 | 16 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $76.00 – $136.80 | 16 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $110.62 – $199.12 | 16 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $40.62 – $73.11 | 16 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $73.56 – $132.41 | 16 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,225.50 | $1,634.00 | $243.77 – $438.79 | 17 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $977.25 | $1,303.00 | $106.81 – $192.26 | 17 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $994.50 | $1,326.00 | $243.77 – $438.79 | 17 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $724.50 | $966.00 | $106.81 – $192.26 | 17 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $127.50 | $170.00 | $106.81 – $192.26 | 17 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $999.75 | $1,333.00 | $106.81 – $192.26 | 17 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,207.50 | $1,610.00 | $243.77 – $438.79 | 17 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $830.25 | $1,107.00 | $106.81 – $192.26 | 17 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $779.25 | $1,039.00 | $106.81 – $192.26 | 17 |
| Scan proc cranial extra CPT 61782 | not published | not published | $142.21 – $255.97 | 16 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $211.81 – $381.27 | 16 |
| Scan proc spinal CPT 61783 | not published | not published | $204.17 – $367.50 | 16 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,810.50 | $2,414.00 | $1,687.37 – $3,037.27 | 17 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $7,863.75 | $10,485.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $79.15 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $47.68 | 16 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $36.47 | 16 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $33.37 | 16 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $26.25 | $35.00 | $3.08 – $5.55 | 17 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,602.50 | $3,470.00 | $950.10 – $1,710.18 | 17 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,602.50 | $3,470.00 | $950.10 – $1,710.18 | 17 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $43.34 | 16 |
| Screening Mammogram CPT 77067 | $509.25 | $679.00 | $117.58 – $211.64 | 17 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $32.49 | 16 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $50.89 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $83.43 | 16 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $22.71 – $40.89 | 16 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $34.76 | 16 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $28,563.75 | $38,085.00 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $775.47 – $1,395.84 | 16 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $8,255.25 | $11,007.00 | $1,073.96 – $1,933.14 | 17 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $667.50 | $890.00 | $61.07 – $109.93 | 17 |
| Sedimentation rate erythrocyte automated CPT 85652 | $75.00 | $100.00 | $2.05 – $4.86 | 17 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,326.98 – $2,388.56 | 16 |
| Select picture audiometry CPT 92583 | $67.50 | $90.00 | $60.27 – $108.49 | 17 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $29.55 – $53.19 | 16 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $135.00 | $180.00 | $14.36 – $25.86 | 17 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $11.01 – $19.82 | 16 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $21.69 | 16 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $15.50 | 16 |
| Sensorimotor examination CPT 92060 | $109.50 | $146.00 | $60.27 – $108.49 | 17 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $38.16 – $68.69 | 16 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,428.98 – $4,372.16 | 16 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $345.60 | 16 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $78.57 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | $101.25 | $135.00 | $0.03 – $29.32 | 3 |
| Set radiation therapy field CPT 77280 | not published | not published | $137.32 – $247.18 | 16 |
| Set radiation therapy field CPT 77285 | not published | not published | $382.54 – $688.57 | 16 |
| Set radiation therapy field CPT 77290 | not published | not published | $382.54 – $688.57 | 16 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $313.79 – $564.82 | 16 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.04 – $0.04 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $638.94 | $851.91 | not published | 0 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Sgmdsc w/band ligation CPT 45350 | $1,380.00 | $1,840.00 | $1,222.56 – $2,200.61 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $987.75 | $1,317.00 | $204.98 – $368.96 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $935.25 | $1,247.00 | $204.98 – $368.96 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $935.25 | $1,247.00 | $415.32 – $747.58 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $582.75 | $777.00 | $415.32 – $747.58 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $219.00 | $292.00 | $204.98 – $368.96 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $231.75 | $309.00 | $204.98 – $368.96 | 17 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $252.00 | $336.00 | $204.98 – $368.96 | 17 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $367.50 | $490.00 | $415.32 – $747.58 | 17 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $311.25 | $415.00 | $415.32 – $747.58 | 17 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $206.25 | $275.00 | $204.98 – $368.96 | 17 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $304.50 | $406.00 | $204.98 – $368.96 | 17 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,076.25 | $9,435.00 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $11,238.75 | $14,985.00 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $44.06 | 16 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Shoe post-op mens m HCPCS L3260 | $29.76 | $39.67 | not published | 0 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Shorten radius or ulna CPT 25390 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,628.75 | $3,505.00 | $356.43 – $641.57 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $2,259.00 | $3,012.00 | $800.90 – $1,441.62 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $2,127.00 | $2,836.00 | $243.77 – $438.79 | 17 |
| Shoulder X-ray CPT 73030 | $461.25 | $615.00 | $63.96 – $160.04 | 17 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $81.59 – $146.86 | 16 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $57.40 – $103.32 | 16 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,050.00 | $5,400.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $539.25 | $719.00 | $106.81 – $192.26 | 17 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $22.00 | 16 |
| Sialography s&i CPT 70390 | not published | not published | $240.84 – $438.79 | 16 |
| Sialolithotomy 42330 CPT 42330 | $3,732.75 | $4,977.00 | $3,387.27 – $6,097.09 | 17 |
| Sickling rbc CPT 85660 | $90.75 | $121.00 | $2.77 – $9.92 | 17 |
| Sig w/tndsc balloon dilation CPT 45340 | $2,738.25 | $3,651.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $2,535.00 | $3,380.00 | $950.10 – $1,710.18 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,942.50 | $2,590.00 | $950.10 – $1,710.18 | 17 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $1,058.25 | $1,411.00 | $950.10 – $1,710.18 | 17 |
| Sigmoidoscopy for bleeding CPT 45334 | $2,765.25 | $3,687.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,604.00 | $3,472.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,370.25 | $1,827.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Sigmoidoscopy w/resection CPT 45349 | $3,254.25 | $4,339.00 | $2,835.78 – $5,104.40 | 17 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $2,502.75 | $3,337.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $3,027.00 | $4,036.00 | $950.10 – $1,710.18 | 17 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $4,014.75 | $5,353.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $2,389.50 | $3,186.00 | $950.10 – $1,710.18 | 17 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $60.27 – $108.49 | 16 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.95 – $0.95 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,794.23 – $21,229.61 | 16 |
| Simple cystometrogram 51725 CPT 51725 | $759.00 | $1,012.00 | $255.26 – $459.47 | 17 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $456.17 | $608.22 | $349.99 – $349.99 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $106.81 – $192.26 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,576.50 | $2,102.00 | $179.20 – $322.56 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $1,519.50 | $2,026.00 | $179.20 – $322.56 | 17 |
| Sinus CT scan (without contrast) CPT 70486 | $1,303.50 | $1,738.00 | $106.81 – $192.26 | 17 |
| Sinus/juglr venogram s&i CPT 75860 | $2,489.25 | $3,319.00 | $179.52 – $5,806.57 | 17 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Sipuleucel-t - su HCPCS Q2043 | $95,750.46 | $127,667.28 | $56,269.19 – $101,284.55 | 17 |
| Sirolimus, oral HCPCS J7520 | $12,667.27 | $16,889.69 | $2.45 – $2.45 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $87.11 – $156.80 | 16 |
| Skin Biopsy CPT 11102 | $300.00 | $400.00 | $415.32 – $747.58 | 17 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $170.24 – $306.44 | 16 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $189.97 – $341.95 | 16 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $12.53 – $53.19 | 16 |
| Skyla, 13.5 mg HCPCS J7301 | $3,739.59 | $4,986.11 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $6,070.50 | $8,094.00 | $877.34 – $1,579.21 | 17 |
| Sleep study attended CPT 95807 | $404.25 | $539.00 | $381.24 – $686.23 | 17 |
| Sleep study unattended CPT 95806 | $594.00 | $792.00 | $220.60 – $397.08 | 17 |
| Sleeve fing rolyan med HCPCS L3933 | $32.25 | $43.00 | $238.64 – $429.55 | 17 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $30.35 | $40.46 | $10.98 – $19.76 | 17 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $64.94 – $116.89 | 16 |
| Sling suprapubic suburetheral HCPCS C1771 | $21,217.50 | $28,290.00 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $32.21 – $57.97 | 16 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $90.52 – $162.93 | 16 |
| Slp pure tone screening CPT 92551 | $64.50 | $86.00 | $12.23 – $22.01 | 17 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $60.27 – $108.49 | 16 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $76.81 – $138.26 | 16 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $5,687.64 | 16 |
| Small bowel endoscopy CPT 44360 | $2,597.25 | $3,463.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44364 | $3,657.00 | $4,876.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44366 | $3,970.50 | $5,294.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44369 | $3,175.50 | $4,234.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44376 | $3,048.00 | $4,064.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44378 | $4,077.00 | $5,436.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44382 | $2,467.50 | $3,290.00 | $926.63 – $1,667.93 | 17 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy 44365 CPT 44365 | $3,540.00 | $4,720.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $3,096.75 | $4,129.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy br/wa CPT 44380 | $2,166.75 | $2,889.00 | $926.63 – $1,667.93 | 17 |
| Small bowel endoscopy br/wa CPT 44381 | $2,218.50 | $2,958.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy/biopsy CPT 44361 | $4,161.00 | $5,548.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy/biopsy CPT 44377 | $2,205.75 | $2,941.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $6,607.50 | $8,810.00 | $6,202.39 – $11,164.30 | 17 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $2.43 | $3.23 | $0.01 – $0.02 | 17 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $81.00 | $108.00 | $2.54 – $9.70 | 17 |
| Smear gram stain CPT 87205 | $66.00 | $88.00 | $2.02 – $7.69 | 17 |
| Smear nasal eosinophil CPT 89190 | $46.50 | $62.00 | $1.58 – $10.42 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $52.50 | $70.00 | $5.99 – $10.78 | 17 |
| Smear wet mount CPT 87210 | $88.50 | $118.00 | $5.54 – $10.48 | 17 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $542.43 | 16 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $84.60 | 16 |
| Snrpn/ube3a gene CPT 81331 | $376.50 | $502.00 | $41.02 – $91.93 | 17 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $2,421.56 | 16 |
| So gsap cll fr dna/dna&rna CPT 81462 | $2,242.50 | $2,990.00 | $1,195.83 – $2,152.49 | 17 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $5,919.32 | 16 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $1,580.25 | $2,107.00 | $1,046.35 – $1,883.43 | 17 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $1,614.37 | 16 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $5,381.19 | 16 |
| Sock wool above knee HCPCS L8430 | not published | not published | $29.09 – $52.36 | 16 |
| Sodium 24 hour urine CPT 84300 | $60.00 | $80.00 | $2.30 – $9.11 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $20.34 | $27.12 | $3.53 – $3.53 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $19.42 | $25.89 | $1.83 – $1.83 | 1 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $33.28 | $44.37 | $5.84 – $5.84 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $11.10 | $14.79 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $28.46 | $37.94 | $5.59 – $5.59 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $651.32 | $868.42 | $188.88 – $188.88 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $57.00 | $76.00 | $2.28 – $8.66 | 17 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.88 – $1.59 | 16 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $88.91 – $160.04 | 16 |
| Somatosensory testing CPT 95927 | $1,404.00 | $1,872.00 | $220.60 – $397.08 | 17 |
| Somatropin injection HCPCS J2941 | $2,600.83 | $3,467.77 | not published | 0 |
| Sotalol hydrochloride IV HCPCS C9482 | $13,396.05 | $17,861.39 | not published | 0 |
| Special physics consult CPT 77370 | not published | not published | $137.32 – $247.18 | 16 |
| Special radiation dosimetry CPT 77331 | not published | not published | $45.68 – $247.18 | 16 |
| Special radiation treatment CPT 77470 | not published | not published | $85.10 – $1,016.12 | 16 |
| Special teletx port plan CPT 77321 | not published | not published | $105.44 – $688.57 | 16 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.28 – $5.90 | 16 |
| Specimen fat stain CPT 89125 | $60.75 | $81.00 | $2.15 – $10.58 | 17 |
| Speech audiometry complete CPT 92556 | $104.25 | $139.00 | $60.27 – $108.49 | 17 |
| Speech evaluation complex CPT 70371 | $1,077.00 | $1,436.00 | $167.97 – $438.79 | 17 |
| Speech recep thresh CPT 92555 | $104.25 | $139.00 | $60.27 – $108.49 | 17 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $19.21 | 16 |
| Sperm identification CPT 89257 | not published | not published | $53.24 – $95.83 | 16 |
| Sperm isolation complex CPT 89261 | not published | not published | $53.24 – $95.83 | 16 |
| Sperm isolation simple CPT 89260 | not published | not published | $53.24 – $95.83 | 16 |
| Sperm washing 58323 CPT 58323 | not published | not published | $206.55 – $371.79 | 16 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $96.64 – $173.96 | 16 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,416.00 | $1,888.00 | $721.17 – $1,298.11 | 17 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $220.60 – $397.08 | 16 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $672.00 | $896.00 | $381.24 – $686.23 | 17 |
| Spirometry up to 2 yrs old CPT 94011 | $1,005.75 | $1,341.00 | $131.46 – $236.63 | 17 |
| Spleen imaging CPT 78185 | $469.50 | $626.00 | $341.87 – $735.17 | 17 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,051.03 – $1,891.86 | 16 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $48.75 | $65.00 | $566.79 – $1,020.22 | 17 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $93.00 | $124.00 | $73.47 – $132.25 | 17 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.68 – $4.82 | 16 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $108.04 – $194.47 | 16 |
| Splint finger frog med HCPCS L3927 | $73.50 | $98.00 | $39.15 – $70.47 | 17 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $35.25 | $47.00 | $108.04 – $194.47 | 17 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Split blood or products CPT 86985 | $606.00 | $808.00 | $6.40 – $313.31 | 17 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $337.46 – $607.43 | 16 |
| Sputum specimen collection CPT 89220 | $337.50 | $450.00 | $15.15 – $313.31 | 17 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $7,463.40 | 16 |
| Srs linear based CPT 77372 | not published | not published | $2,249.34 – $13,544.68 | 16 |
| Srs multisource CPT 77371 | not published | not published | $2,634.28 – $13,544.68 | 16 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $393.00 | $524.00 | $105.70 – $190.26 | 17 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $330.75 | $441.00 | $98.99 – $178.18 | 17 |
| St evaluate speech sound production CPT 92522 | $341.25 | $455.00 | $107.86 – $194.16 | 17 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $387.00 | $516.00 | $217.95 – $392.30 | 17 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $551.25 | $735.00 | $87.52 – $157.54 | 17 |
| St evaluation swallow function CPT 92610 | $442.50 | $590.00 | $81.27 – $146.28 | 17 |
| St treatment speech individual CPT 92507 | $332.25 | $443.00 | $73.34 – $132.01 | 17 |
| St treatment swallow dysfunction/oral CPT 92526 | $415.50 | $554.00 | $80.77 – $145.39 | 17 |
| Staggered spondaic word test CPT 92572 | $474.75 | $633.00 | $131.46 – $236.63 | 17 |
| Staph a dna amp probe CPT 87640 | $129.00 | $172.00 | $17.61 – $63.16 | 17 |
| Stem cells total count CPT 86367 | $96.00 | $128.00 | $18.92 – $140.00 | 17 |
| Stenger test pure tone CPT 92565 | $162.00 | $216.00 | $60.27 – $108.49 | 17 |
| Stenger test speech CPT 92577 | $404.25 | $539.00 | $381.24 – $686.23 | 17 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $47,137.50 | $62,850.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,076.00 | $6,768.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $38,815.81 | $51,754.41 | not published | 0 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $967.78 – $1,742.01 | 16 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $224.91 – $224.91 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,346.87 – $2,424.37 | 16 |
| Sternal debridement CPT 21627 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $174.06 – $313.31 | 16 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $174.06 – $313.31 | 16 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $174.06 – $313.31 | 16 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $174.06 – $313.31 | 16 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $421.77 – $759.18 | 16 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $548.66 | 16 |
| Str markers specimen anal CPT 81265 | $1,678.50 | $2,238.00 | $233.07 – $419.53 | 17 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.70 – $8.46 | 16 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $183.75 | $245.00 | $166.02 – $298.84 | 17 |
| Strapping of chest CPT 29200 | not published | not published | $166.02 – $298.84 | 16 |
| Strapping of elbow or wrist 29260 CPT 29260 | $230.25 | $307.00 | $60.27 – $108.49 | 17 |
| Strapping of hand or finger CPT 29280 | $315.00 | $420.00 | $60.27 – $108.49 | 17 |
| Strapping of hip CPT 29520 | $147.00 | $196.00 | $135.93 – $244.67 | 17 |
| Strapping of knee CPT 29530 | $204.75 | $273.00 | $135.93 – $244.67 | 17 |
| Strapping of toes 29550 CPT 29550 | $151.50 | $202.00 | $60.27 – $108.49 | 17 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $30.26 | 16 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $36.09 | 16 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $22.91 | 16 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $63.16 | 16 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $278.92 – $278.92 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $22.79 | 16 |
| Streptomycin injection HCPCS J3000 | not published | not published | $80.69 – $278.92 | 2 |
| Streptozocin injection HCPCS J9320 | $1,286.99 | $1,715.98 | $952.84 – $952.84 | 1 |
| Stress test pulmonary CPT 94618 | $654.00 | $872.00 | $135.93 – $244.67 | 17 |
| Stress tte complete CPT 93351 | $2,007.00 | $2,676.00 | $558.25 – $1,004.85 | 17 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $721.17 – $1,298.11 | 16 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $332.13 – $597.84 | 16 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $755.08 – $1,359.14 | 16 |
| Subq njx filling matrl 1cc/< CPT 11950 | $1,392.00 | $1,856.00 | $204.98 – $368.96 | 17 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $103.80 – $186.84 | 16 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $99.85 – $179.73 | 16 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $22.19 | $29.58 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $20.75 | 16 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $20.75 | 16 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.13 – $0.28 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $270.00 | $360.00 | $0.03 – $29.66 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $167.98 | $223.97 | not published | 0 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $47.84 – $86.11 | 16 |
| Supply of digital device HCPCS G0552 | not published | not published | $136.02 – $244.84 | 16 |
| Support clav 29.6-40.5in med HCPCS L3650 | $105.75 | $141.00 | $80.60 – $145.08 | 17 |
| Supprelin la implant HCPCS J9226 | $185,546.55 | $247,395.39 | $41,173.43 – $74,112.17 | 17 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $719.31 – $1,294.76 | 16 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $719.92 – $1,295.85 | 16 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Surgical opening of stomach CPT 43510 | not published | not published | $926.63 – $1,667.93 | 16 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $732.99 – $1,319.39 | 16 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Surgical pathology level 1 gross examination only CPT 88300 | $117.00 | $156.00 | $13.39 – $53.19 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $193.50 | $258.00 | $20.50 – $68.69 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $240.00 | $320.00 | $40.47 – $95.83 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $330.75 | $441.00 | $44.17 – $95.83 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $507.00 | $676.00 | $69.19 – $659.18 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $720.75 | $961.00 | $69.19 – $1,481.63 | 17 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,240.75 – $2,233.34 | 16 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,393.41 – $2,508.14 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $11.95 | 16 |
| Susceptibility agar dilution per agent CPT 87181 | $130.50 | $174.00 | $0.82 – $8.55 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $31.50 | $42.00 | $2.36 – $8.55 | 17 |
| Susceptibility mic per plate CPT 87186 | $96.00 | $128.00 | $3.65 – $15.57 | 17 |
| Suspension of testis CPT 54620 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $403.47 – $726.25 | 16 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $954.86 – $1,718.74 | 16 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,267.18 – $2,280.92 | 16 |
| Svc venogram s&i CPT 75827 | $4,438.50 | $5,918.00 | $162.22 – $2,894.85 | 17 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $5.10 – $95.83 | 16 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Synthetic sentence id test CPT 92576 | not published | not published | $38.16 – $68.69 | 16 |
| Synvisc or synvisc-one HCPCS J7325 | $1,696.83 | $2,262.43 | $6.96 – $12.53 | 17 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $67.50 | $90.00 | $2.09 – $7.92 | 17 |
| System cardiomems hosp electronics HCPCS C2624 | $53,437.50 | $71,250.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $33,750.00 | $45,000.00 | $5,573.00 – $5,573.00 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,441.25 | $15,255.00 | $7,602.00 – $7,602.00 | 1 |
| System sealant biosentry tract HCPCS C2613 | $900.00 | $1,200.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $26.78 – $48.20 | 16 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $46.98 – $84.56 | 16 |
| T cells total count CPT 86359 | $108.00 | $144.00 | $27.09 – $67.91 | 17 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $450.73 – $811.31 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $62.25 | $83.00 | $8.01 – $30.49 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $52.50 | $70.00 | $6.71 – $25.52 | 17 |
| T4 (thyroxine) free CPT 84439 | $45.75 | $61.00 | $4.27 – $16.24 | 17 |
| T4 (thyroxine) total CPT 84436 | $99.75 | $133.00 | $3.25 – $12.37 | 17 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $2,970.47 | $3,960.62 | $1.49 – $1.49 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $8,369.30 | $11,159.06 | $4.71 – $4.71 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $12,682.80 | $16,910.40 | $0.39 – $0.39 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $874.23 | $1,165.63 | $259.96 – $467.92 | 17 |
| Tacrolimus therapeutic drug level CPT 80197 | $174.75 | $233.00 | $7.28 – $24.71 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $5,161.23 | $6,881.64 | $14.17 – $25.50 | 17 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,951.23 – $3,512.22 | 16 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,804.53 – $3,248.16 | 16 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,069.15 – $1,924.47 | 16 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $25,827.38 | $34,436.50 | $73.94 – $133.10 | 17 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $74.88 – $134.78 | 16 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.70 – $0.70 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $373.52 – $672.34 | 16 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $228.44 – $411.19 | 16 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,708.50 | $2,278.00 | $107.80 – $1,367.15 | 17 |
| Target gsa panel organ neop CPT 81445 | $1,643.25 | $2,191.00 | $107.80 – $1,076.24 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $5,255.28 | 16 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,567.72 – $2,821.89 | 16 |
| Tas congenital car anomal CPT 33741 | not published | not published | $643.14 – $1,157.65 | 16 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $1,148.25 | $1,531.00 | $755.08 – $1,359.14 | 17 |
| Tavr perq femoral CPT 33361 | $25,185.75 | $33,581.00 | $1,065.65 – $1,918.17 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $460.50 | $614.00 | $34.89 – $180.00 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $61.98 – $111.56 | 16 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $959.55 | $1,279.39 | $0.25 – $0.44 | 17 |
| Tbs techl calculation only CPT 77091 | not published | not published | $68.88 – $160.04 | 16 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $6.67 – $160.04 | 16 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $775.52 – $1,395.94 | 16 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $249.90 – $249.90 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $1,681.43 | 16 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $6,118.88 – $6,118.88 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $333.45 – $333.45 | 1 |
| Tc-99m maa HCPCS A9540 | not published | not published | $107.10 – $107.10 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $1,248.75 | $1,664.99 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $46.41 – $46.41 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $4,717.50 | $6,289.99 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $157.08 – $157.08 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $975.00 | $1,300.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $6.06 – $6.06 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $228.66 – $228.66 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $6,044.97 | $8,059.96 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $659.93 – $1,187.87 | 16 |
| Tc-99m sulfur colloid HCPCS A9541 | $3,734.48 | $4,979.30 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $304.43 – $304.43 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $2,361.84 – $2,361.84 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $755.08 – $1,359.14 | 16 |
| Tcd emboli detect w/inj CPT 93893 | $1,061.25 | $1,415.00 | $106.81 – $192.26 | 17 |
| Tcd emboli detect without inj CPT 93892 | $1,269.00 | $1,692.00 | $106.81 – $192.26 | 17 |
| Tcran magn stim redetemine CPT 90869 | $354.00 | $472.00 | $220.60 – $397.08 | 17 |
| Tcranial magn stim tx deli CPT 90868 | $354.00 | $472.00 | $220.60 – $397.08 | 17 |
| Tcranial magn stim tx plan CPT 90867 | $354.00 | $472.00 | $220.60 – $397.08 | 17 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $923.32 – $1,661.98 | 16 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $222.49 – $400.49 | 16 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $1,165.50 | $1,554.00 | $800.90 – $1,441.62 | 17 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,826.25 | $2,435.00 | $800.90 – $1,441.62 | 17 |
| Telavancin injection HCPCS J3095 | $2,428.05 | $3,237.39 | $7.03 – $12.66 | 17 |
| Telehealth original site facility fee HCPCS Q3014 | $151.50 | $202.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $321.89 – $688.57 | 16 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $177.85 – $688.57 | 16 |
| Temozolomide HCPCS J8700 | $1,918.68 | $2,558.23 | $0.93 – $0.93 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $3,438.61 | $4,584.81 | $10.40 – $18.72 | 17 |
| Temperature gradient studies CPT 93740 | not published | not published | $131.46 – $236.63 | 16 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.08 – $54.14 | 16 |
| Tendon lengthening CPT 26476 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tendon shortening CPT 26477 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $29,758.74 | $39,678.32 | $197.44 – $355.39 | 17 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $68.57 | $91.42 | $7.05 – $7.05 | 1 |
| Teriparatide injection HCPCS J3110 | not published | not published | $179.69 – $179.69 | 1 |
| Tert gene targeted seq alys CPT 81345 | $347.25 | $463.00 | $185.20 – $333.36 | 17 |
| Test for chlorohydrocarbons CPT 82441 | $225.00 | $300.00 | $3.18 – $10.82 | 17 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $10.48 | 16 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $17.19 | 16 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $60.27 – $108.49 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $1,012.50 | $1,350.00 | $220.60 – $397.08 | 17 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $20.25 | 16 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $24.05 | 16 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $8.05 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | $1,209.75 | $1,613.00 | $402.46 – $735.17 | 17 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.13 – $3.84 | 16 |
| Tetanus immune globulin inj HCPCS J1670 | $1,939.05 | $2,585.40 | $558.12 – $1,004.61 | 17 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.58 – $31.65 | 16 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,367.15 | 16 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,076.24 | 16 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $5,255.28 | 16 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $30.73 – $313.31 | 16 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $450.73 – $811.31 | 16 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $104.95 – $313.31 | 16 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $62.10 – $313.31 | 16 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $44.98 – $95.83 | 16 |
| Theophylline therapeutic drug level CPT 80198 | $111.00 | $148.00 | $6.69 – $25.45 | 17 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $208.50 | $278.00 | $179.20 – $322.56 | 17 |
| Ther/proph/diag inj ia CPT 96373 | $380.25 | $507.00 | $217.31 – $391.16 | 17 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $29.55 – $53.19 | 16 |
| Therapy activation ipnss CPT 93150 | $108.00 | $144.00 | $97.13 – $174.83 | 17 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $65.25 | $87.00 | $35.12 – $63.21 | 17 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $65.25 | $87.00 | $30.31 – $54.56 | 17 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $204.98 – $368.96 | 16 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $23.67 | $31.56 | $4.58 – $4.58 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,687.50 | $2,250.00 | $640.89 – $1,153.60 | 17 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,498.92 – $4,498.05 | 16 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $193.31 – $347.97 | 16 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $3,255.59 – $5,860.07 | 16 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,472.37 – $2,650.26 | 16 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $193.31 – $347.97 | 16 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $983.73 – $1,770.71 | 16 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,016.95 – $1,830.52 | 16 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,242.26 – $2,236.06 | 16 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $894.53 – $1,610.16 | 16 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $632.55 – $1,138.59 | 16 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,103.29 – $1,985.92 | 16 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $140.13 – $252.23 | 16 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $140.43 – $252.78 | 16 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,292.88 – $2,327.18 | 16 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $839.95 – $1,511.92 | 16 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $752.56 – $1,354.60 | 16 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $759.30 – $1,366.74 | 16 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $697.18 – $1,254.92 | 16 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,127.09 – $2,028.77 | 16 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $818.42 – $1,473.16 | 16 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $796.85 – $1,434.34 | 16 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,538.35 – $2,769.04 | 16 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $751.60 – $1,352.89 | 16 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $704.93 – $1,268.88 | 16 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $876.56 – $1,577.80 | 16 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $759.09 – $1,366.36 | 16 |
| Thoracotomy with cardiac massage CPT 32160 | $4,610.25 | $6,147.00 | $751.99 – $1,353.58 | 17 |
| Thorax spine fusion CPT 22610 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $88.91 – $160.04 | 16 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,013.46 – $1,824.22 | 16 |
| Thrombectmy crnry perq mechanical CPT 92973 | $4,489.50 | $5,986.00 | $80.65 – $145.16 | 17 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $6,205.50 | $8,274.00 | $5,814.84 – $10,466.71 | 17 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $10,103.25 | $13,471.00 | $11,794.23 – $21,229.61 | 17 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $15,313.50 | $20,418.00 | $18,728.69 – $33,711.64 | 17 |
| Thrombin time CPT 85670 | $87.00 | $116.00 | $2.26 – $10.39 | 17 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $12.33 | 16 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $730.91 – $1,315.63 | 16 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,157.19 – $2,082.95 | 16 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,001.62 – $1,802.92 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $99.75 | $133.00 | $6.47 – $11.65 | 17 |
| Thromboxane urine CPT 84431 | not published | not published | $35.11 – $63.20 | 16 |
| Thumb fusion with graft CPT 26820 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Thumb fusion with graft CPT 26842 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,271.65 – $2,288.96 | 16 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,056.31 – $1,901.36 | 16 |
| Thyroglobulin antibody CPT 86800 | $47.25 | $63.00 | $7.52 – $28.64 | 17 |
| Thyroid (TSH) Test CPT 84443 | $136.50 | $182.00 | $7.95 – $30.24 | 17 |
| Thyroid Ultrasound CPT 76536 | $885.75 | $1,181.00 | $106.81 – $192.26 | 17 |
| Thyroid imaging CPT 78013 | not published | not published | $379.54 – $735.17 | 16 |
| Thyroid met imaging CPT 78015 | not published | not published | $408.43 – $735.17 | 16 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $408.43 – $735.17 | 16 |
| Thyroid met uptake CPT 78020 | not published | not published | $74.11 – $133.41 | 16 |
| Thyroid mets imag whole body CPT 78018 | $2,506.50 | $3,342.00 | $554.73 – $998.51 | 17 |
| Thyroid uptake measurement CPT 78012 | $856.50 | $1,142.00 | $178.01 – $735.17 | 17 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,202.52 – $2,164.54 | 16 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $7,476.81 | $9,969.08 | $2,125.34 – $3,825.61 | 17 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $90.74 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $58.50 | $78.00 | $7.00 – $26.60 | 17 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $21,900.00 | $29,200.00 | not published | 0 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Tigecycline injection HCPCS J3243 | $534.77 | $713.02 | $1.29 – $1.29 | 1 |
| Tilt table study CPT 93660 | $1,428.00 | $1,904.00 | $381.24 – $686.23 | 17 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $8.80 – $13.51 | 2 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $919.89 – $1,655.80 | 16 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $367.37 – $661.26 | 16 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | $2,194,589.53 | $2,926,119.37 | $614,180.81 – $1,105,525.45 | 17 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $27,364.47 | $36,485.95 | $196.12 – $353.02 | 17 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $50.12 – $89.25 | 2 |
| Tissue culture placenta CPT 88235 | $6,844.50 | $9,126.00 | $88.13 – $270.54 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $1,468.50 | $1,958.00 | $74.49 – $253.31 | 17 |
| Tissue culture tumor CPT 88239 | $945.00 | $1,260.00 | $77.77 – $265.54 | 17 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $127.14 – $228.85 | 16 |
| Tissue exam koh skin/hair/nails CPT 87220 | $66.00 | $88.00 | $4.27 – $7.69 | 17 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $2,516.07 | $3,354.75 | $127.14 – $228.85 | 17 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $1,679.65 | $2,239.53 | $127.14 – $228.85 | 17 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $6,114.24 | $8,152.32 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $42.75 | $57.00 | $11.53 – $20.75 | 17 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $116.59 – $116.59 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,193.40 – $3,948.12 | 16 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,235.86 – $4,024.54 | 16 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $286.24 | $381.65 | $6.33 – $6.33 | 1 |
| Tobramycin non-comp unit HCPCS J7682 | $124.14 | $165.51 | $37.19 – $37.19 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $93.00 | $124.00 | $8.41 – $29.03 | 17 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.53 – $9.95 | 16 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $38.71 – $69.68 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $81.75 | $109.00 | $48.47 – $87.24 | 17 |
| Tone decay hearing test CPT 92563 | not published | not published | $38.16 – $68.69 | 16 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $2,845.50 | $3,794.00 | $3,387.27 – $6,097.09 | 17 |
| Tongue suspension CPT 41512 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $517.65 | $690.20 | $3.45 – $3.45 | 1 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.99 – $71.99 | 16 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,228.27 – $2,210.89 | 16 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $442.02 – $795.63 | 16 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,707.04 – $4,872.67 | 16 |
| Total Hip Replacement CPT 27130 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Total Knee Replacement CPT 27447 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Total hip arthroplasty CPT 27132 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Total hysterectomy CPT 58150 | not published | not published | $911.90 – $1,641.42 | 16 |
| Total lung lavage CPT 32997 | not published | not published | $296.74 – $534.13 | 16 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,446.05 – $4,402.88 | 16 |
| Total tau CPT 84394 | $504.00 | $672.00 | $128.92 – $232.06 | 17 |
| Toxoplasma antibody igg CPT 86777 | $60.00 | $80.00 | $7.49 – $25.90 | 17 |
| Toxoplasma antibody igm CPT 86778 | $93.00 | $124.00 | $7.70 – $25.94 | 17 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $1,155.33 | 16 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $593.12 | 16 |
| Tpmt gene com vrnts CPT 81335 | $1,022.25 | $1,363.00 | $174.81 – $314.66 | 17 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $255.26 – $459.47 | 16 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $13,479.22 – $24,262.60 | 16 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $561.91 – $1,011.44 | 16 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $13,641.34 | $18,188.45 | $391.07 – $703.93 | 17 |
| Trabeculoplasty laser surg CPT 65855 | $671.25 | $895.00 | $561.91 – $1,011.44 | 17 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $2,597.25 | $3,463.00 | $551.01 – $991.82 | 17 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $101.25 | $135.00 | $53.67 – $96.60 | 17 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $77.65 | $103.53 | not published | 0 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $1,383.59 – $2,490.46 | 16 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,055.15 – $1,899.27 | 16 |
| Transabdom amnioinfus w/us CPT 59070 | $1,177.50 | $1,570.00 | $311.33 – $560.39 | 17 |
| Transcath biopsy CPT 37200 | $4,294.50 | $5,726.00 | $5,685.01 – $10,233.02 | 17 |
| Transcath closure of asd CPT 93580 | $16,096.50 | $21,462.00 | $18,728.69 – $33,711.64 | 17 |
| Transcath closure of vsd CPT 93581 | $15,782.25 | $21,043.00 | $18,728.69 – $33,711.64 | 17 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $364.29 – $655.73 | 16 |
| Transcath mv repair init prosthesis CPT 33418 | $19,213.50 | $25,618.00 | $1,558.27 – $2,804.88 | 17 |
| Transcath occlusion cns CPT 61624 | $19,546.50 | $26,062.00 | $18,728.69 – $33,711.64 | 17 |
| Transcath occlusion non-cns CPT 61626 | $16,788.75 | $22,385.00 | $11,794.23 – $21,229.61 | 17 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $3,696.00 | $4,928.00 | $3,225.87 – $5,806.57 | 17 |
| Transcatheter bx s&i CPT 75970 | $3,122.25 | $4,163.00 | $924.80 – $924.80 | 1 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.02 – $9.04 | 16 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Transfer of embryo CPT 58976 | not published | not published | $311.33 – $560.39 | 16 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transferrin CPT 84466 | $136.50 | $182.00 | $5.74 – $22.97 | 17 |
| Transfusion blood/blood component(s) CPT 36430 | $1,166.25 | $1,555.00 | $450.73 – $811.31 | 17 |
| Transorl lwr esophgl myotomy CPT 43497 | $6,978.00 | $9,304.00 | $6,202.39 – $11,164.30 | 17 |
| Transperi needle place pros CPT 55875 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transplant forearm tendon CPT 25312 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transplant hand tendon CPT 26480 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Transplant palm tendon CPT 26485 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $64,263.52 – $115,674.34 | 16 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $1,591.16 – $2,864.09 | 16 |
| Transposition of vein valve CPT 34510 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $1,145.16 – $2,061.30 | 16 |
| Transurethral rf treatment CPT 53860 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $5,762.28 | $7,683.03 | $73.43 – $132.17 | 17 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $12,199.65 | $16,266.19 | $56.38 – $101.48 | 17 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $10.43 – $18.77 | 16 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $3,822.00 | $5,096.00 | $1,361.78 – $2,451.20 | 17 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $1,094.25 | $1,459.00 | not published | 0 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $4.54 – $8.17 | 16 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $89.26 | 16 |
| Treat ankle dislocation CPT 27842 | $1,872.00 | $2,496.00 | $1,642.82 – $2,957.08 | 17 |
| Treat ankle dislocation CPT 27846 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat ankle dislocation CPT 27848 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat ankle fracture CPT 28445 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat big toe fracture CPT 28505 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Treat clavicle dislocation 23545 CPT 23545 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Treat elbow dislocation CPT 24605 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat elbow dislocation CPT 24615 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat elbow fracture CPT 24586 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat elbow fracture CPT 24620 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat elbow fracture CPT 24635 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat eyelid by injection CPT 68200 | not published | not published | $456.40 – $821.52 | 16 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $1,018.47 – $1,833.25 | 16 |
| Treat finger fracture each CPT 26727 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat finger fracture each CPT 26742 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat foot bone lesion CPT 28005 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat foot dislocation CPT 28540 | not published | not published | $252.01 – $453.62 | 16 |
| Treat foot dislocation CPT 28545 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat foot dislocation CPT 28546 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Treat foot dislocation CPT 28570 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Treat foot dislocation CPT 28576 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat foot dislocation CPT 28600 | not published | not published | $252.01 – $453.62 | 16 |
| Treat foot dislocation CPT 28605 | not published | not published | $252.01 – $453.62 | 16 |
| Treat foot dislocation CPT 28606 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat fracture of radius CPT 25505 | $1,514.25 | $2,019.00 | $1,642.82 – $2,957.08 | 17 |
| Treat fracture of radius CPT 25520 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat fracture of ulna CPT 25535 | $2,169.75 | $2,893.00 | $252.01 – $453.62 | 17 |
| Treat hand bone lesion CPT 26034 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Treat hand dislocation CPT 26675 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Treat hand dislocation CPT 26685 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat hand dislocation CPT 26686 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat heel fracture CPT 28415 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat hip dislocation CPT 27252 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat hip dislocation CPT 27257 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Treat hip dislocation CPT 27258 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat hip socket fracture CPT 27222 | not published | not published | $252.01 – $453.62 | 16 |
| Treat humerus fracture CPT 24515 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat humerus fracture CPT 24516 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat humerus fracture CPT 24535 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat humerus fracture CPT 24545 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat humerus fracture CPT 24546 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat humerus fracture CPT 24565 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat humerus fracture CPT 24575 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat humerus fracture CPT 24579 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat humerus fracture CPT 24582 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat knee dislocation CPT 27552 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat knee fracture CPT 27535 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat knee fracture CPT 27536 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat knee fracture CPT 27540 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat knee fracture 27530 CPT 27530 | $344.25 | $459.00 | $252.01 – $453.62 | 17 |
| Treat knee fracture(s) CPT 27538 | $642.00 | $856.00 | $252.01 – $453.62 | 17 |
| Treat kneecap dislocation CPT 27562 | not published | not published | $252.01 – $453.62 | 16 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat kneecap fracture CPT 27524 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat knuckle dislocation CPT 26705 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Treat knuckle dislocation CPT 26715 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat lower leg dislocation CPT 27830 | not published | not published | $252.01 – $453.62 | 16 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat lower leg fracture CPT 27826 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat lower leg fracture CPT 27827 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat lower leg fracture CPT 27828 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat lower leg joint CPT 27829 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat metacarpal fracture CPT 26608 | $3,767.25 | $5,023.00 | $3,342.87 – $6,017.17 | 17 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $777.36 – $1,399.25 | 16 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $731.21 – $1,316.17 | 16 |
| Treat penis lesion graft CPT 54111 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Treat penis lesion graft CPT 54112 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Treat radius fracture CPT 24665 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat radius fracture CPT 24666 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat skull fracture CPT 62000 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Treat skull fracture CPT 62005 | not published | not published | $1,226.62 – $2,207.91 | 16 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $903.63 – $1,626.53 | 16 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $903.63 – $1,626.53 | 16 |
| Treat sternum fracture CPT 21820 | $423.00 | $564.00 | $252.01 – $453.62 | 17 |
| Treat tail bone fracture CPT 27202 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat thigh fracture CPT 27230 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Treat thigh fracture CPT 27235 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat thigh fracture CPT 27236 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat thigh fracture CPT 27238 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Treat thigh fracture CPT 27245 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat thigh fracture CPT 27246 | not published | not published | $252.01 – $453.62 | 16 |
| Treat thigh fracture CPT 27248 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $252.01 – $453.62 | 16 |
| Treat thigh fx growth plate CPT 27517 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat thumb fracture CPT 26650 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat thumb fracture CPT 26665 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat toe dislocation CPT 28636 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat toe dislocation CPT 28665 | not published | not published | $285.75 – $514.35 | 16 |
| Treat toe dislocation CPT 28666 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat toe fracture CPT 28525 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Treat ulnar fracture CPT 24675 | $1,198.50 | $1,598.00 | $1,642.82 – $2,957.08 | 17 |
| Treat ulnar fracture CPT 24685 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treat vaginal bleeding CPT 57180 | $235.50 | $314.00 | $206.55 – $371.79 | 17 |
| Treat wrist bone fracture CPT 25635 | $1,815.75 | $2,421.00 | $1,642.82 – $2,957.08 | 17 |
| Treat wrist dislocation CPT 25675 | $656.25 | $875.00 | $252.01 – $453.62 | 17 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $8,370.75 | $11,161.00 | $7,413.38 – $13,344.08 | 17 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $8,370.75 | $11,161.00 | $7,413.38 – $13,344.08 | 17 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $8,370.75 | $11,161.00 | $7,413.38 – $13,344.08 | 17 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $3,996.00 | $5,328.00 | $3,307.24 – $5,953.03 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $333.75 | $445.00 | $135.93 – $244.67 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $320.25 | $427.00 | $15.28 – $27.50 | 17 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $198.75 | $265.00 | $223.72 – $402.70 | 17 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $7,085.25 | $9,447.00 | $3,307.24 – $5,953.03 | 17 |
| Treatment mouth roof lesion CPT 42160 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Treatment of anal fissure CPT 46942 | not published | not published | $950.10 – $1,710.18 | 16 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of ankle fracture 27786 CPT 27786 | $358.50 | $478.00 | $252.01 – $453.62 | 17 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $561.91 – $1,011.44 | 16 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $324.28 – $583.70 | 16 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $324.28 – $583.70 | 16 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of fibula fracture 27780 CPT 27780 | $558.75 | $745.00 | $252.01 – $453.62 | 17 |
| Treatment of foot infection CPT 28002 | $1,872.75 | $2,497.00 | $1,642.82 – $2,957.08 | 17 |
| Treatment of foot infection CPT 28003 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Treatment of gum lesion CPT 41850 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Treatment of head injury 62010 CPT 62010 | not published | not published | $1,474.35 – $2,653.83 | 16 |
| Treatment of heel fracture 28400 CPT 28400 | $352.50 | $470.00 | $252.01 – $453.62 | 17 |
| Treatment of miscarriage CPT 59821 | $9,051.75 | $12,069.00 | $3,307.24 – $5,953.03 | 17 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Treatment of penis lesion CPT 54110 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Treatment of penis lesion CPT 54115 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $950.10 – $1,710.18 | 16 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $324.28 – $583.70 | 16 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $561.91 – $1,011.44 | 16 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $4,016.55 – $7,229.79 | 16 |
| Treatment of thigh fracture CPT 27501 | $732.75 | $977.00 | $252.01 – $453.62 | 17 |
| Treatment of thigh fracture CPT 27503 | $2,068.50 | $2,758.00 | $1,642.82 – $2,957.08 | 17 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of thigh fracture CPT 27508 | $525.75 | $701.00 | $252.01 – $453.62 | 17 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of thigh fracture CPT 27510 | $2,093.25 | $2,791.00 | $1,642.82 – $2,957.08 | 17 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Treatment of toe fracture 28510 CPT 28510 | $315.00 | $420.00 | $252.01 – $453.62 | 17 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Treatment radiation delivery level 2 CPT 77407 | not published | not published | $394.05 – $709.29 | 16 |
| Treatment x10sv retinopathy CPT 67228 | $674.25 | $899.00 | $561.91 – $1,011.44 | 17 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $143.23 – $257.81 | 16 |
| Treponema pallidum antibody CPT 86780 | $169.50 | $226.00 | $2.49 – $23.83 | 17 |
| Treprostinil injection HCPCS J3285 | $21,186.46 | $28,248.61 | $55.19 – $99.33 | 17 |
| Trg gene rearrangement anal CPT 81342 | $732.00 | $976.00 | $98.15 – $362.70 | 17 |
| Triamcinolone a inj prs-free HCPCS J3300 | $3,235.98 | $4,314.64 | $18.78 – $33.80 | 17 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $162.88 | $217.17 | $2.21 – $2.21 | 1 |
| Trichinella antibody CPT 86784 | $140.25 | $187.00 | $6.57 – $22.61 | 17 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $27.52 | 16 |
| Triglycerides CPT 84478 | $78.75 | $105.00 | $2.72 – $10.33 | 17 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.49 – $9.88 | 16 |
| Trim nail(s) HCPCS G0127 | $69.75 | $93.00 | $60.27 – $108.49 | 17 |
| Trim nondyst nails CPT 11719 | $318.75 | $425.00 | $60.27 – $108.49 | 17 |
| Trimethobenzamide hcl inj HCPCS J3250 | $191.20 | $254.93 | $137.45 – $137.45 | 1 |
| Triptorelin pamoate HCPCS J3315 | $16,454.18 | $21,938.90 | $469.38 – $844.88 | 17 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $15,258.00 | $20,344.00 | $13,116.76 – $23,610.17 | 17 |
| Trml dstrj ios bvn ea addl CPT 64629 | $10,173.00 | $13,564.00 | $164.71 – $296.48 | 17 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $252.01 – $453.62 | 16 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $9,767.25 | $13,023.00 | $877.04 – $1,578.68 | 17 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $7,944.75 | $10,593.00 | $841.82 – $1,515.27 | 17 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $730.44 – $1,314.79 | 16 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $7,463.25 | $9,951.00 | $1,125.53 – $2,025.95 | 17 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $7,374.00 | $9,832.00 | $1,525.60 – $2,746.07 | 17 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $10,059.75 | $13,413.00 | $11,794.23 – $21,229.61 | 17 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,869.25 | $5,159.00 | $3,225.87 – $5,806.57 | 17 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,505.25 | $6,007.00 | $3,225.87 – $5,806.57 | 17 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $8,034.75 | $10,713.00 | $5,685.01 – $10,233.02 | 17 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $15,764.25 | $21,019.00 | $3,225.87 – $5,806.57 | 17 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,489.25 | $3,319.00 | $3,225.87 – $5,806.57 | 17 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $215.46 – $387.83 | 16 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Troponin quantitative CPT 84484 | $180.00 | $240.00 | $4.66 – $22.45 | 17 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $800.90 – $1,441.62 | 16 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,949.25 | $2,599.00 | $800.90 – $1,441.62 | 17 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,922.25 | $2,563.00 | $800.90 – $1,441.62 | 17 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $1,341.75 | $1,789.00 | $800.90 – $1,441.62 | 17 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $16.10 – $28.98 | 16 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $67.04 – $120.67 | 16 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.94 – $14.29 | 16 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $67.66 – $121.79 | 16 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $450.73 – $811.31 | 16 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $920.08 – $1,656.14 | 16 |
| Tx atrial fib pulm vein isol CPT 93656 | $29,199.75 | $38,933.00 | $26,703.99 – $48,067.18 | 17 |
| Tx closed distal humerus fx CPT 24999 | $3,632.25 | $4,843.00 | $252.01 – $453.62 | 17 |
| Tx closed hip disl traumatic without anes CPT 27250 | $261.75 | $349.00 | $252.01 – $453.62 | 17 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,767.25 | $5,023.00 | $3,342.87 – $6,017.17 | 17 |
| Tx closed tib shaft fx without manip CPT 27750 | $362.25 | $483.00 | $252.01 – $453.62 | 17 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $2,245.50 | $2,994.00 | $755.08 – $1,359.14 | 17 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $755.08 – $1,359.14 | 16 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $835.93 – $1,504.67 | 16 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $792.19 – $1,425.94 | 16 |
| Tx l/r atrial fib addl CPT 93657 | $10,523.25 | $14,031.00 | $257.77 – $463.99 | 17 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $407.93 – $734.28 | 16 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $365.25 | $487.00 | $252.01 – $453.62 | 17 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Tympanometry & reflex thresh CPT 92550 | $141.75 | $189.00 | $220.60 – $397.08 | 17 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $2,048.25 | $2,731.00 | $551.01 – $991.82 | 17 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Ua w/micro/comp poc CPT 81000 | $100.50 | $134.00 | $4.02 – $7.24 | 17 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.75 – $123.74 | 16 |
| Ugt1a1 gene analy common variants CPT 81350 | $438.75 | $585.00 | $52.78 – $421.20 | 17 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $473.25 | $631.00 | $106.81 – $192.26 | 17 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $11.58 – $192.26 | 16 |
| Ultrasound breast complete CPT 76641 | $510.00 | $680.00 | $106.81 – $192.26 | 17 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $478.50 | $638.00 | $88.91 – $160.04 | 17 |
| Ultrasound chest CPT 76604 | $695.25 | $927.00 | $74.63 – $192.26 | 17 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $561.00 | $748.00 | $52.52 – $192.26 | 17 |
| Ultrasound dx ophth b-scan CPT 76512 | $404.25 | $539.00 | $44.33 – $192.26 | 17 |
| Ultrasound elastography ea l target les CPT 76983 | $177.00 | $236.00 | $56.96 – $102.54 | 17 |
| Ultrasound elastography parenchyma CPT 76981 | $284.25 | $379.00 | $106.81 – $192.26 | 17 |
| Ultrasound encephalogram CPT 76506 | $463.50 | $618.00 | $106.81 – $192.26 | 17 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $967.50 | $1,290.00 | $106.81 – $192.26 | 17 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $535.50 | $714.00 | $106.81 – $192.26 | 17 |
| Ultrasound guidance for vascular access CPT 76937 | $511.50 | $682.00 | $37.87 – $68.16 | 17 |
| Ultrasound guide intraoperative CPT 76998 | $822.00 | $1,096.00 | $122.01 – $122.01 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $1,032.75 | $1,377.00 | $149.18 – $149.18 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,074.75 | $1,433.00 | $60.57 – $109.02 | 17 |
| Ultrasound hips infant dynamic CPT 76885 | $382.50 | $510.00 | $88.91 – $160.04 | 17 |
| Ultrasound infant hips ltd without stress CPT 76886 | $311.25 | $415.00 | $88.91 – $160.04 | 17 |
| Ultrasound joint complete left CPT 76881 | $808.50 | $1,078.00 | $27.14 – $192.26 | 17 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $542.25 | $723.00 | $76.25 – $192.26 | 17 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $35.32 – $192.26 | 16 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $849.75 | $1,133.00 | $83.79 – $150.83 | 17 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $602.25 | $803.00 | $51.57 – $103.82 | 17 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $915.75 | $1,221.00 | $217.30 – $438.79 | 17 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $450.75 | $601.00 | $106.81 – $192.26 | 17 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $548.25 | $731.00 | $106.81 – $192.26 | 17 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $765.75 | $1,021.00 | $106.81 – $192.26 | 17 |
| Ultrasound prostate/transrectal CPT 76872 | $954.75 | $1,273.00 | $106.81 – $192.26 | 17 |
| Ultrasound retroperitoneal limited CPT 76775 | $718.50 | $958.00 | $80.35 – $192.26 | 17 |
| Ultrasound scrotum and contents CPT 76870 | $735.75 | $981.00 | $106.81 – $192.26 | 17 |
| Ultrasound spinal canal and contents CPT 76800 | $352.50 | $470.00 | $106.81 – $192.26 | 17 |
| Ultrasound transabd ea addl gest CPT 76812 | $701.25 | $935.00 | $182.85 – $329.14 | 17 |
| Ultrasound transvaginal non obstetric CPT 76830 | $877.50 | $1,170.00 | $106.81 – $192.26 | 17 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $303.00 | $404.00 | $356.43 – $641.57 | 17 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.89 – $14.20 | 16 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $56.65 – $101.98 | 16 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $311.33 – $560.39 | 16 |
| Unit mobile power mpu HCPCS Q0479 | $18,857.25 | $25,143.00 | $14,780.89 – $26,605.60 | 17 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $29.55 – $53.19 | 16 |
| Unlisted CT procedure CPT 76497 | $1,578.75 | $2,105.00 | $88.91 – $160.04 | 17 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $29.55 – $53.19 | 16 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $47.84 – $86.11 | 16 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $408.43 – $735.17 | 16 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $53.24 – $95.83 | 16 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $53.24 – $95.83 | 16 |
| Unlisted dx gi procedure CPT 91299 | $2,470.50 | $3,294.00 | $131.46 – $236.63 | 17 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $408.43 – $735.17 | 16 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $206.55 – $371.79 | 16 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $88.91 – $160.04 | 16 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $408.43 – $735.17 | 16 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $408.43 – $735.17 | 16 |
| Unlisted hystsc px uterus CPT 58579 | $3,720.00 | $4,960.00 | $206.55 – $371.79 | 17 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px renal CPT 50549 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px testis CPT 54699 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted misc path test CPT 89240 | $1,014.00 | $1,352.00 | $13.39 – $95.83 | 17 |
| Unlisted mr procedure CPT 76498 | $1,616.25 | $2,155.00 | $88.91 – $160.04 | 17 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $408.43 – $735.17 | 16 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $131.46 – $236.63 | 16 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $408.43 – $735.17 | 16 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $29.55 – $53.19 | 16 |
| Unlisted orl service/px CPT 92700 | $121.50 | $162.00 | $29.55 – $53.19 | 17 |
| Unlisted procedure colon CPT 45399 | $6,297.75 | $8,397.00 | $950.10 – $1,710.18 | 17 |
| Unlisted procedure esophagus CPT 43499 | $6,297.75 | $8,397.00 | $926.63 – $1,667.93 | 17 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $324.28 – $583.70 | 16 |
| Unlisted procedure larynx CPT 31599 | $4,960.50 | $6,614.00 | $241.98 – $435.56 | 17 |
| Unlisted procedure liver CPT 47399 | $2,802.00 | $3,736.00 | $723.47 – $1,302.25 | 17 |
| Unlisted procedure microbiology CPT 87999 | $277.50 | $370.00 | not published | 0 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $324.28 – $583.70 | 16 |
| Unlisted procedure pancreas CPT 48999 | $2,967.75 | $3,957.00 | $723.47 – $1,302.25 | 17 |
| Unlisted procedure rectum CPT 45999 | $1,058.25 | $1,411.00 | $950.10 – $1,710.18 | 17 |
| Unlisted procedure spine CPT 22899 | not published | not published | $252.01 – $453.62 | 16 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $784.97 – $1,412.95 | 16 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $38.28 – $68.90 | 16 |
| Unlisted px abdomen muscskel CPT 22999 | $1,824.75 | $2,433.00 | $252.01 – $453.62 | 17 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $252.01 – $453.62 | 16 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $926.63 – $1,667.93 | 16 |
| Unlisted px casting/strpg CPT 29799 | $316.50 | $422.00 | $166.02 – $298.84 | 17 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $324.28 – $583.70 | 16 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $723.47 – $1,302.25 | 16 |
| Unlisted px external ear CPT 69399 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $324.28 – $583.70 | 16 |
| Unlisted px foot/toes CPT 28899 | $3,846.75 | $5,129.00 | $252.01 – $453.62 | 17 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $252.01 – $453.62 | 16 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $252.01 – $453.62 | 16 |
| Unlisted px inner ear CPT 69949 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $324.28 – $583.70 | 16 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $252.01 – $453.62 | 16 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $255.26 – $459.47 | 16 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $137.32 – $247.18 | 16 |
| Unlisted px middle ear CPT 69799 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted px neck/thorax CPT 21899 | $2,340.75 | $3,121.00 | $241.98 – $435.56 | 17 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $252.01 – $453.62 | 16 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted px small intestine CPT 44799 | $2,493.00 | $3,324.00 | $926.63 – $1,667.93 | 17 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $137.32 – $247.18 | 16 |
| Unlisted px tongue flr mouth CPT 41599 | $1,627.50 | $2,170.00 | $241.98 – $435.56 | 17 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $241.98 – $435.56 | 16 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $53.24 – $95.83 | 16 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $408.43 – $735.17 | 16 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $204.98 – $368.96 | 16 |
| Unlisted surgical path px CPT 88399 | not published | not published | $53.24 – $95.83 | 16 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $29.55 – $53.19 | 16 |
| Unlisted ultrasound procedure CPT 76999 | $532.50 | $710.00 | $88.91 – $160.04 | 17 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $640.89 – $1,153.60 | 16 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $408.43 – $735.17 | 16 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $701.18 – $1,262.12 | 16 |
| Upgrade pm system CPT 33214 | $13,140.75 | $17,521.00 | $10,678.38 – $19,221.08 | 17 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,590.50 | $3,454.00 | $356.43 – $641.57 | 17 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,441.25 | $3,255.00 | $356.43 – $641.57 | 17 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,265.75 | $3,021.00 | $243.77 – $438.79 | 17 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,514.75 | $3,353.00 | $926.63 – $1,667.93 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,464.50 | $3,286.00 | $926.63 – $1,667.93 | 17 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $167.20 – $300.97 | 16 |
| Uppr gi scope w/submuc inj CPT 43236 | $2,262.00 | $3,016.00 | $926.63 – $1,667.93 | 17 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Urea nitrogen CPT 84520 | $54.00 | $72.00 | $1.87 – $7.11 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $49.50 | $66.00 | $2.25 – $10.01 | 17 |
| Urea nitrogen clearance CPT 84545 | $57.00 | $76.00 | $3.39 – $12.96 | 17 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,629.21 – $2,932.58 | 16 |
| Ureteral reflux study CPT 78740 | $1,353.75 | $1,805.00 | $408.43 – $735.17 | 17 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $985.32 – $1,773.57 | 16 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,005.12 – $1,809.22 | 16 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $810.75 | $1,081.00 | $243.77 – $438.79 | 17 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Urethrocystography void s&i CPT 74455 | $880.50 | $1,174.00 | $217.89 – $438.79 | 17 |
| Uric acid blood CPT 84550 | $58.50 | $78.00 | $2.14 – $8.14 | 17 |
| Uric acid urine CPT 84560 | $55.50 | $74.00 | $2.25 – $9.14 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $123.00 | $164.00 | $3.17 – $5.71 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $62.25 | $83.00 | $1.06 – $4.05 | 17 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $5.49 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $3.91 | 16 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $67.25 – $121.05 | 16 |
| Urinary reflex study CPT 51792 | not published | not published | $60.27 – $108.49 | 16 |
| Urine Culture Test CPT 87086 | $126.00 | $168.00 | $8.07 – $14.53 | 17 |
| Urine flow measurement 51736 CPT 51736 | $148.50 | $198.00 | $135.93 – $244.67 | 17 |
| Urine pregnancy test CPT 81025 | $69.75 | $93.00 | $8.21 – $15.50 | 17 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $179.20 – $322.56 | 16 |
| Urography, antegrade CPT 74425 | $808.50 | $1,078.00 | $276.05 – $641.57 | 17 |
| Use 1st target lesion CPT 76982 | $252.00 | $336.00 | $106.81 – $192.26 | 17 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,225.22 | $10,966.96 | $11.62 – $20.92 | 17 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $109,781.59 | $146,375.45 | $401.24 – $401.24 | 1 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $368.25 | $491.00 | $147.06 – $264.71 | 17 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $368.25 | $491.00 | $161.65 – $290.97 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $222.00 | $296.00 | $94.80 – $170.64 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $165.00 | $220.00 | $65.55 – $117.99 | 17 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $331.50 | $442.00 | $168.37 – $303.07 | 17 |
| Vaccine dtap < 7 years im CPT 90700 | $60.00 | $80.00 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $233.91 | $311.87 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $129.00 | $172.00 | not published | 0 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $556.43 – $556.43 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $25.50 | $34.00 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $111.00 | $148.00 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $45.33 | $60.44 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $241.96 | $322.61 | $187.08 – $187.08 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $354.74 | $472.98 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $135.00 | $180.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $54.75 | $73.00 | $75.15 – $135.26 | 17 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $162.07 | $216.09 | $75.15 – $135.26 | 17 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $118.50 | $158.00 | $177.56 – $319.60 | 17 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $75.39 | $100.52 | $33.20 – $59.77 | 17 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $599.25 | $799.00 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,044.16 | $1,392.21 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $67.50 | $90.00 | $98.16 – $176.69 | 17 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $50.25 | $67.00 | $98.16 – $176.69 | 17 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $22.07 – $39.72 | 16 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $45.75 | $61.00 | $23.22 – $41.80 | 17 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $53.72 – $65.38 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $199.10 – $242.27 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $25.50 | $34.00 | $55.68 – $55.68 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $25.50 | $34.00 | $57.53 – $57.53 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $26.85 – $32.69 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $50.25 | $67.00 | $188.93 – $188.93 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $102.00 | $136.00 | $71.51 – $71.51 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $89.25 | $119.00 | $49.50 – $89.09 | 17 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.03 – $19.86 | 16 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $569.67 | $759.56 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $747.00 | $996.00 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $613.48 – $613.48 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $545.45 | $727.26 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $311.03 | $414.70 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $957.30 | $1,276.39 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $401.34 | $535.11 | $133.47 – $240.25 | 17 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $793.01 | $1,057.34 | $257.99 – $464.38 | 17 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $239.25 | $319.00 | $269.31 – $484.75 | 17 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $913.50 | $1,218.00 | $312.90 – $563.22 | 17 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,529.59 | $2,039.45 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,514.28 | $2,019.04 | $315.22 – $567.39 | 17 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $907.50 | $1,210.00 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,985.41 – $1,985.41 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,985.41 – $1,985.41 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $998.25 | $1,331.00 | not published | 0 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $504.00 | $672.00 | not published | 0 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $344.25 | $459.00 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $145.19 | $193.58 | $93.59 – $93.59 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $140.25 | $187.00 | $102.19 – $102.19 | 1 |
| Vaccine typhoid vicps im CPT 90691 | $333.00 | $444.00 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $642.96 | $857.28 | not published | 0 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $714.00 | $952.00 | not published | 0 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 16 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,592.00 | $3,456.00 | $576.44 – $1,037.59 | 17 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $226.28 – $407.30 | 16 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,971.75 | $22,629.00 | $5,143.47 – $9,258.25 | 17 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,110.80 – $9,199.44 | 16 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,162.78 – $3,893.01 | 16 |
| Vaginal bx CPT 58999 | $231.00 | $308.00 | $206.55 – $371.79 | 17 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Vaginal hysterectomy CPT 58260 | $5,766.00 | $7,688.00 | $5,110.80 – $9,199.44 | 17 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,095.59 – $1,972.06 | 16 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $99.62 – $179.31 | 16 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $22.29 | $29.71 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $153.75 | $205.00 | $4.54 – $24.37 | 17 |
| Valrubicin injection HCPCS J9357 | $6,841.31 | $9,121.74 | $1,270.52 – $2,286.94 | 17 |
| Valvuloplasty aortic CPT 92986 | $6,749.25 | $8,999.00 | $5,814.84 – $10,466.71 | 17 |
| Valvuloplasty mitral CPT 92987 | $9,472.50 | $12,630.00 | $11,794.23 – $21,229.61 | 17 |
| Valvuloplasty pulmonary CPT 92990 | $14,701.50 | $19,602.00 | $11,794.23 – $21,229.61 | 17 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,234.38 – $4,021.89 | 16 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,820.91 – $5,077.63 | 16 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $366.03 | $488.03 | $0.08 – $0.08 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $303.13 | $404.17 | $0.31 – $0.31 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $10.71 – $10.71 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $147.00 | $196.00 | $6.05 – $24.37 | 17 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $63.16 | 16 |
| Varicella zoster antibody igg CPT 86787 | $99.75 | $133.00 | $6.09 – $23.18 | 17 |
| Varicella-zoster immue globin im CPT 90396 | $8,070.06 | $10,760.07 | $2,363.25 – $4,253.85 | 17 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $21,009.00 | $28,012.00 | $18,728.69 – $33,711.64 | 17 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Vasectomy CPT 55250 | $2,361.00 | $3,148.00 | $2,135.66 – $3,844.19 | 17 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $103.53 | $138.04 | $3.22 – $3.22 | 1 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,279.90 – $4,103.82 | 16 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,054.07 – $1,897.32 | 16 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $34,608.27 | $46,144.36 | $20.98 – $37.76 | 17 |
| Veeg cont 2-12 hrs CPT 95713 | $2,361.75 | $3,149.00 | $381.24 – $686.23 | 17 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,640.25 | $6,187.00 | $877.34 – $1,579.21 | 17 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,329.00 | $1,772.00 | $381.24 – $686.23 | 17 |
| Veeg unmon 12-26 hrs CPT 95714 | $422.25 | $563.00 | $381.24 – $686.23 | 17 |
| Veeg unmon 2-12 hrs CPT 95711 | $422.25 | $563.00 | $220.60 – $397.08 | 17 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,494.08 – $2,689.34 | 16 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,289.19 – $2,320.54 | 16 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,488.28 – $2,678.91 | 16 |
| Vein x-ray adrenal gland CPT 75840 | $2,489.25 | $3,319.00 | $184.44 – $5,806.57 | 17 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $20,417.04 – $20,417.04 | 1 |
| Vein x-ray eye socket CPT 75880 | $2,040.00 | $2,720.00 | $183.63 – $1,153.60 | 17 |
| Vein x-ray kidney CPT 75831 | $2,750.25 | $3,667.00 | $168.89 – $5,806.57 | 17 |
| Vein x-ray liver CPT 75891 | $3,135.75 | $4,181.00 | $179.52 – $5,806.57 | 17 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,413.25 | $4,551.00 | $177.90 – $5,806.57 | 17 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,859.50 | $5,146.00 | $177.90 – $5,806.57 | 17 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,489.25 | $3,319.00 | $179.52 – $5,806.57 | 17 |
| Vein x-ray skull CPT 75870 | $2,489.25 | $3,319.00 | $240.95 – $5,806.57 | 17 |
| Vein x-ray skull epidural CPT 75872 | $1,424.25 | $1,899.00 | $184.44 – $1,153.60 | 17 |
| Vein x-ray spleen/liver CPT 75810 | $3,682.50 | $4,910.00 | $3,225.87 – $5,806.57 | 17 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $5,564.78 | $7,419.70 | $388.16 – $698.68 | 17 |
| Vemp test i&r cervical CPT 92517 | $867.00 | $1,156.00 | $131.46 – $236.63 | 17 |
| Vemp test i&r ocular CPT 92518 | $632.25 | $843.00 | $131.46 – $236.63 | 17 |
| Vemp tst i&r cervical&ocular CPT 92519 | $1,181.25 | $1,575.00 | $220.60 – $397.08 | 17 |
| Ven thrombosis images bilat CPT 78458 | $1,103.25 | $1,471.00 | $369.71 – $735.17 | 17 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $17.33 – $31.19 | 16 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $144.00 | $192.00 | $17.97 – $32.34 | 17 |
| Venogram ext bil s&i CPT 75822 | $2,472.00 | $3,296.00 | $161.41 – $2,894.85 | 17 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,653.75 | $2,205.00 | $145.85 – $2,894.85 | 17 |
| Venous m-thrombectomy add-on CPT 37188 | $6,159.75 | $8,213.00 | $3,225.87 – $5,806.57 | 17 |
| Venous mech thrombectomy CPT 37187 | $8,869.50 | $11,826.00 | $11,794.23 – $21,229.61 | 17 |
| Venous sampling s&i CPT 75893 | $4,294.50 | $5,726.00 | $196.72 – $10,233.02 | 17 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $293.57 – $998.51 | 16 |
| Ventilator each subsequent day CPT 94003 | $1,138.50 | $1,518.00 | $631.17 – $1,136.11 | 17 |
| Ventilator initial day CPT 94002 | $1,387.50 | $1,850.00 | $631.17 – $1,136.11 | 17 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $832.50 | $1,110.00 | $903.63 – $1,626.53 | 17 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $1,868.11 – $3,362.61 | 16 |
| Version cephalic external CPT 59412 | $2,361.75 | $3,149.00 | $3,307.24 – $5,953.03 | 17 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $233.71 – $420.67 | 16 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.57 – $20.83 | 16 |
| Very long chain fatty acids CPT 82726 | $465.00 | $620.00 | $8.31 – $35.55 | 17 |
| Vest large holster HCPCS Q0498 | $1,012.50 | $1,350.00 | $632.48 – $1,138.46 | 17 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $177.38 | $236.50 | $13.62 – $13.62 | 1 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $111.30 | $148.40 | $20.23 – $20.23 | 1 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $177.04 | $236.05 | $5.02 – $5.02 | 1 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $17.49 – $31.48 | 16 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $20.20 – $36.36 | 16 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | not published | not published | $136.02 – $244.84 | 16 |
| Visual audiometry (vra) CPT 92579 | $202.50 | $270.00 | $220.60 – $397.08 | 17 |
| Vit for macular hole CPT 67042 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Vit for macular pucker CPT 67041 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Vit for membrane dissect CPT 67043 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Vital capacity test CPT 94150 | $256.50 | $342.00 | $131.46 – $236.63 | 17 |
| Vitamin D Test CPT 82306 | $265.50 | $354.00 | $14.00 – $53.28 | 17 |
| Vitamin b-12 CPT 82607 | $111.00 | $148.00 | $7.13 – $27.14 | 17 |
| Vkorc1 gene CPT 81355 | not published | not published | $88.20 – $158.76 | 16 |
| Vngrph chd anom/persist svc CPT 93584 | not published | not published | $48.14 – $86.66 | 16 |
| Vngrph chd azygs/hemiazygs CPT 93585 | not published | not published | $45.50 – $81.90 | 16 |
| Vngrph chd coronary sinus CPT 93586 | not published | not published | $58.57 – $105.43 | 16 |
| Vngrph chd vnvn cltrl at/abv CPT 93587 | not published | not published | $85.44 – $153.80 | 16 |
| Vngrph chd vnvn cltrl below CPT 93588 | not published | not published | $86.11 – $155.00 | 16 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $810.00 | $1,080.00 | $143.99 – $259.17 | 17 |
| Vol reduction of blood/prod CPT 86960 | $131.25 | $175.00 | $17.92 – $313.31 | 17 |
| Volume deplete of harvest CPT 38214 | not published | not published | $450.73 – $811.31 | 16 |
| Volume measurement urine timed CPT 81050 | $43.50 | $58.00 | $1.42 – $6.55 | 17 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $1.83 – $3.29 | 16 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $221.85 | $295.80 | $1.98 – $1.98 | 1 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $1,395.57 – $2,512.03 | 16 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $5,019.27 – $9,034.69 | 16 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | not published | not published | $1,004.58 – $1,808.25 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $189.00 | $252.00 | $22.06 – $73.35 | 17 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $182.25 | $243.00 | $13.15 – $50.04 | 17 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $176.25 | $235.00 | $6.10 – $23.22 | 17 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $127.50 | $170.00 | $13.13 – $45.45 | 17 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $133.50 | $178.00 | $7.33 – $27.90 | 17 |
| Warde 1015200 kappa light chain free CPT 83521 | $139.50 | $186.00 | $17.27 – $31.09 | 17 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $157.50 | $210.00 | $8.02 – $14.44 | 17 |
| Warde 3008005 oligoclonal bands CPT 83916 | $94.50 | $126.00 | $9.51 – $49.30 | 17 |
| Warde 3016000 west nile virus antibody CPT 86788 | $174.75 | $233.00 | $8.45 – $30.33 | 17 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $173.25 | $231.00 | $7.22 – $25.90 | 17 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $44.25 | $59.00 | $5.80 – $22.05 | 17 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $36.00 | $48.00 | $4.21 – $16.02 | 17 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $36.00 | $48.00 | $8.68 – $32.36 | 17 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $400.50 | $534.00 | $142.63 – $256.73 | 17 |
| Warde 3400852 arsenic CPT 82175 | $232.50 | $310.00 | $7.22 – $34.15 | 17 |
| Warde 3708165 mercury urine CPT 83825 | $150.00 | $200.00 | $7.69 – $29.27 | 17 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $357.75 | $477.00 | $18.40 – $33.12 | 17 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $135.00 | $180.00 | $12.05 – $21.69 | 17 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $347.25 | $463.00 | $3.31 – $14.58 | 17 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $141.75 | $189.00 | $18.27 – $69.52 | 17 |
| Warde aldolase CPT 82085 | $72.75 | $97.00 | $4.59 – $17.48 | 17 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $480.00 | $640.00 | $7.98 – $30.37 | 17 |
| Warde amiodarone therapeutic drug level CPT 80151 | $96.00 | $128.00 | $18.64 – $33.55 | 17 |
| Warde analysis gene hfe common variants CPT 81256 | $153.75 | $205.00 | $51.68 – $117.65 | 17 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $318.75 | $425.00 | $60.88 – $295.13 | 17 |
| Warde anti-mullerian hormone CPT 82166 | $198.75 | $265.00 | $38.62 – $69.52 | 17 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $128.25 | $171.00 | $0.03 – $24.19 | 3 |
| Warde apolipoprotein b CPT 82172 | $141.00 | $188.00 | $7.33 – $37.96 | 17 |
| Warde bile acids CPT 82239 | $124.50 | $166.00 | $8.11 – $30.82 | 17 |
| Warde cadmium blood CPT 82300 | $84.75 | $113.00 | $10.95 – $42.55 | 17 |
| Warde calcitonin CPT 82308 | $111.00 | $148.00 | $14.06 – $48.22 | 17 |
| Warde calculus (stone) infrared CPT 82365 | $92.25 | $123.00 | $6.87 – $23.22 | 17 |
| Warde clozapine therapeutic drug level CPT 80159 | $94.50 | $126.00 | $10.09 – $36.27 | 17 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $248.25 | $331.00 | $10.39 – $39.53 | 17 |
| Warde collagen cross links c-telopeptide CPT 82523 | $207.00 | $276.00 | $8.84 – $33.62 | 17 |
| Warde complement total hemolytic CPT 86162 | $171.75 | $229.00 | $9.61 – $36.58 | 17 |
| Warde copper CPT 82525 | $243.00 | $324.00 | $5.87 – $22.34 | 17 |
| Warde cryoglobulin CPT 82595 | $164.25 | $219.00 | $3.06 – $11.65 | 17 |
| Warde erythropoietin CPT 82668 | $127.50 | $170.00 | $8.89 – $33.82 | 17 |
| Warde estrogen fractionated CPT 82671 | not published | not published | $32.30 – $58.14 | 16 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $222.75 | $297.00 | $12.09 – $21.76 | 17 |
| Warde folic acid rbc CPT 82747 | $52.50 | $70.00 | $8.19 – $31.77 | 17 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $252.75 | $337.00 | $4.31 – $17.46 | 17 |
| Warde gastrin CPT 82941 | $121.50 | $162.00 | $9.03 – $31.73 | 17 |
| Warde growth hormone (hgh) CPT 83003 | $110.25 | $147.00 | $7.89 – $30.01 | 17 |
| Warde haloperidol therapeutic drug level CPT 80173 | $81.00 | $108.00 | $7.18 – $28.40 | 17 |
| Warde helminth antibody strongyloides igg CPT 86682 | $205.50 | $274.00 | $6.98 – $23.42 | 17 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $506.25 | $675.00 | $12.87 – $23.17 | 17 |
| Warde hepatitis a antibody CPT 86708 | $87.00 | $116.00 | $5.86 – $22.30 | 17 |
| Warde hepatitis be antibody CPT 86707 | $77.25 | $103.00 | $5.47 – $20.83 | 17 |
| Warde hepatitis delta agent antibody CPT 86692 | $198.00 | $264.00 | $9.03 – $30.89 | 17 |
| Warde immunofixation electrophoresis urine CPT 86335 | $349.50 | $466.00 | $13.62 – $52.83 | 17 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $70.50 | $94.00 | $5.45 – $20.75 | 17 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,140.00 | $1,520.00 | $121.78 – $463.41 | 17 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $615.75 | $821.00 | $8.31 – $42.43 | 17 |
| Warde lipoprotein (a) CPT 83695 | $168.00 | $224.00 | $6.50 – $25.78 | 17 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | not published | not published | $46.31 – $83.36 | 16 |
| Warde mitochondrial antibody each CPT 86381 | $123.00 | $164.00 | $25.45 – $45.81 | 17 |
| Warde neutralization rabies CPT 86382 | $183.00 | $244.00 | $8.00 – $30.44 | 17 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $60.00 | $80.00 | $7.24 – $23.85 | 17 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $144.75 | $193.00 | $22.97 – $41.35 | 17 |
| Warde protein c antigen CPT 85302 | $141.75 | $189.00 | $6.36 – $21.62 | 17 |
| Warde sex hormone binding globulin CPT 84270 | $141.00 | $188.00 | $9.06 – $39.11 | 17 |
| Warde somatomedin CPT 84305 | $93.75 | $125.00 | $10.06 – $38.27 | 17 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $54.75 | $73.00 | $2.57 – $9.90 | 17 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $77.25 | $103.00 | $7.46 – $28.37 | 17 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $403.50 | $538.00 | $24.93 – $91.55 | 17 |
| Warde topiramate therapeutic drug level CPT 80201 | $384.75 | $513.00 | $6.67 – $21.46 | 17 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $113.25 | $151.00 | $12.33 – $46.93 | 17 |
| Warde viscosity CPT 85810 | $153.00 | $204.00 | $5.53 – $21.01 | 17 |
| Warde vitamin a CPT 84590 | $90.00 | $120.00 | $5.48 – $20.90 | 17 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $109.50 | $146.00 | $11.18 – $38.21 | 17 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $114.00 | $152.00 | $13.29 – $50.58 | 17 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $36.75 | $49.00 | $4.68 – $17.80 | 17 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $193.50 | $258.00 | $20.01 – $69.30 | 17 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $52.50 | $70.00 | $6.71 – $25.52 | 17 |
| Warde zinc CPT 84630 | $90.00 | $120.00 | $5.39 – $20.50 | 17 |
| Wash harvest stem cells CPT 38209 | not published | not published | $450.73 – $811.31 | 16 |
| Wbc automated CPT 85048 | $63.00 | $84.00 | $1.20 – $4.57 | 17 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $790.45 – $1,422.81 | 16 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $7,576.05 – $13,636.89 | 16 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $139.79 – $251.63 | 16 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $139.79 – $251.63 | 16 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $873.69 – $1,572.63 | 16 |
| Wedging of cast CPT 29740 | not published | not published | $285.75 – $514.35 | 16 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $285.75 – $514.35 | 16 |
| Western blot test CPT 84181 | $603.00 | $804.00 | $17.03 – $30.65 | 17 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $18.54 – $33.37 | 16 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $83.84 – $341.71 | 16 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $265.19 – $477.34 | 16 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $151.58 – $272.84 | 16 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,287.00 – $2,316.60 | 16 |
| Wilate injection HCPCS J7183 | not published | not published | $1.32 – $2.38 | 16 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.35 – $0.63 | 16 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $1,496.25 | $1,995.00 | $119.36 – $214.85 | 17 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $97.46 – $175.42 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $729.00 | $972.00 | $415.32 – $747.58 | 17 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $318.75 | $425.00 | $204.98 – $368.96 | 17 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $822.75 | $1,097.00 | $415.32 – $747.58 | 17 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $414.75 | $553.00 | $415.32 – $747.58 | 17 |
| Wrist X-ray CPT 73110 | $461.25 | $615.00 | $81.16 – $160.04 | 17 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| X-ray abdomen 1 view CPT 74018 | $284.25 | $379.00 | $53.33 – $160.04 | 17 |
| X-ray abdomen 2 views CPT 74019 | $489.00 | $652.00 | $63.96 – $192.26 | 17 |
| X-ray abdomen >=3 views CPT 74021 | $502.50 | $670.00 | $74.63 – $192.26 | 17 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $471.75 | $629.00 | $86.08 – $192.26 | 17 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $525.75 | $701.00 | $49.25 – $160.04 | 17 |
| X-ray ankle 2 views (both sides) CPT 73600 | $361.50 | $482.00 | $60.70 – $160.04 | 17 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,134.00 | $1,512.00 | $258.85 – $641.57 | 17 |
| X-ray bone age studies CPT 77072 | $367.50 | $490.00 | $41.88 – $192.26 | 17 |
| X-ray bone length studies CPT 77073 | $287.25 | $383.00 | $79.54 – $192.26 | 17 |
| X-ray bone survey complete CPT 77075 | $963.75 | $1,285.00 | $106.81 – $192.26 | 17 |
| X-ray bone survey infant CPT 77076 | $403.50 | $538.00 | $106.81 – $192.26 | 17 |
| X-ray cervical spine 2-3 views CPT 72040 | $432.75 | $577.00 | $71.33 – $160.04 | 17 |
| X-ray cervical spine 4-5 views CPT 72050 | $663.75 | $885.00 | $100.82 – $192.26 | 17 |
| X-ray cervical spine >= 6 views CPT 72052 | $781.50 | $1,042.00 | $106.81 – $192.26 | 17 |
| X-ray clavicle complete (both sides) CPT 73000 | $364.50 | $486.00 | $60.70 – $160.04 | 17 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $814.50 | $1,086.00 | $179.20 – $322.56 | 17 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $966.00 | $1,288.00 | $179.20 – $322.56 | 17 |
| X-ray elbow 2 views (both sides) CPT 73070 | $379.50 | $506.00 | $52.52 – $160.04 | 17 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $462.00 | $616.00 | $60.70 – $160.04 | 17 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $792.75 | $1,057.00 | $170.42 – $322.56 | 17 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $381.75 | $509.00 | $106.81 – $192.26 | 17 |
| X-ray exam entire spi 6/> vw CPT 72084 | $341.25 | $455.00 | $106.81 – $192.26 | 17 |
| X-ray exam of arm infant CPT 73092 | $299.25 | $399.00 | $59.05 – $192.26 | 17 |
| X-ray exam of eye sockets CPT 70200 | $674.25 | $899.00 | $85.27 – $192.26 | 17 |
| X-ray exam of femur 1 CPT 73551 | $295.50 | $394.00 | $52.52 – $160.04 | 17 |
| X-ray exam of jaw joint CPT 70328 | $429.00 | $572.00 | $63.96 – $160.04 | 17 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $140.94 – $438.79 | 16 |
| X-ray exam of mastoids CPT 70120 | $374.25 | $499.00 | $72.98 – $192.26 | 17 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $110.65 – $1,004.85 | 16 |
| X-ray exam of penis CPT 74445 | not published | not published | $106.81 – $192.26 | 16 |
| X-ray exam of perineum CPT 74775 | $284.25 | $379.00 | $243.77 – $438.79 | 17 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $72.98 – $160.04 | 16 |
| X-ray exam of sinuses CPT 70210 | $444.75 | $593.00 | $59.05 – $160.04 | 17 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $243.77 – $438.79 | 16 |
| X-ray exam of teeth CPT 70300 | not published | not published | $19.76 – $160.04 | 16 |
| X-ray exam of teeth CPT 70310 | not published | not published | $80.35 – $438.79 | 16 |
| X-ray exam si joints CPT 72200 | not published | not published | $62.34 – $192.26 | 16 |
| X-ray exam thorac spine4/>vw CPT 72074 | $616.50 | $822.00 | $81.16 – $192.26 | 17 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $59.89 – $160.04 | 16 |
| X-ray facial bones complete > 3 views CPT 70150 | $663.00 | $884.00 | $86.08 – $192.26 | 17 |
| X-ray fallopian tube CPT 74742 | $940.50 | $1,254.00 | $131.87 – $131.87 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $300.75 | $401.00 | $66.42 – $160.04 | 17 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $387.00 | $516.00 | $77.90 – $160.04 | 17 |
| X-ray foot 2 views (both sides) CPT 73620 | $333.00 | $444.00 | $52.52 – $160.04 | 17 |
| X-ray forearm 2 views (both sides) CPT 73090 | $394.50 | $526.00 | $53.33 – $160.04 | 17 |
| X-ray hand 2 views (both sides) CPT 73120 | $426.75 | $569.00 | $58.24 – $192.26 | 17 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $20.57 – $160.04 | 16 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $385.50 | $514.00 | $51.71 – $160.04 | 17 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $531.00 | $708.00 | $106.81 – $192.26 | 17 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $342.75 | $457.00 | $75.44 – $192.26 | 17 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $475.50 | $634.00 | $98.36 – $192.26 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $683.25 | $911.00 | $106.81 – $192.26 | 17 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $265.50 | $354.00 | $59.05 – $160.04 | 17 |
| X-ray humerus >= 2 views left CPT 73060 | $363.75 | $485.00 | $59.89 – $160.04 | 17 |
| X-ray joint survey 1 view CPT 77077 | $393.75 | $525.00 | $75.44 – $192.26 | 17 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $283.50 | $378.00 | $64.80 – $160.04 | 17 |
| X-ray knee 3 views (both sides) CPT 73562 | $420.75 | $561.00 | $78.71 – $160.04 | 17 |
| X-ray knee ap standing bilateral CPT 73565 | $388.50 | $518.00 | $78.71 – $160.04 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $408.00 | $544.00 | $73.79 – $192.26 | 17 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $375.75 | $501.00 | $59.05 – $160.04 | 17 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $548.25 | $731.00 | $97.55 – $192.26 | 17 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $702.75 | $937.00 | $106.81 – $192.26 | 17 |
| X-ray male genital tract CPT 74440 | not published | not published | $196.61 – $438.79 | 16 |
| X-ray mandible complete > 4 views CPT 70110 | $421.50 | $562.00 | $78.71 – $192.26 | 17 |
| X-ray mandible ltd <4 views CPT 70100 | $319.50 | $426.00 | $74.63 – $160.04 | 17 |
| X-ray nasal bones complete > 3 views CPT 70160 | $367.50 | $490.00 | $72.98 – $160.04 | 17 |
| X-ray neck soft tissue CPT 70360 | $350.25 | $467.00 | $55.78 – $160.04 | 17 |
| X-ray nose to rectum for foreign body child CPT 76010 | $367.50 | $490.00 | $51.71 – $160.04 | 17 |
| X-ray of mammary ducts CPT 77054 | $634.50 | $846.00 | $243.77 – $438.79 | 17 |
| X-ray optic foramina CPT 70190 | $426.75 | $569.00 | $66.42 – $160.04 | 17 |
| X-ray pelvis 1-2 views CPT 72170 | $300.00 | $400.00 | $48.41 – $192.26 | 17 |
| X-ray pelvis complete > 3 views CPT 72190 | $355.50 | $474.00 | $74.63 – $192.26 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $810.75 | $1,081.00 | $132.76 – $641.57 | 17 |
| X-ray ribs 2 views left CPT 71100 | $448.50 | $598.00 | $64.80 – $160.04 | 17 |
| X-ray ribs 3 views bilateral CPT 71110 | $492.75 | $657.00 | $74.63 – $192.26 | 17 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $471.75 | $629.00 | $72.98 – $192.26 | 17 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $524.25 | $699.00 | $91.80 – $192.26 | 17 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $542.25 | $723.00 | $70.52 – $192.26 | 17 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $297.00 | $396.00 | $59.89 – $160.04 | 17 |
| X-ray scapula complete (both sides) CPT 73010 | $255.00 | $340.00 | $37.77 – $192.26 | 17 |
| X-ray sella turcica CPT 70240 | not published | not published | $59.05 – $160.04 | 16 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $244.50 | $326.00 | $35.32 – $160.04 | 17 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $944.25 | $1,259.00 | $86.91 – $1,004.85 | 17 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $629.25 | $839.00 | $67.26 – $160.04 | 17 |
| X-ray skull < 4 views CPT 70250 | $377.25 | $503.00 | $67.26 – $192.26 | 17 |
| X-ray skull > 4 views complete CPT 70260 | $749.25 | $999.00 | $77.09 – $192.26 | 17 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,032.75 | $1,377.00 | $106.81 – $192.26 | 17 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $709.50 | $946.00 | $179.20 – $322.56 | 17 |
| X-ray small intestine follow-through study CPT 74248 | $422.25 | $563.00 | $74.71 – $134.48 | 17 |
| X-ray spine single view CPT 72020 | $360.00 | $480.00 | $41.04 – $160.04 | 17 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $527.25 | $703.00 | $76.25 – $160.04 | 17 |
| X-ray sternum > 2 views CPT 71120 | $521.25 | $695.00 | $59.89 – $160.04 | 17 |
| X-ray surgical specimen CPT 76098 | $432.75 | $577.00 | $68.07 – $1,004.85 | 17 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $719.25 | $959.00 | $179.20 – $322.56 | 17 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $636.00 | $848.00 | $88.91 – $160.04 | 17 |
| X-ray thoracic spine 2 views CPT 72070 | $388.50 | $518.00 | $57.43 – $192.26 | 17 |
| X-ray thoracic spine 3 views CPT 72072 | $606.00 | $808.00 | $71.33 – $192.26 | 17 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $408.00 | $544.00 | $60.70 – $160.04 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $367.50 | $490.00 | $74.63 – $160.04 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $378.00 | $504.00 | $106.81 – $192.26 | 17 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $372.75 | $497.00 | $59.05 – $160.04 | 17 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $375.75 | $501.00 | $56.59 – $160.04 | 17 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $813.00 | $1,084.00 | $179.20 – $322.56 | 17 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $709.50 | $946.00 | $179.20 – $322.56 | 17 |
| X-ray wrist 2 views (both sides) CPT 73100 | $355.50 | $474.00 | $63.96 – $160.04 | 17 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $165.51 – $322.56 | 16 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $910.70 – $910.70 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Xm archive tissue molec anal CPT 88363 | $51.75 | $69.00 | $13.39 – $53.19 | 17 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $334.77 – $602.59 | 16 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $183.95 – $331.12 | 16 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $23.24 | 16 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $2.68 | 16 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $23.74 | 16 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $102,284.19 | 16 |
| Ziconotide injection HCPCS J2278 | $4,530.00 | $6,039.99 | $10.46 – $18.84 | 17 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $100.06 | $133.41 | $1.51 – $2.72 | 17 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $5.43 – $5.43 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $219.00 | $292.00 | $51.31 – $92.36 | 17 |
| Zika virus igm antibody CPT 86794 | $128.25 | $171.00 | $16.85 – $30.33 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $32.46 | $43.27 | $8.06 – $8.06 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.61 – $15.49 | 16 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.65 – $60.57 | 16 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $146.06 | $194.74 | $13.38 – $13.38 | 1 |
| Zoster vaccine-live inj CPT 90736 | $436.50 | $582.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $150.00 | $200.00 | $9.85 – $36.09 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $207.65 | 16 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $80.80 | 16 |
| _propoxygc/msur CPT 80367 | $240.00 | $320.00 | $0.03 – $29.32 | 3 |
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.