University Hospitals St. John Medical Center

29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868

Source: hospital's published price file ↗ · Published Jul 14, 2026 · Ingested Aug 13, 2026

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 – $56.00	26
#_fet/norfentcnfrmur CPT 80354	$171.00	$228.00	$0.03 – $56.00	26
#a/b/c/c/h pnl-candida albicans ab CPT 86628	$148.50	$198.00	$5.68 – $178.20	36
#acylcarnitineprfl CPT 82017	$110.25	$147.00	$7.70 – $132.30	36
#afb mycobacteria suscep. #1 CPT 87190	not published	not published	$2.77 – $17.55	3
#aptt mix-1:1 incubated CPT 87532	not published	not published	$17.13 – $84.21	3
#bac vag cand-c. albicans naa CPT 87481	not published	not published	$17.13 – $84.21	3
#cbg+cort-cbg CPT 84449	$156.75	$209.00	$12.21 – $188.10	36
#celiac hla-dq2 CPT 81377	not published	not published	$107.17 – $227.37	3
#celiac hla-dq8 CPT 81383	$175.50	$234.00	$49.00 – $196.43	36
#cf-97variants CPT 81220	$1,191.75	$1,589.00	$56.00 – $1,430.10	36
#cms hgb-carboxyhemoglobin CPT 82376	not published	not published	$3.18 – $33.78	3
#cms hgb-sulfhemoglobin CPT 83060	$132.75	$177.00	$4.41 – $159.30	36
#cmvcul-virus inoculation shell CPT 87254	$72.75	$97.00	$9.25 – $87.30	36
#covid19rsv-rsv CPT 87634	$75.75	$101.00	$24.75 – $126.36	36
#coxa-coxsackie a serotype a16 CPT 86658	$171.75	$229.00	$6.16 – $99.00	36
#creutz-prot.,western blot CPT 84182	$939.00	$1,252.00	$12.74 – $52.58	36
#d/lmeth-l-methamphetamine CPT 80374	not published	not published	$0.03 – $8.31	2
#fecal-sodium CPT 84302	$97.50	$130.00	$2.36 – $117.00	36
#flow interp 9 - 15 markers CPT 88188	not published	not published	$58.51 – $140.85	3
#hypersens-actinomyces ab CPT 86602	not published	not published	$5.44 – $24.42	3
#mec-opiates CPT 80356	$27.75	$37.00	$0.03 – $56.00	26
#pnh-flow cytometry interp CPT 88187	$181.50	$242.00	$34.21 – $217.80	36
#resp virpnl dfa-adenovirus CPT 87260	not published	not published	$5.75 – $34.62	3
#resp virpnl dfa-parainfluenza CPT 87279	not published	not published	$6.05 – $39.42	3
#tricyclicantidprssnt CPT 80337	not published	not published	$0.03 – $11.21	2
(both sides) smear without diff wbc count CPT 85008	$127.50	$170.00	$1.44 – $153.00	36
11-desoxycortisol - sendout CPT 82634	$141.00	$188.00	$15.39 – $169.20	36
17-hydroxypregnenolone CPT 84143	$125.25	$167.00	$15.90 – $150.30	36
17-ketosteroids CPT 83586	not published	not published	$6.87 – $30.72	3
24 hr ambulatory b/p monitor CPT 93786	$359.25	$479.00	$117.36 – $431.10	36
2d tee w or without fol w/con,in HCPCS C8925	$2,282.25	$3,043.00	$745.54 – $2,738.70	36
2d tte w or without fol w/con,co HCPCS C8923	$1,278.75	$1,705.00	$417.73 – $1,534.50	36
2nd order venous cath CPT 36012	$2,337.00	$3,116.00	$749.88 – $2,804.40	36
3-d radiotherapy plan CPT 77295	not published	not published	$675.06 – $5,406.57	2
3d ech img cgen car anomal CPT 93319	$1,164.00	$1,552.00	$52.48 – $1,396.80	36
3d recon without postprocess indpndt CPT 76376	$522.75	$697.00	$23.82 – $627.30	30
5' nucleotidase - sendout CPT 83915	$252.75	$337.00	$5.95 – $188.10	36
88334 ap bill cytologic exam each additional site CPT 88334	$81.00	$108.00	$26.46 – $97.20	36
99381 initial comp preventive med less than 1 year new CPT 99381	$135.00	$180.00	$44.10 – $194.93	33
99382 initial comp preventive med 1 to 4 years new CPT 99382	$135.00	$180.00	$44.10 – $203.75	33
99383 initial comp preventive med 5 to 11 years new CPT 99383	$111.00	$148.00	$36.26 – $213.17	33
99391 periodic comp preventive med less than 1 year est CPT 99391	$135.00	$180.00	$44.10 – $176.14	33
99392 periodic comp preventive med 1 to 4 years est CPT 99392	$135.00	$180.00	$44.10 – $187.25	33
99393 periodic comp preventive med 5 to 11 years est CPT 99393	$111.00	$148.00	$36.26 – $186.70	33
99394 periodic comp preventive med 12 to 17 years est CPT 99394	$167.25	$223.00	$54.64 – $205.48	33
99397 periodic comp preventive med 65+ years est CPT 99397	$167.25	$223.00	$54.64 – $239.49	33
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129	$5,313.35	$7,084.46	$44.72 – $6,120.50	36
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	$176.73 – $6,682.50	36
Abd paracentesis/w/o image guide 49082 CPT 49082	$1,505.25	$2,007.00	$491.72 – $1,806.30	36
Abd/low ext cath 1st CPT 36245	$3,237.00	$4,316.00	$1,057.42 – $3,884.40	36
Abd/low ext cath 2nd CPT 36246	$3,023.25	$4,031.00	$746.07 – $3,627.90	36
Abd/low ext cath 3rd CPT 36247	$3,810.00	$5,080.00	$1,244.60 – $4,572.00	36
Abd/low ext cath addl CPT 36248	$1,727.25	$2,303.00	$105.69 – $2,072.70	36
Abdominal CT scan (with and without contrast) CPT 74170	$2,049.00	$2,732.00	$179.20 – $2,458.80	30
Abdominal CT scan (with contrast) CPT 74160	$1,962.75	$2,617.00	$179.20 – $2,355.30	30
Abdominal CT scan (without contrast) CPT 74150	$1,722.00	$2,296.00	$106.81 – $2,066.40	30
Abdominal MRI (with and without contrast) CPT 74183	$2,629.50	$3,506.00	$356.43 – $3,155.40	30
Abdominal MRI (with contrast) CPT 74182	$2,457.75	$3,277.00	$356.43 – $2,949.30	30
Abdominal MRI (without contrast) CPT 74181	$2,285.25	$3,047.00	$243.77 – $2,742.30	30
Abdominal Ultrasound (complete) CPT 76700	$1,119.75	$1,493.00	$106.81 – $1,343.70	36
Abdominal Ultrasound (limited) CPT 76705	$753.00	$1,004.00	$106.81 – $903.60	36
Abdominal paracentesis w/image guidance CPT 49083	$1,527.75	$2,037.00	$499.07 – $1,833.30	36
Abl1 gene CPT 81170	$430.50	$574.00	$56.00 – $540.00	36
Ablate arrhythmia add on CPT 93655	$10,523.25	$14,031.00	$257.77 – $12,627.90	36
Ablate bone tumor(s) cryo perq 20983 CPT 20983	$4,898.25	$6,531.00	$1,600.10 – $13,344.08	36
Ablate bone tumor(s) perq CPT 20982	$3,543.75	$4,725.00	$1,157.63 – $32,244.46	36
Ablate heart dysrhythm focus CPT 93650	$12,842.25	$17,123.00	$4,195.14 – $15,410.70	36
Ablate inf turbinate superf 30801 CPT 30801	$2,706.00	$3,608.00	$883.96 – $3,247.20	35
Ablate pulm tumor perq crybl CPT 32994	$10,443.00	$13,924.00	$3,411.38 – $19,548.13	36
Ablation cardiac vagal inputs atrium CPT 93799	$8,025.00	$10,700.00	$131.46 – $9,630.00	34
Ablation cryo abd perit om CPT 49999	$8,358.00	$11,144.00	$926.63 – $10,029.60	36
Ablation cryo adrenal tumor CPT 60699	$6,948.75	$9,265.00	$2,269.93 – $11,117.65	36
Ablation cryo pq chest wall tumor(s) w/guid CPT 23929	$280.50	$374.00	$91.63 – $453.62	36
Ablation cryo pq liver tumor(s) CPT 47383	$8,080.50	$10,774.00	$2,639.63 – $19,548.13	36
Ablation cryo retro lymph node CPT 38999	$503.25	$671.00	$164.40 – $811.31	36
Ablation cryo thigh/knee CPT 27599	$274.50	$366.00	$89.67 – $453.62	36
Ablation of upper extremity nerves rf CPT 64999	$2,425.50	$3,234.00	$313.60 – $1,249.20	36
Abobotulinumtoxina HCPCS J0586	$3,255.66	$4,340.87	$8.90 – $2,344.96	36
Abscess drain retroperitoneal surg code CPT 49406	$3,121.50	$4,162.00	$1,019.69 – $3,745.80	36
Access & clsr pq fem art endogft dlvry w/img uni CPT 34713	$7,299.75	$9,733.00	$109.63 – $8,759.70	34
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131	$147.54	$196.71	$0.08 – $14.20	26
Acetaminophen level CPT 80143	$246.75	$329.00	$18.64 – $296.10	36
Acetazolamide 500 mg solution for injection HCPCS J1120	$137.07	$182.76	$12.49 – $45.88	26
Acetone qualitative CPT 82009	not published	not published	$2.05 – $10.86	3
Acetylcholine receptor modulating antibody CPT 86043	$489.00	$652.00	$12.05 – $586.80	36
Acetylcholinesterase assay CPT 82013	not published	not published	$5.29 – $29.49	3
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132	$406.77	$542.35	$0.60 – $94.64	26
Acetylcysteine non-comp unit HCPCS J7608	$87.97	$117.29	$4.64 – $17.05	26
Acne surgery 10040 CPT 10040	$295.50	$394.00	$96.53 – $368.96	36
Aco annual medicare visit (awv), initial g0438aco HCPCS G0438	$243.00	$324.00	$79.38 – $301.10	36
Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439	$160.50	$214.00	$52.43 – $236.94	36
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804	$67.50	$90.00	$16.31 – $81.00	36
Acoustic immitance testing CPT 92570	$141.75	$189.00	$46.31 – $236.63	36
Acoustic refl threshold tst CPT 92568	$120.75	$161.00	$38.16 – $144.90	36
Actinotherapy uv light CPT 96900	$138.75	$185.00	$38.16 – $166.50	36
Acup 1/> w/estim 1st 15 min CPT 97813	$45.75	$61.00	$14.95 – $54.90	36
Acup 1/> wo estim 1st 15 min CPT 97810	$45.75	$61.00	$14.95 – $54.90	36
Acute hepatitis panel CPT 80074	$480.00	$640.00	$21.53 – $576.00	36
Acute venous thrombus image CPT 78456	$873.75	$1,165.00	$285.43 – $2,380.84	36
Acyclovir 400 mg tablet HCPCS J8499	$100,424.10	$133,898.80	$0.79 – $2.91	26
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133	$77.65	$103.53	$0.03 – $7.68	26
Acylcarnitines qual CPT 82016	not published	not published	$6.46 – $39.57	3
Adapter b 8 channel 10cm HCPCS C1883	$29,250.00	$39,000.00	$51.45 – $189.00	26
Adenosine 3 mg/250 ml bag for osm HCPCS J0153	$528.78	$705.04	$0.76 – $12.43	26
Adenovirus ag ia CPT 87301	not published	not published	$5.75 – $28.74	3
Adenovirus antibody,serum - quest CPT 86603	$63.00	$84.00	$6.36 – $75.60	36
Adenovirus assay w/optic CPT 87809	not published	not published	$5.87 – $52.23	3
Adh-sendout CPT 84588	$663.75	$885.00	$17.96 – $149.40	36
Adj gastric band via subq port CPT 43999	$4,266.00	$5,688.00	$926.63 – $5,119.20	36
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815	$5,046.43	$6,728.57	$0.81 – $21.36	26
Administration chemotherapy IV infusion each additional hour CPT 96415	$472.50	$630.00	$73.56 – $567.00	36
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417	$971.25	$1,295.00	$73.56 – $1,165.50	36
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413	$857.25	$1,143.00	$280.04 – $1,028.70	36
Administration chemotherapy IV push single/initial substance/drug CPT 96409	$736.50	$982.00	$240.59 – $883.80	36
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402	$629.25	$839.00	$73.56 – $755.10	36
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401	$645.75	$861.00	$73.56 – $774.90	36
Administration immunization 1 vaccine CPT 90471	$33.75	$45.00	$11.03 – $132.41	36
Administration immunization each additional component CPT 90461	$63.00	$84.00	$8.48 – $75.60	36
Administration immunization each additional vaccine CPT 90472	$33.75	$45.00	$11.03 – $40.50	36
Administration immunization first component each vaccine CPT 90460	$63.00	$84.00	$20.58 – $75.60	36
Administration immunization intranasal/oral route 1 vaccine CPT 90473	$56.25	$75.00	$18.38 – $132.41	36
Administration immunization intranasal/oral route each additional vaccine CPT 90474	$43.50	$58.00	$11.75 – $52.20	36
Administration vaccine hepatitis b HCPCS G0010	$38.25	$51.00	$12.50 – $86.11	36
Administration vaccine influenza virus HCPCS G0008	$38.25	$51.00	$12.50 – $86.11	36
Administration vaccine pneumococcal HCPCS G0009	$38.25	$51.00	$12.50 – $86.11	36
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354	$23,602.63	$31,470.17	$42.20 – $17,701.99	36
Adrenal cortex & medulla img CPT 78075	not published	not published	$1,013.40 – $5,594.99	2
Aep hearing status deter i&r CPT 92651	$568.50	$758.00	$185.71 – $682.20	36
Aep neurodiagnostic i&r CPT 92653	$1,471.50	$1,962.00	$220.60 – $1,765.80	36
Aep thrshld est mlt freq i&r CPT 92652	$1,308.00	$1,744.00	$220.60 – $1,040.40	36
Afamelanotide implant, 1 mg HCPCS J7352	not published	not published	$11,247.57 – $11,247.57	1
Aflibercept injection HCPCS J0178	not published	not published	$1,327.25 – $3,384.82	2
After cataract laser surgery CPT 66821	$1,499.25	$1,999.00	$489.76 – $1,799.10	35
Agalsidase beta 35 mg intravenous solution HCPCS J0180	$28,942.08	$38,589.43	$227.58 – $4,960.66	36
Air conduction bilat CPT 92552	$106.50	$142.00	$34.79 – $244.67	36
Airway resistance by impulse oscillometry 94728 CPT 94728	$425.25	$567.00	$131.46 – $510.30	36
Albumin (human), 25%, 50ml HCPCS P9047	$295.80	$394.40	$42.27 – $155.30	36
Albumin (human), 5%, 250 ml HCPCS P9045	$295.80	$394.40	$19.02 – $95.54	36
Albumin (microalbumin) 24 hour urine quantitative CPT 82043	$85.50	$114.00	$3.39 – $102.60	36
Albumin body fluid quantitative each specimen CPT 82042	$43.50	$58.00	$2.93 – $36.00	36
Albumin ischemia modified CPT 82045	not published	not published	$17.03 – $81.45	3
Albumin serum plasma or whole blood CPT 82040	$43.50	$58.00	$2.71 – $52.20	36
Albumin, human 25 % intravenous solution HCPCS P9046	not published	not published	$35.67 – $98.74	3
Albumin, human 5 % intravenous solution HCPCS P9041	not published	not published	$17.82 – $117.08	3
Albuterol ipratrop non-comp HCPCS J7620	$2.43	$3.23	$0.34 – $2.91	26
Albuterol non-comp con HCPCS J7611	$44.56	$59.41	$0.27 – $2.91	26
Albuterol non-comp unit HCPCS J7613	$2.43	$3.23	$0.12 – $2.91	26
Alcohol (ethanol) any specimen except urine/breath CPT 82077	$60.75	$81.00	$17.27 – $72.90	36
Aldesleukin injection HCPCS J9015	not published	not published	$8,340.54 – $21,634.20	2
Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202	$112,036.08	$149,381.43	$2,440.42 – $134,443.29	36
Alkaline phosphatase CPT 84075	$51.75	$69.00	$2.45 – $62.10	36
All tstg perq&iq drugs/biol CPT 95018	$70.50	$94.00	$23.03 – $84.60	36
Allergen alpha lactalbumin ige CPT 86008	$110.25	$147.00	$17.93 – $90.00	36
Allergen egg white ige CPT 86003	$81.00	$108.00	$5.22 – $33.30	36
Allergen specific ige qual multi scrn ea CPT 86005	$39.00	$52.00	$3.59 – $46.80	36
Allergy Skin Testing CPT 95004	$97.50	$130.00	$31.85 – $1,579.21	36
Allergy injection; single 95115 CPT 95115	$42.75	$57.00	$13.97 – $86.11	36
Allergy injections; 2 or more 95117 CPT 95117	$66.75	$89.00	$21.81 – $86.11	36
Allg patch or app # of tests 95044 CPT 95044	$780.00	$1,040.00	$254.80 – $1,579.21	36
Allograft 160mg placental salera mini membrane HCPCS Q4168	not published	not published	$28.64 – $28.64	1
Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150	$13,768.09	$18,357.45	$127.14 – $4,673.70	36
Allograft amnioexcel plus 17mm disk HCPCS Q4137	$13,478.20	$17,970.93	$77.91 – $286.20	36
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100	$911.25	$1,215.00	$297.68 – $1,093.50	26
Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125	$9,702.00	$12,936.00	$127.14 – $1,663.20	36
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128	$30,615.48	$40,820.64	$51.56 – $3,725.16	36
Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186	$10,046.28	$13,395.03	$65.42 – $240.30	36
Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107	$6,367.50	$8,490.00	$127.14 – $2,808.00	36
Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790	$1,887.75	$2,517.00	$213.15 – $783.00	26
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148	$6,075.00	$8,100.00	$127.14 – $2,532.60	36
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187	$4,038.75	$5,385.00	$127.14 – $584.10	36
Alloskin HCPCS Q4115	not published	not published	$24.31 – $25.13	2
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256	not published	not published	$8.70 – $19.88	2
Alpha-fetoprotein afp-l3 frac & total CPT 82107	not published	not published	$32.32 – $154.59	3
Alpha-fetoprotein amniotic CPT 82106	$61.50	$82.00	$7.94 – $73.80	36
Alpha-fetoprotein tumor marker CPT 82105	$168.75	$225.00	$7.94 – $123.30	36
Alprostadil for injection HCPCS J0270	$800.48	$1,067.30	$36.68 – $479.11	26
Alt/sgpt CPT 84460	$63.75	$85.00	$2.51 – $76.50	36
Alteplase 100 mg infusion from pyxis vial HCPCS J2997	$31,563.16	$42,084.21	$95.09 – $613.47	36
Altuviiio per factor viii iu HCPCS J7214	not published	not published	$7.85 – $19.53	2
Aluminum - quest CPT 82108	$168.00	$224.00	$12.05 – $201.60	36
Alys cplx sp/pn npgt w/prgrm CPT 95972	$1,410.00	$1,880.00	$97.13 – $1,692.00	36
Amantadine (symmetrel)-sendout CPT 80375	$240.00	$320.00	$0.03 – $64.80	26
Ambl bp mntr w/sw a/r CPT 93788	$368.25	$491.00	$120.30 – $441.90	36
Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278	$79.87	$106.49	$1.02 – $17.42	26
Amino acid screen, urine CPT 82128	not published	not published	$6.56 – $33.30	3
Amino acid single qual CPT 82127	not published	not published	$6.46 – $34.02	3
Amino acids quant 2-5 CPT 82136	$239.25	$319.00	$7.98 – $171.00	36
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281	$35.21	$46.94	$2.50 – $18.38	26
Aminolevulinic acid delta CPT 82135	$570.00	$760.00	$7.22 – $684.00	36
Aminolevulinic acid hcl top HCPCS J7308	not published	not published	$661.70 – $1,403.78	2
Aminolevulinic acid, 10% gel HCPCS J7345	not published	not published	$3.04 – $6.48	2
Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280	$65.64	$87.51	$13.53 – $49.70	26
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283	$119.07	$158.75	$4.38 – $115.24	26
Amiodarone 50 mg/ml intravenous solution HCPCS J0282	$50.85	$67.80	$0.84 – $3.11	26
Amitriptyline (elavil) -sendout CPT 80335	$260.25	$347.00	$0.03 – $72.90	26
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 – $16,890.23	36
Ammonia CPT 82140	$151.50	$202.00	$7.59 – $65.70	36
Amniocentesis therapeutic CPT 59001	$850.50	$1,134.00	$277.83 – $1,020.60	36
Amniocentesisdiagnostic 59000 CPT 59000	$1,104.00	$1,472.00	$360.64 – $1,693.80	36
Amniotic fluid scan CPT 82143	not published	not published	$3.18 – $22.44	3
Amphetamine confirm urine -sendout CPT 80324	$94.50	$126.00	$0.03 – $56.00	26
Amphetamines 5 or more CPT 80326	$462.75	$617.00	$0.03 – $555.30	26
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285	$130.08	$173.44	$42.49 – $156.10	26
Amphotericin b lipid complex HCPCS J0287	$360.00	$479.99	$17.29 – $431.99	26
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289	$434.39	$579.18	$22.81 – $329.09	36
Ampicillin 1 gram solution for injection HCPCS J0290	$114.78	$153.03	$0.79 – $2.91	26
Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295	$18.87	$25.16	$1.68 – $6.17	26
Amylase CPT 82150	$168.00	$224.00	$3.07 – $173.70	36
An cholangiogram percutaneous compl CPT 47531	$2,959.50	$3,946.00	$966.77 – $6,584.31	36
An fluoro guide for cvp CPT 77001	$888.75	$1,185.00	$91.19 – $1,066.50	36
Ana ds-dna CPT 86226	not published	not published	$5.73 – $29.07	3
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 – $876.60	36
Anal/urinary muscle study CPT 51785	$940.50	$1,254.00	$255.26 – $1,128.60	35
Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329	$79.50	$106.00	$0.03 – $95.40	26
Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977	$1,058.25	$1,411.00	$97.13 – $1,269.90	36
Analysis gene f2 20210g>a variant CPT 81240	$436.50	$582.00	$43.37 – $523.80	36
Analysis gene f5 leiden variant CPT 81241	$577.50	$770.00	$44.57 – $693.00	36
Analysis nerve CPT 88356	not published	not published	$177.87 – $256.05	3
Analysis tumor CPT 88358	not published	not published	$44.93 – $194.45	3
Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976	$1,038.00	$1,384.00	$38.13 – $1,245.60	36
Analyze neurostimulator simple w/reprogramming 95971 CPT 95971	$1,311.00	$1,748.00	$97.13 – $1,573.20	36
Anaplsma phgcytophlm amp prb CPT 87468	$105.00	$140.00	$34.30 – $126.00	36
Anca screen with reflex to titer -quest CPT 86021	$280.50	$374.00	$8.11 – $336.60	36
Androstanediol CPT 82154	not published	not published	$15.29 – $69.18	3
Angio balloon ctrl dialysis seg add-on CPT 36907	$2,028.00	$2,704.00	$538.12 – $2,433.60	36
Angio trnslmnl balloon same artery ea addl CPT 37247	$2,886.75	$3,849.00	$558.96 – $3,464.10	36
Angio trnslmnl balloon same artery ini CPT 37246	$7,883.25	$10,511.00	$2,575.20 – $10,466.71	36
Angio trnslmnl balloon same vein ea addl CPT 37249	$4,999.50	$6,666.00	$400.48 – $5,999.40	36
Angio trnslmnl balloon same vein ini CPT 37248	$7,457.25	$9,943.00	$2,436.04 – $10,466.71	36
Angiotensin ii CPT 82163	not published	not published	$9.44 – $49.26	3
Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490	$59,352.27	$79,136.36	$0.79 – $2.91	26
Anidulafungin injection HCPCS J0348	$116.22	$154.95	$0.81 – $139.46	26
Ankle X-ray CPT 73610	$396.75	$529.00	$77.46 – $476.10	36
Anl sp inf pmp w/mdreprg&fil CPT 62370	$693.75	$925.00	$226.63 – $832.50	36
Annual Physical, Established Patient (age 18-39) CPT 99395	$167.25	$223.00	$54.64 – $209.59	33
Annual Physical, Established Patient (age 40-64) CPT 99396	$167.25	$223.00	$54.64 – $222.50	33
Annual Physical, New Patient (age 18-39) CPT 99385	$167.25	$223.00	$54.64 – $231.94	33
Annual Physical, New Patient (age 40-64) CPT 99386	$167.25	$223.00	$54.64 – $268.84	33
Anodyne therapy charges pt CPT 97026	$92.25	$123.00	$6.31 – $110.70	36
Anoscopy CPT 46611	$1,067.25	$1,423.00	$348.64 – $1,710.18	35
Anoscopy ablation lesion 46615 CPT 46615	$2,367.00	$3,156.00	$773.22 – $5,104.40	35
Anoscopy and biopsy CPT 46606	$1,380.00	$1,840.00	$450.80 – $2,200.61	36
Anoscopy control bleeding 46614 CPT 46614	$3,172.50	$4,230.00	$1,036.35 – $3,807.00	36
Anoscopy remove fb 46608 CPT 46608	$2,797.50	$3,730.00	$913.85 – $3,357.00	35
Anoscopy remove lesion 46610 CPT 46610	$3,723.75	$4,965.00	$1,216.43 – $5,104.40	35
Ans parasymp & symp w/tilt CPT 95924	$1,380.75	$1,841.00	$220.60 – $1,656.90	36
Anti mog serum - sendout CPT 86362	$355.50	$474.00	$12.05 – $426.60	36
Anti-inhibitor HCPCS J7198	$18,764.82	$25,019.75	$2.42 – $8.87	36
Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504	$17,349.88	$23,133.17	$5,292.43 – $20,819.85	36
Antibody CPT 86744	not published	not published	$6.36 – $38.37	3
Antibody bacterium, not elsewhere specified CPT 86609	$164.25	$219.00	$6.09 – $197.10	36
Antibody elution rbc reference CPT 86860	$175.50	$234.00	$30.50 – $313.31	36
Antibody htlv-i CPT 86687	$210.75	$281.00	$4.41 – $252.90	36
Antibody htlv-ii CPT 86688	$210.75	$281.00	$6.98 – $252.90	36
Antibody htlv/hiv confirm test CPT 86689	$325.50	$434.00	$9.16 – $390.60	36
Antibody id rbc panel CPT 86870	$291.75	$389.00	$25.50 – $659.18	36
Antibody identification platelet antibodies heparin-pf4 igg CPT 86022	$1,320.00	$1,760.00	$9.64 – $198.00	36
Antibody influenza virus CPT 86710	not published	not published	$6.41 – $32.52	3
Antibody lymphocytic choriomeningitis CPT 86727	$222.00	$296.00	$6.36 – $266.40	36
Antibody screen rbc CPT 86850	$136.50	$182.00	$11.04 – $163.80	36
Antibody tetanus CPT 86774	not published	not published	$7.00 – $35.52	3
Antidepressant not specified CPT 80338	$276.75	$369.00	$0.03 – $181.80	26
Antigen therapy services CPT 95165	$60.75	$81.00	$19.85 – $86.11	36
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187	$5,102.55	$6,803.40	$1.49 – $3,061.53	36
Antihemophilic viii/vwf comp HCPCS J7186	not published	not published	$2.05 – $2.05	1
Antineutrophil cytoplasmic antibody screen each antibody CPT 86036	$147.75	$197.00	$12.05 – $177.30	36
Antineutrophil cytoplasmic antibody titer each antibody CPT 86037	not published	not published	$25.45 – $28.92	2
Antinuclear antibodies CPT 86038	$98.25	$131.00	$5.72 – $117.90	36
Antinuclear antibodies titer CPT 86039	$80.25	$107.00	$5.28 – $56.70	36
Antiphosphatidylserine antibody CPT 86148	$90.00	$120.00	$12.62 – $108.00	36
Antistreptolysin o screen CPT 86063	not published	not published	$2.73 – $13.86	3
Antistreptolysin o titer CPT 86060	$83.25	$111.00	$3.45 – $99.90	36
Antithrombin iii activity CPT 85300	$216.00	$288.00	$5.75 – $259.20	36
Antithrombin iii injection HCPCS J7197	$6,858.87	$9,145.15	$4.10 – $7,964.42	36
Antithymocyte globuln rabbit HCPCS J7511	$4,139.25	$5,518.99	$1,023.12 – $4,967.09	36
Aortic dysfunction/dilation CPT 81410	not published	not published	$800.00 – $1,209.60	3
Aortic dysfunction/dilation CPT 81411	not published	not published	$800.00 – $3,240.45	3
Apc gene dup/delet variants CPT 81203	not published	not published	$318.66 – $480.00	3
Apc gene full sequence CPT 81201	not published	not published	$888.41 – $1,872.00	3
Apc gene known fam variants CPT 81202	not published	not published	$475.00 – $672.00	3
Apheresis immunoads slctv CPT 36516	$7,110.75	$9,481.00	$2,322.85 – $8,532.90	36
Apl(pml-rara) quant - sendout CPT 81315	$1,187.25	$1,583.00	$56.00 – $1,424.70	36
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276	$552.00	$736.00	$32.45 – $662.40	36
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277	$2,589.00	$3,452.00	$471.14 – $3,794.35	36
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278	$1,222.50	$1,630.00	$95.88 – $1,467.00	36
App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272	$693.75	$925.00	$24.57 – $832.50	36
App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273	$2,978.25	$3,971.00	$972.90 – $3,794.35	36
App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274	$2,072.25	$2,763.00	$82.09 – $2,486.70	36
App mltpln uni xtrnl fix xch CPT 20697	$3,526.50	$4,702.00	$1,151.99 – $4,231.80	36
Appl modality 1/> areas paraffin bath 97018 CPT 97018	$102.00	$136.00	$5.70 – $122.40	36
Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016	$123.75	$165.00	$11.53 – $148.50	35
Appl multlay comprs arm/hand CPT 29584	$409.50	$546.00	$133.77 – $491.40	36
Appl patllr tdn bearing cast CPT 29435	$429.00	$572.00	$140.14 – $514.80	36
Application clubfoot cast CPT 29450	$254.25	$339.00	$83.06 – $305.10	36
Application finger splntstatic 29130 CPT 29130	$208.50	$278.00	$68.11 – $250.20	36
Application long leg splint 29505 CPT 29505	$338.25	$451.00	$110.50 – $405.90	36
Application lower leg splint 29515 CPT 29515	$471.75	$629.00	$154.11 – $566.10	36
Application multi layer compression below knee (both sides) CPT 29581	$393.75	$525.00	$128.63 – $472.50	36
Application of forearm cast 29075 CPT 29075	$303.00	$404.00	$98.98 – $514.35	36
Application of long arm cast 29065 CPT 29065	$321.00	$428.00	$104.86 – $514.35	36
Application of long leg cast CPT 29355	$480.75	$641.00	$157.05 – $576.90	36
Application of long leg cast 29345 CPT 29345	$390.75	$521.00	$127.65 – $514.35	36
Application of paste boot 29580 CPT 29580	$390.75	$521.00	$127.65 – $468.90	36
Application short leg cast 29405 CPT 29405	$265.50	$354.00	$86.73 – $514.35	36
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	$688.94 – $2,530.80	36
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271	$2,109.00	$2,812.00	$688.94 – $2,530.80	36
Applicator tag rfid localizer 12gx7cm HCPCS C1819	$470.25	$627.00	$18.38 – $67.50	26
Apply forearm splintdynamic 29126 CPT 29126	$333.00	$444.00	$108.78 – $399.60	36
Apply hand/wrist cast 29085 CPT 29085	$249.00	$332.00	$81.34 – $298.84	36
Apply interstit radiat compl CPT 77778	not published	not published	$1,218.45 – $3,037.23	2
Apply intrcav radiat compl CPT 77763	not published	not published	$869.64 – $3,037.23	2
Apply intrcav radiat interm CPT 77762	not published	not published	$665.67 – $2,322.99	2
Apply intrcav radiat simple CPT 77761	not published	not published	$579.84 – $2,322.99	2
Apply rem fixation device CPT 20660	$5,230.50	$6,974.00	$1,642.82 – $6,276.60	36
Apply rigid leg cast 29445 CPT 29445	$555.00	$740.00	$181.30 – $666.00	36
Apply short leg castambul type 29425 CPT 29425	$333.00	$444.00	$108.78 – $514.35	36
Apply surf ldr radionuclide CPT 77789	not published	not published	$193.26 – $512.87	2
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185	not published	not published	$2.97 – $12.22	2
Aqaprn-4 antb flo cytmtry ea CPT 86053	$564.75	$753.00	$25.45 – $677.70	36
Aqua therapy w/exercise/ea 15 min 97113 CPT 97113	$140.25	$187.00	$35.28 – $168.30	35
Aquaporin-4 antibody cba each CPT 86052	not published	not published	$25.45 – $28.92	2
Aquaporin-4 antibody elisa CPT 86051	not published	not published	$24.34 – $27.66	2
Aquatic exercise - group charge CPT 97150	$111.00	$148.00	$17.34 – $133.20	36
Argatroban nonesrd (accord) HCPCS J0891	not published	not published	$3.04 – $14.14	2
Argatroban nonesrd (auromed) HCPCS J0898	$668.52	$891.35	$2.44 – $370.27	26
Argatroban nonesrd use 1mg HCPCS J0883	$881.10	$1,174.79	$1.01 – $215.42	36
Aripiprazole 441 mg/1.6 ml inj HCPCS J1944	$11,842.72	$15,790.29	$3.32 – $14,211.26	36
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	$9.83 – $133.70	26
Arterial blood draw/perc 36620 CPT 36620	$978.00	$1,304.00	$40.31 – $1,173.60	36
Artery x-rays adrenal gland CPT 75731	$4,035.00	$5,380.00	$273.30 – $5,806.57	36
Artery x-rays adrenals CPT 75733	$5,043.00	$6,724.00	$307.08 – $6,051.60	36
Artery x-rays arm/leg 75710-26 CPT 75710	$3,650.25	$4,867.00	$188.55 – $5,806.57	36
Artery x-rays arms/legs 75716-26 CPT 75716	$4,206.00	$5,608.00	$196.74 – $5,806.57	36
Artery x-rays chest CPT 75756	$4,255.50	$5,674.00	$304.23 – $5,806.57	36
Artery x-rays lung CPT 75741	$4,931.25	$6,575.00	$193.11 – $5,917.50	36
Artery x-rays lung CPT 75746	$3,405.00	$4,540.00	$226.77 – $5,806.57	34
Artery x-rays lungs CPT 75743	$5,836.50	$7,782.00	$196.74 – $7,003.80	36
Artery x-rays spine CPT 75705	$4,294.50	$5,726.00	$370.62 – $10,233.02	36
Artery xray each vessel 7577426 CPT 75774	$3,282.75	$4,377.00	$90.01 – $3,939.30	36
Artery xray of abdomen 75726-26 CPT 75726	$4,294.50	$5,726.00	$212.22 – $10,233.02	36
Artery xrays of pelvis 75736 26 CPT 75736	$4,725.75	$6,301.00	$252.36 – $10,233.02	36
Artery-vein nonautograft CPT 36830	$6,325.50	$8,434.00	$2,066.33 – $10,233.02	35
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604	$514.50	$686.00	$168.07 – $617.40	36
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610	$696.00	$928.00	$227.36 – $835.20	36
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606	$619.50	$826.00	$202.37 – $1,298.11	36
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605	$609.00	$812.00	$198.94 – $730.80	36
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611	$803.25	$1,071.00	$262.40 – $963.90	36
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600	$493.50	$658.00	$161.21 – $592.20	36
Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614	$3,509.25	$4,679.00	$343.80 – $4,211.10	36
Arthrp ntrcrp/crp/mtcr ntrps CPT 25447	$3,767.25	$5,023.00	$1,230.64 – $6,017.17	35
Artiss fibrin sealant HCPCS C9250	$3,217.53	$4,290.04	$143.70 – $3,861.04	36
Ascenda two piece catheter HCPCS C1772	$32,280.75	$43,041.00	$8,232.00 – $30,240.00	26
Asp & inj bone cyst CPT 20615	$756.75	$1,009.00	$247.21 – $1,302.25	36
Asp & inj w/heparin pleurx cath CPT 32999	$1,135.50	$1,514.00	$237.90 – $1,153.60	36
Asp core fat pad CPT 17999	$1,123.50	$1,498.00	$204.98 – $1,348.20	36
Aspa gene CPT 81200	not published	not published	$99.81 – $113.40	3
Aspir/inj thyroid cyst 60300 CPT 60300	$815.25	$1,087.00	$266.32 – $1,302.25	36
Aspirate bladder/sprapubic cath 51102 CPT 51102	$3,146.25	$4,195.00	$1,027.78 – $3,844.19	36
Aspirate pleura without imaging 32554 CPT 32554	$991.50	$1,322.00	$323.89 – $1,189.80	36
Aspirate/inj ganglion cyst 20612 CPT 20612	$552.00	$736.00	$180.32 – $662.40	36
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005	$1,219.50	$1,626.00	$398.37 – $1,463.40	36
Aspiration peritonsillar abscess CPT 42999	$283.50	$378.00	$92.61 – $435.56	36
Assay acid phosphatase CPT 84060	$81.00	$108.00	$3.80 – $97.20	36
Assay alkaline phosphatase CPT 84078	$87.00	$116.00	$3.80 – $104.40	36
Assay blood catecholamines CPT 82383	not published	not published	$13.24 – $69.78	3
Assay chondroitin sulfate CPT 82485	not published	not published	$10.88 – $49.56	3
Assay dir meas fr estradiol CPT 82681	$391.50	$522.00	$27.94 – $469.80	36
Assay duodenal fluid trypsin CPT 84485	$271.50	$362.00	$3.90 – $325.80	36
Assay free hydroxyproline CPT 83500	not published	not published	$9.64 – $54.36	3
Assay malate dehydrogenase CPT 83775	not published	not published	$3.90 – $17.70	3
Assay myeloperoxidase CPT 83876	not published	not published	$9.02 – $122.07	3
Assay of PSA complexed CPT 84152	not published	not published	$8.70 – $44.13	3
Assay of adp & amp CPT 82030	$293.25	$391.00	$13.54 – $351.90	36
Assay of androsterone CPT 82160	not published	not published	$13.13 – $61.32	3
Assay of blood lipoprotein CPT 83719	not published	not published	$6.16 – $30.60	3
Assay of bradykinin CPT 82286	not published	not published	$3.59 – $12.39	3
Assay of breath ethanol CPT 82075	$64.50	$86.00	$0.03 – $77.40	36
Assay of cathepsin-d CPT 82387	not published	not published	$10.98 – $43.35	3
Assay of chloramphenicol CPT 82415	not published	not published	$6.77 – $30.42	3
Assay of corticosterone CPT 82528	not published	not published	$11.90 – $54.06	3
Assay of digoxin free CPT 80163	$27.00	$36.00	$6.28 – $32.40	36
Assay of endocrine hormone CPT 84235	not published	not published	$27.70 – $170.94	3
Assay of estrogen CPT 84233	not published	not published	$31.29 – $210.90	3
Assay of etiocholanolone CPT 82696	not published	not published	$11.80 – $62.97	3
Assay of feces for trypsin CPT 84490	not published	not published	$3.90 – $23.82	3
Assay of feces porphyrins CPT 84126	not published	not published	$13.44 – $93.87	3
Assay of feces/urobilinogen CPT 84577	not published	not published	$2.26 – $40.32	3
Assay of fluoride CPT 82735	$270.00	$360.00	$8.77 – $324.00	36
Assay of galactose CPT 82760	$426.75	$569.00	$6.26 – $512.10	36
Assay of gdh enzyme CPT 82965	not published	not published	$3.18 – $31.56	3
Assay of glucosidase CPT 82963	$1,008.00	$1,344.00	$5.95 – $1,209.60	36
Assay of glutathione CPT 82978	$252.75	$337.00	$5.86 – $303.30	36
Assay of haptoglobins CPT 83012	not published	not published	$7.49 – $64.53	3
Assay of idh enzyme CPT 83570	not published	not published	$4.62 – $21.24	3
Assay of interleukin-6 (il-6) CPT 83529	$45.00	$60.00	$14.70 – $54.00	36
Assay of intrinsic factor CPT 83528	not published	not published	$8.41 – $47.58	3
Assay of lap enzyme CPT 83670	not published	not published	$4.92 – $23.55	3
Assay of leflunomide CPT 80193	$153.00	$204.00	$38.57 – $183.60	36
Assay of lrh hormone CPT 83727	$669.75	$893.00	$8.13 – $803.70	36
Assay of methemalbumin CPT 83857	not published	not published	$5.75 – $25.77	3
Assay of neonatal thyroxine CPT 84437	not published	not published	$3.39 – $15.54	3
Assay of osteocalcin CPT 83937	$144.75	$193.00	$18.67 – $173.70	36
Assay of phenylketones CPT 84035	not published	not published	$1.54 – $9.54	3
Assay of pregnanediol CPT 84135	not published	not published	$7.22 – $51.06	3
Assay of pregnanetriol CPT 84138	not published	not published	$9.85 – $50.52	3
Assay of procainamide w/metab CPT 80192	$70.50	$94.00	$8.72 – $84.60	36
Assay of progesterone CPT 84234	not published	not published	$31.60 – $155.70	3
Assay of prostaglandin CPT 84150	$93.75	$125.00	$13.13 – $104.40	36
Assay of quinine CPT 84228	not published	not published	$5.44 – $27.90	3
Assay of rbc pg6d enzyme CPT 84085	not published	not published	$2.77 – $22.65	3
Assay of salicylate CPT 80179	$164.25	$219.00	$18.64 – $197.10	36
Assay of semen fructose CPT 82757	not published	not published	$2.98 – $41.61	3
Assay of sialic acid CPT 84275	$342.00	$456.00	$7.08 – $410.40	36
Assay of silica CPT 84285	not published	not published	$12.31 – $60.51	3
Assay of somatostatin CPT 84307	$501.00	$668.00	$8.62 – $601.20	36
Assay of thiocyanate CPT 84430	$333.00	$444.00	$3.59 – $399.60	36
Assay of troponin qual CPT 84512	not published	not published	$3.42 – $24.21	3
Assay of tyrosine CPT 84510	not published	not published	$5.64 – $25.50	3
Assay of urine sulfate CPT 84392	$59.25	$79.00	$2.25 – $71.10	36
Assay of urine urobilinogen CPT 84580	not published	not published	$3.80 – $22.92	3
Assay of urine urobilinogen CPT 84583	not published	not published	$2.15 – $14.52	3
Assay phosphatidylglycerol CPT 84081	not published	not published	$8.62 – $39.66	3
Assay phosphohexose enzymes CPT 84087	$252.75	$337.00	$5.23 – $303.30	36
Assay rbc glutathione CPT 82979	not published	not published	$3.69 – $22.65	3
Assay toxin or antitoxin CPT 87230	$72.75	$97.00	$9.34 – $54.90	36
Assess aphasia/interp/rpt/per hr 96105 CPT 96105	$466.50	$622.00	$93.98 – $559.80	36
Assess cyst contrast inject CPT 49424	$425.25	$567.00	$138.92 – $510.30	36
Assessment leukocyte fecal qualitative/semiquantitative CPT 89055	not published	not published	$2.02 – $10.26	3
Assist oocyte fertilization CPT 89280	not published	not published	$900.00 – $2,133.96	3
Assist oocyte fertilization CPT 89281	not published	not published	$321.78 – $2,865.21	3
Ast/sgot CPT 84450	$57.00	$76.00	$2.44 – $68.40	36
Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022	$42,851.67	$57,135.55	$94.00 – $35,995.46	36
Atomic absorption CPT 82190	not published	not published	$7.70 – $38.16	3
Atropine 0.1 mg/ml injection syringe HCPCS J0461	$39.35	$52.46	$0.10 – $19.31	26
Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464	$259.50	$346.00	$62.25 – $311.40	36
Aud brainstem implt programg CPT 92640	$372.00	$496.00	$121.52 – $446.40	36
Audiometry air + bone CPT 92553	$202.50	$270.00	$66.15 – $243.00	36
Auditory function 60 min CPT 92620	$762.75	$1,017.00	$131.46 – $915.30	36
Augment injectable kit 3.0cc HCPCS C1734	$8,645.34	$11,527.11	$514.50 – $1,890.00	26
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515	$9,145.50	$12,194.00	$2,732.47 – $10,974.60	36
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513	$9,145.50	$12,194.00	$2,987.53 – $13,344.08	36
Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490	$802.50	$1,070.00	$56.00 – $1,513.17	36
Autologous blood op salvage CPT 86891	not published	not published	$83.80 – $299.00	3
Autologous blood process CPT 86890	not published	not published	$83.80 – $212.00	3
Automated diff wbc count CPT 85004	not published	not published	$3.18 – $15.54	3
Autonomic nrv syst funj test CPT 95923	$1,026.75	$1,369.00	$135.93 – $1,232.10	36
Avelumab 20 mg/ml intravenous solution HCPCS J9023	$7,742.64	$10,323.52	$105.55 – $9,291.17	36
Avul nail plate addl CPT 11732	$318.75	$425.00	$30.75 – $382.50	36
Avulsion nail plate partial/complete simple single nail plate CPT 11730	$318.75	$425.00	$104.13 – $382.50	36
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038	not published	not published	$187.43 – $187.43	1
Axicabtagene ciloleucel car+ HCPCS Q2041	$1,861,987.05	$2,482,649.40	$481,932.15 – $1,770,363.00	36
Azacitidine injection HCPCS J9025	$2,163.93	$2,885.24	$0.34 – $80.23	26
Azathioprine 50 mg tablet HCPCS J7500	$7,093.66	$9,458.21	$0.79 – $2.91	26
Azathioprine parenteral HCPCS J7501	$771.30	$1,028.40	$251.96 – $925.56	36
Azithromycin 500 mg intravenous solution HCPCS J0456	$22.93	$30.57	$1.93 – $7.08	26
Aztreonam 1 gram solution for injection HCPCS J0457	$203.80	$271.73	$4.47 – $98.73	26
B cells total count CPT 86355	$84.75	$113.00	$18.92 – $101.70	36
B-hexosaminidase ea assay CPT 83080	$104.25	$139.00	$7.70 – $125.10	36
Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475	not published	not published	$295.36 – $315.95	2
Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476	not published	not published	$112.90 – $117.71	2
Baclofen eval charges CPT 97750	$138.75	$185.00	$32.14 – $166.50	35
Bacterial meningitis antigen CPT 86403	$60.75	$81.00	$11.54 – $72.90	36
Bacterial vaginosis pcr CPT 87801	$1,973.25	$2,631.00	$33.20 – $202.50	36
Bactericidal level serum CPT 87197	not published	not published	$8.00 – $36.06	3
Balloon dilate urtrl strix CPT 50706	$2,118.00	$2,824.00	$691.88 – $2,541.60	36
Bartonella dna pcr-sendout CPT 87471	$1,113.00	$1,484.00	$17.13 – $511.20	36
Basic vestibular evaluation CPT 92540	$998.25	$1,331.00	$220.60 – $1,197.90	36
Basiliximab HCPCS J0480	$15,941.19	$21,254.91	$4,812.31 – $19,129.42	36
Bausch health Ultrasound surg HCPCS V2788	$2,238.75	$2,985.00	$110.25 – $405.00	26
Bcg live 50 mg intravesical suspension HCPCS J9030	$605.43	$807.24	$3.39 – $726.52	36
Bckdhb gene CPT 81205	not published	not published	$102.39 – $227.97	3
Becaplermin 0.01% gel 15 gm HCPCS S0157	not published	not published	$161.81 – $161.81	1
Belatacept 250 mg intravenous solution HCPCS J0485	$3,406.85	$4,542.46	$3.89 – $4,088.21	36
Belimumab 120 mg intravenous solution HCPCS J0490	$7,979.25	$10,638.99	$57.19 – $2,872.74	36
Bendamustine 100 mg intravenous powder for solution HCPCS J9033	not published	not published	$3.11 – $57.12	2
Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036	not published	not published	$20.14 – $92.82	2
Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034	$6,784.08	$9,045.43	$12.90 – $8,140.89	36
Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056	not published	not published	$47.12 – $116.87	2
Benign lesion paring 2-4 CPT 11056	$300.75	$401.00	$98.25 – $368.96	36
Benign lesion paring 4+ CPT 11057	$276.75	$369.00	$90.41 – $368.96	36
Benztropine 1 mg/ml injection solution HCPCS J0515	$102.90	$137.19	$23.52 – $86.39	26
Beta 2 glycoprotein 1 antibody iga CPT 86146	$129.00	$172.00	$12.62 – $154.80	36
Beta-2 microglobulin CPT 82232	$84.00	$112.00	$6.87 – $33.30	36
Beta-amyloid 1-42 CPT 82234	$504.00	$672.00	$56.00 – $604.80	36
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702	$149.68	$199.57	$11.56 – $152.64	26
Bevacizumab 25 mg/ml intravenous solution HCPCS J9035	$2,946.69	$3,928.92	$74.36 – $3,536.03	36
Bevacizumab injection HCPCS C9257	not published	not published	$7.11 – $7.11	1
Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107	$10,009.76	$13,346.34	$23.74 – $3,002.97	36
Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118	not published	not published	$40.20 – $219.00	2
Bilateral n blobk inj pudendal 64430 CPT 64430	$1,727.25	$2,303.00	$564.24 – $2,072.70	35
Bilateral n block inj occipital 64405 CPT 64405	$1,218.00	$1,624.00	$313.60 – $1,461.60	36
Bilateral n block inj trigeminal 64400 CPT 64400	$885.75	$1,181.00	$289.35 – $1,062.90	36
Bile acids cholylglycine CPT 82240	not published	not published	$14.06 – $63.78	3
Biliary endo perq dx w/speci CPT 47552	$7,300.50	$9,734.00	$2,384.83 – $11,905.27	35
Biliary endoscopy thru skin CPT 47553	$7,300.50	$9,734.00	$2,384.83 – $11,905.27	35
Biliary endoscopy thru skin CPT 47554	$4,690.50	$6,254.00	$1,532.23 – $19,548.13	35
Biliary endoscopy thru skin CPT 47555	$2,959.50	$3,946.00	$966.77 – $11,905.27	35
Biliary endoscopy thru skin CPT 47556	$10,884.75	$14,513.00	$3,555.69 – $19,548.13	35
Bilicheck CPT 88720	$39.00	$52.00	$2.82 – $46.80	36
Bilirubin direct CPT 82248	$55.50	$74.00	$1.91 – $66.60	36
Bilirubin total CPT 82247	$48.00	$64.00	$1.91 – $57.60	36
Biofeedback, pt CPT 90901	$189.00	$252.00	$38.73 – $226.80	36
Biopsy abdominal mass CPT 49180	$1,897.50	$2,530.00	$619.85 – $3,037.27	35
Biopsy bone trocar/needle superficial CPT 20220	$1,534.50	$2,046.00	$501.27 – $3,037.27	35
Biopsy cervixsingle/multiple 57500 CPT 57500	$1,827.75	$2,437.00	$597.07 – $2,193.30	36
Biopsy eyelid & lid margin CPT 67810	$576.00	$768.00	$188.16 – $691.20	36
Biopsy muscle percutaneous needle CPT 20206	$1,282.50	$1,710.00	$418.95 – $3,037.27	35
Biopsy needle liver percutaneous CPT 47000	$2,136.75	$2,849.00	$698.01 – $3,037.27	35
Biopsy needle lymph node superficial CPT 38505	$1,722.00	$2,296.00	$562.52 – $3,037.27	35
Biopsy of heart lining CPT 93505	$7,637.25	$10,183.00	$2,494.84 – $9,164.70	34
Biopsy of ovary(s) 58900 CPT 58900	$2,203.50	$2,938.00	$719.81 – $5,953.03	35
Biopsy of salivary gland 42400 CPT 42400	$1,724.25	$2,299.00	$563.26 – $2,069.10	36
Biopsy of salivary glnd;incisional 42405 CPT 42405	$1,768.50	$2,358.00	$577.71 – $2,853.34	35
Biopsy of upper nose/throat CPT 42804	$3,795.00	$5,060.00	$1,239.70 – $6,097.09	35
Biopsy oocyte polar body CPT 89291	not published	not published	$321.78 – $2,442.00	3
Biopsy oocyte polar body <=5 CPT 89290	not published	not published	$321.78 – $2,605.47	3
Biopsy renal percutaneous trocar/needle (both sides) CPT 50200	$2,086.50	$2,782.00	$681.59 – $3,037.27	35
Biopsy roof of mouth CPT 42100	$1,404.00	$1,872.00	$458.64 – $2,853.34	36
Biopsy skin incisional single lesion CPT 11106	$485.25	$647.00	$158.52 – $1,359.14	36
Biopsy tongue anterior two-thirds CPT 41100	$1,865.25	$2,487.00	$551.01 – $2,238.30	36
Biopsy vestibule of mouth 40808 CPT 40808	$1,356.75	$1,809.00	$443.21 – $1,628.10	36
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222	$2,404.50	$3,206.00	$785.47 – $5,341.73	36
Biopsy/removal lymph nodes CPT 38525	$3,913.50	$5,218.00	$1,278.41 – $7,200.43	35
Biotinidase - quest CPT 82261	$331.50	$442.00	$7.70 – $397.80	36
Bis xtracell fluid analysis CPT 93702	$147.75	$197.00	$48.27 – $236.63	36
Bivalirudin HCPCS J0583	$18,344.51	$24,459.34	$0.27 – $141.67	26
Bladder irrigate/lavage/instill 51700 CPT 51700	$408.00	$544.00	$133.28 – $489.60	36
Bld prd mix CPT 86965	$140.25	$187.00	$24.60 – $313.31	36
Bleomycin 15 unit solution for injection HCPCS J9040	$172.13	$229.50	$35.10 – $147.36	26
Blinatumomab 35 mcg intravenous solution HCPCS J9039	$20,544.09	$27,392.12	$163.96 – $24,652.91	36
Blink reflex test CPT 95933	$441.75	$589.00	$60.27 – $530.10	36
Blm gene CPT 81209	not published	not published	$43.83 – $94.35	3
Bln 1.2 mono emrg 15x1.2 HCPCS C1725	$10,575.00	$14,100.00	$0.01 – $0.03	26
Bln 30frx10mmx12cm renal nephromax HCPCS C1726	$10,800.00	$14,400.00	$34.55 – $126.90	26
Bln dil 900ml preperitnl HCPCS C1727	$1,241.51	$1,655.34	$222.09 – $815.86	26
Bln inpact admiral 4x150x130cm HCPCS C2623	$38,250.00	$51,000.00	$0.01 – $0.03	26
Bln press regulation 71-80cm HCPCS C1815	$17,775.00	$23,700.00	$1,172.33 – $4,306.50	26
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877	$5,175.00	$6,900.00	$172.73 – $634.50	26
Block femoral nerve cont infusion cath w/img CPT 64448	$774.75	$1,033.00	$253.09 – $1,626.53	34
Block paracervical nrv CPT 64435	$1,471.50	$1,962.00	$480.69 – $1,765.80	36
Block plantar digital nerve CPT 64455	$572.25	$763.00	$186.94 – $686.70	36
Block tap inj(s) w/wo img bi CPT 64488	$680.25	$907.00	$139.15 – $816.30	36
Block tap inj(s) w/wo img uni CPT 64486	$1,095.00	$1,460.00	$118.35 – $1,314.00	36
Blood Clotting (PT/INR) Test CPT 85610	$69.00	$92.00	$4.29 – $82.80	36
Blood Clotting (PTT) Test CPT 85730	$78.00	$104.00	$6.01 – $93.60	36
Blood Count (CBC) Test CPT 85025	$104.25	$139.00	$3.68 – $125.10	36
Blood Count (CBC) Test (without differential) CPT 85027	$90.75	$121.00	$3.06 – $108.90	36
Blood Culture Test CPT 87040	$150.75	$201.00	$4.88 – $180.90	36
Blood count spun microhematocrit CPT 85013	not published	not published	$2.98 – $16.80	3
Blood draw capillary 36416 CPT 36416	$18.00	$24.00	$5.88 – $56.00	26
Blood gases o2 saturation direct measurement CPT 82805	$226.50	$302.00	$36.32 – $271.80	36
Blood gases ph venous CPT 82800	not published	not published	$10.98 – $26.40	3
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274	$60.00	$80.00	$12.31 – $72.00	36
Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272	not published	not published	$1.63 – $10.14	3
Blood occult feces colorectal neoplasm screening qualitative CPT 82270	$34.50	$46.00	$3.28 – $41.40	36
Blood occult peroxidase activity qualitative gastric CPT 82271	$27.75	$37.00	$1.63 – $33.30	36
Blood smear interpretation CPT 85060	$252.75	$337.00	$16.75 – $303.30	36
Blood smear microscopic w manual differential wbc count CPT 85007	$129.75	$173.00	$1.63 – $155.70	36
Blood split unit HCPCS P9011	$130.50	$174.00	$42.63 – $280.51	36
Blood typing abo CPT 86900	$186.75	$249.00	$1.41 – $244.67	36
Blood typing ag donor ea ag CPT 86902	$270.75	$361.00	$2.15 – $659.18	36
Blood typing patient serum CPT 86904	not published	not published	$5.03 – $39.21	3
Blood typing rbc ag non abo/rh ea CPT 86905	$270.75	$361.00	$2.05 – $659.18	36
Blood typing rh (d) CPT 86901	$126.00	$168.00	$4.17 – $82.80	36
Blood typing rh phenotype complete reference CPT 86906	$53.25	$71.00	$3.69 – $68.69	36
Blood volume CPT 78122	not published	not published	$213.36 – $2,095.20	2
Blood, l/r, irradiated HCPCS P9056	not published	not published	$1,526.22 – $1,526.22	1
Bone Density Scan (DEXA) CPT 77080	$483.00	$644.00	$81.09 – $579.60	36
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 – $8,897.85	36
Bone filler cerament 10cc HCPCS C1602	$5,163.75	$6,885.00	$257.25 – $945.00	26
Bone imaging multiple areas CPT 78305	not published	not published	$577.26 – $1,613.97	2
Bone marrow biopsyneedle/trocar 38221 CPT 38221	$1,253.25	$1,671.00	$409.40 – $3,037.27	36
Bone marrow imaging body CPT 78104	not published	not published	$529.17 – $1,613.97	2
Bone marrow imaging ltd CPT 78102	not published	not published	$371.67 – $1,613.97	2
Bone marrow imaging mult CPT 78103	not published	not published	$387.12 – $1,613.97	2
Bone marrow interpretation CPT 85097	not published	not published	$74.75 – $109.80	3
Bone marrow;aspiration only 38220 CPT 38220	$1,253.25	$1,671.00	$409.40 – $3,037.27	36
Bone survey-lead poisoning CPT 77074	$619.50	$826.00	$106.81 – $743.40	36
Bone tendon board add on HCPCS C9356	$9,547.14	$12,729.51	$392.18 – $7,537.94	26
Bone/joint imaging ltd area CPT 78300	not published	not published	$486.18 – $1,613.97	2
Boot mlti podous univ xlg HCPCS L4396	$318.36	$424.47	$28.45 – $371.21	36
Boot softgait shrt m HCPCS L4387	$113.72	$151.61	$15.00 – $350.75	36
Boot walker genesis full shell 3-strap s HCPCS L4360	$179.82	$239.76	$36.72 – $572.72	36
Boot walker genesis mid-calf full shell s HCPCS L4361	$308.33	$411.10	$18.00 – $572.72	36
Borrelia antibody CPT 86619	not published	not published	$6.98 – $32.10	3
Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618	$101.25	$135.00	$8.06 – $121.50	36
Borrelia miyamotoi amp prb CPT 87478	not published	not published	$84.21 – $84.21	1
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041	not published	not published	$2.65 – $13.09	2
Bowel imaging CPT 78290	$1,699.50	$2,266.00	$408.43 – $2,039.40	36
Br punct aspir ea add, l CPT 19001	$507.75	$677.00	$25.44 – $609.30	36
Brace afo lg left 6607 HCPCS L1930	$70.65	$94.19	$23.08 – $557.28	36
Brace ank air stirrup univ HCPCS L4350	$55.92	$74.56	$8.95 – $214.02	36
Brace ankle stablizing lg HCPCS L1902	$35.15	$46.86	$7.90 – $165.11	36
Brace back epic lso 637 HCPCS L0650	$608.40	$811.19	$198.74 – $1,409.96	36
Brace cust back lso HCPCS L0631	$417.67	$556.89	$136.44 – $2,270.88	36
Brace knee extender plus 22-30in HCPCS L1832	$257.51	$343.34	$52.51 – $1,523.72	36
Brace knee hing pat open med HCPCS L1820	$433.29	$577.71	$23.18 – $314.37	36
Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833	$188.51	$251.34	$23.49 – $917.33	36
Brace m arm board HCPCS L3809	$110.54	$147.38	$8.03 – $503.41	36
Brace oths wrist hnd fngr without HCPCS L3807	$82.50	$110.00	$26.95 – $503.41	36
Brace wrist classic lft sm HCPCS L3908	$99.75	$133.00	$4.12 – $147.60	36
Brach/thor cath 1st CPT 36215	$4,128.75	$5,505.00	$985.37 – $4,954.50	36
Brach/thor cath 2nd CPT 36216	$2,546.25	$3,395.00	$831.78 – $3,055.50	36
Brach/thor cath 3rd CPT 36217	$3,175.50	$4,234.00	$1,037.33 – $3,810.60	36
Brach/thor cath addl CPT 36218	$1,933.50	$2,578.00	$213.32 – $2,320.20	36
Brachytx isodose complex CPT 77318	not published	not published	$809.79 – $1,449.86	2
Brachytx isodose intermed CPT 77317	not published	not published	$598.95 – $1,449.86	2
Brachytx isodose plan simple CPT 77316	not published	not published	$454.74 – $1,449.86	2
Braf gene CPT 81210	$214.50	$286.00	$56.00 – $315.72	36
Brain MRA (blood vessel MRI, with and without contrast) CPT 70546	$2,229.00	$2,972.00	$356.43 – $2,674.80	30
Brain MRA (blood vessel MRI, with contrast) CPT 70545	$1,998.00	$2,664.00	$356.43 – $2,397.60	30
Brain MRA (blood vessel MRI, without contrast) CPT 70544	$1,779.75	$2,373.00	$243.77 – $2,135.70	30
Brain MRI (with and without contrast) CPT 70553	$2,345.25	$3,127.00	$356.43 – $2,814.30	30
Brain MRI (with contrast) CPT 70552	$2,212.50	$2,950.00	$356.43 – $2,655.00	30
Brain MRI (without contrast) CPT 70551	$2,081.25	$2,775.00	$243.77 – $2,497.50	30
Brain flow imaging only CPT 78610	$456.75	$609.00	$149.21 – $998.51	36
Brain image 4+ views CPT 78605	not published	not published	$439.89 – $2,095.20	2
Brain image < 4 views CPT 78600	not published	not published	$404.43 – $1,613.97	2
Brain image w/flow 4 + views CPT 78606	not published	not published	$743.07 – $2,095.20	2
Brain image w/flow < 4 views CPT 78601	not published	not published	$483.57 – $1,613.97	2
Brca1 dna gene analy known fam var CPT 81215	not published	not published	$451.25 – $900.60	3
Brca1 gene full dup/del alys CPT 81166	not published	not published	$636.61 – $723.24	2
Brca1 gene full seq alys CPT 81165	not published	not published	$597.58 – $678.90	2
Brca1&2 gen ful dup/del alys CPT 81164	not published	not published	$1,234.19 – $1,402.14	2
Brca1&2 gene full seq alys CPT 81163	not published	not published	$988.65 – $1,123.20	2
Brca2 dna gene analy full seq analy CPT 81216	not published	not published	$391.07 – $1,985.50	3
Brca2 dna gene analy known fam var CPT 81217	not published	not published	$451.25 – $900.60	3
Brca2 gene full dup/del alys CPT 81167	not published	not published	$597.58 – $678.90	2
Brcassure ashkenazi panel-sendout CPT 81212	not published	not published	$546.25 – $1,056.00	3
Brcassure comprehensive panel-sendout CPT 81162	not published	not published	$3,855.05 – $4,379.70	2
Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083	$4,049.25	$5,399.00	$1,322.76 – $4,859.10	36
Breast punct aspir cyst, bil CPT 19000	$542.25	$723.00	$177.14 – $1,302.25	36
Breath hydrogen test 91065 CPT 91065	$577.50	$770.00	$188.65 – $693.00	36
Breath test analysis c-14 CPT 78268	not published	not published	$226.59 – $388.17	2
Breath tst attain/anal c-14 CPT 78267	not published	not published	$26.55 – $45.50	2
Brentuximab vedotin 50 mg intravenous solution HCPCS J9042	$46,868.78	$62,491.70	$268.73 – $56,242.53	36
Brexucabtagene car pos t HCPCS Q2053	$1,475,302.50	$1,967,070.00	$481,932.15 – $1,770,363.00	36
Bronch ebus ivntj perph les 31654 CPT 31654	$2,765.25	$3,687.00	$124.24 – $3,318.30	36
Bronch ebus samplng 1/2 node CPT 31652	$5,532.00	$7,376.00	$1,807.12 – $6,856.38	36
Bronch ebus samplng 3/> node CPT 31653	$5,532.00	$7,376.00	$1,807.12 – $6,856.38	36
Bronch thermoplsty 1 lobe CPT 31660	$7,346.25	$9,795.00	$2,399.78 – $12,978.58	36
Bronch thermoplsty 2/> lobes CPT 31661	$7,765.50	$10,354.00	$2,536.73 – $12,978.58	36
Bronch w/balloon occlusion CPT 31634	$7,870.50	$10,494.00	$2,571.03 – $12,978.58	36
Bronchial allergy tests CPT 95070	$573.00	$764.00	$187.18 – $687.60	36
Bronchial challenge CPT 94070	$1,462.50	$1,950.00	$381.24 – $1,755.00	36
Bronchial valve remov addl CPT 31649	$1,968.00	$2,624.00	$642.88 – $3,273.21	36
Bronchial valve remov init CPT 31648	$4,341.75	$5,789.00	$1,418.31 – $6,856.38	36
Bronchoscopy clear airways 31645 CPT 31645	$3,143.25	$4,191.00	$1,026.80 – $3,771.90	35
Bronchoscopy dilate w/stent CPT 31631	$6,768.75	$9,025.00	$2,211.13 – $12,978.58	35
Bronchoscopy w/biopsy(s) 31625 CPT 31625	$2,256.75	$3,009.00	$737.21 – $3,273.21	35
Bronchoscopy w/fb removal 31635 CPT 31635	$2,919.75	$3,893.00	$953.79 – $3,503.70	35
Bronchoscopy w/markers CPT 31626	$11,335.50	$15,114.00	$3,702.93 – $13,602.60	36
Bronchoscopy w/tumor excise CPT 31640	$3,691.50	$4,922.00	$1,205.89 – $6,856.38	35
Bronchoscopy/lung bx addl 31632 CPT 31632	$1,872.75	$2,497.00	$65.98 – $2,247.30	36
Bronchoscopy/lung bx each 31628 CPT 31628	$2,785.50	$3,714.00	$909.93 – $6,856.38	35
Bronchoscopy/needle bx addl 31633 CPT 31633	$1,872.75	$2,497.00	$82.81 – $2,247.30	36
Bronchoscopy/needle bx each 31629 CPT 31629	$2,834.25	$3,779.00	$925.86 – $6,856.38	35
Budesonide non-comp unit HCPCS J7626	$32.78	$43.70	$1.51 – $5.56	26
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939	not published	not published	$1.01 – $3.54	2
Bundle his recording CPT 93600	$5,625.00	$7,500.00	$1,837.50 – $14,343.48	36
Bundled special stain group 1 microorganisms CPT 88312	$167.25	$223.00	$53.24 – $200.70	36
Bundled special stain group 2 CPT 88313	$134.25	$179.00	$38.92 – $244.67	36
Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665	$44.19	$58.92	$0.02 – $5.19	26
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 – $8,833.19	36
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572	$545.43	$727.23	$1.59 – $5.82	26
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574	$621.18	$828.24	$1.59 – $5.82	26
Buprenorphine X-ray over 100 mg HCPCS Q9992	$7,360.99	$9,814.65	$1,996.56 – $8,833.19	36
Buprenorphine and metabolite - sendout CPT 80348	$151.50	$202.00	$0.03 – $56.00	26
Buprenorphine hydrochloride HCPCS J0592	$52.01	$69.34	$6.94 – $43.23	26
Buprenorphine oral 1mg HCPCS J0571	$715.66	$954.21	$2.03 – $7.47	26
Bur rotalink 2.15mm HCPCS C1724	$11,463.75	$15,285.00	$117.60 – $432.00	26
Busulfan injection HCPCS J0594	$783.10	$1,044.13	$0.68 – $123.08	36
Butorphanol tartrate 1 mg HCPCS J0595	$63.62	$84.82	$8.48 – $44.33	26
Bx bone trocar/ndl deep CPT 20225	$2,610.75	$3,481.00	$852.85 – $3,132.90	35
Bx breast 1st lesion mr imag CPT 19085	$3,197.25	$4,263.00	$1,044.44 – $3,836.70	36
Bx breast 1st lesion strtctc CPT 19081	$4,984.50	$6,646.00	$1,628.27 – $5,981.40	36
Bx breast add lesion Ultrasound imag CPT 19084	$2,906.25	$3,875.00	$331.19 – $3,487.50	36
Bx breast add lesion mr imag CPT 19086	$3,008.25	$4,011.00	$510.68 – $3,609.90	36
Bx breast add lesion strtctc CPT 19082	$4,428.00	$5,904.00	$337.00 – $5,313.60	36
Bx breast perq without image 19100 CPT 19100	$1,748.25	$2,331.00	$571.10 – $3,037.27	35
Bx liver with other CPT 47001	$2,265.00	$3,020.00	$91.34 – $2,718.00	36
Bx of cervix w/scope leep 57460 CPT 57460	$3,876.00	$5,168.00	$1,266.16 – $5,953.03	36
Bx pancreas pq ndl CPT 48102	$1,917.75	$2,557.00	$626.47 – $3,037.27	35
Bx perianal mass CPT 46999	$1,059.00	$1,412.00	$345.94 – $1,710.18	36
Bx pleura pq ndl CPT 32400	$1,788.75	$2,385.00	$584.33 – $3,037.27	35
Bx prostate trnsrctl u/s guid CPT 55707	$4,050.75	$5,401.00	$1,323.25 – $6,482.39	36
Bx skin incisnl ea sep/add l les CPT 11107	$323.25	$431.00	$66.38 – $387.90	36
Bx skin punch ea sep/ addl les CPT 11105	$291.75	$389.00	$56.70 – $350.10	36
Bx skin tangential ea sep/ addl les CPT 11103	$291.75	$389.00	$45.72 – $350.10	36
Bx soft tiss pelvis/hip deep 27041 CPT 27041	$3,084.75	$4,113.00	$1,007.69 – $3,701.70	35
Bx thigh/knee soft tiss supf 27323 CPT 27323	$1,879.50	$2,506.00	$613.97 – $3,037.27	35
Bx thyroid/percutan core needle 60100 CPT 60100	$1,148.25	$1,531.00	$375.10 – $1,377.90	36
Bx vag mucos smpl (sep proc) CPT 57100	$2,074.50	$2,766.00	$677.67 – $2,489.40	36
Bx vulva or perineum/1 lesion 56605 CPT 56605	$2,212.50	$2,950.00	$722.75 – $2,655.00	36
Bx vulva or perineum/ea add lesion 56606 CPT 56606	$1,827.75	$2,437.00	$37.53 – $2,193.30	36
Bx/curett of cervix w/scope 57454 CPT 57454	$1,140.75	$1,521.00	$311.33 – $1,368.90	36
Bypass temp external fem-fem CPT 37799	$15,243.75	$20,325.00	$56.00 – $1,153.60	36
C motor evoked lwr limbs CPT 95929	$413.25	$551.00	$135.00 – $686.23	36
C motor evoked uppr limbs CPT 95928	$780.00	$1,040.00	$254.80 – $1,579.21	36
C motor evoked upr&lwr limbs CPT 95939	$780.00	$1,040.00	$254.80 – $1,579.21	36
C-1 esterase, berinert HCPCS J0597	$13,165.77	$17,554.35	$76.05 – $15,798.92	36
C-1 esterase, cinryze HCPCS J0598	not published	not published	$110.41 – $228.38	2
C-kit mutation liquid tumor - sendout CPT 81272	not published	not published	$696.09 – $790.83	2
C-peptide CPT 84681	$128.25	$171.00	$9.84 – $153.90	36
C-reactive protein CPT 86140	$126.00	$168.00	$2.45 – $117.00	36
C-reactive protein high sensitivity CPT 86141	$117.75	$157.00	$6.12 – $141.30	36
C-reactive protein, quantitative CPT 86406	$135.75	$181.00	$5.75 – $162.90	36
C1 esterase inhibitor func - sendout CPT 86161	$132.75	$177.00	$6.57 – $145.80	36
CT 3d report other modality w/workstation CPT 76377	$633.00	$844.00	$74.43 – $759.60	30
CT Angiogram of Abdomen and Pelvis CPT 74174	$2,605.50	$3,474.00	$356.43 – $3,126.60	30
CT Angiogram of the Chest (for blood clot) CPT 71275	$2,150.25	$2,867.00	$179.20 – $2,580.30	30
CT Angiogram of the Head CPT 70496	$2,237.25	$2,983.00	$179.20 – $2,684.70	30
CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178	$2,605.50	$3,474.00	$356.43 – $3,126.60	30
CT Scan of Abdomen and Pelvis (with contrast) CPT 74177	$2,493.75	$3,325.00	$356.43 – $2,992.50	30
CT Scan of Abdomen and Pelvis (without contrast) CPT 74176	$2,418.75	$3,225.00	$243.77 – $2,902.50	30
CT angio hrt w/3d image CPT 75574	$2,243.25	$2,991.00	$356.43 – $2,691.90	36
CT angio pelvis CPT 72191	$2,418.75	$3,225.00	$179.20 – $2,902.50	30
CT bone density axial CPT 77078	not published	not published	$252.30 – $252.30	1
CT cerebral perf w cont & prcssng CPT 70473	$633.00	$844.00	$179.20 – $759.60	30
CT colonography dx CPT 74261	$2,139.00	$2,852.00	$106.81 – $2,566.80	30
CT colonography dx w/dye CPT 74262	not published	not published	$510.21 – $510.21	1
CT colonography screening CPT 74263	not published	not published	$1,625.25 – $1,625.25	1
CT guid cryo ablat intramuscular CPT 20999	$1,056.00	$1,408.00	$252.01 – $1,267.20	36
CT guid parench tis ablat CPT 77013	$1,282.50	$1,710.00	$418.95 – $1,539.00	18
CT guidance for needle placement CPT 77012	$1,632.00	$2,176.00	$116.78 – $1,958.40	30
CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989	$2,047.50	$2,730.00	$106.42 – $2,457.00	30
CT heart w/evaluation of calcium without contrast CPT 75571	$2,051.25	$2,735.00	$31.85 – $160.04	30
CT hrt c+ strux cgen hrt ds CPT 75573	$2,418.75	$3,225.00	$356.43 – $2,902.50	30
CT hrt w/3d image CPT 75572	$2,883.00	$3,844.00	$356.43 – $3,459.60	30
CT limited or localized follow-up study CPT 76380	$642.75	$857.00	$88.91 – $771.30	30
CT lower extremity w/contrast (both sides) CPT 73701	$1,553.25	$2,071.00	$179.20 – $1,863.90	30
CT lower extremity without contrast (both sides) CPT 73700	$1,372.50	$1,830.00	$106.81 – $1,647.00	30
CT lwr extremity w/o&w/dye CPT 73702	$1,618.50	$2,158.00	$179.20 – $1,942.20	30
CT neck soft tissue w/contrast CPT 70491	$1,730.25	$2,307.00	$179.20 – $2,076.30	30
CT neck soft tissue without & w/contrast CPT 70492	$1,752.75	$2,337.00	$179.20 – $2,103.30	30
CT neck soft tissue without contrast CPT 70490	$1,389.75	$1,853.00	$106.81 – $1,667.70	30
CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481	$1,487.25	$1,983.00	$179.20 – $1,784.70	30
CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480	$1,400.25	$1,867.00	$106.81 – $1,680.30	30
CT orbit/sella/fossa w/wo contrast CPT 70482	$1,661.25	$2,215.00	$179.20 – $1,993.50	30
CT t-spine w /wo contrast CPT 72130	$1,817.25	$2,423.00	$179.20 – $2,180.70	30
CT thoracic spine w/contrast CPT 72129	$1,732.50	$2,310.00	$179.20 – $2,079.00	30
CT thoracic spine without contrast CPT 72128	$1,464.00	$1,952.00	$106.81 – $1,756.80	30
CT thorax low dose for lung screening without contrast CPT 71271	$187.50	$250.00	$61.25 – $225.00	30
CT upper extremity w/contrast (both sides) CPT 73201	$1,614.75	$2,153.00	$356.43 – $1,937.70	30
CT upper extremity without contrast (both sides) CPT 73200	$1,473.75	$1,965.00	$106.81 – $1,768.50	30
CT uppr extremity w/o&w/dye CPT 73202	$2,224.50	$2,966.00	$179.20 – $2,669.40	30
Ca screen;flexi sigmoidscope HCPCS G0104	$1,296.00	$1,728.00	$423.36 – $1,710.18	36
Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043	$53,887.78	$71,850.37	$231.05 – $64,665.33	36
Cabergoline, oral 0.25mg HCPCS J8515	$173.02	$230.69	$5.60 – $37.03	26
Cable cath 22-pin diag HCPCS C1730	$5,737.50	$7,650.00	$25.62 – $94.12	26
Cable centrimag pressure HCPCS Q0508	$371.25	$495.00	$121.28 – $445.50	26
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741	not published	not published	$39.68 – $80.82	2
Cacna1a gene full gene seq CPT 81185	$635.25	$847.00	$56.00 – $1,523.29	36
Caffeine citrate 20 mg/ml inj for po HCPCS J0706	$106.71	$142.28	$3.11 – $16.47	26
Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118	not published	not published	$137.59 – $276.43	2
Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630	$9,840.35	$13,120.46	$660.68 – $2,427.00	26
Calcium 24 hour urine CPT 82340	$78.75	$105.00	$2.85 – $83.70	36
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	$7.49 – $27.51	26
Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612	$62.13	$82.83	$0.07 – $32.62	26
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613	$61.76	$82.34	$0.12 – $35.28	26
Calcium ionized CPT 82330	$101.25	$135.00	$6.46 – $121.50	36
Calcium total CPT 82310	$52.50	$70.00	$2.44 – $63.00	36
Calculi urinary-sendout CPT 82360	not published	not published	$5.51 – $30.90	3
Calculus analysis qual CPT 82355	not published	not published	$4.00 – $27.78	3
Caloric vstblr test w/rec CPT 92538	$465.75	$621.00	$152.15 – $558.90	36
Calprotectin fecal CPT 83993	$351.00	$468.00	$9.60 – $421.20	36
Campylobacter antibody CPT 86625	not published	not published	$6.36 – $31.50	3
Canakinumab injection HCPCS J0638	$79,068.64	$105,424.85	$149.57 – $94,882.37	36
Candida dna CPT 87480	not published	not published	$9.49 – $48.12	3
Candida skin test CPT 86485	not published	not published	$22.80 – $42.41	3
Cannula ercp contour 5-4-3 tip HCPCS C1889	$235,532.25	$314,043.00	$0.01 – $0.03	26
Cantharidin top, applicator HCPCS J7354	not published	not published	$1,124.91 – $2,445.45	2
Canthotomy 67715 CPT 67715	$2,709.00	$3,612.00	$884.94 – $4,372.16	35
Cap nerve 2x15mm HCPCS C1763	$28,177.88	$37,570.50	$67.97 – $249.70	26
Cap trach decann 15mm HCPCS C1750	$5,400.00	$7,200.00	$21.76 – $79.92	26
Capecitabine, oral, 50 mg HCPCS J8522	$20,888.96	$27,851.94	$0.03 – $142.97	36
Capsaicin 8% patch HCPCS J7336	not published	not published	$5.68 – $11.45	2
Car ion chnnlpath inc 10 gns CPT 81413	not published	not published	$1,235.62 – $1,403.76	2
Car ion chnnlpath inc 2 gns CPT 81414	not published	not published	$1,235.62 – $1,403.76	2
Carbamazepine free CPT 80157	$131.25	$175.00	$4.92 – $157.50	36
Carbamazepine free -sendout CPT 80161	$168.75	$225.00	$18.64 – $202.50	36
Carbamazepine total therapeutic drug level CPT 80156	$113.25	$151.00	$6.89 – $135.90	36
Carbidopa levodopa ent 100ml HCPCS J7340	not published	not published	$408.48 – $834.89	2
Carbohydrate deficient transf - sendout CPT 82373	$162.00	$216.00	$3.59 – $194.40	36
Carbohydrate urine - sendout CPT 84377	$936.00	$1,248.00	$2.57 – $120.60	36
Carbon dioxide CPT 82374	$155.25	$207.00	$2.31 – $186.30	36
Carboplatin 10 mg/ml desensitization HCPCS J9045	$45.78	$61.04	$3.54 – $19.44	26
Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675	$334.92	$446.55	$15.56 – $106.94	36
Carboxyhemoglobin quantitative CPT 82375	$102.00	$136.00	$5.44 – $122.40	36
Carcinoembryonic ag (cea) CPT 82378	$162.75	$217.00	$8.98 – $195.30	36
Card MRI veloc flow mapping CPT 75565	$1,470.75	$1,961.00	$42.20 – $1,764.90	30
Cardiac MRI w/stress img CPT 75559	$4,247.25	$5,663.00	$558.25 – $5,096.70	30
Cardiac perf planar mult/ef/wm CPT 78454	$5,794.50	$7,726.00	$916.98 – $6,953.40	36
Cardiac perf planar sgl/ef/wm CPT 78453	$3,952.50	$5,270.00	$605.58 – $4,743.00	36
Cardiac perf spect sgl/ef/wm rst/strs CPT 78451	$4,367.25	$5,823.00	$682.92 – $5,240.70	36
Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798	$268.50	$358.00	$87.71 – $322.20	36
Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797	$216.00	$288.00	$70.56 – $259.20	34
Cardiac shunt imaging CPT 78428	not published	not published	$378.03 – $1,613.97	2
Cardiolipin antibody iga CPT 86147	$213.75	$285.00	$11.27 – $256.50	36
Cardioversion elective electrical conversion arrhythmia external CPT 92960	$2,301.75	$3,069.00	$675.26 – $2,530.80	36
Cardioversion/elective/internal 92961 CPT 92961	$1,707.00	$2,276.00	$557.62 – $2,048.40	36
Carfilzomib 10 mg intravenous solution HCPCS J9047	$13,992.87	$18,657.15	$56.24 – $2,615.48	36
Carmustine 100 mg intravenous powder for solution HCPCS J9050	$9,719.27	$12,959.02	$111.98 – $435.25	36
Carotene CPT 82380	$75.00	$100.00	$4.36 – $90.00	36
Carotid Artery Ultrasound (Duplex) CPT 93880	$1,306.50	$1,742.00	$243.77 – $1,567.80	36
Caspofungin acetate HCPCS J0637	$1,158.18	$1,544.23	$3.80 – $273.55	26
Catecholamines,fractionated, urine CPT 82382	not published	not published	$8.62 – $65.52	3
Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752	$1,115.83	$1,487.76	$28.67 – $105.30	26
Cath ablat bi-d d-d 8fr 115cm HCPCS C2630	$27,000.00	$36,000.00	$505.24 – $1,855.98	26
Cath ablt clsfast 7fx100cmx HCPCS C1888	$1,687.50	$2,250.00	$510.83 – $1,876.50	26
Cath ablt rx lasr 2.0mm turbo HCPCS C1885	$7,380.00	$9,840.00	$1,907.33 – $7,006.50	26
Cath access del ds spyscop 2.0 HCPCS C1748	$4,500.00	$6,000.00	$128.63 – $472.50	26
Cath acuity innr ic130 6f 63cm HCPCS C1887	$64,496.25	$85,995.00	$0.01 – $0.03	26
Cath acunav ge 10frx90cm HCPCS C1759	$7,951.50	$10,602.00	$629.70 – $2,313.20	26
Cath adherent clot 10mm 6f 10 HCPCS C1757	$27,000.00	$36,000.00	$17.43 – $64.02	26
Cath baloon occl urnry 34f 7x2x65 HCPCS C2628	$7,256.82	$9,675.75	$21.88 – $80.37	26
Cath bi-dir df smarttouch HCPCS C1732	$8,813.25	$11,751.00	$0.01 – $0.03	26
Cath blazer dx/20 2-10-2 space HCPCS C1731	$5,062.50	$6,750.00	$85.57 – $314.33	26
Cath combo lt&rt heart w/inj/s CPT 93453	$13,146.00	$17,528.00	$3,312.15 – $15,775.20	34
Cath cv dl inj 7fx16cm HCPCS C1751	$6,738.75	$8,985.00	$4.74 – $17.42	26
Cath del ampltz 12f 45d 80cm HCPCS C1893	$2,463.75	$3,285.00	$24.44 – $89.78	26
Cath epdrl brevi-stf 12in .043 HCPCS C1755	$2,295.00	$3,060.00	$113.93 – $418.50	26
Cath groshong MRI 8fr plstc port HCPCS C1788	$5,309.87	$7,079.82	$1.77 – $6.51	26
Cath hawkone s directional HCPCS C1714	$7,076.25	$9,435.00	$1,771.17 – $6,506.33	26
Cath imag ivus pv 8.5fx90 .035 HCPCS C1753	$6,378.75	$8,505.00	$554.93 – $2,038.50	26
Cath intrdsc spnecth 8 pin HCPCS C1754	$2,463.75	$3,285.00	$804.83 – $2,956.50	26
Cath left heart transseptal punc CPT 93462	$12,254.25	$16,339.00	$199.33 – $14,705.10	34
Cath left heart/lv gram CPT 93452	$12,170.25	$16,227.00	$3,312.15 – $14,604.30	34
Cath lt/rt pulm art CPT 36014	$3,098.25	$4,131.00	$695.59 – $3,717.90	36
Cath malecot 28fr 4-wing ltx HCPCS C1729	$6,845.92	$9,127.89	$3.05 – $11.21	26
Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817	$38,250.00	$51,000.00	$418.95 – $1,539.00	26
Cath place 1st order venous 36011 CPT 36011	$2,613.00	$3,484.00	$724.49 – $3,135.60	36
Cath place cardio brachytx CPT 92974	$15,709.50	$20,946.00	$137.19 – $18,851.40	34
Cath plc art ang/grft lt/rt hr CPT 93461	$19,300.50	$25,734.00	$3,312.15 – $23,160.60	34
Cath plc art/angio/rt hrt cath CPT 93456	$18,666.75	$24,889.00	$3,312.15 – $22,400.10	34
Cath plc art/grft/angio right hrt CPT 93457	$20,196.00	$26,928.00	$3,312.15 – $24,235.20	34
Cath ptca pcltxl agent 3x20mm HCPCS C9610	$12,732.75	$16,977.00	$4,152.75 – $15,255.00	26
Cath right heart w/o2 sat & card CPT 93451	$8,787.00	$11,716.00	$2,870.42 – $10,544.40	34
Cath right hrt mnpul art CPT 36013	$2,094.75	$2,793.00	$684.29 – $2,513.70	34
Cath segmntl pulm art CPT 36015	$2,868.00	$3,824.00	$736.66 – $3,441.60	36
Cath steerable flex adv 12f HCPCS C1766	$2,925.00	$3,900.00	$422.63 – $1,552.50	26
Cath stripping venous s&i CPT 75901	$2,241.75	$2,989.00	$209.56 – $2,690.10	36
Cath symplicity spyral HCPCS C1735	$36,000.00	$48,000.00	$11,760.00 – $43,200.00	26
Cath temp pace flo bipol 5fr electrd HCPCS C1779	$1,408.39	$1,877.85	$460.07 – $1,690.07	26
Cath uret open tp 6fx70cm HCPCS C1758	$32,626.80	$43,502.40	$5.83 – $21.42	26
Cath/saline/contrast/sis/hysteosal 58340 CPT 58340	$521.25	$695.00	$170.28 – $625.50	36
Catheter declot mechanical CPT 36596	$2,209.50	$2,946.00	$721.77 – $2,894.85	36
Catheter stripping venous CPT 36595	$2,902.50	$3,870.00	$948.15 – $5,806.57	36
Catheterization collection of specimen single patient all places of service HCPCS P9612	$58.50	$78.00	$2.50 – $70.20	36
Cauterization chemical granulation tissue CPT 17250	$543.75	$725.00	$177.63 – $652.50	36
Ccnd1/igh translocation alys CPT 81168	not published	not published	$437.94 – $497.55	2
Cdna analysis for variants CPT 81403	$1,540.50	$2,054.00	$45.82 – $333.36	36
Cebpa gene full sequence CPT 81218	$387.00	$516.00	$56.00 – $464.40	36
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690	$7.78	$10.37	$0.89 – $3.29	26
Cefepime 1 gram solution for injection HCPCS J0692	$39.95	$53.26	$2.07 – $10.40	26
Cefotaxime sodium injection HCPCS J0698	$43.10	$57.46	$2.66 – $9.76	26
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	$3.14 – $11.52	26
Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712	$738.72	$984.96	$4.25 – $773.33	36
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713	$107.85	$143.80	$2.76 – $12.02	26
Ceftazidime and avibactam HCPCS J0714	$1,418.10	$1,890.79	$104.75 – $1,701.71	36
Ceftriaxone 1 gram solution for injection HCPCS J0696	$123.72	$164.96	$0.79 – $2.91	26
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697	$18.04	$24.05	$2.30 – $8.43	26
Cell count body fluid CPT 89050	$76.50	$102.00	$1.80 – $91.80	36
Cell count w differential body fluid CPT 89051	$145.50	$194.00	$2.61 – $174.60	36
Cell cryopreserve/storage CPT 88240	not published	not published	$4.62 – $31.38	3
Cell enumeration & id CPT 86152	not published	not published	$54.82 – $601.86	3
Cell function assay w/stim CPT 86352	$949.50	$1,266.00	$28.63 – $318.60	36
Cell marker study CPT 88182	$1,170.00	$1,560.00	$53.24 – $1,404.00	36
Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119	$40,395.06	$53,860.07	$29.76 – $48,474.06	36
Centruroides immune f(ab) HCPCS J0716	not published	not published	$18,728.57 – $18,728.57	1
Cerclage of uterine cervix nonob 57700 CPT 57700	$7,213.50	$9,618.00	$2,356.41 – $8,656.20	35
Cerebrospinal fld flw imag CPT 78645	$1,215.75	$1,621.00	$397.15 – $1,458.90	36
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717	$22,182.90	$29,577.19	$3.79 – $24,308.73	36
Cervical or vaginal cancer screening g0101 HCPCS G0101	$156.75	$209.00	$51.21 – $188.10	33
Cesarean section delivery only 59514 CPT 59514	$4,472.25	$5,963.00	$814.78 – $5,366.70	36
Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055	$5,734.83	$7,646.43	$80.46 – $3,440.90	36
Cftr gene dup/delet variants CPT 81222	$918.00	$1,224.00	$56.00 – $1,101.60	36
Cftr gene intron poly t CPT 81224	$285.75	$381.00	$55.53 – $342.90	36
Cftr gene known fam variants CPT 81221	not published	not published	$71.62 – $233.34	3
Change cystostomy tube simple CPT 51705	$621.75	$829.00	$203.11 – $746.10	36
Change cystostomy tube; complex 51710 CPT 51710	$780.75	$1,041.00	$255.05 – $1,282.32	35
Change g-tube to g-j perc CPT 49446	$1,530.00	$2,040.00	$499.80 – $3,528.85	36
Change nephroureteral cath CPT 50387	$2,969.25	$3,959.00	$969.96 – $3,844.19	36
Change of ureter tube/stent CPT 50688	$2,397.00	$3,196.00	$783.02 – $3,844.19	35
Change of windpipe airway 31502 CPT 31502	$609.00	$812.00	$198.94 – $730.80	36
Change ureter stent percut CPT 50382	$4,099.50	$5,466.00	$1,339.17 – $4,919.40	36
Chct for mal hyperthermia CPT 89049	not published	not published	$129.38 – $177.20	3
Chemo adm cns w/lmbr punct CPT 96450	$1,323.75	$1,765.00	$337.46 – $1,588.50	36
Chemo intralesional over 7 CPT 96406	$246.75	$329.00	$80.61 – $391.16	36
Chemo intralesional up to 7 96405 CPT 96405	$83.25	$111.00	$27.20 – $132.41	36
Chemodener muscle larynx emg CPT 64617	$801.75	$1,069.00	$261.91 – $1,298.11	36
Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643	$293.25	$391.00	$95.37 – $351.90	36
Chemodenerv 1 extrem 5/> ea 64645 CPT 64645	$281.25	$375.00	$91.88 – $337.50	36
Chemodenerv 1 extrem 5/> mus 64644 CPT 64644	$539.25	$719.00	$176.16 – $1,298.11	33
Chemodenerv 1 extremity 1-4 64642 CPT 64642	$988.50	$1,318.00	$322.91 – $1,298.11	36
Chemodenerv musc migraine 64615 CPT 64615	$512.25	$683.00	$167.34 – $614.70	36
Chemodenerv musc neck dyston 64616 CPT 64616	$819.00	$1,092.00	$267.54 – $982.80	36
Chemodenerv saliv glands bilat 64611 CPT 64611	$387.75	$517.00	$126.67 – $564.48	36
Chemodenerv trunk musc 1-5 64646 CPT 64646	$822.75	$1,097.00	$268.77 – $1,298.11	36
Chemodenerv trunk musc 6/] 64647 CPT 64647	$801.75	$1,069.00	$261.91 – $1,298.11	36
Chemodenervation/face muscl/unilat 64612 CPT 64612	$891.75	$1,189.00	$291.31 – $1,070.10	36
Chemotaxis assay CPT 86155	not published	not published	$8.31 – $38.37	3
Chemotx admn pertl cav impl CPT 96446	$852.00	$1,136.00	$278.32 – $1,022.40	36
Chest 2 vws w oblique CPT 71048	$507.00	$676.00	$85.65 – $608.40	36
Chest CT scan (with and without contrast) CPT 71270	$1,829.25	$2,439.00	$179.20 – $2,195.10	30
Chest CT scan (with contrast) CPT 71260	$1,747.50	$2,330.00	$179.20 – $2,097.00	30
Chest CT scan (without contrast) CPT 71250	$1,519.50	$2,026.00	$106.81 – $1,823.40	30
Chest X-ray CPT 71046	$366.00	$488.00	$63.81 – $439.20	36
Chest X-ray (single view) CPT 71045	$292.50	$390.00	$47.43 – $351.00	36
Chest apical lordotic proj CPT 71047	$500.25	$667.00	$80.19 – $600.30	36
Chg pr pul rehab for copd patients CPT 94626	$134.25	$179.00	$43.86 – $161.10	36
Chg radiologic exam esophagus double contrast CPT 74221	$759.00	$1,012.00	$179.20 – $910.80	36
Chimerism anal no cell selec CPT 81267	$1,689.75	$2,253.00	$56.00 – $2,027.70	36
Chimerism anal w/cell select CPT 81268	$822.00	$1,096.00	$56.00 – $986.40	36
Chlamydia culture CPT 87110	$105.00	$140.00	$9.27 – $126.00	36
Chlamydia trachomatis ag if CPT 87270	not published	not published	$5.67 – $28.74	3
Chlamydia type CPT 87140	not published	not published	$2.64 – $13.38	3
Chlnggrphy intraop addl s&i CPT 74301	$519.00	$692.00	$49.50 – $622.80	26
Chloramphenicol sodium injec HCPCS J0720	$143.40	$191.20	$46.84 – $172.08	26
Chloride CPT 82435	$42.75	$57.00	$2.17 – $51.30	36
Chloride 24 hour urine CPT 82436	$60.75	$81.00	$2.38 – $56.70	36
Chloroprocaine hcl injection HCPCS J2401	$69.08	$92.10	$0.05 – $52.18	26
Chloroprocaine opht gel, 1mg HCPCS J2403	not published	not published	$0.99 – $2.45	2
Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205	$221.85	$295.80	$29.79 – $109.42	26
Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230	$91.92	$122.55	$16.47 – $60.51	26
Chlorpromazine 100 mg tablet HCPCS Q0161	not published	not published	$1.26 – $1.26	1
Cholangiogram percutaneous compl CPT 47532	$2,959.50	$3,946.00	$966.77 – $6,584.31	36
Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300	$694.50	$926.00	$66.00 – $833.40	26
Cholecystostomy complete w/supervision & interpretation CPT 47490	$3,449.25	$4,599.00	$1,126.76 – $6,584.31	36
Cholesterol CPT 82465	$63.75	$85.00	$2.06 – $76.50	36
Cholesterol (Lipid) Test CPT 80061	$143.25	$191.00	$6.02 – $54.90	36
Cholesterol body fluid CPT 84999	not published	not published	$74.72 – $74.72	1
Choline c-11 HCPCS A9515	not published	not published	$17,850.00 – $17,850.00	1
Cholinesterase CPT 82480	$105.00	$140.00	$4.10 – $126.00	36
Chorionic gonadotropin/1000u HCPCS J0725	$788.58	$1,051.43	$29.42 – $946.29	26
Chrom analysis CPT 88273	$459.75	$613.00	$34.81 – $364.50	36
Chromatogram assay sugars CPT 84375	not published	not published	$10.47 – $93.60	3
Chromatography CPT 83021	$252.75	$337.00	$9.14 – $159.30	36
Chromo high res and frag x - sendout CPT 81243	$293.25	$391.00	$56.00 – $351.90	36
Chromogenic substrate assay CPT 85130	$382.50	$510.00	$6.26 – $225.00	36
Chromosome analys amniotic CPT 88269	not published	not published	$154.00 – $416.79	3
Chromosome analys placenta CPT 88267	$892.50	$1,190.00	$56.00 – $792.00	36
Chromosome analysis 100 CPT 88249	$519.00	$692.00	$56.00 – $622.80	36
Chromosome analysis 15-20 cell count CPT 88262	$1,069.50	$1,426.00	$56.00 – $535.50	36
Chromosome analysis 20-25 CPT 88245	not published	not published	$137.79 – $415.62	3
Chromosome analysis 45 CPT 88263	$1,692.75	$2,257.00	$56.00 – $2,031.30	36
Chromosome analysis 5 CPT 88261	$1,206.00	$1,608.00	$56.00 – $527.40	36
Chromosome analysis 50-100 CPT 88248	$519.00	$692.00	$56.00 – $622.80	36
Chromosome banding study CPT 88283	not published	not published	$63.51 – $164.64	3
Chromosome count additional CPT 88285	$147.75	$197.00	$17.65 – $177.30	36
Chromosome karyotype study CPT 88280	$337.50	$450.00	$23.09 – $111.60	36
Chromosome study additional CPT 88289	$136.50	$182.00	$25.34 – $151.20	36
Chronic urticaria - sendout CPT 86343	not published	not published	$6.57 – $29.91	3
Chylomicron screen, bf - sendout CPT 82664	$336.75	$449.00	$16.25 – $404.10	36
Cidofovir injection HCPCS J0740	$1,615.67	$2,154.22	$503.24 – $1,848.64	36
Cilastatin sodium injection HCPCS J0743	$36.62	$48.82	$11.71 – $43.94	26
Ciltacabtagene car-pos t HCPCS Q2056	not published	not published	$929,676.43 – $929,676.43	1
Cinacalcet 30 mg tablet HCPCS J0604	$5,641.98	$7,522.64	$0.07 – $32.75	26
Cine/video x-rays CPT 76120	not published	not published	$270.33 – $466.11	2
Cine/video x-rays add-on CPT 76125	not published	not published	$79.65 – $79.65	1
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744	$23.67	$31.56	$2.54 – $9.32	26
Ciprofloxacin otic susp 6 mg HCPCS J7342	not published	not published	$50.42 – $101.08	2
Circumcision (newborn) CPT 54150	$1,549.50	$2,066.00	$506.17 – $3,844.19	35
Cisplatin 1 mg/ml desensitization HCPCS J9060	not published	not published	$3.26 – $14.70	2
Cladribine 10 mg/10 ml intravenous solution HCPCS J9065	$355.41	$473.88	$8.73 – $308.51	36
Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733	$19,012.50	$25,350.00	$90.57 – $332.72	26
Clean out mastoid cavity CPT 69222	$579.00	$772.00	$189.14 – $991.82	36
Clearance of airways CPT 31720	$166.50	$222.00	$54.39 – $402.70	35
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736	$49.74	$66.31	$2.78 – $10.22	26
Clip ligating vesolock lg HCPCS C1760	$38,250.00	$51,000.00	$121.28 – $445.50	26
Cllr miami j sm HCPCS L0174	$112.39	$149.85	$36.53 – $616.03	36
Clofarabine 1 mg/ml intravenous solution HCPCS J9027	$11,963.49	$15,951.32	$10.94 – $670.53	36
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735	$361.14	$481.52	$4.05 – $14.87	26
Clos txnose fx without stablz 21315 CPT 21315	$2,896.50	$3,862.00	$946.19 – $3,475.80	35
Close lac/mouth vest/2.5 cm or < 40830 CPT 40830	$262.50	$350.00	$85.75 – $435.56	34
Closed carpo/metacarpal disl thumb w/manip CPT 26641	$273.00	$364.00	$89.18 – $453.62	36
Closed carpo/metacarpal fx disl thumb w/manip CPT 26645	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Closed tx humerus fx w/manip 24505 CPT 24505	$1,198.50	$1,598.00	$391.51 – $2,957.08	35
Closed tx humerus fx with manip 23605 CPT 23605	$2,460.00	$3,280.00	$803.60 – $2,957.08	35
Closed tx humerus fx without manip 23600 CPT 23600	$402.75	$537.00	$131.57 – $483.30	36
Closed tx metatarsophalangeal jnt disl without anes CPT 28630	$261.75	$349.00	$85.51 – $453.62	36
Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266	$2,134.50	$2,846.00	$697.27 – $2,957.08	35
Closed tx sesamoid fx 28530 CPT 28530	$525.75	$701.00	$171.75 – $630.90	36
Closed tx/acetabululm without manip 27220 CPT 27220	$261.75	$349.00	$85.51 – $453.62	36
Closed tx/talus fracture without manip 28430 CPT 28430	$306.75	$409.00	$100.21 – $453.62	36
Clostridium toxin a w/optic CPT 87803	not published	not published	$5.67 – $38.40	3
Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831	$637.50	$850.00	$208.25 – $991.82	35
Closure paravalvlr leak pq CPT 33999	$31,283.25	$41,711.00	$640.89 – $5,818.50	34
Clot factor fletcher fact CPT 85292	$466.50	$622.00	$9.95 – $559.80	36
Clot factor viii reltd antgn CPT 85244	not published	not published	$5.95 – $49.02	3
Clot factor wght kininogen CPT 85293	$393.00	$524.00	$9.95 – $471.60	36
Clot factor xii hageman CPT 85280	$246.75	$329.00	$5.95 – $296.10	36
Clot factor xiii fibrin scrn CPT 85291	$47.25	$63.00	$7.28 – $56.70	36
Clot factor xiii fibrin stab CPT 85290	$292.50	$390.00	$7.28 – $351.00	36
Clotting assay whole blood CPT 85396	not published	not published	$11.81 – $44.31	3
Clozapine, 25 mg HCPCS S0136	$242.19	$322.92	$0.79 – $2.91	26
Clsd tx bimalleol ank fx without manip 27808 CPT 27808	$358.50	$478.00	$117.11 – $453.62	35
Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670	$543.00	$724.00	$177.38 – $651.60	34
Clsd tx clav dislc without manip 23520 CPT 23520	$3,290.25	$4,387.00	$1,074.82 – $3,948.30	35
Clsd tx clavicle dislocation without manip 23540 CPT 23540	$581.25	$775.00	$189.88 – $697.50	35
Clsd tx clavicle fracture w/manip 23505 CPT 23505	$2,396.25	$3,195.00	$782.78 – $2,957.08	35
Clsd tx dist fib fx w/manip 27788 CPT 27788	$451.50	$602.00	$147.49 – $541.80	35
Clsd tx elbow dislocation child 24640 CPT 24640	$525.75	$701.00	$171.75 – $630.90	36
Clsd tx finger tendon w/wo perq pin 26432 CPT 26432	$1,863.75	$2,485.00	$608.83 – $2,957.08	35
Clsd tx fracture of radius 25500 CPT 25500	$442.50	$590.00	$144.55 – $531.00	36
Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605	$1,198.50	$1,598.00	$391.51 – $2,957.08	35
Clsd tx fx radius/ulna dist without manip 25600 CPT 25600	$409.50	$546.00	$133.77 – $491.40	36
Clsd tx fx radius/ulna w/manip 25565 CPT 25565	$1,198.50	$1,598.00	$391.51 – $2,957.08	35
Clsd tx fx radius/ulna without manip 25560 CPT 25560	$448.50	$598.00	$146.51 – $538.20	36
Clsd tx hip disloc without anes 27265 CPT 27265	$261.75	$349.00	$85.51 – $453.62	35
Clsd tx humeral fract without manip 24530 CPT 24530	$374.25	$499.00	$122.26 – $453.62	35
Clsd tx humerus fract without manip 24500 CPT 24500	$402.75	$537.00	$131.57 – $483.30	35
Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607	$3,332.25	$4,443.00	$1,088.54 – $6,017.17	35
Clsd tx of ankle fracture w/manip 28435 CPT 28435	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Clsd tx patella disloc without anes 27560 CPT 27560	$261.75	$349.00	$85.51 – $453.62	35
Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781	$1,863.75	$2,485.00	$608.83 – $2,957.08	34
Clsd tx radius fracture w/manip 24655 CPT 24655	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Clsd tx shoulder dislc/fx 23665 CPT 23665	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675	$1,863.75	$2,485.00	$608.83 – $2,957.08	35
Clsd tx temporomandibular dislocat 21480 CPT 21480	$261.75	$349.00	$85.51 – $453.62	35
Clsd tx toe dislocation without anes28660 CPT 28660	$261.75	$349.00	$85.51 – $453.62	36
Clsd tx trimall ankle fx w/manip 27818 CPT 27818	$1,362.75	$1,817.00	$445.17 – $2,957.08	35
Clsd tx trimall ankle fx without manip 27816 CPT 27816	$378.75	$505.00	$123.73 – $454.50	35
Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310	$756.75	$1,009.00	$247.21 – $908.10	35
Clsd tx wrist carpal fx without manip 25630 CPT 25630	$338.25	$451.00	$110.50 – $453.62	36
Clsd tx wrist scaphoid fx without manip 25622 CPT 25622	$411.75	$549.00	$134.51 – $494.10	36
Clsd tx wrist ulnar styloid fx 25650 CPT 25650	$342.75	$457.00	$111.97 – $453.62	36
Clsd tx/clavicular fx without manip 23500 CPT 23500	$425.25	$567.00	$138.92 – $510.30	35
Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750	$353.25	$471.00	$115.40 – $453.62	36
Clsd tx/dis tib/wt bear no manip 27824 CPT 27824	$581.25	$775.00	$189.88 – $697.50	35
Clsd tx/fem shaft fx/manipulation 27502 CPT 27502	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490	$322.50	$430.00	$105.35 – $453.62	36
Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515	$378.75	$505.00	$123.73 – $454.50	36
Clsd tx/grt hum tube fx without manip 23620 CPT 23620	$372.00	$496.00	$121.52 – $453.62	36
Clsd tx/metacar/interphal artic fx 26740 CPT 26740	$529.50	$706.00	$172.97 – $635.40	36
Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600	$377.25	$503.00	$123.24 – $453.62	36
Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605	$427.50	$570.00	$139.65 – $513.00	35
Clsd tx/metatarsal fx without manip 28470 CPT 28470	$363.75	$485.00	$118.83 – $453.62	36
Clsd tx/nasal bone fx/stabilize 21320 CPT 21320	$3,600.75	$4,801.00	$1,176.25 – $6,097.09	35
Clsd tx/patellar fx without manip 27520 CPT 27520	$373.50	$498.00	$122.01 – $453.62	35
Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720	$327.75	$437.00	$107.07 – $453.62	36
Clsd tx/radial head/neck fx/no manip 24650 CPT 24650	$434.25	$579.00	$141.86 – $521.10	36
Clsd tx/scapular fx without manip 23570 CPT 23570	$454.50	$606.00	$148.47 – $545.40	35
Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Clsd tx/ulnar shaft fx without manip 25530 CPT 25530	$344.25	$459.00	$112.46 – $453.62	36
Clsd/shoulder dislo/manip/no anest 23650 CPT 23650	$600.00	$800.00	$196.00 – $720.00	35
Clsd/ulnar fx/prox end without manip 24670 CPT 24670	$372.00	$496.00	$121.52 – $453.62	35
Cltx hum epcndylr fx wo mnpj CPT 24560	$525.75	$701.00	$171.75 – $630.90	35
Cltx humrl cndylr fx w/mnpj CPT 24577	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Cltx humrl cndylr fx wo mnpj CPT 24576	$546.75	$729.00	$178.61 – $656.10	35
Cltx mndblr fx ntrdntl fixj CPT 21453	$6,789.75	$9,053.00	$2,217.99 – $10,886.49	35
Cltx mndblr fx w/mnpj CPT 21451	$1,756.50	$2,342.00	$573.79 – $2,853.34	35
Cltx mndblr/max alv ridge fx CPT 21440	$3,600.75	$4,801.00	$1,176.25 – $6,097.09	36
Cltx palatal/max fx wire fix CPT 21421	$3,794.25	$5,059.00	$1,239.46 – $6,097.09	34
Cltx post ankle fx CPT 27767	$333.75	$445.00	$109.03 – $453.62	36
Cltx post ankle fx w/mnpj CPT 27768	$1,198.50	$1,598.00	$391.51 – $2,957.08	36
Cltx scap fx w/mnpj +-tractj CPT 23575	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Cltx strnclav dislc w/mnpj CPT 23525	$3,526.50	$4,702.00	$252.01 – $4,231.80	35
Cmptr ophth img optic nerve CPT 92133	$130.50	$174.00	$42.63 – $156.60	36
Cmv pcr-sendout CPT 87496	$501.75	$669.00	$17.13 – $602.10	36
Co-treatment - group 15 mins, st CPT 92508	$108.00	$144.00	$22.95 – $129.60	36
Co2 monitor per day CPT 94681	$337.50	$450.00	$110.25 – $686.23	36
Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189	$16,994.46	$22,659.27	$2.64 – $10,196.68	36
Coagulation time activated teg CPT 85347	$114.75	$153.00	$2.26 – $25.20	36
Coagulation time otr method CPT 85348	not published	not published	$2.05 – $10.77	3
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 – $1,028.70	36
Cochlear implt f/up exam <7 CPT 92601	$857.25	$1,143.00	$131.46 – $1,028.70	36
Cold agglutinin screen (arc) CPT 86156	not published	not published	$2.71 – $19.38	3
Cold agglutinin titer CPT 86157	$114.75	$153.00	$4.31 – $137.70	36
Colistimethate sodium inj HCPCS J0770	$39.42	$52.56	$10.92 – $40.11	26
Collagenase, clost hist inj HCPCS J0775	$26,281.91	$35,042.54	$78.35 – $31,538.29	36
Collar cerv adlt perfit ace extric HCPCS L0140	$29.25	$38.99	$9.38 – $132.41	36
Collar cerv ascend 172 reg HCPCS L0172	$318.51	$424.68	$9.12 – $313.29	36
Collection blood specimen from completely implantable venous access device CPT 36591	$97.50	$130.00	$31.85 – $244.67	36
Collection blood specimen using established central/peripheral catheter venous nos CPT 36592	$208.50	$278.00	$68.11 – $250.20	36
Collection of venous blood by venipuncture CPT 36415	$22.50	$30.00	$3.39 – $27.00	36
Colonoscopy (diagnostic) CPT 45378	$2,602.50	$3,470.00	$850.15 – $3,123.00	35
Colonoscopy (with biopsy) CPT 45380	$2,538.00	$3,384.00	$829.08 – $3,045.60	35
Colonoscopy (with polyp removal) CPT 45385	$2,472.75	$3,297.00	$807.77 – $2,967.30	35
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	$994.21 – $3,652.20	35
Colonoscopy flex with decompression 45393 CPT 45393	$2,495.25	$3,327.00	$815.12 – $2,994.30	36
Colonoscopy for foreign body CPT 44390	$3,104.25	$4,139.00	$950.10 – $3,725.10	35
Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403	$1,368.00	$1,824.00	$446.88 – $2,200.61	36
Colonoscopy stoma w/snare 44394 CPT 44394	$1,368.00	$1,824.00	$446.88 – $2,200.61	35
Colonoscopy submucous njx CPT 45381	$2,063.25	$2,751.00	$674.00 – $2,475.90	35
Colonoscopy thru stoma spx CPT 44388	$1,059.00	$1,412.00	$345.94 – $1,710.18	35
Colonoscopy w/ablation CPT 45388	$2,571.00	$3,428.00	$839.86 – $3,085.20	36
Colonoscopy w/balloon dilat CPT 45386	$1,413.00	$1,884.00	$461.58 – $2,200.61	35
Colonoscopy w/band ligation CPT 45398	$2,495.25	$3,327.00	$815.12 – $2,994.30	36
Colonoscopy w/control bleed CPT 45382	$2,352.75	$3,137.00	$768.57 – $2,823.30	35
Colonoscopy w/dilation CPT 44405	$2,495.25	$3,327.00	$815.12 – $2,994.30	36
Colonoscopy w/endoscope Ultrasound CPT 45391	$3,201.00	$4,268.00	$1,045.66 – $3,841.20	35
Colonoscopy w/endoscopic fnb CPT 45392	$3,201.00	$4,268.00	$1,045.66 – $3,841.20	35
Colonoscopy w/fb removal CPT 45379	$3,039.00	$4,052.00	$992.74 – $3,646.80	35
Colonoscopy w/injection CPT 44404	$2,495.25	$3,327.00	$815.12 – $2,994.30	36
Colonoscopy w/ndl aspir/bx CPT 44407	$2,495.25	$3,327.00	$815.12 – $2,994.30	36
Colonoscopy w/resection CPT 45390	$3,254.25	$4,339.00	$790.13 – $5,104.40	36
Colonoscopy w/stent plcmt CPT 44402	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	36
Colonoscopy w/ultrasound CPT 44406	$2,495.25	$3,327.00	$815.12 – $2,994.30	36
Colonoscopy with ablation CPT 44401	$2,495.25	$3,327.00	$815.12 – $2,994.30	36
Colonoscopy with biopsy CPT 44389	$1,368.00	$1,824.00	$446.88 – $2,200.61	35
Colonoscopy/w endoscopic stent 45389 CPT 45389	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	36
Colposcopy vulva 56820 CPT 56820	$344.25	$459.00	$112.46 – $413.10	36
Colposcopy w/biopsy of cervix 57455 CPT 57455	$1,155.75	$1,541.00	$311.33 – $1,386.90	36
Colposcopy/cervix/ conization 57461 CPT 57461	$4,866.75	$6,489.00	$1,589.81 – $5,953.03	36
Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421	$1,651.50	$2,202.00	$539.49 – $1,981.80	36
Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452	$853.50	$1,138.00	$206.55 – $1,024.20	36
Comp cystometrogram/void presssure 51728 CPT 51728	$933.75	$1,245.00	$305.03 – $1,282.32	36
Comp cystometrogram/void/uret pres 51729 CPT 51729	$976.50	$1,302.00	$318.99 – $1,282.32	36
Compatibility test each unit antiglobulin technique CPT 86922	$165.00	$220.00	$24.20 – $313.31	36
Compatibility test each unit electronic CPT 86923	$131.25	$175.00	$24.20 – $313.31	36
Compatibility test each unit immediate spin technique CPT 86920	$131.25	$175.00	$24.20 – $313.31	36
Compatibility test incubate CPT 86921	not published	not published	$24.20 – $67.24	3
Complement antigen each component c3 CPT 86160	$489.00	$652.00	$5.68 – $97.20	36
Complement fixation each CPT 86171	not published	not published	$4.74 – $24.03	3
Complex cystometrogram 51726 CPT 51726	$287.25	$383.00	$93.84 – $459.47	35
Complex repair trunk 1.1-2.5cm 13120 CPT 13120	$771.75	$1,029.00	$252.11 – $926.10	35
Complex repair trunk 2.6-7.5cm 13101 CPT 13101	$2,143.50	$2,858.00	$700.21 – $2,572.20	35
Complex uroflowmetry (electronic) 51741 CPT 51741	$607.50	$810.00	$198.45 – $729.00	36
Complx repair enel 1.1-2.5 cm 13151 CPT 13151	$3,168.00	$4,224.00	$755.08 – $3,801.60	35
Complx repair enel 2.6-7.5 cm 13152 CPT 13152	$3,255.75	$4,341.00	$755.08 – $3,906.90	35
Complx repair enel addl 5cm/< 13153 CPT 13153	$424.50	$566.00	$138.67 – $509.40	36
Complx repair fccmnaxghf 13131 CPT 13131	$942.00	$1,256.00	$307.72 – $1,130.40	35
Complx repair fccmnaxghf 13132 CPT 13132	$1,270.50	$1,694.00	$415.03 – $1,524.60	35
Complx repair fccmnaxghf 13133 CPT 13133	$942.00	$1,256.00	$160.47 – $1,130.40	36
Complx repair sal addl 5 cm/> 13122 CPT 13122	$2,126.25	$2,835.00	$121.84 – $2,551.50	36
Complx repair trunk addl 5cm/< 13102 CPT 13102	$2,185.50	$2,914.00	$113.93 – $2,622.60	36
Compre oph exam est pt 1/> CPT 92014	$214.50	$286.00	$70.07 – $257.40	36
Compre oph exam new pt 1/> CPT 92004	$186.00	$248.00	$60.76 – $244.84	36
Comprehensive hearing test CPT 92557	$190.50	$254.00	$62.23 – $236.63	36
Computed tomographic angiography head and neck with contrast CPT 70471	$2,237.25	$2,983.00	$356.43 – $2,684.70	30
Concentration infection agents any type CPT 87015	$41.25	$55.00	$2.73 – $49.50	36
Conditioning play audiometry 92582 CPT 92582	$147.75	$197.00	$48.27 – $236.63	36
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 – $944.10	36
Conivaptan hcl HCPCS C9488	not published	not published	$159.11 – $159.11	1
Conization of cervix CPT 57520	$3,577.50	$4,770.00	$1,168.65 – $5,953.03	35
Conization/cerv/loop electrode exc 57522 CPT 57522	$4,198.50	$5,598.00	$1,371.51 – $5,953.03	35
Conjugated estrogens 25 mg solution for injection HCPCS J1410	$1,291.95	$1,722.60	$391.72 – $1,550.34	36
Connect omega .5mm HCPCS L8613	$1,185.42	$1,580.55	$27.34 – $753.23	36
Connector tis 2x10mm HCPCS C9352	$7,960.44	$10,613.91	$1,152.48 – $4,233.60	26
Consult comp w/report rfrd material CPT 88325	$777.75	$1,037.00	$56.00 – $933.30	36
Consultation pathology during surgery CPT 88329	$141.75	$189.00	$34.54 – $170.10	36
Consultation pathology during surgery cytological exam initial site CPT 88333	$648.75	$865.00	$53.80 – $1,481.63	36
Consultation pathology during surgery frozen section each additional block CPT 88332	$129.00	$172.00	$28.10 – $154.80	36
Consultation pathology during surgery frozen section first tissue block CPT 88331	$131.25	$175.00	$42.88 – $313.31	36
Consultation/report referred material w/preparation of slides CPT 88323	$231.75	$309.00	$53.24 – $278.10	36
Consultation/report referred slides prepared elsewhere CPT 88321	not published	not published	$55.16 – $189.96	3
Cont intraop neuro monitor HCPCS G0453	$335.25	$447.00	$26.91 – $402.30	36
Contrast baths charges CPT 97034	$93.00	$124.00	$13.45 – $111.60	36
Contrast exam abdominl aorta 75625-26 CPT 75625	$4,711.50	$6,282.00	$163.89 – $5,806.57	36
Contrast exam thoracic aorta CPT 75600	not published	not published	$435.09 – $12,256.43	2
Contrast exam thoracic aorta 75605-26 CPT 75605	$5,378.25	$7,171.00	$186.75 – $10,233.02	36
Contrast x-ray gallbladder CPT 74290	not published	not published	$191.16 – $764.78	2
Contrast x-ray of ankle CPT 73615	not published	not published	$275.79 – $1,576.67	2
Contrast x-ray of brain CPT 70010	not published	not published	$124.32 – $1,576.67	2
Contrast x-ray of brain CPT 70015	not published	not published	$301.26 – $3,063.11	2
Contrast x-ray of elbow CPT 73085	not published	not published	$203.91 – $1,576.67	2
Contrast x-ray of hip CPT 73525	$1,455.00	$1,940.00	$275.79 – $1,746.00	36
Contrast x-ray of knee joint CPT 73580	$1,143.75	$1,525.00	$219.36 – $1,372.50	36
Contrast x-ray of wrist CPT 73115	$417.75	$557.00	$136.47 – $641.57	36
Control nosebleed pack+caut 30905 CPT 30905	$147.00	$196.00	$48.02 – $244.67	35
Control of nosebleed ant comp 30903 CPT 30903	$388.50	$518.00	$126.91 – $466.20	35
Control of nosebleedantersmpl 30901 CPT 30901	$332.25	$443.00	$108.54 – $398.70	36
Control oropharyngeal hemorr/simp 42960 CPT 42960	$638.25	$851.00	$208.50 – $991.82	35
Controler lvad heartmate 3 includes ebb HCPCS Q0481	$13,218.75	$17,625.00	$3,638.25 – $32,206.95	36
Controller infinity pt dbs HCPCS C1787	$10,901.25	$14,535.00	$0.25 – $0.90	26
Conv gtube to jtube CPT 44373	$3,489.75	$4,653.00	$1,139.99 – $4,187.70	35
Conversion ext bil drg cath CPT 47535	$2,959.50	$3,946.00	$966.77 – $6,584.31	36
Convert nephrostomy catheter CPT 50434	$1,549.50	$2,066.00	$506.17 – $3,844.19	36
Coombs direct CPT 86880	$117.00	$156.00	$2.54 – $140.40	36
Coombs indirect qualitative each reagent red cell reference CPT 86885	$215.25	$287.00	$3.08 – $313.31	36
Coombs indirect titer reference CPT 86886	$186.75	$249.00	$2.67 – $313.31	36
Copper cu 64 dotatate diag HCPCS A9592	not published	not published	$3,436.13 – $3,436.13	1
Copper intrauterine device HCPCS J7300	$4,211.46	$5,615.27	$298.01 – $1,094.74	26
Cor artery disease mrna CPT 81493	not published	not published	$2,218.13 – $2,520.00	2
Core ndl bx lng/med perq CPT 32408	$1,428.00	$1,904.00	$466.48 – $3,037.27	36
Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785	$9,900.00	$13,200.00	$220.50 – $810.00	26
Corneal smear CPT 65430	$315.75	$421.00	$103.15 – $821.52	36
Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459	$18,352.50	$24,470.00	$3,312.15 – $22,023.00	34
Coronary angio/lv gram/lt heart CPT 93458	$16,669.50	$22,226.00	$3,312.15 – $20,003.40	34
Coronary angio/lv gram/rt&lt heart CPT 93460	$18,093.75	$24,125.00	$3,312.15 – $21,712.50	34
Coronary art/grft angio s&i CPT 93455	$13,454.25	$17,939.00	$3,312.15 – $16,145.10	34
Coronary catheterization w/angiography supervision & interpretation CPT 93454	$11,955.75	$15,941.00	$3,312.15 – $14,346.90	34
Correct skin color 6.0 cm/< CPT 11920	$1,137.75	$1,517.00	$371.67 – $1,365.30	36
Cortisol acth stimulation test - sendout CPT 80400	$66.00	$88.00	$15.43 – $79.20	36
Cortisol total am CPT 82533	$197.25	$263.00	$7.71 – $97.20	36
Cosyntropin 0.25 mg solution for injection HCPCS J0834	$296.55	$395.39	$20.16 – $74.05	26
Counseling smoke cess interm >10mins CPT 99407	$167.25	$223.00	$38.28 – $200.70	36
Coveredge 32 lead kit 40cm 48 HCPCS C1897	$8,100.00	$10,800.00	$0.01 – $0.03	26
Covid-19 administration immunization im inj 1st/only component CPT 90480	$101.25	$135.00	$33.08 – $121.50	36
Cptr ophth dx img post segmt CPT 92134	$105.00	$140.00	$34.30 – $126.00	36
Crbrospnl fld flw imag cistern CPT 78630	$2,313.75	$3,085.00	$554.73 – $2,776.50	36
Creatine - sendout CPT 82540	$81.00	$108.00	$2.16 – $80.10	36
Creatine isoforms CPT 82554	not published	not published	$6.16 – $28.50	3
Creatine kinase CPT 82550	$90.00	$120.00	$3.08 – $108.00	36
Creatine kinase isoenzymes CPT 82552	$70.50	$94.00	$6.33 – $84.60	36
Creatine kinase mb CPT 82553	$114.75	$153.00	$4.31 – $137.70	36
Creatinine CPT 82565	$56.25	$75.00	$2.42 – $53.10	36
Creatinine 24 hour urine CPT 82570	$73.50	$98.00	$2.45 – $14.40	36
Creatinine clearance urine CPT 82575	$178.50	$238.00	$4.47 – $214.20	36
Crisis psychotherapy 90839 CPT 90839	$567.00	$756.00	$181.34 – $680.40	36
Crisis psychotherapy additional 30 mins 90840 CPT 90840	$219.00	$292.00	$71.54 – $262.80	36
Critical care 30-74 minutes CPT 99291	$2,937.75	$3,917.00	$843.92 – $3,525.30	36
Critical care each additional 30 minutes CPT 99292	$663.00	$884.00	$129.55 – $795.60	36
Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791	$9,069.75	$12,093.00	$129.94 – $10,883.70	36
Cromolyn sodium noncomp unit HCPCS J7631	$48.14	$64.18	$0.47 – $11.10	26
Crotalidae poly immune fab HCPCS J0840	not published	not published	$3,126.70 – $11,416.86	2
Crtj pericardial window/prtl resecj w/drg/bx CPT 33025	$5,697.75	$7,597.00	$723.26 – $6,837.30	34
Cryofibrinogen qualitative - sendout CPT 82585	$69.00	$92.00	$3.80 – $82.80	36
Cryoprecipitate each unit HCPCS P9012	$219.00	$292.00	$36.00 – $262.80	36
Cryopreservation embryo(s) CPT 89258	not published	not published	$450.00 – $1,479.99	3
Cryopreservation oocyte(s) CPT 89337	not published	not published	$321.78 – $1,909.17	3
Cryopreservation sperm CPT 89259	not published	not published	$321.78 – $500.37	3
Cryopreserve testicular tiss CPT 89335	not published	not published	$28.60 – $548.94	3
Cryosurgery penis lesion(s) 54056 CPT 54056	$231.00	$308.00	$75.46 – $368.96	36
Cryptococcus abs qn - sendout CPT 86641	$206.25	$275.00	$6.36 – $247.50	36
Cryptosporidium antigen CPT 87272	not published	not published	$5.75 – $28.74	3
Crystal identification light microscopy CPT 89060	$65.25	$87.00	$7.33 – $78.30	36
Csf leakage imaging CPT 78650	$1,645.50	$2,194.00	$537.53 – $2,380.84	36
Csf ventriculography CPT 78635	not published	not published	$764.91 – $2,095.20	2
Cta abdomen without & /or w/contrast CPT 74175	$2,422.50	$3,230.00	$179.20 – $2,907.00	30
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635	$2,718.75	$3,625.00	$179.20 – $3,262.50	30
Cta lower extremity without & w/contrast (both sides) CPT 73706	$1,807.50	$2,410.00	$179.20 – $2,169.00	30
Cta neck without &/or w/contrast CPT 70498	$1,987.50	$2,650.00	$179.20 – $2,385.00	30
Cta upper extremity w &/or without contrast left CPT 73206	$1,652.25	$2,203.00	$179.20 – $1,982.70	30
Ctrl nosebld postir subsq 30906 CPT 30906	$271.50	$362.00	$88.69 – $435.56	35
Cultr oocyte/embryo <4 days CPT 89250	not published	not published	$650.00 – $2,404.65	3
Cultr oocyte/embryo <4 days CPT 89251	not published	not published	$650.00 – $2,501.43	3
Culture aerobic additional method definitive id each CPT 87077	$78.75	$105.00	$3.82 – $76.50	36
Culture afb any source CPT 87116	$132.75	$177.00	$9.75 – $159.30	36
Culture anaerobic additional method definitive id each CPT 87076	not published	not published	$6.87 – $19.38	3
Culture anaerobic except blood CPT 87075	$127.50	$170.00	$4.48 – $93.60	36
Culture bact stool aero addl path ea CPT 87046	not published	not published	$4.46 – $22.65	3
Culture body fluid CPT 87070	$130.50	$174.00	$8.62 – $151.20	36
Culture fungi definitive id mold CPT 87107	$63.75	$85.00	$5.13 – $76.50	36
Culture fungi definitive id yeast CPT 87106	$66.00	$88.00	$4.88 – $79.20	36
Culture fungi other (except blood) CPT 87102	$126.00	$168.00	$3.97 – $151.20	36
Culture fungi skin/hair/nail CPT 87101	$126.00	$168.00	$3.65 – $151.20	36
Culture mycobacteria definitive id each isolate CPT 87118	$96.00	$128.00	$5.85 – $115.20	36
Culture mycoplasma any source CPT 87109	$145.50	$194.00	$7.28 – $174.60	36
Culture quantitative aerobic other source CPT 87071	$99.75	$133.00	$4.46 – $119.70	36
Culture screening strep group a CPT 87081	$115.50	$154.00	$6.63 – $138.60	36
Culture typing added method CPT 87158	not published	not published	$2.77 – $18.57	3
Culture typing immunologic CPT 87147	not published	not published	$2.16 – $12.42	3
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154	$408.75	$545.00	$56.00 – $392.51	36
Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150	not published	not published	$11.71 – $84.21	3
Culture urine each isolate CPT 87088	not published	not published	$9.54 – $19.41	3
Culture virus isolation CPT 87250	not published	not published	$10.16 – $46.95	3
Curette/treat cornea CPT 65435	$1,133.25	$1,511.00	$370.20 – $1,833.25	36
Cutter lead HCPCS C1773	$22,020.89	$29,361.18	$174.28 – $640.22	26
Cv line/pic reposition CPT 36597	$2,100.75	$2,801.00	$686.25 – $2,894.85	36
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420	$25.86	$34.47	$1.01 – $3.70	26
Cyanocobalamin unsat binding capacity CPT 82608	$76.50	$102.00	$6.77 – $91.80	36
Cyclic citrullinated peptide antibody CPT 86200	$249.75	$333.00	$6.50 – $56.70	36
Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075	$4,143.90	$5,525.20	$0.77 – $234.46	36
Cyclophosphamide 25 mg capsule HCPCS J8530	$2,769.06	$3,692.08	$3.33 – $746.75	26
Cyclosporine 2 hour CPT 80158	$115.50	$154.00	$9.54 – $138.60	36
Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516	$243.99	$325.31	$32.10 – $117.92	26
Cyclosporine modified 25 mg capsule HCPCS J7515	$470.55	$627.40	$1.28 – $18.39	26
Cyclosporine oral 100 mg HCPCS J7502	$2,865.39	$3,820.51	$3.46 – $58.04	26
Cylinder pump set 20cm titan zero angl HCPCS C1813	$42,849.57	$57,132.75	$318.99 – $1,171.80	26
Cyp2c19 gene com variants CPT 81225	$613.50	$818.00	$56.00 – $656.10	36
Cyp2c9 gene com variants CPT 81227	$368.25	$491.00	$56.00 – $394.20	36
Cyp2d6 gene com variants CPT 81226	$949.50	$1,266.00	$56.00 – $1,015.20	36
Cyp3a4 gene common variants CPT 81230	$328.50	$438.00	$39.69 – $314.66	36
Cyp3a5 gene common variants CPT 81231	$328.50	$438.00	$39.69 – $314.66	36
Cystatin c CPT 82610	$78.75	$105.00	$6.65 – $44.10	36
Cystic fibrosis cftr CPT 81223	$6,969.00	$9,292.00	$56.00 – $1,425.60	36
Cystine urine quantitative CPT 82131	$239.25	$319.00	$18.98 – $287.10	36
Cystogram >= 3 views supervision & interpretation CPT 74430	$919.50	$1,226.00	$72.00 – $1,103.40	36
Cystoscopy & ureter catheter CPT 52005	$2,397.00	$3,196.00	$783.02 – $3,844.19	35
Cystoscopy (Bladder Scope) CPT 52000	$2,580.00	$3,440.00	$712.40 – $3,096.00	35
Cystoscopy and treatment CPT 52214	$4,056.00	$5,408.00	$1,324.96 – $6,482.39	35
Cystoscopy and treatment CPT 52224	$4,056.00	$5,408.00	$1,324.96 – $6,482.39	35
Cystoscopy and treatment CPT 52234	$4,056.00	$5,408.00	$1,324.96 – $6,482.39	35
Cystoscopy and treatment CPT 52235	$4,056.00	$5,408.00	$1,324.96 – $6,482.39	35
Cystoscopy and treatment CPT 52240	$5,949.75	$7,933.00	$1,943.59 – $9,860.27	35
Cystoscopy and treatment CPT 52310	$4,587.75	$6,117.00	$1,498.67 – $5,505.30	35
Cystoscopy chemodenervation CPT 52287	$975.75	$1,301.00	$318.75 – $3,844.19	36
Cystostomy cystotomy w/drainage 51040 CPT 51040	$2,396.25	$3,195.00	$782.78 – $3,844.19	35
Cystouretero w/lithotripsy CPT 52353	$11,789.25	$15,719.00	$3,851.16 – $14,147.10	35
Cystourethroscop/calib/dilat stric 52281 CPT 52281	$2,360.25	$3,147.00	$771.02 – $3,844.19	35
Cytarabine 20 mg/ml injection solution HCPCS J9100	$64.71	$86.28	$1.34 – $20.93	26
Cyto/molecular report CPT 88291	not published	not published	$18.30 – $76.68	3
Cytogenetics 25-99 CPT 88274	$143.25	$191.00	$42.38 – $171.90	36
Cytogenetics 3-5 CPT 88272	not published	not published	$37.41 – $97.68	3
Cytogenom microarray copy nmbr var CPT 81228	not published	not published	$32.77 – $2,160.00	3
Cytogenomic neo microra alys CPT 81277	not published	not published	$2,450.50 – $2,784.00	2
Cytomegalovirus (cmv) antibody igg CPT 86644	$101.25	$135.00	$6.81 – $121.50	36
Cytomegalovirus (cmv) antibody igm CPT 86645	$131.25	$175.00	$7.97 – $157.50	36
Cytomegalovirus dfa CPT 87271	not published	not published	$5.95 – $32.22	3
Cytomegalovirus imm IV /vial HCPCS J0850	$6,333.64	$8,444.85	$1,808.61 – $7,600.37	36
Cytopath c/v auto in fluid CPT 88174	not published	not published	$26.78 – $60.90	3
Cytopath c/v index add-on CPT 88155	not published	not published	$8.37 – $35.16	3
Cytopath fl nongyn filter CPT 88106	not published	not published	$44.29 – $115.92	3
Cytopath smear oth prep screen & interp CPT 88161	not published	not published	$38.15 – $124.65	3
Cytopath smear other source CPT 88160	$94.50	$126.00	$29.55 – $113.40	36
Cytopath smear other source CPT 88162	not published	not published	$47.17 – $198.24	3
Cytopath tbs c/v manual CPT 88164	$168.75	$225.00	$10.47 – $202.50	36
Cytopathology cellular enhancement technique non-gyn CPT 88112	$197.25	$263.00	$53.24 – $236.70	36
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175	$198.75	$265.00	$26.61 – $238.50	36
Cytopathology cervical/vaginal thin layer manual screening CPT 88142	$173.25	$231.00	$20.26 – $207.90	36
Cytopathology concentration technique smears & interpretation CPT 88108	$225.00	$300.00	$38.16 – $270.00	36
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104	$111.00	$148.00	$36.26 – $133.20	36
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177	not published	not published	$15.34 – $21.78	3
Cytopathology fna adequacy evaluation first episode each site CPT 88172	$131.25	$175.00	$35.32 – $313.31	36
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173	$186.75	$249.00	$53.24 – $224.10	36
Cytotoxic antibody screening CPT 86807	not published	not published	$20.93 – $188.76	3
Cytotoxic antibody screening CPT 86808	$504.75	$673.00	$15.60 – $214.20	36
Cytp urine 3-5 probes cmptr CPT 88121	$907.50	$1,210.00	$56.00 – $1,089.00	36
D&c after delivery 59160 CPT 59160	$3,102.00	$4,136.00	$1,013.32 – $5,953.03	35
D&c/diagnostic/therapeutic/non ob 58120 CPT 58120	$2,361.75	$3,149.00	$771.51 – $5,953.03	35
Dacarbazine 100 mg intravenous solution HCPCS J9130	$53.55	$71.39	$5.60 – $20.57	26
Dactinomycin 0.5 mg intravenous solution HCPCS J9120	$10,014.84	$13,353.11	$337.67 – $12,017.80	36
Dalbavancin 500 mg intravenous solution HCPCS J0875	$6,061.91	$8,082.54	$15.00 – $7,274.29	36
Dalteparin sodium HCPCS J1645	not published	not published	$30.31 – $113.16	2
Daptomycin (xellia) unrefrig HCPCS J0872	not published	not published	$0.08 – $1.86	2
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878	not published	not published	$0.05 – $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 – $46,672.83	36
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881	$5,546.48	$7,395.30	$3.07 – $6,655.77	36
Darbepoetin alfa, esrd use HCPCS J0882	not published	not published	$5.02 – $27.65	2
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153	$38,568.63	$51,424.83	$261.20 – $46,282.35	36
Daunorubicin 5 mg/ml intravenous solution HCPCS J9150	$300.73	$400.97	$33.20 – $231.98	26
Dch glucoscan CPT 82948	$23.25	$31.00	$1.50 – $27.90	36
Dch pulmonary stress test CPT 94621	$1,811.25	$2,415.00	$381.24 – $2,173.50	36
Dch validity tests CPT 81002	$34.50	$46.00	$2.77 – $41.40	36
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287	$2,238.00	$2,984.00	$731.08 – $3,591.04	35
Deamidated gliadin antibody iga CPT 86258	$42.75	$57.00	$12.05 – $51.30	36
Debr musc/fascia 20sq cm/< 11043 CPT 11043	$888.00	$1,184.00	$290.08 – $1,359.14	35
Debrid ecz/inf skin up tp 10% body 11000 CPT 11000	$3,006.00	$4,008.00	$415.32 – $3,607.20	36
Debrid mastoidectomy cavity simple 69220 CPT 69220	$292.50	$390.00	$95.55 – $368.96	36
Debride nail1-5 11720 CPT 11720	$291.75	$389.00	$60.27 – $350.10	36
Debride nail6 or more 11721 CPT 11721	$300.75	$401.00	$60.27 – $360.90	36
Debride/subq tissue/ea add 20sq cm 11045 CPT 11045	$940.50	$1,254.00	$39.76 – $1,128.60	36
Debridement (>20 cm) charge pt CPT 97598	$363.75	$485.00	$45.22 – $315.00	36
Debridement bone <= 20 sq cm CPT 11044	$4,119.00	$5,492.00	$1,345.54 – $4,942.80	35
Debridement subcutaneous tissue <= 20 sq cm CPT 11042	$1,148.25	$1,531.00	$375.10 – $1,377.90	35
Debridement/bone/20 sq cm or less 11046 CPT 11046	$654.75	$873.00	$73.34 – $785.70	36
Debridement/bone/ea add 20 sq cm 11047 CPT 11047	$2,045.25	$2,727.00	$123.63 – $2,454.30	36
Decalcification CPT 88311	$50.25	$67.00	$12.63 – $60.30	36
Decitabine 50 mg intravenous solution HCPCS J0894	$634.17	$845.55	$2.67 – $148.51	26
Declotting thrombolytic agent implanted vas access device 36 CPT 36593	$610.50	$814.00	$199.43 – $732.60	36
Deferoxamine 500 mg solution for injection HCPCS J0895	$102.84	$137.12	$12.53 – $46.02	26
Degarelix 120 mg subcutaneous solution HCPCS J9155	$3,396.16	$4,528.21	$4.46 – $1,306.04	36
Delivery of placenta 59414 CPT 59414	$2,570.25	$3,427.00	$839.62 – $5,953.03	36
Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712	$10,770.75	$14,361.00	$585.43 – $12,924.90	34
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664	$196.50	$262.00	$64.19 – $402.70	36
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897	$12,371.55	$16,495.39	$29.51 – $8,070.82	36
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800	$460.50	$614.00	$135.93 – $552.60	35
Depo-estradiol cypionate inj HCPCS J1000	not published	not published	$78.81 – $159.46	2
Dermagraft HCPCS Q4106	$129.00	$172.00	$42.14 – $154.80	26
Des thora aorta rpr without left sub art 33881 CPT 33881	$15,243.75	$20,325.00	$1,068.08 – $18,292.50	36
Description not available HCPCS S0013	not published	not published	$53.20 – $53.20	1
Design mlc device for imrt CPT 77338	not published	not published	$642.96 – $1,449.86	2
Desmopressin 4 mcg/ml injection solution HCPCS J2597	$172.46	$229.94	$6.54 – $59.36	26
Desoxycorticosterone CPT 82633	$364.50	$486.00	$15.39 – $437.40	36
Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262	$332.25	$443.00	$108.54 – $398.70	36
Dest mal lesion tal <0.5 17260 CPT 17260	$366.75	$489.00	$119.81 – $440.10	36
Destroy cervthor facet jnt 64633 CPT 64633	$2,381.25	$3,175.00	$777.88 – $3,591.04	36
Destroy cth facet jnt addl 64634 CPT 64634	$1,879.50	$2,506.00	$247.48 – $2,255.40	36
Destroy premlg lesns;1st lesn 17000 CPT 17000	$199.50	$266.00	$65.17 – $368.96	36
Destroy vulva lesion simple 56501 CPT 56501	$3,691.50	$4,922.00	$1,205.89 – $4,429.80	36
Destruct ben lesion 15/> 17111 CPT 17111	$332.25	$443.00	$108.54 – $398.70	36
Destruct cut vasl lesions <10cm 17106 CPT 17106	$666.75	$889.00	$217.81 – $800.10	36
Destruct cut vasl lesions >50cm 17108 CPT 17108	$1,442.25	$1,923.00	$471.14 – $3,794.35	36
Destruction 2-14 lesions 17003 CPT 17003	$83.25	$111.00	$5.91 – $99.90	36
Destruction anal lesion(s) CPT 46910	$3,711.00	$4,948.00	$1,212.26 – $4,453.20	36
Destruction anal lesion(s) smpl chem 46900 CPT 46900	$638.25	$851.00	$208.50 – $765.90	36
Destruction benign lesions < 14 lesions CPT 17110	$268.50	$358.00	$87.71 – $368.96	36
Destruction by injection tx of nerve 64630 CPT 64630	$915.75	$1,221.00	$299.15 – $1,626.53	35
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635	$2,325.75	$3,101.00	$759.75 – $3,591.04	36
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636	$1,879.50	$2,506.00	$233.26 – $2,255.40	36
Destruction mal lsn t/a/l >4cm CPT 17266	$954.75	$1,273.00	$311.89 – $1,145.70	30
Destruction premal lesions 15/> 17004 CPT 17004	$521.25	$695.00	$170.28 – $747.58	36
Detect agent nos dna dir CPT 87797	not published	not published	$9.49 – $72.06	3
Detect agnt mult dna direc CPT 87800	$147.75	$197.00	$18.97 – $177.30	36
Dev tst admin phys/qhp ea addl 30 min CPT 96113	$183.00	$244.00	$54.70 – $219.60	36
Devel tst phys/qhp 1st hr CPT 96112	$398.25	$531.00	$130.10 – $477.90	36
Developmental screen/score/document 96110 CPT 96110	$573.75	$765.00	$11.31 – $688.50	36
Device ablt adv novasure HCPCS C1886	$11,239.88	$14,986.50	$826.88 – $3,037.50	26
Device hemospray 7frx220cm endo hemostat min access HCPCS C1052	$5,175.00	$6,900.00	$579.18 – $2,127.60	26
Device intraute mirena HCPCS J7298	$4,491.10	$5,988.13	$668.09 – $2,454.22	26
Device sut capio slim opn HCPCS C2631	$1,454.07	$1,938.75	$460.33 – $1,691.01	26
Device tiss remov myosure reach HCPCS C1782	$1,070.85	$1,427.80	$313.67 – $1,152.25	26
Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081	$417.00	$556.00	$61.08 – $500.40	36
Dexametha opth insert 0.1 mg HCPCS J1096	not published	not published	$170.49 – $539.98	2
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095	not published	not published	$4.10 – $2,119.15	2
Dexamethasone 4 mg tablet HCPCS J8540	$554.26	$739.01	$0.02 – $2.91	26
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100	$16.28	$21.70	$0.18 – $2.91	26
Dexamethasone intra implant HCPCS J7312	not published	not published	$344.85 – $700.21	2
Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190	$465.34	$620.45	$49.74 – $249.94	36
Dextran 40 infusion HCPCS J7100	$225.55	$300.73	$47.48 – $259.57	26
Dextrose 5 % IV bolus HCPCS J7070	$22.19	$29.58	$4.83 – $17.75	26
Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042	$22.19	$29.58	$2.27 – $17.75	26
Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121	$22.19	$29.58	$3.62 – $13.31	26
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060	$36.98	$49.30	$2.11 – $7.77	26
Dhea-s (dehydroepiand sulfate) CPT 82627	$249.75	$333.00	$10.52 – $299.70	36
Diab manage trn ind/group HCPCS G0109	$57.75	$77.00	$15.40 – $69.30	36
Diabetes (HbA1c) Test CPT 83036	$114.75	$153.00	$9.00 – $121.50	36
Diag bronchoscope/catheter CPT 31643	$4,125.75	$5,501.00	$1,347.75 – $4,950.90	35
Diagnostic Mammogram (both breasts) CPT 77066	$655.50	$874.00	$146.43 – $786.60	33
Diagnostic Mammogram (one breast) CPT 77065	$502.50	$670.00	$115.62 – $603.00	33
Diagnostic anoscopy spx 46600 CPT 46600	$181.50	$242.00	$59.29 – $244.67	36
Diagnostic digital breast tomosynthesis bil CPT 77062	$70.50	$94.00	$23.03 – $233.00	22
Diagnostic digital breast tomosynthesis unil CPT 77061	$57.00	$76.00	$18.62 – $233.00	22
Diagnostic laryngoscopy 31505 CPT 31505	$592.50	$790.00	$193.55 – $711.00	36
Diagnostic laryngoscopy 31575 CPT 31575	$381.00	$508.00	$124.46 – $457.20	36
Diagnostic radio unlisted proc CPT 76499	$564.75	$753.00	$87.52 – $677.70	36
Dialysis circuit perm vascular embolization 36909 CPT 36909	$10,461.00	$13,948.00	$1,672.43 – $12,553.20	36
Diatrizoate meglumine 18 % urethral solution HCPCS Q9958	$58.24	$77.65	$0.12 – $69.89	26
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360	$143.84	$191.78	$10.37 – $59.64	26
Dicyclomine injection HCPCS J0500	$310.41	$413.88	$7.88 – $28.96	26
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 – $604.80	36
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160	$472.14	$629.51	$3.52 – $12.92	26
Digoxin immune fab 40 mg intravenous solution HCPCS J1162	$17,050.66	$22,734.21	$5,166.99 – $20,460.79	36
Digoxin total therapeutic drug level CPT 80162	$138.75	$185.00	$6.28 – $166.50	36
Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110	$297.86	$397.14	$45.13 – $165.78	26
Dilate esophagus 1/mult pass CPT 43450	$1,548.00	$2,064.00	$505.68 – $1,857.60	35
Dilate urethra stricture CPT 53600	$513.00	$684.00	$167.58 – $615.60	36
Dilation of rectal stricture 45910 CPT 45910	$1,375.50	$1,834.00	$449.33 – $2,200.61	35
Dilation/female urethra/initial 53660 CPT 53660	$387.75	$517.00	$126.67 – $465.30	36
Dilator fascial 10fx20cm HCPCS C2627	$291.87	$389.16	$36.35 – $133.52	26
Diltiazem 5 mg/ml intravenous solution HCPCS J1163	$107.23	$142.97	$0.05 – $7.99	26
Dimecaprol injection HCPCS J0470	not published	not published	$190.93 – $190.93	1
Dimenhydrinate injection HCPCS J1240	$17.32	$23.09	$5.66 – $20.78	26
Dimethyl sulfoxide 50% 50 ml HCPCS J1212	$2,501.55	$3,335.40	$748.98 – $3,001.86	36
Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163	$36.98	$49.30	$0.07 – $2.91	26
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200	$5.92	$7.89	$0.79 – $2.91	26
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702	not published	not published	$235.06 – $235.06	1
Disability dlco CPT 94727	$340.50	$454.00	$111.23 – $408.60	36
Disaccharidases CPT 82657	$1,265.25	$1,687.00	$8.54 – $159.30	36
Discography cerv/thor spine CPT 72285	$2,691.00	$3,588.00	$210.27 – $3,591.04	36
Dlyd plmt xtn prosth ea addl CPT 34711	$6,681.75	$8,909.00	$262.85 – $8,018.10	34
Dmd dup/delet analysis CPT 81161	$2,106.00	$2,808.00	$56.00 – $2,527.20	36
Dmpk gene detc abnor allele CPT 81234	$613.50	$818.00	$56.00 – $736.20	36
Dna antibody native/double stranded CPT 86225	$131.25	$175.00	$6.50 – $157.50	36
Dna gardnerella CPT 87510	not published	not published	$9.49 – $48.12	3
Dna probe chlamydia CPT 87490	not published	not published	$9.49 – $54.60	3
Dna probe gc CPT 87590	not published	not published	$9.49 – $64.50	3
Dna trichomonas CPT 87660	not published	not published	$9.49 – $48.12	3
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250	$130.35	$173.79	$4.93 – $18.11	26
Docetaxel (docivyx), 1 mg HCPCS J9172	not published	not published	$82.44 – $176.72	2
Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171	$1,164.72	$1,552.95	$0.62 – $68.11	26
Dolasetron mesylate HCPCS J1260	not published	not published	$10.43 – $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	$1.09 – $10.83	26
Doppler echo complete CPT 93320	$498.00	$664.00	$48.10 – $597.60	36
Doppler intravascular pressure flow initial vessel CPT 93571	$3,066.75	$4,089.00	$1,001.81 – $3,680.10	24
Doppler upper/lower extremity arteries complete bilateral CPT 93923	$946.50	$1,262.00	$220.60 – $1,135.80	36
Doppler upper/lower extremity arteries limited bilateral CPT 93922	$885.00	$1,180.00	$135.93 – $1,062.00	36
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	$92.65 – $558.99	26
Dornhoffer fixed part w/window HCPCS L8614	$77,636.25	$103,515.00	$0.01 – $43,397.66	36
Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272	not published	not published	$409.62 – $842.14	2
Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000	$901.65	$1,202.19	$4.57 – $24.14	26
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050	not published	not published	$183.59 – $571.48	2
Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271	$89.34	$119.11	$0.18 – $36.20	26
Dpyd gene common variants CPT 81232	$354.00	$472.00	$56.00 – $424.80	36
Drain blood from under nail 11740 CPT 11740	$257.25	$343.00	$84.04 – $308.70	36
Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407	$2,976.00	$3,968.00	$972.16 – $3,571.20	36
Drain cath image guided visceral pq CPT 49405	$3,255.75	$4,341.00	$1,063.55 – $3,906.90	36
Drain cerebro spinal fluid 62272 CPT 62272	$1,416.75	$1,889.00	$462.81 – $1,700.10	35
Drain finger abscess;simple 26010 CPT 26010	$228.75	$305.00	$74.73 – $368.96	36
Drain lower leg lesion 27603 CPT 27603	$3,269.25	$4,359.00	$1,067.96 – $5,341.73	35
Drain neck/chest lesion 21501 CPT 21501	$3,293.25	$4,391.00	$1,075.80 – $5,341.73	35
Drain ovarn cyst abd CPT 58805	$4,305.75	$5,741.00	$1,406.55 – $5,953.03	36
Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800	$820.50	$1,094.00	$268.03 – $1,302.25	36
Drainage ext aud canal abscess 69020 CPT 69020	$820.50	$1,094.00	$268.03 – $1,302.25	34
Drainage external ear complex 69005 CPT 69005	$4,074.75	$5,433.00	$1,331.09 – $4,889.70	36
Drainage external ear simple 69000 CPT 69000	$741.00	$988.00	$242.06 – $1,302.25	36
Drainage mouth roof lesion CPT 42000	$282.00	$376.00	$92.12 – $435.56	35
Drainage of arm bursa 23931 CPT 23931	$2,638.50	$3,518.00	$861.91 – $3,166.20	35
Drainage of eye CPT 65810	$2,702.25	$3,603.00	$882.74 – $4,244.06	35
Drainage of kidney lesion CPT 50390	$1,989.75	$2,653.00	$649.99 – $2,387.70	35
Drainage of mouth lesion CPT 41008	$3,731.25	$4,975.00	$1,218.88 – $6,097.09	34
Drainage of mouth lesion CPT 41017	$3,946.50	$5,262.00	$1,289.19 – $6,097.09	35
Drainage of nose lesion int 30000 CPT 30000	$283.50	$378.00	$92.61 – $435.56	34
Drainage of nose lesion sept 30020 CPT 30020	$637.50	$850.00	$208.25 – $991.82	36
Dress/debrid prtl-thick burn l 16030 CPT 16030	$417.00	$556.00	$136.22 – $747.58	35
Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025	$350.25	$467.00	$114.42 – $420.30	35
Dress/debride pt-thick burn/<5% bs 16020 CPT 16020	$338.25	$451.00	$110.50 – $405.90	36
Dressing change not for burn w/anes 15852 CPT 15852	$716.25	$955.00	$233.98 – $1,359.14	36
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108	$9,875.23	$13,166.97	$127.14 – $6,900.38	36
Drng of eyelid abscess 67700 CPT 67700	$335.25	$447.00	$109.52 – $583.70	36
Drng of finger abscess comp 26011 CPT 26011	$1,253.25	$1,671.00	$409.40 – $3,037.27	35
Drng of ovarian cyst(s) 58800 CPT 58800	$3,624.75	$4,833.00	$1,184.09 – $5,953.03	35
Drng of scrotum abscess 55100 CPT 55100	$1,897.50	$2,530.00	$619.85 – $3,037.27	35
Drng salivary gland submax/subling 42310 CPT 42310	$596.25	$795.00	$194.78 – $991.82	35
Dronabinol 2.5mg oral HCPCS Q0167	$1,907.03	$2,542.70	$2.81 – $459.77	26
Droperidol 2.5 mg/ml injection solution HCPCS J1790	not published	not published	$9.00 – $34.58	2
Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765	$1,956.48	$2,608.64	$13.23 – $48.60	26
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103	not published	not published	$20.80 – $44.63	2
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102	$530.83	$707.76	$19.66 – $636.98	36
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124	$983.03	$1,310.70	$4.17 – $412.51	36
Drsg sht 5.625x4.625in std HCPCS A6025	$639.00	$852.00	$11.03 – $40.50	26
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008	not published	not published	$529.45 – $529.45	1
Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117	not published	not published	$28.41 – $85.37	2
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104	$26,932.05	$35,909.40	$90.30 – $7,205.21	36
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007	$22,027.50	$29,370.00	$127.14 – $1,215.00	36
Drug admin & hemodynmic meas CPT 93463	$3,098.25	$4,131.00	$93.63 – $3,717.90	34
Drug assay caffeine CPT 80155	$59.25	$79.00	$7.72 – $71.10	36
Drug assay posaconazole CPT 80187	$186.00	$248.00	$27.11 – $223.20	36
Drug assay rufinamide CPT 80210	$135.75	$181.00	$27.11 – $162.90	36
Drug assay vedolizumab CPT 80280	$949.50	$1,266.00	$38.57 – $1,139.40	36
Drug assay voriconazole CPT 80285	$186.00	$248.00	$27.11 – $157.50	36
Drug asy hydroxychloroquine CPT 80220	$531.75	$709.00	$18.64 – $613.80	36
Drug of abuse screen urine CPT 80305	$63.75	$85.00	$12.60 – $76.50	36
Drug screen quant tiagabine CPT 80199	$260.25	$347.00	$9.85 – $312.30	36
Drug test def 1-7 classes HCPCS G0480	not published	not published	$241.74 – $241.74	1
Drug test def 15-21 classes HCPCS G0482	not published	not published	$419.84 – $419.84	1
Drug test def 22+ classes HCPCS G0483	not published	not published	$521.63 – $521.63	1
Drug test def 8-14 classes HCPCS G0481	not published	not published	$330.79 – $330.79	1
Drug test prsmv instrmnt CPT 80306	not published	not published	$36.21 – $41.13	2
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307	$732.00	$976.00	$2.45 – $111.85	36
Drvvt confirm - quest CPT 85597	$255.75	$341.00	$9.23 – $306.90	36
Dstrj nulyt agt gnclr nrv CPT 64624	$1,746.75	$2,329.00	$570.61 – $3,591.04	36
Ductogram sgl duct CPT 77053	$515.25	$687.00	$168.32 – $618.30	33
Duodenal motility study CPT 91022	$1,729.50	$2,306.00	$381.24 – $2,075.40	36
Dup scan/hemodialysis access 93990 CPT 93990	$835.50	$1,114.00	$106.81 – $1,002.60	36
Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924	$963.75	$1,285.00	$220.60 – $1,156.50	36
Dup scan/ue art/graft/bilat/comp 93930 CPT 93930	$782.25	$1,043.00	$243.77 – $938.70	36
Duplex scan bilateral study 93985 CPT 93985	$657.75	$877.00	$214.87 – $789.30	36
Duplex scan unilateral study 93986 CPT 93986	$124.50	$166.00	$40.67 – $192.26	36
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432	$23,482.80	$31,310.40	$127.14 – $7,265.70	36
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	$143.22 – $300.62	2
Dx aly aud oi snd prcsr 1st CPT 92622	$183.00	$244.00	$59.78 – $236.63	36
Dx bronchoscope/brush 31623 CPT 31623	$2,283.00	$3,044.00	$745.78 – $3,273.21	35
Dx bronchoscope/lavage 31624 CPT 31624	$2,886.75	$3,849.00	$943.01 – $3,464.10	35
Dx bronchoscope/wash 31622 CPT 31622	$2,734.50	$3,646.00	$893.27 – $3,281.40	35
Dxa bone density axl vrt fx CPT 77085	$591.75	$789.00	$106.81 – $710.10	36
E coli 0157 ag ia CPT 87335	not published	not published	$5.67 – $30.39	3
E equine encephalitis igg CPT 86652	$135.75	$181.00	$6.98 – $162.90	36
ER Visit (level 1, minor) CPT 99281	$312.00	$416.00	$86.15 – $374.40	34
ER Visit (level 2) CPT 99282	$510.00	$680.00	$156.87 – $612.00	34
ER Visit (level 3) CPT 99283	$850.50	$1,134.00	$277.83 – $1,020.60	34
ER Visit (level 4) CPT 99284	$1,334.25	$1,779.00	$426.30 – $1,601.10	34
ER Visit (level 5, high severity) CPT 99285	$4,134.00	$5,512.00	$496.13 – $1,822.50	34
Ear and throat examination CPT 92502	$579.00	$772.00	$189.14 – $991.82	36
Ear canal biopsy 69105 CPT 69105	$1,768.50	$2,358.00	$577.71 – $2,853.34	36
Ear irrigation 69209 CPT 69209	$216.75	$289.00	$60.27 – $260.10	36
Ecallantide injection HCPCS J1290	not published	not published	$974.37 – $2,037.25	2
Ecg 12 lead tracing only CPT 93005	$292.50	$390.00	$60.27 – $351.00	36
Ecg < 30 days transmission & analysis CPT 93271	$624.75	$833.00	$97.13 – $749.70	36
Ecg external < 48 hours recording CPT 93225	$500.25	$667.00	$135.93 – $600.30	36
Ecg external < 48 hours scanning analysis w/report CPT 93226	$567.00	$756.00	$60.27 – $680.40	36
Ecg external > 48 hours up to 7 days recording CPT 93242	$238.50	$318.00	$38.16 – $286.20	36
Ecg external >7 days up to 15 days recording CPT 93246	$238.50	$318.00	$38.16 – $286.20	36
Echo exam of eye CPT 76516	not published	not published	$67.44 – $466.11	2
Echo exam of eye CPT 76519	not published	not published	$104.73 – $466.11	2
Echo exam of eye CPT 76529	not published	not published	$147.51 – $346.32	2
Echo exam of eye thickness CPT 76514	not published	not published	$10.14 – $105.75	2
Echo exam of fetal heart CPT 76825	$644.25	$859.00	$210.46 – $1,004.85	36
Echo exam of fetal heart CPT 76826	$480.75	$641.00	$157.05 – $576.90	36
Echo exam of fetal heart CPT 76827	$576.75	$769.00	$106.81 – $692.10	36
Echo exam of fetal heart CPT 76828	$300.75	$401.00	$61.98 – $360.90	36
Echo exam uterus 76831- CPT 76831	$825.75	$1,101.00	$224.82 – $990.90	36
Echo guidance radiotherapy CPT 76965	not published	not published	$75.63 – $75.63	1
Echo guide for amniocentesis CPT 76946	$680.25	$907.00	$32.28 – $816.30	36
Echo guide for artery repair CPT 76936	$1,386.00	$1,848.00	$220.60 – $1,663.20	36
Echo guide for heart biopsy CPT 76932	not published	not published	$164.85 – $164.85	1
Echo guide for transfusion CPT 76941	$317.25	$423.00	$103.64 – $380.70	26
Echo guide villus sampling CPT 76945	$693.75	$925.00	$152.91 – $832.50	26
Echo stress CPT 93350	$1,949.25	$2,599.00	$558.25 – $2,339.10	36
Echo tee guidance CPT 93355	$2,007.00	$2,676.00	$189.62 – $2,408.40	36
Echo tee probe placement image acquisition interpretation & report CPT 93312	$2,282.25	$3,043.00	$558.25 – $2,738.70	36
Echo transesophageal CPT 93315	$1,826.25	$2,435.00	$558.25 – $2,191.50	36
Echo transesophageal intraop CPT 93318	$1,165.50	$1,554.00	$380.73 – $1,398.60	36
Echo transthoracic CPT 93303	$1,922.25	$2,563.00	$558.25 – $2,306.70	36
Echo transthoracic CPT 93304	$1,341.75	$1,789.00	$438.31 – $1,610.10	36
Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307	$1,278.75	$1,705.00	$243.77 – $1,534.50	36
Echocardiogram (Heart Ultrasound) CPT 93306	$2,126.25	$2,835.00	$558.25 – $2,551.50	36
Echocardiography doppler color flow mapping CPT 93325	$407.25	$543.00	$21.85 – $488.70	36
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929	$2,126.25	$2,835.00	$694.58 – $2,551.50	36
Echocardiography transthoracic 2d followup/limited CPT 93308	$939.00	$1,252.00	$243.77 – $1,126.80	36
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924	$939.00	$1,252.00	$306.74 – $1,126.80	36
Echocardiograpy doppler follow up/limited study CPT 93321	$350.25	$467.00	$23.64 – $420.30	36
Echograp trans r pros study CPT 76873	not published	not published	$274.08 – $466.11	2
Ecmo/ecls daily mgmt artery 33949 CPT 33949	$4,409.25	$5,879.00	$206.33 – $5,291.10	34
Ecmo/ecls daily mgmt-venous 33948 CPT 33948	$4,324.50	$5,766.00	$214.18 – $5,189.40	34
Ecmo/ecls initiation artery 33947 CPT 33947	$3,066.75	$4,089.00	$304.72 – $3,680.10	34
Ecmo/ecls initiation venous 33946 CPT 33946	$4,324.50	$5,766.00	$276.24 – $5,189.40	34
Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952	$15,762.00	$21,016.00	$380.18 – $18,914.40	34
Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299	$22,430.49	$29,907.31	$44.70 – $26,916.58	36
Edetate calcium disodium inj HCPCS J0600	$20,833.61	$27,778.14	$6,102.87 – $25,000.33	36
Eeg 41-60 minutes 95812-26 CPT 95812	$1,081.50	$1,442.00	$220.60 – $1,297.80	36
Eeg during surgery CPT 95955	$1,512.75	$2,017.00	$183.54 – $1,815.30	36
Eeg monitor/record/awake/drowsy 95816 CPT 95816	$1,099.50	$1,466.00	$220.60 – $1,319.40	36
Eeg monitoring/function test CPT 95958	$2,747.25	$3,663.00	$877.34 – $3,296.70	36
Eeg over 1 hour 95813 - 26 CPT 95813	$1,523.25	$2,031.00	$220.60 – $1,827.90	36
Eeg recording awake and asleep CPT 95819	$1,173.00	$1,564.00	$220.60 – $1,407.60	36
Eeg without vid 2-12 hr unmntr CPT 95705	$364.50	$486.00	$119.07 – $437.40	36
Eeg without vid 2-12hr cont mntr CPT 95707	$2,025.00	$2,700.00	$220.60 – $2,430.00	36
Eeg without vid ea 12-26hr cont CPT 95710	$4,050.00	$5,400.00	$381.24 – $4,860.00	36
Eeg without vid ea 12-26hr intmt CPT 95709	$2,361.75	$3,149.00	$381.24 – $2,834.10	36
Eeg wo vid 2-12hr intmt mntr CPT 95706	$1,181.25	$1,575.00	$220.60 – $1,417.50	36
Eeg wo vid ea 12-26hr unmntr CPT 95708	$364.50	$486.00	$119.07 – $686.23	36
Eeg/cerebral death evaluation only 95824 -26 CPT 95824	$1,116.75	$1,489.00	$364.81 – $1,340.10	36
Eeg/record in coma or sleep only 95822 CPT 95822	$1,091.25	$1,455.00	$220.60 – $1,309.50	36
Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332	not published	not published	$54.42 – $110.50	2
Egd Ultrasound exam duodenum/jejunum CPT 43259	$3,135.75	$4,181.00	$1,024.35 – $3,762.90	35
Egd Ultrasound fine needle bx/aspir CPT 43238	$4,259.25	$5,679.00	$1,391.36 – $5,111.10	35
Egd Ultrasound fine needle bx/aspir CPT 43242	$3,514.50	$4,686.00	$1,148.07 – $4,217.40	35
Egd Ultrasound transmural injxn/mark CPT 43253	$4,423.50	$5,898.00	$1,445.01 – $5,308.20	36
Egd balloon dil esoph30 mm/> CPT 43233	$2,440.50	$3,254.00	$797.23 – $3,528.85	36
Egd control bleeding any CPT 43255	$2,553.75	$3,405.00	$834.23 – $3,528.85	35
Egd dilate stricture CPT 43245	$3,148.50	$4,198.00	$1,028.51 – $3,778.20	35
Egd endo mucosal resection CPT 43254	$4,083.75	$5,445.00	$1,334.03 – $4,900.50	36
Egd endoscopic stent place CPT 43266	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	36
Egd esophagogastrc fndoplsty CPT 43210	$11,934.00	$15,912.00	$3,898.44 – $19,548.13	36
Egd flx trnsorl rmvl balo CPT 43291	$1,051.50	$1,402.00	$343.49 – $1,667.93	36
Egd guide wire insertion CPT 43248	$2,765.25	$3,687.00	$903.32 – $3,318.30	35
Egd injection varices CPT 43243	$2,571.75	$3,429.00	$840.11 – $3,528.85	35
Egd lesion ablation CPT 43270	$3,672.75	$4,897.00	$1,199.77 – $4,407.30	36
Egd remove foreign body CPT 43247	$2,295.00	$3,060.00	$749.70 – $2,754.00	35
Egd remove lesion snare CPT 43251	$2,597.25	$3,463.00	$848.44 – $3,528.85	35
Egd varices ligation CPT 43244	$3,264.00	$4,352.00	$1,066.24 – $3,916.80	35
Egd w/thrml txmnt gerd CPT 43257	$5,043.00	$6,724.00	$1,647.38 – $7,090.16	36
Egd w/transmural drain cyst CPT 43240	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	35
Egd/insert intraluminal tube/cath 43241 CPT 43241	$2,502.75	$3,337.00	$817.57 – $3,528.85	35
Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250	$2,736.75	$3,649.00	$894.01 – $3,528.85	35
Egfr gene com variants CPT 81235	not published	not published	$217.95 – $778.98	3
Ehrlicha chaffeensis amp prb CPT 87484	$105.00	$140.00	$34.30 – $126.00	36
Elec analys infus pump w/reprog 62368 CPT 62368	$669.75	$893.00	$218.79 – $803.70	36
Elect analysis of infusion pump 62367 CPT 62367	$509.25	$679.00	$166.36 – $611.10	36
Electrd sq emblem s-icd HCPCS C1896	$12,127.50	$16,170.00	$1,173.80 – $4,311.90	26
Electrical stimulation/unattended 97014 CPT 97014	$125.25	$167.00	$12.14 – $150.30	35
Electroacous eval hear aid/biaural 92595 CPT 92595	$97.50	$130.00	$31.85 – $117.00	26
Electrocochleography CPT 92584	$1,054.50	$1,406.00	$131.46 – $1,265.40	36
Electroconvulsive therapy 90870 CPT 90870	$1,353.00	$1,804.00	$441.98 – $1,623.60	35
Electrocorticography durng sx CPT 95829	$4,220.25	$5,627.00	$1,378.62 – $5,064.30	36
Electrode stimulation brain CPT 95961	$1,137.75	$1,517.00	$371.67 – $1,579.21	36
Electrolyte panel CPT 80051	$120.00	$160.00	$2.14 – $144.00	36
Electron microscopy diagnostic CPT 88348	$2,129.25	$2,839.00	$56.00 – $1,481.63	36
Electronic analysis with brain program ea add 15 min 95984 CPT 95984	$642.00	$856.00	$43.72 – $770.40	36
Electronic analysis with brain program first 15 min 95983 CPT 95983	$1,237.50	$1,650.00	$97.13 – $1,485.00	36
Electrophys map 3d add-on CPT 93613	$8,985.00	$11,980.00	$244.93 – $10,782.00	36
Electrophysiologic study CPT 93624	$10,470.75	$13,961.00	$3,420.45 – $14,343.48	36
Electrophysiology evaluation CPT 93619	$5,625.00	$7,500.00	$1,837.50 – $14,343.48	36
Electrophysiology evaluation CPT 93620	$13,146.75	$17,529.00	$4,294.61 – $15,776.10	36
Electrophysiology evaluation CPT 93621	$10,838.25	$14,451.00	$3,540.50 – $13,005.90	26
Electrophysiology evaluation CPT 93622	$6,516.00	$8,688.00	$2,128.56 – $7,819.20	26
Electrophysiology evaluation CPT 93641	$3,130.50	$4,174.00	$1,022.63 – $3,756.60	26
Electrophysiology evaluation CPT 93642	$3,121.50	$4,162.00	$1,019.69 – $3,745.80	36
Elosulfase alfa, injection HCPCS J1322	not published	not published	$515.41 – $1,060.29	2
Elotuzumab 300 mg intravenous solution HCPCS J9176	$11,443.25	$15,257.66	$8.04 – $10,299.03	36
Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323	not published	not published	$311.32 – $646.49	2
Emb w/colposcopy 58110 CPT 58110	$1,077.00	$1,436.00	$49.28 – $1,292.40	36
Emb without cervical dilation 58100 CPT 58100	$1,692.75	$2,257.00	$206.55 – $2,031.30	36
Embo or occlude vascular arterial s&i CPT 37242	$13,812.00	$18,416.00	$4,511.92 – $33,711.64	36
Embo or occlude vascular hemorrhage s&i CPT 37244	$11,680.50	$15,574.00	$3,815.63 – $21,229.61	36
Embo or occlude vascular tumor/organ/infarct s&i CPT 37243	$11,680.50	$15,574.00	$3,815.63 – $21,229.61	36
Embo or occlude vascular venous s&i CPT 37241	$15,038.25	$20,051.00	$4,912.50 – $21,229.61	34
Embolization s&i CPT 75894	$6,008.25	$8,011.00	$297.07 – $7,209.90	36
Embryo hatching CPT 89253	not published	not published	$321.78 – $927.72	3
Emg 2 ext w-w/o paraspinal area 95861 CPT 95861	$725.25	$967.00	$135.93 – $870.30	36
Emg 3 ext w-w/o paraspinal area 95863 CPT 95863	$869.25	$1,159.00	$131.46 – $1,043.10	36
Emg cranial nerve bilateral CPT 95868	$807.00	$1,076.00	$220.60 – $968.40	36
Emg needle test 1-extremity CPT 95860	$398.25	$531.00	$130.10 – $477.90	36
Emg needle test 4-extremities CPT 95864	$1,050.00	$1,400.00	$131.46 – $1,260.00	36
Emg thor paraspinal without t1/t2 CPT 95869	$383.25	$511.00	$125.20 – $459.90	36
Encephalitis, california igg/igm CPT 86651	$135.75	$181.00	$6.98 – $162.90	36
Encephalitis, st louis igg/igm CPT 86653	$135.75	$181.00	$6.98 – $162.90	36
Encephalitis, western equine igg/igm CPT 86654	$135.75	$181.00	$6.98 – $162.90	36
Endo abl/incom vein/ext/laser/#1 36478 CPT 36478	$6,948.00	$9,264.00	$2,269.68 – $8,337.60	35
Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475	$6,527.25	$8,703.00	$2,132.24 – $7,832.70	35
Endo cath bile duct s&i CPT 74328	$864.00	$1,152.00	$145.62 – $1,036.80	26
Endo cath panc duct s&i CPT 74329	$771.75	$1,029.00	$117.18 – $926.10	26
Endo cholangiopancreatograph CPT 43261	$3,543.00	$4,724.00	$1,157.38 – $7,090.16	35
Endo cholangiopancreatograph CPT 43262	$3,536.25	$4,715.00	$1,155.18 – $7,090.16	35
Endo outlet restrict w/tube HCPCS C9785	$12,180.75	$16,241.00	$3,979.05 – $19,548.13	36
Endo sleeve gastro w/tube HCPCS C9784	$12,180.75	$16,241.00	$3,979.05 – $14,616.90	26
Endocerv curettage w/scope 57456 CPT 57456	$592.50	$790.00	$193.55 – $711.00	36
Endocervical curettage 57505 CPT 57505	$956.25	$1,275.00	$312.38 – $1,693.80	36
Endoluminal bx urtr rnl plvs CPT 50606	$1,203.00	$1,604.00	$392.98 – $1,443.60	36
Endoluminl ivus oct c 1st CPT 92978	$3,315.00	$4,420.00	$1,082.90 – $3,978.00	24
Endoluminl ivus oct c ea CPT 92979	$3,258.00	$4,344.00	$1,064.28 – $3,909.60	24
Endoscopic Ultrasound exam esoph CPT 43237	$3,226.50	$4,302.00	$1,053.99 – $3,871.80	35
Endoscopic pancreatoscopy CPT 43273	$2,117.25	$2,823.00	$100.07 – $2,540.70	36
Endoscopy bowel pouch/biop CPT 44386	$2,199.75	$2,933.00	$718.59 – $2,639.70	35
Endoscopy of bowel pouch 44385 CPT 44385	$2,187.00	$2,916.00	$714.42 – $2,624.40	35
Endoscopy swallow (fees) vid CPT 92612	$551.25	$735.00	$180.08 – $661.50	36
Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238	$2,209.50	$2,946.00	$721.77 – $3,273.21	35
Endovasc rpr a-biiliac endogft 34705 CPT 34705	$10,604.25	$14,139.00	$1,361.89 – $12,725.10	36
Endovasc tempory vessel occl CPT 61623	$8,869.50	$11,826.00	$2,897.37 – $21,229.61	36
Endoven ther chem adhes 1st 36482 CPT 36482	$3,548.25	$4,731.00	$1,159.10 – $10,233.02	36
Endoven ther chem adhes sbsq 36483 CPT 36483	$4,050.75	$5,401.00	$135.23 – $4,860.90	36
Endovenous laser vein addon 36479 CPT 36479	$2,203.50	$2,938.00	$292.51 – $2,644.20	35
Endovenous rf abl vein addl CPT 36476	$6,432.75	$8,577.00	$263.94 – $7,719.30	35
Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177	$15,579.42	$20,772.56	$36.71 – $12,463.53	36
Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650	$109.71	$146.28	$0.94 – $6.89	26
Entamoeba histolytica ag eia - sendout CPT 87337	$89.25	$119.00	$6.05 – $54.00	36
Enzyme cell activity ra CPT 82658	$1,045.50	$1,394.00	$8.54 – $1,254.60	36
Enzyme histochemistry CPT 88319	$648.75	$865.00	$56.00 – $1,481.63	36
Ep & ablate supravent arrhyt CPT 93653	$23,285.25	$31,047.00	$7,606.52 – $48,067.18	36
Ep & ablate ventric tachy CPT 93654	$36,500.25	$48,667.00	$11,923.42 – $48,067.18	36
Ep induct arrhy by elect pacing CPT 93618	$3,894.75	$5,193.00	$1,243.91 – $4,673.70	36
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321	not published	not published	$93.49 – $192.29	2
Epidural lysis on single day 62264 CPT 62264	$2,673.00	$3,564.00	$873.18 – $3,207.60	35
Epidural/lumbar/sacral/ea add level64484 CPT 64484	$1,182.00	$1,576.00	$110.44 – $1,418.40	35
Epilepsy gen seq alys panel CPT 81419	not published	not published	$5,172.57 – $5,876.55	2
Epinephrine 0.1 mg/ml injection syringe HCPCS J0168	$831.94	$1,109.25	$3.65 – $47.17	26
Epinephrine 1 mg/ml im kit - adult HCPCS J0169	$424.18	$565.57	$2.22 – $48.95	26
Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165	not published	not published	$0.97 – $0.97	1
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166	$46.16	$61.54	$3.83 – $31.47	26
Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178	$161.59	$215.45	$2.65 – $193.91	26
Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300	$2,952.75	$3,937.00	$964.57 – $5,953.03	36
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885	$379.58	$506.10	$7.31 – $227.79	36
Epoetin alfa, 100 units esrd HCPCS Q4081	not published	not published	$1.28 – $5.92	2
Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106	$336.66	$448.88	$7.88 – $80.80	36
Epoetin beta non esrd HCPCS J0888	not published	not published	$2.37 – $10.29	2
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325	$208.65	$278.20	$27.22 – $129.92	26
Epstein barr early antigen antibody CPT 86663	$136.50	$182.00	$6.21 – $163.80	36
Epstein barr nuclear antigen antibody CPT 86664	$120.75	$161.00	$6.50 – $144.90	36
Epstein barr viral capsid antigen antibody igm CPT 86665	$120.75	$161.00	$6.50 – $41.40	36
Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327	$924.38	$1,232.50	$3.26 – $72.82	36
Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032	$7,173.42	$9,564.55	$20.55 – $8,608.10	36
Ercp bil/panc duct; each stent plcmt 43274 CPT 43274	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	36
Ercp biliary & pancreas CPT 74330	$943.50	$1,258.00	$197.85 – $1,132.20	26
Ercp ea duct/ampulla dilate CPT 43277	$4,199.25	$5,599.00	$1,371.76 – $7,090.16	36
Ercp lesion ablate w/dilate 43278 CPT 43278	$5,948.25	$7,931.00	$1,943.10 – $7,137.90	36
Ercp lithotripsy calculi CPT 43265	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	35
Ercp remove duct calculi 43264 CPT 43264	$3,955.50	$5,274.00	$1,292.13 – $7,090.16	35
Ercp remove forgn body duct 43275 CPT 43275	$3,726.00	$4,968.00	$1,217.16 – $4,471.20	36
Ercp sphincter pressure meas CPT 43263	$3,552.00	$4,736.00	$1,160.32 – $4,262.40	35
Ercp stent exchange w/dilate CPT 43276	$4,497.75	$5,997.00	$1,469.27 – $11,164.30	36
Ercp w/specimen collection CPT 43260	$4,277.25	$5,703.00	$1,397.24 – $7,090.16	35
Ergonovine 0.2 mg/ml inj HCPCS J1330	not published	not published	$6.96 – $17.05	2
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179	$5,213.48	$6,951.30	$76.76 – $6,256.17	36
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335	$107.31	$143.08	$11.47 – $42.13	26
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364	$209.75	$279.66	$26.13 – $95.99	26
Esd endoscopy or colonoscopy HCPCS C9779	$4,440.75	$5,921.00	$1,450.65 – $7,090.16	36
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805	$240.34	$320.45	$0.47 – $8.34	26
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806	not published	not published	$0.69 – $1.68	2
Esoph balloon distension tst CPT 91040	$622.50	$830.00	$203.35 – $747.00	36
Esoph egd dilation <30 mm CPT 43249	$2,597.25	$3,463.00	$848.44 – $3,528.85	35
Esoph endoscopy dilation CPT 43226	$2,205.75	$2,941.00	$720.55 – $3,528.85	35
Esoph imped funct test > 1hr CPT 91038	$1,232.25	$1,643.00	$381.24 – $1,478.70	36
Esoph imped function test CPT 91037	$1,190.25	$1,587.00	$220.60 – $1,428.30	36
Esoph scope w/sclerosis inj CPT 43204	$1,968.00	$2,624.00	$642.88 – $3,528.85	35
Esoph scope w/submucous inj CPT 43201	$3,268.50	$4,358.00	$1,067.71 – $3,922.20	35
Esophageal dilat s&i CPT 74360	$787.50	$1,050.00	$231.75 – $945.00	26
Esophageal motility CPT 78258	not published	not published	$450.81 – $1,613.97	2
Esophageal recording CPT 93616	$5,991.75	$7,989.00	$1,243.91 – $7,190.10	36
Esophagosc dilate balloon 30 CPT 43214	$2,101.50	$2,802.00	$686.49 – $3,528.85	36
Esophagosc flex trnsn biopsy CPT 43198	$2,230.50	$2,974.00	$728.63 – $2,676.60	36
Esophagoscop mucosal resect CPT 43211	$3,837.00	$5,116.00	$1,253.42 – $4,604.40	36
Esophagoscop stent placement CPT 43212	$6,977.25	$9,303.00	$2,279.24 – $11,164.30	36
Esophagoscop ultrasound exam CPT 43231	$3,936.00	$5,248.00	$1,285.76 – $4,723.20	35
Esophagoscopy balloon <30mm CPT 43220	$3,333.00	$4,444.00	$1,088.78 – $3,999.60	35
Esophagoscopy control bleed CPT 43227	$3,333.00	$4,444.00	$1,088.78 – $3,999.60	35
Esophagoscopy flex biopsy CPT 43202	$2,676.75	$3,569.00	$874.41 – $3,528.85	35
Esophagoscopy flex dx brush CPT 43197	$1,930.50	$2,574.00	$630.63 – $2,316.60	36
Esophagoscopy flex remove fb CPT 43215	$289.50	$386.00	$94.57 – $3,528.85	35
Esophagoscopy lesion ablate CPT 43229	$2,951.25	$3,935.00	$964.08 – $7,090.16	36
Esophagoscopy lesion removal CPT 43216	$3,778.50	$5,038.00	$1,234.31 – $4,534.20	35
Esophagoscopy retro balloon CPT 43213	$2,101.50	$2,802.00	$686.49 – $3,528.85	36
Esophagoscopy snare les remv CPT 43217	$3,438.00	$4,584.00	$1,123.08 – $4,125.60	35
Esophagoscopy w/us needle bx CPT 43232	$4,181.25	$5,575.00	$1,365.88 – $5,017.50	35
Esophagoscopy/flex/diagnostic 43200 CPT 43200	$2,623.50	$3,498.00	$857.01 – $3,148.20	35
Esophagoscopy/rigid/diagnostic 43191 CPT 43191	$2,690.25	$3,587.00	$878.82 – $3,528.85	36
Esophagus endoscopy/ligation CPT 43205	$3,386.25	$4,515.00	$1,106.18 – $4,063.50	35
Esophagus motility study CPT 91010	$1,332.75	$1,777.00	$381.24 – $1,599.30	36
Esophgl motil w/stim/perfus CPT 91013	$1,341.75	$1,789.00	$26.48 – $1,610.10	36
Establish access to aorta CPT 36160	$1,294.50	$1,726.00	$422.87 – $1,553.40	36
Establish access to artery CPT 36100	$2,063.25	$2,751.00	$481.91 – $2,475.90	36
Established Patient Office Visit (level 1) CPT 99211	$109.50	$146.00	$22.82 – $113.40	33
Established Patient Office Visit (level 2) CPT 99212	$114.00	$152.00	$37.24 – $136.80	33
Established Patient Office Visit (level 3) CPT 99213	$126.00	$168.00	$41.16 – $163.75	33
Established Patient Office Visit (level 4) CPT 99214	$147.75	$197.00	$48.27 – $233.70	33
Established Patient Office Visit (level 5) CPT 99215	$168.75	$225.00	$55.13 – $332.02	33
Estradiol total CPT 82670	$174.00	$232.00	$13.22 – $208.80	36
Estradiol valerate 10 mg inj HCPCS J1380	not published	not published	$12.95 – $87.01	2
Estrogens total-sendout CPT 82672	$270.00	$360.00	$10.26 – $324.00	36
Etanercept injection HCPCS J1438	$7,314.47	$9,752.62	$1,194.70 – $4,388.69	26
Ethanolamine oleate 100 mg HCPCS J1430	$1,622.73	$2,163.63	$518.63 – $1,947.27	36
Ethylene glycol -sendout CPT 82693	$79.50	$106.00	$7.59 – $95.40	36
Etonogestrel implant system HCPCS J7307	$4,715.65	$6,287.53	$1,540.44 – $5,658.78	26
Etoposide 20 mg/ml intravenous solution HCPCS J9181	$213.17	$284.22	$2.18 – $98.73	26
Etoposide 50 mg cap HCPCS J8560	$5,934.05	$7,912.06	$86.84 – $7,120.85	36
Euflexxa inj per dose HCPCS J7323	$1,186.77	$1,582.36	$105.58 – $712.05	36
Euglobulin lysis CPT 85360	not published	not published	$3.59 – $20.19	3
Evacuate mole of uterus CPT 59870	$5,835.00	$7,780.00	$1,906.10 – $7,002.00	35
Eval aud rehab status/first hr 92626 CPT 92626	$219.00	$292.00	$71.54 – $262.80	36
Eval/fit voice prosthesis iii, st CPT 92607	$431.25	$575.00	$117.02 – $517.50	36
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112	$237.00	$316.00	$36.26 – $284.40	36
Evaluation heart device CPT 93640	$3,057.00	$4,076.00	$998.62 – $3,668.40	26
Evaluation of speech fluency 92521 CPT 92521	$393.00	$524.00	$128.22 – $471.60	36
Evaluation psychiatric diagnostic CPT 90791	$509.25	$679.00	$166.36 – $611.10	36
Evasc prlng admn rx agnt 1st CPT 61650	$2,127.75	$2,837.00	$516.31 – $2,553.30	36
Evasc prlng admn rx agnt add CPT 61651	$272.25	$363.00	$88.94 – $397.25	36
Evasc repair of iliac artery; endograft 34718 CPT 34718	$15,243.75	$20,325.00	$1,102.48 – $18,292.50	36
Evasc rpr a-ao ndgft 34701 CPT 34701	$3,078.00	$4,104.00	$1,005.48 – $3,693.60	36
Evasc rpr a-ao ndgft rpt 34702 CPT 34702	$2,142.00	$2,856.00	$699.72 – $2,909.78	36
Evasc rpr a-biiliac ndgft rptr CPT 34706	$15,243.75	$20,325.00	$2,035.06 – $18,292.50	34
Evasc rpr a-iliac ndgft 34717 CPT 34717	$15,243.75	$20,325.00	$394.81 – $18,292.50	36
Evasc rpr a-unilac ndgft 34703 CPT 34703	$3,078.00	$4,104.00	$1,005.48 – $3,693.60	36
Evasc rpr a-unilac ndgft rpt CPT 34704	$10,196.25	$13,595.00	$2,006.94 – $12,235.50	36
Evasc rpr ilio-iliac ndgft CPT 34707	$1,826.25	$2,435.00	$596.58 – $2,191.50	34
Evasc rpr ilio-iliac rpt CPT 34708	$1,826.25	$2,435.00	$596.58 – $2,948.77	34
Event monitor CPT 93270	$330.00	$440.00	$38.13 – $396.00	36
Evok oa screening qual CPT 92558	$286.50	$382.00	$9.37 – $343.80	36
Evoked auditory tst complete CPT 92588	$628.50	$838.00	$205.31 – $754.20	36
Evoked oa emissions ltd CPT 92587	$234.00	$312.00	$76.44 – $397.08	36
Evoked potential visual not glaucoma CPT 95930	$1,172.25	$1,563.00	$220.60 – $1,406.70	36
Evoked potentials auditory screening automated analysis CPT 92650	$632.25	$843.00	$25.46 – $758.70	36
Evoked potentials upper limbs CPT 95925	$1,179.00	$1,572.00	$220.60 – $1,414.80	36
Ex palate/uvula lesion without closure 42104 CPT 42104	$3,629.25	$4,839.00	$1,185.56 – $6,097.09	36
Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012	$3,845.25	$5,127.00	$1,256.12 – $4,614.30	36
Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011	$2,397.75	$3,197.00	$783.27 – $3,037.27	36
Exam of vagina w/scope 57420 CPT 57420	$1,230.00	$1,640.00	$311.33 – $1,476.00	36
Exc arm/elbo les sc <3cm 24075 CPT 24075	$1,880.25	$2,507.00	$614.22 – $3,037.27	35
Exc back les sbq <3 cm 21930 CPT 21930	$2,531.25	$3,375.00	$826.88 – $3,037.50	35
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442	$2,448.00	$3,264.00	$723.47 – $2,937.60	36
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443	$2,319.75	$3,093.00	$757.79 – $3,037.27	36
Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440	$1,447.50	$1,930.00	$472.85 – $1,737.00	36
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421	$1,989.75	$2,653.00	$649.99 – $2,387.70	36
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423	$1,967.25	$2,623.00	$642.64 – $3,037.27	36
Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426	$3,483.00	$4,644.00	$1,137.78 – $5,341.73	35
Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401	$2,131.50	$2,842.00	$415.32 – $2,557.80	36
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403	$1,743.00	$2,324.00	$569.38 – $2,091.60	36
Exc benign feenlm 3.1-4.0cm 11444 CPT 11444	$3,069.75	$4,093.00	$1,002.79 – $3,683.70	35
Exc benign snhfg 3.1-4.0cm 11424 CPT 11424	$2,306.25	$3,075.00	$753.38 – $3,037.27	35
Exc benign tal 0.5 < cm 11400 CPT 11400	$2,040.00	$2,720.00	$666.40 – $2,448.00	36
Exc face tum deep 2cm/> 21014 CPT 21014	$6,184.50	$8,246.00	$2,020.27 – $7,421.40	36
Exc feenl mal+mrg 2.1-3 11643 CPT 11643	$2,185.50	$2,914.00	$713.93 – $3,037.27	36
Exc forearm les sc 3 cm/> CPT 25071	$3,778.50	$5,038.00	$1,234.31 – $4,534.20	36
Exc hand les sc < 1.5 cm CPT 26115	$1,897.50	$2,530.00	$619.85 – $3,037.27	35
Exc hidradenitis peri/umb int 11470 CPT 11470	$3,294.00	$4,392.00	$1,076.04 – $5,341.73	35
Exc im tumor/shoulder area 5cm/> 23073 CPT 23073	$3,294.00	$4,392.00	$1,076.04 – $5,341.73	36
Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810	$3,401.25	$4,535.00	$1,111.08 – $6,097.09	36
Exc mal+marg tal 1.1-2 cm 11602 CPT 11602	$2,151.75	$2,869.00	$415.32 – $2,582.10	36
Exc mal+marg tal 2.1-3 cm 11603 CPT 11603	$1,521.75	$2,029.00	$497.11 – $1,826.10	36
Exc mal+marg tal 3.1-4 cm 11604 CPT 11604	$1,891.50	$2,522.00	$617.89 – $2,269.80	35
Exc malig feenl 1.1-2 11642 CPT 11642	$2,185.50	$2,914.00	$713.93 – $2,622.60	36
Exc malig snhfg 2.1-3 cm 11623 CPT 11623	$2,306.25	$3,075.00	$753.38 – $3,037.27	36
Exc malig tal 0.6-1.0cm 11601 CPT 11601	$1,407.75	$1,877.00	$459.87 – $1,689.30	36
Exc malig tal <0.5cm 11600 CPT 11600	$1,407.75	$1,877.00	$459.87 – $1,689.30	36
Exc neck tum deep 5 cm/> CPT 21554	$3,294.00	$4,392.00	$1,076.04 – $5,341.73	36
Exc prtl bn phlnx toe CPT 28124	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	36
Exc snhfg mal+mrg 1.1-2 11622 CPT 11622	$2,185.50	$2,914.00	$713.93 – $2,622.60	36
Exc snhfg mal+mrg 3.1-4 11624 CPT 11624	$2,444.25	$3,259.00	$798.46 – $3,037.27	35
Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555	$4,381.50	$5,842.00	$1,431.29 – $5,257.80	35
Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552	$5,280.00	$7,040.00	$1,724.80 – $6,336.00	36
Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111	$1,897.50	$2,530.00	$619.85 – $3,037.27	36
Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075	$1,897.50	$2,530.00	$619.85 – $3,037.27	35
Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632	$4,661.25	$6,215.00	$1,522.68 – $5,593.50	36
Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337	$3,293.25	$4,391.00	$1,075.80 – $5,341.73	36
Exc thigh/knee les sc<3cm 27327 CPT 27327	$1,897.50	$2,530.00	$619.85 – $3,037.27	35
Exc thrombosed hemorrhoid 46320 CPT 46320	$5,596.50	$7,462.00	$1,222.56 – $6,715.80	36
Exc tmr sft tiss shldr subq <3cm CPT 23075	$1,880.25	$2,507.00	$614.22 – $3,037.27	35
Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606	$2,732.25	$3,643.00	$892.54 – $3,278.70	35
Exc/pilonidal cyst/sinus/simple 11770 CPT 11770	$3,163.50	$4,218.00	$1,033.41 – $5,341.73	35
Exchange biliary drg cath CPT 47536	$2,959.50	$3,946.00	$966.77 – $6,584.31	36
Exchange drainage catheter CPT 49423	$2,774.25	$3,699.00	$906.26 – $3,528.85	36
Exchange nephrostomy cath CPT 50435	$2,515.50	$3,354.00	$821.73 – $3,844.19	36
Excise anal ext tag/papilla CPT 46220	$1,380.00	$1,840.00	$450.80 – $2,200.61	35
Excise lip or cheek fold CPT 40819	$2,247.75	$2,997.00	$734.27 – $2,853.34	35
Excise/repair mouth lesion CPT 40812	$3,501.00	$4,668.00	$1,143.66 – $4,201.20	36
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441	$1,447.50	$1,930.00	$472.85 – $1,737.00	36
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422	$2,064.75	$2,753.00	$674.49 – $3,037.27	36
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402	$1,520.25	$2,027.00	$496.62 – $1,824.30	36
Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406	$3,723.75	$4,965.00	$1,216.43 – $4,468.50	35
Excision lesion mouth roof CPT 42106	$3,600.75	$4,801.00	$1,176.25 – $6,097.09	36
Excision of anal lesion(s) CPT 46922	$3,190.50	$4,254.00	$1,042.23 – $5,104.40	35
Excision of penis lesion(s) 54060 CPT 54060	$2,371.50	$3,162.00	$774.69 – $3,794.35	35
Excision of tongue lesion CPT 41112	$3,732.00	$4,976.00	$1,219.12 – $6,097.09	35
Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931	$3,255.75	$4,341.00	$1,063.55 – $3,906.90	36
Exercise tst brncspsm w/ecg CPT 94617	$337.50	$450.00	$33.08 – $244.67	36
Exercise w/hemodynamic meas CPT 93464	$3,198.75	$4,265.00	$209.04 – $3,838.50	34
Exome sequence analysis CPT 81415	$7,002.00	$9,336.00	$56.00 – $8,604.00	36
Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600	$4,848.75	$6,465.00	$1,019.30 – $5,818.50	36
Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789	$7,852.50	$10,470.00	$29.40 – $108.00	26
Explore penetrating wnd/extremity 20103 CPT 20103	$1,971.00	$2,628.00	$643.86 – $3,037.27	36
Explore woundchest 20101 CPT 20101	$2,113.50	$2,818.00	$690.41 – $3,794.35	36
Explore/treat knee joint CPT 27331	$4,723.50	$6,298.00	$1,543.01 – $6,017.17	35
Ext ecg>48hr<7d scan a/r CPT 93243	$238.50	$318.00	$77.91 – $286.20	36
Ext ecg>7d<15d scan a/r CPT 93247	$238.50	$318.00	$77.91 – $286.20	36
Extended culture of oocytes CPT 89272	not published	not published	$500.00 – $1,769.28	3
Extended visual field xm CPT 92083	$162.75	$217.00	$53.17 – $244.67	36
External chromosome analysis 20-25 cells CPT 88264	$457.50	$610.00	$56.00 – $549.00	36
External pretreatment of serum for use in antibody identification by dilution CPT 86976	not published	not published	$16.20 – $74.56	3
External profiling gene expression oncology (breast) mrna 21 genes CPT 81519	not published	not published	$67.55 – $9,295.20	3
External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237	$943.50	$1,258.00	$56.00 – $557.10	36
Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235	$234.00	$312.00	$8.48 – $72.90	36
Eye implant band 40 HCPCS C1784	$356.07	$474.75	$6.03 – $22.14	26
F-18 fdg pet diag HCPCS A9552	$2,773.11	$3,697.47	$905.88 – $3,327.72	26
F-18 florbetapir less than or equal to 10 mci HCPCS A9586	$5,679.38	$7,572.50	$1,825.64 – $6,815.25	36
F-18 fluciclovine per mci HCPCS A9588	not published	not published	$1,844.43 – $1,844.43	1
F9 full gene sequence CPT 81238	not published	not published	$1,267.50 – $1,440.00	2
Facial bones <3 CPT 70140	$570.00	$760.00	$61.98 – $684.00	36
Factor ix CPT 85250	$254.25	$339.00	$5.95 – $305.10	36
Factor ix alprolix recomb HCPCS J7201	$38,712.83	$51,617.10	$3.58 – $3,871.29	36
Factor ix complex HCPCS J7194	$4,991.63	$6,655.50	$1.70 – $2,994.98	36
Factor ix idelvion inj HCPCS J7202	$36,235.50	$48,314.00	$5.32 – $22.19	36
Factor ix non-recombinant HCPCS J7193	not published	not published	$2.23 – $2.23	1
Factor ix recomb gly rebinyn HCPCS J7203	not published	not published	$7.68 – $7.68	1
Factor ix recombinant nos HCPCS J7195	$7,321.05	$9,761.40	$1.84 – $2,196.32	36
Factor viii CPT 85240	$274.50	$366.00	$5.95 – $329.40	36
Factor viii HCPCS J7190	not published	not published	$1.90 – $1.90	1
Factor viii fc fusion recomb HCPCS J7205	$17,969.85	$23,959.80	$2.46 – $8,086.44	36
Factor viii nuwiq recomb 1iu HCPCS J7209	not published	not published	$1.97 – $1.97	1
Factor viii pegylated recomb HCPCS J7207	$11.10	$14.79	$1.81 – $6.66	36
Factor viii recomb novoeight HCPCS J7182	not published	not published	$2.54 – $2.54	1
Factor viii recomb obizur HCPCS J7188	$5,435.33	$7,247.10	$3.24 – $6,522.39	36
Factor viii recombinant nos HCPCS J7192	$11.10	$14.79	$1.21 – $4.44	36
Factor xiii anti-hem factor HCPCS J7180	not published	not published	$18.09 – $40.29	2
Factor xiii recomb a-subunit HCPCS J7181	$68.26	$91.01	$18.33 – $81.91	36
Fallopian tube recnl CPT 58345	$3,624.75	$4,833.00	$1,184.09 – $5,953.03	36
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358	not published	not published	$50.40 – $104.79	2
Family therapy with patient 50 min 90847 CPT 90847	$297.00	$396.00	$97.02 – $356.40	36
Family therapy without pt 50min 90846 CPT 90846	$309.75	$413.00	$101.19 – $371.70	36
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308	$8.88	$11.84	$0.04 – $2.91	26
Fancc gene CPT 81242	not published	not published	$43.83 – $87.90	3
Fat/lipids feces qualitative CPT 82705	not published	not published	$2.05 – $12.24	3
Fatty acids nonesterified CPT 82725	$121.50	$162.00	$6.30 – $145.80	36
Fda ide #g240020 carry bag HCPCS Q0499	$956.25	$1,275.00	$205.51 – $918.00	36
Fecal bilirubin test CPT 82252	not published	not published	$2.46 – $10.95	3
Fecal microbiota prep instil HCPCS G0455	$1,059.00	$1,412.00	$345.94 – $1,710.18	36
Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440	not published	not published	$107.57 – $217.42	2
Feeding tube reposition CPT 74355	not published	not published	$264.63 – $264.63	1
Felbamate (felbatol(r)) - sendout CPT 80167	$97.50	$130.00	$18.64 – $117.00	36
Feno poc CPT 95012	$153.75	$205.00	$38.16 – $184.50	36
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010	$35.94	$47.92	$1.59 – $5.82	26
Fern test HCPCS Q0114	not published	not published	$8.31 – $20.57	2
Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439	$3,736.68	$4,982.24	$1.10 – $4,484.02	36
Ferritin CPT 82728	$242.25	$323.00	$6.44 – $188.10	36
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138	$4,030.11	$5,373.48	$0.23 – $779.87	36
Ferumoxytol, esrd use HCPCS Q0139	not published	not published	$0.50 – $5.18	2
Fetal biophys profile w/nst 76818 CPT 76818	$831.75	$1,109.00	$106.81 – $998.10	36
Fetal chrom aneuploidy gsa panel CPT 81420	not published	not published	$13.28 – $1,821.72	3
Fetal contract stress test 59020 - 26 CPT 59020	$267.75	$357.00	$87.47 – $371.79	36
Fetal fibronectin CPT 82731	not published	not published	$30.47 – $154.59	3
Fetal hemoglobin (kleihauer betke) CPT 85460	not published	not published	$3.80 – $18.54	3
Fetal hemoglobin rosette CPT 85461	$204.00	$272.00	$3.80 – $244.80	36
Fetal lung maturity assess lam body dnst CPT 83664	not published	not published	$2.36 – $46.38	3
Fetal non stress test CPT 59025	$478.50	$638.00	$156.31 – $574.20	36
Fetal shunt placement w/us CPT 59076	$355.50	$474.00	$116.13 – $560.39	36
Fiasp for insulin pump use HCPCS J1811	not published	not published	$13.04 – $51.66	2
Fibrin degradation d dimer quantitative CPT 85379	$162.00	$216.00	$5.44 – $194.40	36
Fibrin degradation products CPT 85362	$171.00	$228.00	$3.59 – $205.20	36
Fibrin degrade semiquant CPT 85378	not published	not published	$3.90 – $23.34	3
Fibrinogen activity CPT 85384	$113.25	$151.00	$7.28 – $87.30	36
Fibrinolysins/coagulopathy screen interpretation/report CPT 85390	$72.00	$96.00	$7.22 – $86.40	36
Fibrinolytic antiplasmin CPT 85410	$103.50	$138.00	$3.59 – $124.20	36
Fibrinolytic plasminogen CPT 85415	$650.25	$867.00	$7.49 – $780.30	36
Fibrinolytic plasminogen xcpt antgnc asa CPT 85420	$544.50	$726.00	$3.39 – $653.40	36
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442	$1,964.97	$2,619.96	$1.02 – $1,353.65	36
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110	$492.48	$656.64	$0.28 – $369.34	36
Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101	$1,504.82	$2,006.42	$0.35 – $1,128.60	36
Filter spider fx 3mmx320cm HCPCS C1884	$8,212.50	$10,950.00	$735.00 – $2,700.00	26
Filter vena cava fem denali HCPCS C1880	$4,659.75	$6,213.00	$624.75 – $2,295.00	26
Filtered speech hearing test CPT 92571	$237.00	$316.00	$38.16 – $284.40	36
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	$209.97 – $771.30	36
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008	$1,165.50	$1,554.00	$132.81 – $1,398.60	36
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007	$1,219.50	$1,626.00	$398.37 – $1,463.40	36
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006	$1,165.50	$1,554.00	$58.09 – $1,398.60	36
Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004	$226.50	$302.00	$51.17 – $271.80	36
Fixation of knee joint CPT 27570	$1,863.75	$2,485.00	$608.83 – $2,957.08	35
Fl exam g/colon tube w contrast CPT 49465	$565.50	$754.00	$184.73 – $678.60	36
Flebogamma injection HCPCS J1572	$3,562.92	$4,750.55	$90.74 – $2,137.75	36
Flecainide (tambocor)-sendout CPT 80181	$96.00	$128.00	$18.64 – $115.20	36
Flexible Sigmoidoscopy CPT 45330	$1,763.25	$2,351.00	$576.00 – $2,115.90	36
Florbetaben f18 diagnostic HCPCS Q9983	not published	not published	$12,138.00 – $12,138.00	1
Flortaucipir inj 1 millicuri HCPCS A9601	not published	not published	$1,249.50 – $1,249.50	1
Flotufolastat f18 diag 1 mci HCPCS A9608	not published	not published	$2,260.62 – $2,260.62	1
Flow cytometry interp 16 or more CPT 88189	not published	not published	$77.07 – $191.19	3
Flow cytometry marker each additional CPT 88185	$181.50	$242.00	$17.02 – $162.90	36
Flow cytometry one marker technical component CPT 88184	$270.75	$361.00	$34.54 – $659.18	36
Floxuridine injection HCPCS J9200	$14,923.11	$19,897.48	$4,250.97 – $17,907.73	36
Flt3 gene CPT 81245	$206.25	$275.00	$56.00 – $297.92	36
Flt3 gene analysis CPT 81246	not published	not published	$89.11 – $199.20	3
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450	$24.41	$32.54	$3.78 – $15.98	26
Fludarabine 50 mg intravenous solution HCPCS J9185	$601.96	$802.61	$92.97 – $341.52	26
Fluid pressure muscle 20950 CPT 20950	$445.50	$594.00	$145.53 – $1,302.25	36
Fluidotherapy charges pt CPT 97022	$139.50	$186.00	$14.86 – $167.40	35
Fluocinol acet intravit imp HCPCS J7313	not published	not published	$836.29 – $1,704.05	2
Fluocinolone acetonide implt HCPCS J7311	$70,344.94	$93,793.25	$338.79 – $84,413.93	36
Fluorescent antibody titer dna CPT 86256	$429.75	$573.00	$12.05 – $62.10	36
Fluoro polarize fetal lung CPT 83663	not published	not published	$4.62 – $45.39	3
Fluorodopa f-18 diag per mci HCPCS A9602	not published	not published	$1,780.94 – $1,780.94	1
Fluoroestradiol f 18 HCPCS A9591	not published	not published	$2,745.93 – $2,745.93	1
Fluoroguide for spine inject 77003-26 CPT 77003	$843.75	$1,125.00	$97.32 – $1,012.50	36
Fluoroguide needle placement CPT 77002	$599.25	$799.00	$112.36 – $719.10	36
Fluoroscopy up to 1 hour CPT 76000	$818.25	$1,091.00	$76.53 – $981.90	36
Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190	$203.74	$271.65	$2.82 – $10.34	26
Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680	$380.85	$507.79	$12.65 – $116.34	26
Flutemetamol f18 diagnostic HCPCS Q9982	not published	not published	$11,424.00 – $11,424.00	1
Fmri brain by phys/psych CPT 70555	not published	not published	$1,690.32 – $1,690.32	1
Fmri brain by tech CPT 70554	$1,157.25	$1,543.00	$243.77 – $1,388.70	30
Fna bx w/ct gdn 1st les CPT 10009	$900.75	$1,201.00	$294.25 – $1,302.25	36
Fna bx w/ct gdn ea addl CPT 10010	$847.50	$1,130.00	$220.03 – $1,017.00	36
Fna bx w/mr gdn 1st les CPT 10011	$900.75	$1,201.00	$294.25 – $1,302.25	36
Fna bx w/mr gdn ea addl CPT 10012	$847.50	$1,130.00	$276.85 – $1,017.00	24
Foam stability fetal lung CPT 83662	not published	not published	$7.08 – $45.39	3
Folic acid CPT 82746	$85.50	$114.00	$6.95 – $102.60	36
Folic acid 5 mg/ml injection solution HCPCS J1808	$78.99	$105.31	$0.08 – $79.21	26
Follow-up angiography CPT 75898	$2,599.50	$3,466.00	$849.17 – $5,806.57	36
Fomepizole 1 gram/ml intravenous solution HCPCS J1451	$1,261.49	$1,681.98	$6.54 – $1,480.90	36
Fondaparinux sodium HCPCS J1652	$121.83	$162.44	$1.19 – $21.39	26
Foot X-ray CPT 73630	$420.00	$560.00	$72.00 – $504.00	36
Forensic cytopathology CPT 88125	not published	not published	$12.09 – $33.57	3
Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450	$285.00	$380.00	$93.10 – $459.47	34
Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453	$1,233.17	$1,644.22	$0.18 – $44.87	26
Foscarnet sodium injection HCPCS J1455	$1,101.86	$1,469.14	$26.17 – $698.83	26
Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009	$94.85	$126.46	$1.33 – $9.05	36
Fractionation ketosteroids CPT 83593	not published	not published	$13.54 – $68.40	3
Fracture assessment via dxa CPT 77086	$771.00	$1,028.00	$70.17 – $925.20	36
Fragmenting of kidney stone CPT 50590	$9,827.25	$13,103.00	$3,210.24 – $11,792.70	36
Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059	$168.75	$225.00	$55.13 – $202.50	36
Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017	$223.50	$298.00	$73.01 – $268.20	36
Fresh frozen plasma thawing ea un CPT 86927	$131.25	$175.00	$9.90 – $313.31	36
Frozen blood freeze/thaw CPT 86932	not published	not published	$48.40 – $212.00	3
Frozen blood prep CPT 86930	not published	not published	$24.20 – $249.28	3
Frozen blood thaw CPT 86931	not published	not published	$36.50 – $187.14	3
Frozen cell preparation CPT 88241	not published	not published	$4.62 – $29.01	3
Frozen plasma, pooled, sd HCPCS P9023	not published	not published	$2.46 – $2.46	1
Fructosamine glycated protein CPT 82985	$76.50	$102.00	$6.46 – $77.40	36
Ftl cgen abnor four anal CPT 81511	not published	not published	$46.48 – $368.40	3
Full mouth x-ray of teeth CPT 70320	not published	not published	$116.58 – $985.19	2
Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220	$2,910.75	$3,881.00	$950.85 – $3,794.35	35
Furosemide 10 mg/ml injection solution HCPCS J1938	$19.53	$26.04	$0.03 – $2.91	26
G-esoph reflx tst w/electrod CPT 91035	$1,684.50	$2,246.00	$550.27 – $2,021.40	36
G-tube reposition CPT 43761	$631.50	$842.00	$206.29 – $757.80	36
G6pc gene CPT 81250	not published	not published	$60.88 – $140.37	3
G6pd full gene sequence CPT 81249	not published	not published	$1,267.50 – $1,440.00	2
G6pd gene alys cmn variant CPT 81247	not published	not published	$369.30 – $419.55	2
G6pd known familial variant CPT 81248	not published	not published	$792.71 – $900.60	2
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 – $187.20	36
Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585	$177.43	$236.57	$0.44 – $42.62	26
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579	not published	not published	$2.47 – $18.76	2
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575	$119.29	$159.05	$0.02 – $0.09	26
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581	$486.60	$648.79	$24.70 – $583.91	26
Galac-1-phosphate uridyltran - sendout CPT 82775	$85.50	$114.00	$11.18 – $102.60	36
Galactokinase - sendout CPT 82759	not published	not published	$8.52 – $51.54	3
Galactose transferase test CPT 82776	not published	not published	$4.41 – $28.17	3
Galectin-3 CPT 82777	$280.50	$374.00	$7.12 – $272.70	36
Gallium ga-68 dotatoc HCPCS C9067	not published	not published	$27.06 – $27.06	1
Gallium ga-68 psma-11 ucsf HCPCS A9593	not published	not published	$2,776.97 – $2,776.97	1
Gallium ga-68 psma-11, ucla HCPCS A9594	not published	not published	$2,718.94 – $2,718.94	1
Gallium illuccix 1 millicure HCPCS A9596	not published	not published	$3,688.51 – $3,688.51	1
Gallium locametz 1 millicuri HCPCS A9800	not published	not published	$2,941.68 – $2,941.68	1
Gamma globulin 1 cc inj HCPCS J1460	not published	not published	$81.35 – $169.72	2
Gamma globulin > 10 cc inj HCPCS J1560	not published	not published	$280.66 – $1,697.15	2
Gamma glutamyltransferase CPT 82977	$77.25	$103.00	$3.41 – $92.70	36
Gammaglobulin iga CPT 82784	$183.00	$244.00	$4.40 – $47.70	36
Gammaglobulin ige CPT 82785	$148.50	$198.00	$7.79 – $178.20	36
Gammaplex injection HCPCS J1557	not published	not published	$104.93 – $304.75	2
Gamunex-c/gammaked HCPCS J1561	$8,519.04	$11,358.72	$49.73 – $2,555.71	36
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570	$94.28	$125.70	$30.07 – $110.46	26
Gardner vag dna quant CPT 87512	not published	not published	$17.13 – $100.23	3
Gastric analy w/ph ea spec CPT 82930	not published	not published	$3.07 – $16.11	3
Gastric emptying imag study CPT 78265	not published	not published	$858.63 – $1,613.97	2
Gastric emptying imag study CPT 78266	not published	not published	$984.30 – $2,095.20	2
Gastric motility studies CPT 91020	$1,942.50	$2,590.00	$381.24 – $2,331.00	36
Gastric mucosa imaging CPT 78261	not published	not published	$430.92 – $1,613.97	2
Gastrin test CPT 82938	$138.00	$184.00	$9.34 – $165.60	36
Gastroesophageal reflux study CPT 78262	$1,232.25	$1,643.00	$402.54 – $1,478.70	36
Gastroesophageal reflux test CPT 91034	$1,635.75	$2,181.00	$381.24 – $1,962.90	36
Gated heart multiple CPT 78473	not published	not published	$549.18 – $1,613.97	2
Gba gene CPT 81251	not published	not published	$99.81 – $133.71	3
Gel-one HCPCS J7326	not published	not published	$880.34 – $4,105.50	2
Gel-syn injection 0.1 mg HCPCS J7328	$1,330.04	$1,773.38	$0.68 – $1,596.04	36
Gemcitabine 1 gram intravenous solution HCPCS J9201	$168.02	$224.02	$4.71 – $17.30	26
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203	$37,698.54	$50,264.71	$240.17 – $45,238.24	36
General health panel CPT 80050	not published	not published	$17.10 – $88.05	3
Generator barostim neo2 2014 HCPCS C1767	$83,687.18	$111,582.90	$294.00 – $1,080.00	26
Generator emblem MRI sicd subq HCPCS C1722	$61,875.00	$82,500.00	$5,846.13 – $21,475.58	26
Genetic tstg severe inh cond CPT 81443	$11,208.75	$14,945.00	$56.00 – $7,952.40	36
Genome sequence analysis CPT 81425	$8,306.25	$11,075.00	$0.03 – $9,056.16	36
Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580	$85.57	$114.09	$0.79 – $2.91	26
Gentamicin peak therapeutic drug level CPT 80170	$156.75	$209.00	$8.52 – $188.10	36
Genvisc 850, inj, 1mg HCPCS J7320	not published	not published	$10.11 – $56.98	2
Ghs HIV antibody CPT 86703	$147.75	$197.00	$6.49 – $90.00	36
Ghs IV inf sq injection, on-body injector CPT 96377	$166.50	$222.00	$47.84 – $199.80	36
Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245	$784.50	$1,046.00	$256.27 – $941.40	26
Ghs IV infusion casirivimab/imdevimab HCPCS M0243	$784.50	$1,046.00	$256.27 – $941.40	26
Ghs IV infusion sotrovimab HCPCS M0247	$784.50	$1,046.00	$256.27 – $941.40	26
Ghs IV thrombolytics - cerebral CPT 37195	$541.50	$722.00	$176.89 – $649.80	36
Ghs abscess perianal iandd CPT 46050	$2,153.25	$2,871.00	$703.40 – $2,583.90	35
Ghs abscess postoperative iandd complex CPT 10180	$4,318.50	$5,758.00	$1,410.71 – $5,341.73	35
Ghs acetylcholinesterase, rbc CPT 82482	$133.50	$178.00	$4.00 – $160.20	36
Ghs alcohol, methyl (methanol)-medtox CPT 84600	$858.00	$1,144.00	$8.41 – $214.20	36
Ghs alpha thalasemia, 7 deletions CPT 81257	not published	not published	$97.89 – $245.43	3
Ghs analysis neurostim without reprogramming CPT 95970	$829.50	$1,106.00	$135.93 – $995.40	36
Ghs antibodies (torch) igm CPT 86694	$131.25	$175.00	$6.81 – $157.50	36
Ghs bladder cath - complex-foley CPT 51703	$277.50	$370.00	$90.65 – $333.00	36
Ghs bleeding time (ivy) CPT 85002	not published	not published	$2.13 – $11.58	3
Ghs block ilioinguinal/gentitofemoral CPT 64425	$1,471.50	$1,962.00	$480.69 – $1,765.80	36
Ghs central line insert < age 5, failed CPT 36555	$2,676.75	$3,569.00	$874.41 – $5,806.57	35
Ghs change cysto/gastrost CPT 43762	$909.00	$1,212.00	$255.26 – $1,090.80	36
Ghs chemo >8 hrs CPT 96416	$862.50	$1,150.00	$281.75 – $1,035.00	36
Ghs chemo IV push, ea addtl CPT 96411	$736.50	$982.00	$73.56 – $883.80	36
Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486	$744.75	$993.00	$17.13 – $893.70	36
Ghs cl tx knee disl; wo anesth CPT 27550	$261.75	$349.00	$85.51 – $453.62	35
Ghs cl tx metacarpophal disloc without anes CPT 26700	$471.75	$629.00	$154.11 – $566.10	36
Ghs closd tx interphalang jt disloc w/ma CPT 26770	$630.00	$840.00	$205.80 – $756.00	36
Ghs closed reduction ankle dislocation CPT 27840	$732.75	$977.00	$239.37 – $879.30	35
Ghs closed tx bimalleolar fracture w/manip CPT 27810	$1,198.50	$1,598.00	$391.51 – $2,957.08	35
Ghs closed tx radiocarpal disloc w manip CPT 25660	$273.00	$364.00	$89.18 – $453.62	34
Ghs closed tx tibial fracture w/manip CPT 27752	$1,547.25	$2,063.00	$505.44 – $2,957.08	35
Ghs closure surg wound/dehiscence-13160 CPT 13160	$2,182.50	$2,910.00	$712.95 – $6,516.86	35
Ghs clsd red med malleolus fx w manip CPT 27762	$2,659.50	$3,546.00	$868.77 – $3,191.40	35
Ghs clsd red med malleolus fx without manip CPT 27760	$321.00	$428.00	$104.86 – $453.62	35
Ghs clsd tx frac distal tibia w/manipulation CPT 27825	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Ghs community re-entry 15 minutes CPT 97537	$96.75	$129.00	$30.70 – $116.10	36
Ghs conjunctiva foreign body-embed bil CPT 65210	$393.00	$524.00	$128.38 – $821.52	36
Ghs conjunctiva foreign body-superf bil CPT 65205	$351.75	$469.00	$114.91 – $422.10	36
Ghs corneal fb with slit lamp bilat CPT 65222	$372.00	$496.00	$121.52 – $446.40	36
Ghs corneal fb without slit lamp bilat CPT 65220	$422.25	$563.00	$137.94 – $821.52	36
Ghs cricothyroidotomy CPT 31605	$271.50	$362.00	$88.69 – $435.56	34
Ghs diphtheria toxoid ab igg CPT 86648	not published	not published	$6.36 – $36.51	3
Ghs dislocation elbow closed treatment CPT 24600	$525.75	$701.00	$171.75 – $630.90	35
Ghs ed peritoneal lavage w guidance if performed CPT 49084	$3,175.50	$4,234.00	$926.63 – $3,810.60	36
Ghs ed rmvl or bivalving cast CPT 29700	$303.75	$405.00	$99.23 – $514.35	34
Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700	$843.75	$1,125.00	$220.60 – $1,012.50	36
Ghs elect vertical elct CPT 92547	$256.50	$342.00	$10.06 – $307.80	36
Ghs electrostagmgraphy CPT 92537	$931.50	$1,242.00	$131.46 – $1,117.80	36
Ghs epidermal shaving diameter >2.0 cm CPT 11303	$377.25	$503.00	$123.24 – $747.58	33
Ghs excision ingrown nail CPT 11765	$311.25	$415.00	$101.68 – $747.58	36
Ghs eye exam CPT 92002	$136.50	$182.00	$44.59 – $244.84	36
Ghs eyelid foreign body-embedded - bil CPT 67938	$349.50	$466.00	$114.17 – $583.70	36
Ghs fat & muscle CPT 89160	$45.75	$61.00	$1.54 – $54.90	36
Ghs fb removal - incisional CPT 10121	$1,253.25	$1,671.00	$409.40 – $3,037.27	35
Ghs fb removal - non-incisional CPT 20520	$1,897.50	$2,530.00	$619.85 – $3,037.27	36
Ghs fb removal foot - deep - left CPT 28192	$2,538.75	$3,385.00	$829.33 – $3,046.50	35
Ghs fb removal from muscle - complicated CPT 20525	$5,736.75	$7,649.00	$1,874.01 – $6,884.10	35
Ghs febrile agglutinns(mayo) CPT 86000	$76.50	$102.00	$3.69 – $91.80	36
Ghs fish cytogen CPT 88271	$1,133.25	$1,511.00	$13.45 – $95.40	36
Ghs fish hybrid in situ 100-300 CPT 88275	$566.25	$755.00	$39.94 – $146.70	36
Ghs flow volume loop CPT 94375	$364.50	$486.00	$119.07 – $437.40	36
Ghs gastric intub aspiration lavage CPT 43753	$363.75	$485.00	$118.83 – $436.50	36
Ghs hcv amplificaiton CPT 87521	$442.50	$590.00	$19.49 – $531.00	36
Ghs heavy metals bld (ars,lead,merc) CPT 82715	not published	not published	$8.14 – $55.14	3
Ghs hepatitis c virus (hcv riba) CPT 86804	$828.00	$1,104.00	$7.49 – $993.60	36
Ghs hgb stability-thal CPT 83068	$252.75	$337.00	$4.01 – $303.30	36
Ghs histoplasma antigen CPT 87385	$492.00	$656.00	$5.75 – $590.40	36
Ghs hla-dr/dq, multiple antigens CPT 86817	not published	not published	$34.06 – $254.73	3
Ghs i and d abscess/hematoma scrotum CPT 54700	$4,134.00	$5,512.00	$1,350.44 – $4,960.80	35
Ghs i and d perirectal abscess 46040 CPT 46040	$3,297.75	$4,397.00	$1,077.27 – $3,957.30	35
Ghs i and d pilonidal cyst complex CPT 10081	$2,460.00	$3,280.00	$723.47 – $2,952.00	36
Ghs i and d pilonidal cyst simple CPT 10080	$825.00	$1,100.00	$269.50 – $1,302.25	36
Ghs immun0electrophoresis CPT 86320	$178.50	$238.00	$17.95 – $214.20	36
Ghs incision thrombosed ext hemorrhoid CPT 46083	$526.50	$702.00	$171.99 – $631.80	36
Ghs inf midline insertion CPT 36140	$2,032.50	$2,710.00	$462.38 – $2,439.00	36
Ghs inhibitor screen CPT 85335	$662.25	$883.00	$6.09 – $214.20	36
Ghs init tx 1st degree burn CPT 16000	$485.25	$647.00	$158.52 – $582.30	36
Ghs inj neurolytic intercostal nerve CPT 64620	$3,021.75	$4,029.00	$903.63 – $3,626.10	35
Ghs inj neurolytic other perph nerve CPT 64640	$2,300.25	$3,067.00	$751.42 – $2,760.30	36
Ghs inj tendon origin/insertion CPT 20551	$293.25	$391.00	$95.80 – $564.48	36
Ghs inj transforaminal cerv ea add bil CPT 64480	$1,320.00	$1,760.00	$134.27 – $1,584.00	35
Ghs inj transforaminal cerv single bil CPT 64479	$1,727.25	$2,303.00	$564.24 – $2,072.70	35
Ghs insertion of needle - bone CPT 36680	$366.75	$489.00	$119.81 – $821.52	34
Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035	$2,315.25	$3,087.00	$415.32 – $2,778.30	35
Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036	$735.00	$980.00	$240.10 – $1,359.14	35
Ghs intermed repair over 30 cm - 12037 CPT 12037	$2,912.25	$3,883.00	$951.34 – $3,794.35	35
Ghs intro needle/intracath vein - 36000 CPT 36000	$240.00	$320.00	$29.25 – $288.00	36
Ghs irrigate corpora cavernosa for priapism CPT 54220	$286.50	$382.00	$93.59 – $459.47	35
Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250	$478.50	$638.00	$156.31 – $821.52	35
Ghs layer closure 2.5 cm or less - 12031 CPT 12031	$396.00	$528.00	$129.36 – $747.58	36
Ghs layer closure 2.5 cm or less - 12041 CPT 12041	$1,428.75	$1,905.00	$415.32 – $1,714.50	36
Ghs layer closure 2.5cm or less - 12051 CPT 12051	$550.50	$734.00	$179.83 – $747.58	36
Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052	$1,967.25	$2,623.00	$415.32 – $2,360.70	36
Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042	$2,092.50	$2,790.00	$415.32 – $2,511.00	36
Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053	$2,133.00	$2,844.00	$415.32 – $2,559.60	36
Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034	$876.00	$1,168.00	$286.16 – $1,051.20	35
Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044	$735.00	$980.00	$240.10 – $1,359.14	35
Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054	$471.75	$629.00	$154.11 – $747.58	35
Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045	$979.50	$1,306.00	$319.97 – $1,359.14	35
Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055	$471.75	$629.00	$154.11 – $747.58	35
Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056	$471.75	$629.00	$154.11 – $747.58	35
Ghs layered repair over 3.0 cm -12057 CPT 12057	$471.75	$629.00	$154.11 – $747.58	35
Ghs leukocyte alkaline phos (mayo) CPT 85540	not published	not published	$4.07 – $20.64	3
Ghs mbp CPT 83873	$108.00	$144.00	$9.03 – $129.60	36
Ghs moderate sedation < 5 yr, 30 min CPT 99151	$738.00	$984.00	$58.27 – $885.60	34
Ghs moderate sedation < 5 yr, 30 min, other CPT 99155	$525.75	$701.00	$80.69 – $630.90	34
Ghs moderate sedation ea addtl 15 min, other CPT 99157	$69.75	$93.00	$22.79 – $96.26	34
Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156	$667.50	$890.00	$70.35 – $801.00	34
Ghs musc test done w/n test comp CPT 95886	$392.25	$523.00	$93.72 – $470.70	36
Ghs musc tst done w/n tst non ext CPT 95887	$291.75	$389.00	$82.61 – $350.10	36
Ghs musc tst done w/nerv tst lim CPT 95885	$372.75	$497.00	$59.88 – $447.30	36
Ghs myocardial strain img spckl track CPT 93356	$138.00	$184.00	$34.28 – $165.60	34
Ghs nailbed repair/nail removal CPT 11760	$900.00	$1,200.00	$294.00 – $1,359.14	36
Ghs nerve blk intercostal, ea addtl level CPT 64421	$1,618.50	$2,158.00	$528.71 – $1,942.20	35
Ghs nerve blk intercostal, single level CPT 64420	$1,471.50	$1,962.00	$480.69 – $1,765.80	35
Ghs nerve block axillary nerve CPT 64417	$1,907.25	$2,543.00	$623.04 – $2,288.70	35
Ghs nerve block brachial plexus CPT 64415	$1,828.50	$2,438.00	$597.31 – $2,194.20	35
Ghs nerve block celiac plexus CPT 64530	$2,300.25	$3,067.00	$751.42 – $2,760.30	35
Ghs nerve block interscaline CPT 64510	$1,926.75	$2,569.00	$629.41 – $2,312.10	35
Ghs nerve block lumbar or thoracic symp CPT 64520	$1,907.25	$2,543.00	$623.04 – $2,288.70	35
Ghs nerve block sciatic nerve CPT 64445	$1,745.25	$2,327.00	$570.12 – $2,094.30	36
Ghs nerve block suprascapular CPT 64418	$1,471.50	$1,962.00	$480.69 – $1,765.80	36
Ghs ng placement w fluoro guidance CPT 43752	$684.75	$913.00	$223.69 – $821.70	36
Ghs o2 saturation CPT 82810	$106.50	$142.00	$9.77 – $127.80	36
Ghs o2 uptake rest & indirect CPT 94690	$433.50	$578.00	$60.27 – $520.20	36
Ghs opcc repair cvp w subq port CPT 36576	$5,914.50	$7,886.00	$1,608.25 – $7,097.40	35
Ghs opcc repair cvp without subq port CPT 36575	$2,205.00	$2,940.00	$640.89 – $2,646.00	35
Ghs optokenetic CPT 92544	$256.50	$342.00	$83.79 – $307.80	36
Ghs oscillating trac CPT 92545	$256.50	$342.00	$83.79 – $397.08	36
Ghs osteopathic manipulative tx, 1-2 regions CPT 98925	$54.00	$72.00	$17.64 – $64.80	36
Ghs osteopathic manipulative tx, 3-4 regions CPT 98926	$88.50	$118.00	$22.06 – $106.20	36
Ghs ot dds rom CPT 95851	$196.50	$262.00	$24.28 – $235.80	36
Ghs ot prosthetic training/15 min CPT 97761	$138.75	$185.00	$38.38 – $166.50	36
Ghs ot sensory integrative tech/15min CPT 97533	$138.75	$185.00	$45.33 – $166.50	36
Ghs pacing - transcutaneous CPT 92953	$940.50	$1,254.00	$307.23 – $1,215.47	34
Ghs paravert facet/nerve cerv ea add bil CPT 64492	$1,236.75	$1,649.00	$96.88 – $1,484.10	36
Ghs paravert facet/nerve lumb ea add bil CPT 64495	$1,053.00	$1,404.00	$93.37 – $1,263.60	36
Ghs path - pap (papanicolau) smear - vagina CPT 88141	not published	not published	$15.21 – $54.36	3
Ghs peritonsillar abscess i andd CPT 42700	$765.75	$1,021.00	$241.98 – $918.90	35
Ghs phenylketonurid CPT 84030	$148.50	$198.00	$2.60 – $178.20	36
Ghs picc line insert < 5 CPT 36568	$6,876.75	$9,169.00	$1,608.25 – $8,252.10	35
Ghs plngl fx pm cl CPT 26725	$418.50	$558.00	$136.71 – $502.20	36
Ghs plt ct-manual CPT 85032	not published	not published	$2.05 – $10.35	3
Ghs pos nystagmus CPT 92542	$678.00	$904.00	$135.93 – $813.60	36
Ghs ppd (tb intradermal) CPT 86580	$52.50	$70.00	$6.96 – $63.00	36
Ghs pr without cont pulse ox CPT 94625	$134.25	$179.00	$43.86 – $161.10	36
Ghs prostatic acid phosphatase (mayo) CPT 84066	$87.00	$116.00	$5.13 – $104.40	36
Ghs protein, misc fluid CPT 84160	not published	not published	$2.57 – $13.47	3
Ghs protoporphyrins fract CPT 84202	$60.75	$81.00	$7.49 – $72.90	36
Ghs pseudocholinesterase,dibucain-inhibi CPT 82638	$138.75	$185.00	$6.46 – $166.50	36
Ghs quinidine CPT 80194	not published	not published	$7.49 – $35.04	3
Ghs refill of implantable pump CPT 95990	$870.75	$1,161.00	$284.45 – $1,044.90	36
Ghs removal intranasal foreign body CPT 30300	$531.75	$709.00	$135.93 – $638.10	36
Ghs removal pharyngeal foreign body CPT 42809	$478.50	$638.00	$156.31 – $821.52	36
Ghs respiratory syncytical virus igg/m CPT 86756	not published	not published	$6.77 – $38.13	3
Ghs reticulocyte count CPT 85044	not published	not published	$2.03 – $10.35	3
Ghs rsv eia (respir synctial vrs) CPT 87420	not published	not published	$5.67 – $33.39	3
Ghs sedimentation rate CPT 85651	not published	not published	$1.68 – $10.26	3
Ghs semen analysis fert CPT 89320	not published	not published	$15.49 – $29.55	3
Ghs semen analysis, post-vas CPT 89300	not published	not published	$11.59 – $23.61	3
Ghs sensitivity (per antimicro) CPT 87184	$78.75	$105.00	$3.26 – $94.50	36
Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005	$368.25	$491.00	$120.30 – $747.58	35
Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016	$368.25	$491.00	$120.30 – $747.58	35
Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006	$374.25	$499.00	$122.26 – $747.58	35
Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017	$374.25	$499.00	$122.26 – $747.58	34
Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014	$364.50	$486.00	$119.07 – $437.40	36
Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004	$362.25	$483.00	$118.34 – $434.70	36
Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015	$364.50	$486.00	$119.07 – $437.40	36
Ghs simple repair over 30 cm - 12007 CPT 12007	$381.75	$509.00	$124.71 – $458.10	35
Ghs simple repair over 30 cm - 12018 CPT 12018	$381.75	$509.00	$124.71 – $458.10	34
Ghs somatosensory testing lower extremit CPT 95926	$1,464.00	$1,952.00	$220.60 – $1,756.80	36
Ghs somatosensory testing upper & lower limbs CPT 95938	$2,091.75	$2,789.00	$683.31 – $2,510.10	36
Ghs sp train/fitting sp device - kx CPT 92609	$365.25	$487.00	$98.01 – $438.30	36
Ghs speech-gen aug dev eval iii, st CPT 92608	$230.25	$307.00	$45.64 – $276.30	36
Ghs sphenopalatine ganglion block CPT 64505	$2,005.50	$2,674.00	$313.60 – $2,406.60	34
Ghs spont nystagmus CPT 92541	$256.50	$342.00	$83.79 – $307.80	36
Ghs st - eval for alt comm CPT 92567	$99.75	$133.00	$32.59 – $119.70	36
Ghs st - re-eval for alt comm CPT 92597	$468.00	$624.00	$68.59 – $561.60	36
Ghs strapping shoulder - 29240 CPT 29240	$257.25	$343.00	$84.04 – $308.70	36
Ghs subcutaneous infus. for therapy init 1 hr CPT 96369	$269.25	$359.00	$87.96 – $391.16	36
Ghs superficial wnd dehis w packing12021 CPT 12021	$471.75	$629.00	$154.11 – $747.58	33
Ghs superficial wnd dehiscence simp12020 CPT 12020	$728.25	$971.00	$237.90 – $1,359.14	35
Ghs trypsin (fecal) CPT 84488	not published	not published	$3.80 – $17.52	3
Ghs tx distal phalangeal fx with manipulation CPT 26755	$405.75	$541.00	$132.55 – $486.90	36
Ghs urine, hydroxproline total CPT 83505	not published	not published	$10.26 – $58.32	3
Ghs urine, porphyrins quant CPT 84120	$499.50	$666.00	$7.49 – $599.40	36
Ghs vaginal delivery only CPT 59409	$2,361.75	$3,149.00	$665.42 – $5,953.03	36
Ghs veeg 12-26 hr intmt mont CPT 95715	$2,699.25	$3,599.00	$381.24 – $3,239.10	36
Gi endoscopic ultrasound CPT 76975	not published	not published	$648.78 – $985.19	2
Gi inhouse confirmation CPT 87045	$79.50	$106.00	$4.46 – $95.40	36
Gi protein loss CPT 78282	not published	not published	$1,091.82 – $1,613.97	2
Gi tract capsule endoscopy (pillcam) 91110 CPT 91110	$2,745.00	$3,660.00	$896.70 – $3,294.00	36
Giardia lamblia antibody CPT 86674	$147.00	$196.00	$7.59 – $176.40	36
Gjb2 gene full sequence CPT 81252	not published	not published	$213.62 – $299.46	3
Gjb2 gene known fam variants CPT 81253	not published	not published	$114.80 – $147.66	3
Gjb6 gene com variants CPT 81254	not published	not published	$38.48 – $84.00	3
Glassia injection HCPCS J0257	$2,551.28	$3,401.70	$5.66 – $3,061.53	36
Glove finger flexion right lg xl HCPCS L3912	$36.75	$49.00	$12.01 – $212.11	36
Glucagon 1 mg solution for injection HCPCS J1610	not published	not published	$328.93 – $612.61	2
Glucagon hcl 1 mg/ml solution for injection HCPCS J1611	$509.06	$678.74	$135.00 – $610.85	36
Glucagon plasma - sendout CPT 82943	$63.00	$84.00	$6.76 – $75.60	36
Glucose 1 hr post dose CPT 82950	$168.00	$224.00	$2.25 – $201.60	36
Glucose blood by monitoring device cleared by fda for home use CPT 82962	$39.00	$52.00	$3.27 – $46.80	36
Glucose blood quantitative CPT 82947	$45.00	$60.00	$3.93 – $54.00	36
Glucose body fluid CPT 82945	$72.75	$97.00	$1.47 – $7.07	36
Glucose tolerance test (gtt) 3 specimens CPT 82951	$201.75	$269.00	$4.63 – $233.10	36
Glucose tolerance test (gtt) >3 specimens each additional CPT 82952	$63.00	$84.00	$1.80 – $75.60	36
Glucose-6-phosphate dhydrogenase screen CPT 82960	$55.50	$74.00	$2.87 – $66.60	36
Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596	$102.50	$136.66	$0.72 – $2.91	26
Golimumab 12.5 mg/ml intravenous solution HCPCS J1602	$7,166.65	$9,555.53	$11.29 – $8,599.98	36
Gonadotropin follicle stimulating hormone (fsh) CPT 83001	$187.50	$250.00	$8.79 – $225.00	36
Gonadotropin luteinizing hormone (lh) CPT 83002	$129.00	$172.00	$8.76 – $154.80	36
Goserelin 10.8 mg subcutaneous implant HCPCS J9202	$11,433.78	$15,245.04	$1,233.37 – $4,986.97	26
Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101	$3,026.25	$4,035.00	$50.90 – $3,496.50	36
Graft axiofill 1000mg HCPCS J3590	$675,000.00	$900,000.00	$22.35 – $82.09	26
Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205	not published	not published	$1,999.92 – $4,998.00	2
Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158	$17,736.75	$23,649.00	$0.98 – $228.85	36
Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116	$31,488.75	$41,985.00	$97.93 – $699.30	36
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	$84.08 – $308.88	26
Graft patch felt ptfe 2x2 HCPCS C1768	$78,750.00	$105,000.00	$8.89 – $32.67	26
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110	$29,670.10	$39,560.13	$109.87 – $3,092.39	36
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196	$6,187.50	$8,250.00	$29.65 – $228.85	36
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133	$6,075.00	$8,100.00	$93.35 – $342.90	36
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	$24.01 – $228.85	36
Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134	not published	not published	$272.28 – $272.28	1
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130	$66,548.25	$88,731.00	$127.14 – $5,132.70	36
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132	$2,227.50	$2,970.00	$127.14 – $2,673.00	36
Graft xenmtrx sft rect 15x20cm HCPCS C1781	$99,296.10	$132,394.80	$20.73 – $76.14	26
Graft xenmtrx sft rect 19x28cm HCPCS C2625	$6,187.50	$8,250.00	$45.57 – $167.40	26
Granisetron 1 mg tab HCPCS Q0166	not published	not published	$10.71 – $10.71	1
Granisetron hcl injection HCPCS J1626	not published	not published	$0.37 – $3.22	2
Granulocyte pheresis ea unit HCPCS P9050	not published	not published	$11,466.00 – $11,466.00	1
Great toe with reduction 28495 CPT 28495	$581.25	$775.00	$189.88 – $697.50	36
Growth hormone antibody CPT 86277	not published	not published	$8.31 – $37.77	3
Growth stimulation gene 2 CPT 83006	$1,637.25	$2,183.00	$7.12 – $1,964.70	36
Gu dilat ureter/urethra s&i CPT 74485	$1,712.25	$2,283.00	$221.19 – $3,844.19	36
Guid loc target vol rad tx CPT 77387	not published	not published	$267.36 – $423.99	2
Guide endoanchr sg-64 aaa 62cm HCPCS L8670	$2,108.25	$2,811.00	$539.49 – $1,981.80	36
Guide wire threaded 1.4x150mm HCPCS C1769	$20,413.63	$27,218.17	$6.61 – $24.29	26
Guide worley csg 9fx50cm std HCPCS C1892	$3,593.25	$4,791.00	$11.76 – $43.20	26
Guided cath fluid drainage 10030 CPT 10030	$542.25	$723.00	$177.14 – $1,302.25	36
Gw stiffened micro access kit HCPCS C1894	$101,250.00	$135,000.00	$0.01 – $0.03	26
H pylori (c-13) blood CPT 83009	not published	not published	$33.76 – $161.67	3
H pylori (c-13) breath CPT 83013	$342.75	$457.00	$31.86 – $411.30	36
H pylori ag ia CPT 87339	not published	not published	$5.67 – $38.40	3
H pylori drug admin CPT 83014	not published	not published	$3.72 – $18.87	3
HIV 2 pcr qual - sendout CPT 87537	not published	not published	$9.64 – $52.62	3
HIV prep, ftc/taf 200/25mg HCPCS J0751	not published	not published	$119.73 – $262.08	2
HIV prep, ftc/tdf 200/300mg HCPCS J0750	not published	not published	$2.91 – $3.57	2
HIV prep, inj, cabotegravir HCPCS J0739	not published	not published	$11.81 – $23.94	2
Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631	$120.02	$160.02	$7.28 – $26.76	26
Haloperidol lactate 5 mg/ml injection solution HCPCS J1630	$8.58	$11.44	$0.88 – $3.25	26
Hand X-ray CPT 73130	$431.25	$575.00	$79.26 – $517.50	36
Haptoglobin quantitative CPT 83010	$105.00	$140.00	$5.95 – $126.00	36
Hast w/i&r phys/qhp CPT 94452	$351.00	$468.00	$114.66 – $421.20	36
Hast w/oxygen titrate CPT 94453	$422.25	$563.00	$135.93 – $506.70	36
Hba1/hba2 full gene sequence CPT 81259	$1,051.50	$1,402.00	$56.00 – $1,261.80	36
Hba1/hba2 gene dup/del vrnts CPT 81269	$743.25	$991.00	$56.00 – $891.90	36
Hba1/hba2 gene fam vrnt CPT 81258	not published	not published	$792.71 – $900.60	2
Hbb full gene sequence CPT 81364	not published	not published	$685.69 – $778.98	2
Hbb gene com variants CPT 81361	not published	not published	$369.30 – $419.55	2
Hbb gene dup/del variants CPT 81363	not published	not published	$427.57 – $485.76	2
Hbb gene known fam variant CPT 81362	not published	not published	$792.71 – $900.60	2
Hbot, full body chamber, 30m HCPCS G0277	$738.75	$985.00	$140.59 – $886.50	36
Hc ea ha check monaural CPT 92594	$58.50	$78.00	$19.11 – $70.20	26
Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251	not published	not published	$486.84 – $764.78	2
Hc hearing aid chck binaurl CPT 92593	$23.25	$31.00	$7.60 – $27.90	26
Hc hearing aid chck monarl CPT 92592	$24.75	$33.00	$8.09 – $29.70	26
Hc hearing aid exam both ears CPT 92591	$161.25	$215.00	$52.68 – $193.50	26
Hc hearing aid exam one ear CPT 92590	$129.75	$173.00	$42.39 – $155.70	26
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481	not published	not published	$328.77 – $2,095.20	2
Hc nm fusion spect CT unlisted CPT 78999	$680.25	$907.00	$222.22 – $816.30	36
Hc nm kidney imaging with flow CPT 78701	$1,419.75	$1,893.00	$408.43 – $1,703.70	36
Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469	$1,006.50	$1,342.00	$328.79 – $1,694.37	36
Hc pet myocardial imaging metabolic eval single study CPT 78459	$4,680.75	$6,241.00	$1,322.69 – $5,616.90	31
Hc transcatheter placement and sbsq removal cepd perq CPT 33370	$2,175.00	$2,900.00	$114.72 – $2,610.00	34
Hcg free betachain test CPT 84704	not published	not published	$7.36 – $36.69	3
Hcg qualitative CPT 84703	$138.00	$184.00	$3.55 – $165.60	36
Hcg quantitative CPT 84702	$88.50	$118.00	$7.12 – $90.90	36
Hdr rdncl ntrstl/icav brchtx CPT 77770	not published	not published	$646.98 – $3,037.23	2
Hdr rdncl ntrstl/icav brchtx CPT 77771	not published	not published	$1,069.41 – $3,037.23	2
Hdr rdncl ntrstl/icav brchtx CPT 77772	not published	not published	$1,638.78 – $3,037.23	2
Hdr rdncl skn surf brachytx CPT 77767	not published	not published	$512.37 – $1,034.91	2
Hdr rdncl skn surf brachytx CPT 77768	not published	not published	$769.38 – $1,034.91	2
Head CT scan (with and without contrast) CPT 70470	$1,629.00	$2,172.00	$179.20 – $1,954.80	30
Head CT scan (with contrast) CPT 70460	$1,496.25	$1,995.00	$179.20 – $1,795.50	30
Head CT scan (without contrast) CPT 70450	$1,257.00	$1,676.00	$106.81 – $1,508.40	30
Heart first pass add-on CPT 78496	$1,157.25	$1,543.00	$40.25 – $1,388.70	36
Heart first pass multiple CPT 78483	not published	not published	$422.61 – $2,095.20	2
Heart image spect CPT 78494	not published	not published	$430.80 – $1,613.97	2
Heart infarct image CPT 78466	not published	not published	$369.84 – $1,613.97	2
Heart infarct image (ef) CPT 78468	not published	not published	$400.77 – $2,095.20	2
Heinz bodies direct CPT 85441	not published	not published	$1.33 – $10.08	3
Helicobacter pylori antibody igm CPT 86677	not published	not published	$6.87 – $40.44	3
Hemagglutination inhibition CPT 86280	not published	not published	$3.87 – $19.65	3
Hematocrit CPT 85014	$52.50	$70.00	$1.12 – $63.00	36
Hematopoietic nuclear tx CPT 79403	$2,648.25	$3,531.00	$238.39 – $3,177.90	36
Hemin 350 mg intravenous powder for solution HCPCS J1640	$41,382.91	$55,177.21	$35.31 – $49,659.49	36
Hemoglobin CPT 85018	$52.50	$70.00	$2.37 – $63.00	36
Hemoglobin copper sulfate CPT 83026	not published	not published	$1.24 – $9.63	3
Hemoglobin f (fetal) chemical CPT 83030	not published	not published	$3.59 – $25.77	3
Hemoglobin fetal qualitative CPT 83033	$57.00	$76.00	$3.08 – $68.40	36
Hemoglobin methemoglobin quantitative CPT 83050	$132.75	$177.00	$3.80 – $80.10	36
Hemoglobin plasma CPT 83051	$187.50	$250.00	$3.46 – $74.70	36
Hemoglobin urine CPT 83069	not published	not published	$2.15 – $9.48	3
Hemoglobin-oxygen affinity CPT 82820	not published	not published	$4.34 – $32.01	3
Hemolysin acid CPT 85475	not published	not published	$3.80 – $21.30	3
Hemolysins and agglutinins incubated CPT 86941	not published	not published	$6.57 – $29.07	3
Hemolysins/agglutinins auto CPT 86940	not published	not published	$4.41 – $21.06	3
Hemophilus influenza antibdy CPT 86684	not published	not published	$7.50 – $38.01	3
Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221	$1,314.00	$1,752.00	$429.24 – $1,710.18	36
Hepagam b im injection HCPCS J1571	$2,543.59	$3,391.45	$70.23 – $680.02	36
Hepagam b intravenous, inj HCPCS J1573	not published	not published	$120.39 – $317.70	2
Heparin assay CPT 85520	$194.25	$259.00	$6.87 – $233.10	36
Heparin bolus from bag HCPCS J1644	$57.46	$76.61	$0.35 – $2.91	26
Heparin neutralization CPT 85525	$187.50	$250.00	$4.31 – $213.30	36
Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642	$6.20	$8.26	$0.02 – $2.91	26
Hepatitis a antibody igm CPT 86709	$84.00	$112.00	$5.33 – $100.80	36
Hepatitis b core antibody igm CPT 86705	$127.50	$170.00	$5.57 – $153.00	36
Hepatitis b core antibody total CPT 86704	$84.75	$113.00	$5.70 – $101.70	36
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371	$1,890.21	$2,520.27	$90.93 – $334.03	36
Hepatitis b surface ag quan CPT 87467	not published	not published	$60.78 – $60.78	1
Hepatitis b surface antibody CPT 86706	$88.50	$118.00	$5.08 – $106.20	36
Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747	$51.75	$69.00	$16.91 – $295.96	36
Hepatitis c antibody CPT 86803	$106.50	$142.00	$6.23 – $127.80	36
Hepatitis c rna dir probe CPT 87520	not published	not published	$10.98 – $74.94	3
Hepatitis d quantification CPT 87523	$1,161.75	$1,549.00	$42.84 – $1,394.10	36
Hepatobiliary system imaging CPT 78226	$1,494.00	$1,992.00	$408.43 – $1,792.80	36
Hereditary colon ca dsordrs CPT 81435	not published	not published	$800.00 – $1,403.76	3
Herpes simplex 1 ag if CPT 87274	not published	not published	$5.67 – $28.74	3
Herpes simplex 2 ag if CPT 87273	not published	not published	$6.05 – $28.74	3
Herpes simplex type 1 antibody igg CPT 86695	$100.50	$134.00	$6.24 – $120.60	36
Herpes simplex type 2 antibody igg CPT 86696	$111.00	$148.00	$9.16 – $133.20	36
Herpes simplex virus isolation CPT 87255	$54.75	$73.00	$16.02 – $65.70	36
Heterophile antibodies screening CPT 86308	$97.50	$130.00	$2.45 – $74.70	36
Heterophile antibodies titer CPT 86309	not published	not published	$3.39 – $15.54	3
Heterophile antibody absrbj CPT 86310	not published	not published	$3.80 – $17.70	3
Hexa gene CPT 81255	not published	not published	$108.68 – $153.36	3
Hhv-6 dna quant CPT 87533	$652.50	$870.00	$17.13 – $783.00	36
Hip X-ray CPT 73502	$436.50	$582.00	$87.52 – $523.80	36
Histamine CPT 83088	$189.00	$252.00	$13.97 – $226.80	36
Histochemical stains add-on CPT 88314	not published	not published	$65.99 – $167.41	3
Histoplasmosis skin test CPT 86510	not published	not published	$5.49 – $16.83	3
Hiv-1 ag ia CPT 87390	not published	not published	$8.62 – $57.75	3
Hizentra injection HCPCS J1559	$4,991.26	$6,655.01	$14.52 – $598.96	36
Hla class i high defin qual CPT 86832	$666.75	$889.00	$56.00 – $582.75	36
Hla class i phenotype qual CPT 86830	not published	not published	$44.40 – $229.26	3
Hla class i semiquant panel CPT 86834	$697.50	$930.00	$56.00 – $837.00	36
Hla class i&ii antibody qual CPT 86828	not published	not published	$21.76 – $154.05	3
Hla class i/ii antibody qual CPT 86829	$435.00	$580.00	$16.32 – $522.00	36
Hla class ii high defin qual CPT 86833	$568.50	$758.00	$56.00 – $586.44	36
Hla class ii phenotype qual CPT 86831	not published	not published	$38.05 – $196.50	3
Hla class ii semiquant panel CPT 86835	$620.25	$827.00	$56.00 – $744.30	36
Hla i & ii type verify lr CPT 81371	$342.00	$456.00	$56.00 – $728.14	36
Hla i & ii typing hr CPT 81378	not published	not published	$107.17 – $829.38	3
Hla i & ii typing lr CPT 81370	not published	not published	$216.34 – $965.10	3
Hla i low res one antigen equiv ea CPT 81374	$197.25	$263.00	$56.00 – $236.70	36
Hla i typing 1 locus hr CPT 81380	$177.00	$236.00	$56.00 – $319.05	36
Hla i typing complete hr CPT 81379	$381.00	$508.00	$56.00 – $603.68	36
Hla i typing complete lr CPT 81372	$488.25	$651.00	$56.00 – $726.46	36
Hla i typing high res 1 allele grp ea CPT 81381	$201.75	$269.00	$53.66 – $305.82	36
Hla i typing low res one locus ea CPT 81373	not published	not published	$194.67 – $305.82	3
Hla ii typing 1 loc hr CPT 81382	$867.00	$1,156.00	$56.00 – $248.40	36
Hla ii typing ag equiv lr CPT 81375	$193.50	$258.00	$56.00 – $397.33	36
Hla typing a b or c CPT 86813	not published	not published	$30.57 – $139.20	3
Hla typing dr/dq CPT 86816	not published	not published	$14.47 – $72.42	3
Hla x-match noncytotoxc addl CPT 86826	$168.00	$224.00	$27.79 – $201.60	36
Hla x-math non-cytotoxic CPT 86825	$429.75	$573.00	$30.54 – $515.70	36
Hlth bhv assmt/reassessment CPT 96156	$117.00	$156.00	$38.22 – $186.82	33
Hlth bhv ivntj fam 1st 30 CPT 96167	$115.50	$154.00	$37.73 – $138.60	33
Hlth bhv ivntj grp 1st 30 CPT 96164	$117.00	$156.00	$38.22 – $140.40	33
Hlth bhv ivntj indiv 1st 30 CPT 96158	$115.50	$154.00	$37.73 – $326.41	33
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	$0.47 – $63.01	26
Hocm 350-399mg/ml iodine,1ml HCPCS Q9963	not published	not published	$0.35 – $1.72	2
Homocysteine CPT 83090	$90.75	$121.00	$17.85 – $108.90	36
Homogenization tissue CPT 87176	not published	not published	$3.08 – $14.10	3
Homovanillic acid (hva) CPT 83150	$220.50	$294.00	$9.16 – $264.60	36
Hpa-1 genotyping CPT 81105	$165.00	$220.00	$37.49 – $220.00	36
Hpa-15 genotyping CPT 81112	$165.00	$220.00	$37.49 – $220.00	36
Hpa-2 genotyping CPT 81106	$165.00	$220.00	$37.49 – $220.00	36
Hpa-3 genotyping CPT 81107	$165.00	$220.00	$37.49 – $220.00	36
Hpa-4 genotyping CPT 81108	$165.00	$220.00	$37.49 – $220.00	36
Hpa-5 genotyping CPT 81109	$165.00	$220.00	$37.49 – $220.00	36
Hpa-6 genotyping CPT 81110	$165.00	$220.00	$37.49 – $220.00	36
Hpa-9 genotyping CPT 81111	$165.00	$220.00	$37.49 – $220.00	36
Hpv low-risk types CPT 87623	not published	not published	$16.60 – $84.21	3
Hpv types 16 & 18 only CPT 87625	not published	not published	$16.60 – $97.32	3
Hrdtry cardmypy gene panel CPT 81439	not published	not published	$1,235.62 – $1,403.76	2
Hrdtry perph neurphy panel CPT 81448	not published	not published	$1,235.62 – $1,403.76	2
Htt gene detc abnor alleles CPT 81271	$345.75	$461.00	$56.00 – $414.90	36
Human epididymis protein 4 (he4) CPT 86305	not published	not published	$3.02 – $49.95	3
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165	not published	not published	$11.24 – $11.24	1
Hyaluronidase 150 unit/ml injection solution HCPCS J3470	not published	not published	$53.00 – $199.22	2
Hyaluronidase 200 units/ml inj HCPCS J3471	$414.18	$552.24	$0.82 – $497.02	26
Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473	not published	not published	$0.60 – $1.33	2
Hydralazine 20 mg/ml injection solution HCPCS J0360	$51.42	$68.56	$2.58 – $9.47	26
Hydration IV infusion each additional hour CPT 96361	$456.75	$609.00	$47.84 – $548.10	36
Hydration IV infusion initial 31minutes - 1 hour CPT 96360	$722.25	$963.00	$217.31 – $866.70	36
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720	$569.91	$759.87	$35.62 – $171.15	26
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171	$72.63	$96.83	$0.13 – $9.68	26
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999	$277.32	$369.75	$0.79 – $2.91	26
Hydroxocobalamin im 10mcg HCPCS J3425	$83.64	$111.52	$0.04 – $100.37	26
Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410	$87.60	$116.79	$21.97 – $80.71	26
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	$9.54 – $42.96	3
Hymovis injection 1 mg HCPCS J7322	$2,459.97	$3,279.95	$18.13 – $2,951.96	36
Hyoscyamine sulfate inj HCPCS J1980	$308.52	$411.36	$59.57 – $370.22	26
Hyperthermia ext gen deep CPT 77605	not published	not published	$2,215.65 – $3,037.23	2
Hyperthermia ext gen supfc CPT 77600	not published	not published	$1,034.91 – $1,243.50	2
Hyperthermia gen intrcv prb CPT 77620	not published	not published	$1,454.97 – $2,322.99	2
Hyperthermia ntrstl prb 5/< CPT 77610	not published	not published	$1,614.78 – $2,322.99	2
Hyperthermia ntrstl prb>5 CPT 77615	not published	not published	$2,322.99 – $2,564.94	2
Hyqvia 100mg immuneglobulin HCPCS J1575	not published	not published	$30.88 – $30.88	1
Hysterosalpingography s&i CPT 74740	$1,139.25	$1,519.00	$206.64 – $1,367.10	36
Hysteroscopy ablation CPT 58563	$5,865.75	$7,821.00	$1,916.15 – $9,199.44	35
Hysteroscopy biopsy CPT 58558	$5,110.50	$6,814.00	$1,669.43 – $6,132.60	35
Hysteroscopy dx sep proc CPT 58555	$3,568.50	$4,758.00	$1,165.71 – $5,953.03	35
Hysteroscopy lysis CPT 58559	$5,766.75	$7,689.00	$1,883.81 – $9,199.44	35
Hysteroscopy remove fb CPT 58562	$5,843.25	$7,791.00	$1,908.80 – $7,011.90	35
Hysteroscopy remove myoma CPT 58561	$4,302.75	$5,737.00	$1,405.57 – $9,199.44	35
Hzv zoster vacc recombinant adjuvanted im inj CPT 90750	$650.11	$866.81	$173.20 – $636.23	26
I&d frarm&/wrst deep absc/hematoma CPT 25028	$3,761.25	$5,015.00	$1,228.68 – $6,017.17	35
I&d lacrimal sac CPT 68420	$2,729.25	$3,639.00	$891.56 – $4,372.16	36
I-123 iobenguane diag HCPCS A9582	$17,222.25	$22,963.00	$2,317.50 – $20,666.70	36
I-123 ioflupane diag HCPCS A9584	$9,058.88	$12,078.50	$1,387.74 – $10,870.65	36
I-123 sod iodide diag per 100 uci HCPCS A9516	not published	not published	$379.26 – $379.26	1
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367	$456.75	$609.00	$73.56 – $548.10	36
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368	$454.50	$606.00	$19.43 – $545.40	36
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366	$456.75	$609.00	$47.84 – $548.10	36
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365	$722.25	$963.00	$217.31 – $866.70	36
IV inj ra drug dx study CPT 78808	not published	not published	$110.10 – $1,613.97	2
Ia infect ag ab qual/semiquant sgl step CPT 86318	$36.75	$49.00	$6.12 – $44.10	36
Ia nfct ab sarscov2 covid19 CPT 86328	not published	not published	$135.69 – $135.69	1
Iaadi respiratory synctial virus CPT 87280	not published	not published	$5.67 – $32.22	3
Iadna legionella pneumophila amplified probe tq CPT 87541	$329.25	$439.00	$17.13 – $395.10	36
Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740	$839.85	$1,119.80	$51.74 – $297.86	26
Ibmfs seq alys pnl 30 genes CPT 81441	not published	not published	$5,876.55 – $5,876.55	1
Ibuprofen injection HCPCS J1741	$86.20	$114.93	$5.11 – $103.44	26
Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742	$1,022.55	$1,363.40	$100.78 – $394.59	36
Icatibant injection HCPCS J1744	$3,697.02	$4,929.36	$210.52 – $1,254.66	26
Icd cobalt xt dr MRI is1 df1 HCPCS C1721	$48,847.50	$65,130.00	$6,842.85 – $25,137.00	26
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882	$44,003.25	$58,671.00	$9,221.53 – $33,875.01	26
Icd crtp serena MRI HCPCS C2621	$15,759.00	$21,012.00	$121.09 – $444.83	26
Icd reliance df4 ib 64cm HCPCS C1895	$6,463.81	$8,618.40	$443.45 – $1,629.00	26
Icut allergy test drug/bug CPT 95024	$118.50	$158.00	$38.71 – $142.20	36
Idarubicin hcl injection HCPCS J9211	$249.51	$332.68	$62.23 – $299.41	26
Idecabtagene vicleucel car HCPCS Q2055	not published	not published	$909,317.54 – $909,317.54	1
Identify sperm tissue CPT 89264	not published	not published	$107.22 – $1,144.95	3
Idh1 common variants CPT 81120	not published	not published	$408.23 – $463.80	2
Idh2 common variants CPT 81121	not published	not published	$624.85 – $709.89	2
Idursulfase injection HCPCS J1743	$11,942.56	$15,923.41	$558.22 – $14,331.07	36
Ifnl3 gene CPT 81283	not published	not published	$154.99 – $176.10	2
Ifosfamide 1 gram intravenous solution HCPCS J9208	$294.81	$393.07	$29.11 – $106.94	26
Igh gene rearrang dir probe CPT 81262	not published	not published	$77.55 – $164.52	3
Igh gene rearrange amp meth CPT 81261	$464.25	$619.00	$56.00 – $557.10	36
Igh@ var region somatic mutation analy CPT 81263	$607.50	$810.00	$56.00 – $597.60	36
Igh@/bcl2 translocation alys CPT 81278	not published	not published	$437.94 – $497.55	2
Igk rearrangeabn clonal pop CPT 81264	not published	not published	$289.05 – $414.54	3
Ihc/icc per specimen each additional single antibody stain CPT 88341	$309.75	$413.00	$39.74 – $371.70	36
Ihc/icc per specimen each multiplex antibody stain CPT 88344	$318.75	$425.00	$56.00 – $659.18	36
Ihc/icc per specimen initial single antibody stain CPT 88342	$310.50	$414.00	$56.00 – $372.60	36
Ikbkap gene CPT 81260	not published	not published	$60.88 – $94.35	3
Iliac/fem angio cath insert HCPCS G0278	$2,980.50	$3,974.00	$11.56 – $3,576.60	34
Imatinib 100 mg tab HCPCS S0088	not published	not published	$10.61 – $10.61	1
Imetelstat 188 mg intravenous solution HCPCS J0870	not published	not published	$95.79 – $193.31	2
Img rta detc/mntr ds poc aly CPT 92229	$71.25	$95.00	$23.28 – $108.49	36
Immobilizer shldr cntor adlt HCPCS L3670	$134.01	$178.67	$9.72 – $228.87	36
Immobilizer shldr dlx str 24-36in med HCPCS L1830	$67.77	$90.35	$7.39 – $127.35	36
Immobilizer shldr sling med HCPCS L3660	$29.14	$38.85	$9.52 – $208.03	36
Immune complex assay CPT 86332	$89.25	$119.00	$11.53 – $107.10	36
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 – $3,136.52	36
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568	$3,486.01	$4,648.01	$47.04 – $4,183.21	36
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 – $3,334.10	36
Immunoassay tumor antigen quantitative ca 125 CPT 86304	$104.25	$139.00	$10.26 – $125.10	36
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301	$130.50	$174.00	$10.26 – $156.60	36
Immunoassay tumor qual CPT 86294	not published	not published	$10.26 – $61.38	3
Immunodiff gel qual ea antigen/ab CPT 86331	$108.00	$144.00	$6.26 – $64.80	36
Immunodiffusion nes CPT 86329	$189.75	$253.00	$6.64 – $184.50	36
Immunofixation electrophoresis serum CPT 86334	$231.00	$308.00	$17.59 – $113.40	36
Immunofluorescence per specimen each additional single antibody stain CPT 88350	$511.50	$682.00	$56.00 – $546.30	36
Immunofluorescence per specimen initial single antibody stain CPT 88346	$408.00	$544.00	$56.00 – $324.90	36
Immunoglobulin assay CPT 86023	$258.00	$344.00	$5.75 – $309.60	36
Immunology procedure CPT 86849	not published	not published	$74.72 – $74.72	1
Impl neurostim electr perc CPT 63650	$5,517.75	$7,357.00	$1,802.47 – $11,719.85	35
Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506	$1,518.75	$2,025.00	$496.13 – $1,893.08	36
Implant cartilage 10mm synthetic HCPCS L8699	$101,250.00	$135,000.00	$33.37 – $122.58	26
Implant cochlear osia osi300 HCPCS L8690	$20,655.00	$27,540.00	$0.01 – $10,543.93	36
Implant hormone pellet(s) 11980 CPT 11980	$315.75	$421.00	$103.15 – $821.52	36
Implant neuroelectrodes CPT 64553	$12,807.00	$17,076.00	$4,183.62 – $20,491.27	35
Implant neuroelectrodes CPT 64555	$5,517.75	$7,357.00	$1,802.47 – $11,719.85	36
Implant neuroelectrodes CPT 64561	$6,447.00	$8,596.00	$2,106.02 – $11,719.85	35
Implant power module patient cable cable 14 volt HCPCS Q0477	$2,812.50	$3,750.00	$918.75 – $3,375.00	36
Implant pulse generator remede el HCPCS C1823	$57,375.00	$76,500.00	$18,742.50 – $68,850.00	26
Implant ureth bulk agent HCPCS L8606	$2,587.50	$3,450.00	$252.88 – $1,432.35	36
Implnt spinl canal catheter 62350 CPT 62350	$7,722.75	$10,297.00	$2,522.77 – $16,138.67	35
Imported lipodox inj HCPCS Q2049	not published	not published	$854.15 – $1,712.41	2
Imuglucerase injection HCPCS J1786	not published	not published	$72.73 – $160.23	2
In situ hybridization per specimen each additional single probe stain CPT 88364	$435.00	$580.00	$56.00 – $522.00	36
In situ hybridization per specimen initial single probe stain CPT 88365	$384.75	$513.00	$56.00 – $461.70	36
In-111 autol wbc diag per dose HCPCS A9570	not published	not published	$15,029.56 – $15,029.56	1
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	$15,693.76 – $15,693.76	1
In-111 oxyquinolin per 0.5 mci HCPCS A9547	$2,808.00	$3,744.00	$831.46 – $3,369.60	36
In-111 pentetate dtpa / 0.5 mci HCPCS A9548	$2,156.25	$2,875.00	$704.38 – $2,587.50	36
In-111 pentetreotide HCPCS A9572	$47,542.46	$63,389.94	$2,000.94 – $57,050.95	36
Incise inner ear CPT 69801	$3,648.00	$4,864.00	$1,191.68 – $4,377.60	35
Incise/drain eyelid lining CPT 68020	$1,104.00	$1,472.00	$360.64 – $1,833.25	36
Incision & drainage hematoma/seroma/fluid collection CPT 10140	$3,867.00	$5,156.00	$1,263.22 – $4,640.40	36
Incision of achilles tendon CPT 27605	$1,863.75	$2,485.00	$608.83 – $2,957.08	35
Incision of breast lesion CPT 19020	$1,897.50	$2,530.00	$619.85 – $3,037.27	35
Incision of eardrum CPT 69420	$1,272.00	$1,696.00	$241.98 – $1,526.40	36
Incision of foot fascia CPT 28008	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	35
Incision of hip tendons CPT 27006	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	36
Incision of tendon & muscle CPT 23405	$8,293.50	$11,058.00	$2,709.21 – $13,344.08	35
Incision of thigh tendon CPT 27306	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	35
Incision of tongue fold CPT 41010	$1,792.50	$2,390.00	$585.55 – $2,853.34	35
Incision tendon sheath CPT 26055	$2,124.75	$2,833.00	$694.09 – $2,957.08	35
Incisn of toe tndn CPT 28010	$2,825.25	$3,767.00	$922.92 – $3,390.30	36
Incobotulinumtoxin a HCPCS J0588	$1,889.43	$2,519.23	$5.29 – $1,189.12	36
Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220	$586.73	$782.30	$9.30 – $704.07	36
Induced abortion d&c CPT 59840	$3,624.75	$4,833.00	$1,184.09 – $5,953.03	35
Induced abortion dilat&evac CPT 59841	$6,344.25	$8,459.00	$2,072.46 – $7,613.10	35
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626	$234.75	$313.00	$56.00 – $258.30	36
Infect ag drug suscept pheno predict CPT 87900	$479.25	$639.00	$56.00 – $575.10	36
Infect ag eia chlamydia trachomatis CPT 87320	not published	not published	$5.75 – $36.00	3
Infect ag eia influenza a or b ea CPT 87400	not published	not published	$5.67 – $33.90	3
Infect ag genotype na cytomegalovirus CPT 87910	$2,588.25	$3,451.00	$56.00 – $3,105.90	36
Infect ag genotype na dna hepatitis b CPT 87912	not published	not published	$141.55 – $617.88	3
Infect ag genotype na hiv-1 other region CPT 87906	$301.50	$402.00	$56.00 – $361.80	36
Infect ag genotype na hiv-1 revr trn/prt CPT 87901	$603.75	$805.00	$56.00 – $724.50	36
Infect ag ia direct hiv-1 antgn CPT 87806	not published	not published	$8.62 – $78.66	3
Infect ag ia optc obs chlamydia trach CPT 87810	not published	not published	$5.67 – $84.69	3
Infect ag ia optc obs influenza CPT 87804	$101.25	$135.00	$16.00 – $121.50	36
Infect ag if ea plyvlnt antsrm CPT 87300	not published	not published	$2.98 – $28.74	3
Infect ag if hep delta agent CPT 87380	$189.75	$253.00	$7.77 – $227.70	36
Infect ag if influenza a CPT 87276	not published	not published	$5.67 – $38.58	3
Infect ag if influenza b CPT 87275	not published	not published	$5.67 – $29.40	3
Infect ag if legionella pneumophila CPT 87278	$85.50	$114.00	$5.75 – $102.60	36
Infect ag if nos ea CPT 87299	not published	not published	$5.67 – $38.64	3
Infect ag if pneumocystis carinii CPT 87281	not published	not published	$6.05 – $28.74	3
Infect ag if varicella zoster CPT 87290	not published	not published	$5.67 – $32.22	3
Infect ag na chlamydia trachomatis qnt CPT 87492	not published	not published	$13.95 – $128.34	3
Infect ag na hep b amp CPT 87516	not published	not published	$17.13 – $84.21	3
Infect ag na herpes simplex quant CPT 87530	$324.75	$433.00	$17.13 – $389.70	36
Infect ag na hpv high-risk types CPT 87624	$272.25	$363.00	$16.60 – $326.70	36
Infect ag na influenza r/amp 1st 2 types CPT 87502	$175.50	$234.00	$47.90 – $210.60	36
Infect ag na influenza revr/amp ea type CPT 87501	not published	not published	$28.89 – $123.15	3
Infect ag na orthopoxvirus amp prb each CPT 87593	$180.00	$240.00	$51.31 – $216.00	36
Infect ag na resp virus 12-25 targets CPT 87633	$1,414.50	$1,886.00	$56.00 – $1,697.40	36
Infect ag phenotype na hiv-1 1-10 drugs CPT 87903	$108.00	$144.00	$35.28 – $879.59	36
Infect ag phenotype na hiv-1 ea addl drg CPT 87904	$1,288.50	$1,718.00	$14.67 – $1,546.20	36
Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811	not published	not published	$124.14 – $124.14	1
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324	$196.50	$262.00	$5.67 – $235.80	36
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327	$60.75	$81.00	$6.05 – $72.90	36
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328	$96.00	$128.00	$5.67 – $115.20	36
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329	$87.00	$116.00	$5.67 – $104.40	36
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338	not published	not published	$8.16 – $34.50	3
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340	$64.50	$86.00	$4.40 – $77.40	36
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341	not published	not published	$5.13 – $24.78	3
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389	$88.50	$118.00	$8.62 – $106.20	36
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449	$420.75	$561.00	$5.67 – $126.00	36
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425	$126.00	$168.00	$5.67 – $151.20	36
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427	not published	not published	$5.67 – $28.74	3
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564	$357.75	$477.00	$45.33 – $166.50	36
Infectious agent nucleic acid amplified probe CPT 87798	$751.50	$1,002.00	$16.60 – $90.00	36
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491	$173.25	$231.00	$16.60 – $207.90	36
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493	$141.00	$188.00	$20.50 – $169.20	36
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483	$861.00	$1,148.00	$56.00 – $1,033.20	36
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529	$306.75	$409.00	$16.60 – $98.10	36
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641	$129.00	$172.00	$17.61 – $154.80	36
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556	$596.25	$795.00	$17.13 – $715.50	36
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591	$168.75	$225.00	$16.60 – $202.50	36
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635	$141.00	$188.00	$46.06 – $169.20	36
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636	$299.25	$399.00	$56.00 – $359.10	36
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637	$299.25	$399.00	$56.00 – $359.10	36
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651	$88.50	$118.00	$17.13 – $106.20	36
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661	$129.00	$172.00	$19.15 – $154.80	36
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507	$984.00	$1,312.00	$56.00 – $1,180.80	36
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505	$436.50	$582.00	$56.00 – $523.80	36
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506	$261.75	$349.00	$56.00 – $473.38	36
Infectious agent nucleic acid quantification bk virus CPT 87799	$1,929.00	$2,572.00	$20.26 – $281.70	36
Infectious agent nucleic acid quantification hepatitis b CPT 87517	$307.50	$410.00	$17.13 – $369.00	36
Infectious agent nucleic acid quantification hepatitis c CPT 87522	$1,154.25	$1,539.00	$20.26 – $1,385.10	36
Infectious agent nucleic acid quantification hiv-1 CPT 87536	$588.00	$784.00	$40.25 – $705.60	36
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631	$225.75	$301.00	$56.00 – $270.90	36
Infliximab 100 mg intravenous solution HCPCS J1745	$1,702.78	$2,270.37	$31.04 – $2,043.33	36
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121	not published	not published	$35.08 – $178.50	2
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103	$1,713.99	$2,285.31	$26.04 – $2,056.78	36
Influenza dna amp prob addl CPT 87503	not published	not published	$11.69 – $70.14	3
Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673	not published	not published	$140.26 – $261.49	2
Influenza virus vaccine, live trivalent intranasal CPT 90660	not published	not published	$48.50 – $90.41	2
Infuse radioactive materials CPT 77750	not published	not published	$348.18 – $1,034.91	2
Ingest challenge ea addl 60 min CPT 95079	$274.50	$366.00	$81.63 – $329.40	36
Ingest challenge ini 120 min CPT 95076	$547.50	$730.00	$178.85 – $686.23	36
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642	$386.25	$515.00	$126.18 – $463.50	36
Initiation & management bipap/cpap initial day CPT 94660	$576.00	$768.00	$188.16 – $691.20	36
Inj acetaminoph 10mg/ibu 3mg HCPCS J0138	not published	not published	$0.35 – $0.84	2
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 – $7,124.67	36
Inj alymsys 10 mg HCPCS Q5126	not published	not published	$71.57 – $256.55	2
Inj andexxa, 10 mg HCPCS J7169	not published	not published	$446.25 – $446.25	1
Inj anifrolumab-fnia 1mg HCPCS J0491	$20,116.77	$26,822.36	$18.31 – $24,140.12	36
Inj avacincaptad pegol 0.1mg HCPCS J2782	not published	not published	$177.90 – $374.85	2
Inj aval alfa-nqpt 4mg HCPCS J0219	not published	not published	$135.66 – $278.11	2
Inj bimatoprost itc imp1mcg HCPCS J7351	$7,487.44	$9,983.25	$214.02 – $8,984.93	36
Inj brixadi, more than 7 day HCPCS J0578	not published	not published	$2,841.38 – $6,097.56	2
Inj calcitriol per 0.1 mcg HCPCS J0636	$22.16	$29.54	$1.33 – $26.59	26
Inj cefazolin (wg crit care) HCPCS J0687	not published	not published	$1.68 – $3.92	2
Inj cefazolin sodium, hikma HCPCS J0688	not published	not published	$1.53 – $5.25	2
Inj ceftolozane tazobactam HCPCS J0695	$597.69	$796.91	$8.84 – $717.22	36
Inj cntr knee arthro incl ct/mri CPT 27369	$461.25	$615.00	$150.68 – $553.50	36
Inj crotalidae im f(ab')2 eq HCPCS J0841	not published	not published	$1,754.14 – $4,712.40	2
Inj cuvitru, 100 mg HCPCS J1555	not published	not published	$29.53 – $29.53	1
Inj cyclophos dr.reddy's 5mg HCPCS J9072	not published	not published	$15.12 – $31.26	2
Inj cyclophosphamd (ingenus) HCPCS J9073	not published	not published	$1.93 – $13.09	2
Inj cyclophosphamd auromedic HCPCS J9071	not published	not published	$1.31 – $4.48	2
Inj daptomycin (xellia) HCPCS J0873	not published	not published	$0.07 – $0.32	2
Inj daxibotulinumtoxina-lanm HCPCS J0589	not published	not published	$5.21 – $14.98	2
Inj disk cerv-thor ea lev CPT 62291	$3,232.50	$4,310.00	$317.01 – $3,879.00	36
Inj dupuytren cord w/enzyme CPT 20527	$592.50	$790.00	$193.55 – $711.00	36
Inj dx for sinogram CPT 20501	$1,089.75	$1,453.00	$126.18 – $1,307.70	36
Inj efgart-alfa 2mg hya-qvfc HCPCS J9334	not published	not published	$56.67 – $113.96	2
Inj eflapegrastim-xnst 0.1mg HCPCS J1449	not published	not published	$35.46 – $121.70	2
Inj epidural sgl cerv-thor without img CPT 62320	$2,184.75	$2,913.00	$713.69 – $2,621.70	36
Inj epidural sgl lumb-sacral without img CPT 62322	$1,623.75	$2,165.00	$530.43 – $1,948.50	36
Inj fensolvi 0.25 mg HCPCS J1951	not published	not published	$235.91 – $544.29	2
Inj fluphenazine hcl 1.25 mg HCPCS J2679	not published	not published	$12.47 – $34.27	2
Inj for ext venography CPT 36005	$1,434.75	$1,913.00	$226.43 – $1,721.70	36
Inj for mammo ductogram CPT 19030	$150.00	$200.00	$49.00 – $270.48	36
Inj fosnetupitant, palonoset HCPCS J1454	not published	not published	$1,018.67 – $2,385.67	2
Inj givosiran 0.5 mg HCPCS J0223	$162,298.07	$216,397.42	$120.98 – $194,757.68	36
Inj glofitamab gxbm, 2.5 mg HCPCS J9286	not published	not published	$4,654.54 – $9,394.04	2
Inj glycopyrrolate fres kabi HCPCS J1598	not published	not published	$3.11 – $9.10	2
Inj heparin, pfizer, 1000u HCPCS J1643	not published	not published	$5.04 – $11.31	2
Inj herzuma 10 mg HCPCS Q5113	not published	not published	$130.18 – $333.80	2
Inj hrt cath w/s&i nonsel p-art angrp CPT 93568	$1,110.00	$1,480.00	$44.85 – $1,332.00	34
Inj hrt cath w/s&i sel hrt ang CPT 93563	$2,622.00	$3,496.00	$49.40 – $3,146.40	34
Inj hrt cath w/s&i sel hrt art CPT 93564	$1,192.50	$1,590.00	$52.43 – $1,431.00	34
Inj hrt cath w/s&i sel left vent CPT 93565	$1,239.00	$1,652.00	$25.90 – $1,486.80	34
Inj hrt cath w/s&i sel right vent CPT 93566	$5,894.25	$7,859.00	$24.85 – $7,073.10	34
Inj human fibrinogen con nos HCPCS J7178	$4,326.08	$5,768.10	$1.52 – $5,191.29	36
Inj hydroxocobalamin IV 25mg HCPCS J3424	not published	not published	$17.82 – $17.82	1
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	$4.38 – $1,300.46	26
Inj intralesional <= 7 lsn(s) CPT 11900	$206.25	$275.00	$67.38 – $368.96	36
Inj intralesional > 7 lsns CPT 11901	$222.75	$297.00	$72.77 – $368.96	36
Inj ivig privigen 500 mg HCPCS J1459	$4,194.45	$5,592.60	$49.53 – $5,033.34	36
Inj levocarnitine per 1 gm HCPCS J1955	$122.28	$163.04	$25.20 – $92.56	26
Inj lwr xtr fscl pln blk uni w/wo image CPT 64473	$1,471.50	$1,962.00	$127.08 – $1,765.80	36
Inj melpha hydroch nos 50 mg HCPCS J9245	$1,713.99	$2,285.31	$65.52 – $240.67	36
Inj melphalan (hepzato) 1 mg HCPCS J9248	not published	not published	$1,323.47 – $2,677.50	2
Inj mepivacaine hcl/10 ml HCPCS J0670	$28.41	$37.87	$6.42 – $25.16	26
Inj meropenem (wg crit care) HCPCS J2183	not published	not published	$2.72 – $5.85	2
Inj mogamulizumab-kpkc, 1 mg HCPCS J9204	$17,682.90	$23,577.19	$253.47 – $21,219.47	36
Inj multihance HCPCS A9577	$166.47	$221.95	$2.92 – $50.92	26
Inj nephrosto/ureterogram w/img exstng access CPT 50431	$522.75	$697.00	$170.77 – $1,282.32	36
Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466	$2,371.50	$3,162.00	$774.69 – $3,794.35	36
Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465	$1,569.00	$2,092.00	$512.54 – $3,794.35	36
Inj ogivri 10 mg HCPCS Q5114	$8,661.59	$11,548.78	$35.78 – $3,714.26	36
Inj olipudase alfa-rpcp 1mg HCPCS J0218	not published	not published	$661.62 – $1,352.33	2
Inj ontruzant 10 mg HCPCS Q5112	not published	not published	$36.93 – $315.25	2
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	$47.01 – $14,880.68	36
Inj pemetrexed (accord) 10mg HCPCS J9296	not published	not published	$16.35 – $36.09	2
Inj pemetrexed (teva) 10mg HCPCS J9314	not published	not published	$6.37 – $70.74	2
Inj pemetrexed ditromethamin HCPCS J9323	not published	not published	$17.37 – $39.27	2
Inj pemetrexed, hospira 10mg HCPCS J9294	not published	not published	$8.27 – $39.27	2
Inj plasminogen tvmh 1mg HCPCS J2998	not published	not published	$50.55 – $117.78	2
Inj proc ankle arthr CPT 27648	$219.00	$292.00	$71.54 – $345.49	36
Inj proc elbow arthro CPT 24220	$212.25	$283.00	$69.34 – $313.73	36
Inj proc lumbr disk ea lvl CPT 62290	$3,232.50	$4,310.00	$347.22 – $3,879.00	36
Inj proc myelogram lumbar CPT 62284	$1,300.50	$1,734.00	$169.23 – $1,560.60	36
Inj progesterone per 50 mg HCPCS J2675	$123.09	$164.12	$1.04 – $59.46	26
Inj prohance multipack HCPCS A9576	not published	not published	$2.37 – $11.48	2
Inj recombin esperoct per iu HCPCS J7204	not published	not published	$3.80 – $9.52	2
Inj retacrit esrd on dialysi HCPCS Q5105	not published	not published	$1.26 – $3.92	2
Inj retro urethrocysto CPT 51610	$629.25	$839.00	$120.45 – $755.10	36
Inj romidepsin non-lyo 0.1mg HCPCS J9318	not published	not published	$47.90 – $114.17	2
Inj scleros sol mult veins CPT 36471	$520.50	$694.00	$170.03 – $747.58	36
Inj scleros sol sgl vein CPT 36470	$489.00	$652.00	$159.74 – $747.58	36
Inj sebelipase alfa 1 mg HCPCS J2840	not published	not published	$909.10 – $1,886.82	2
Inj secretin synthetic human HCPCS J2850	$2,444.05	$3,258.73	$40.23 – $2,932.86	36
Inj secukinumab intrav 1mg HCPCS J3247	not published	not published	$29.97 – $61.60	2
Inj sulf hexa lipid microsph HCPCS Q9950	$336.56	$448.74	$31.23 – $403.87	26
Inj teclistamab cqyv 0.5 mg HCPCS J9380	not published	not published	$55.88 – $117.53	2
Inj tedizolid phosphate HCPCS J3090	not published	not published	$3.21 – $6.62	2
Inj teplizumab mzwv 5 mcg HCPCS J9381	not published	not published	$63.25 – $128.63	2
Inj testostero enanthate 1mg HCPCS J3121	not published	not published	$0.08 – $0.32	2
Inj testosterone cypionate HCPCS J1071	$473.66	$631.54	$0.05 – $42.60	26
Inj thiotepa nos 1 mg HCPCS J9342	$8,689.13	$11,585.50	$5.74 – $226.25	36
Inj thrc fascial pln blk bi w/wo image CPT 64468	$2,207.25	$2,943.00	$155.25 – $2,648.70	36
Inj thrc fascial pln blk uni w/wo image CPT 64466	$1,471.50	$1,962.00	$134.29 – $1,765.80	36
Inj tofersen intrathec 1 mg HCPCS J1304	not published	not published	$260.97 – $523.25	2
Inj triamcinolone ace X-ray 1mg HCPCS J3304	not published	not published	$30.58 – $75.22	2
Inj velmanase alfa-tycv 1 mg HCPCS J0217	not published	not published	$781.27 – $1,566.88	2
Inj w/fluor eval cv device CPT 36598	$1,032.00	$1,376.00	$217.31 – $1,238.40	36
Inj xipere 1 mg HCPCS J3299	not published	not published	$80.64 – $163.63	2
Inj zanidatamab-hrii, 2 mg HCPCS J9276	not published	not published	$42.13 – $42.13	1
Inj(s) sclerosant spider veins limb/trunk CPT 36468	$467.25	$623.00	$152.64 – $747.58	36
Inj, abilify asimtufii, 1 mg HCPCS J0402	not published	not published	$10.13 – $21.60	2
Inj, abilify maintena, 1 mg HCPCS J0401	$9,281.66	$12,375.54	$7.27 – $8,602.24	36
Inj, adstiladrin, per tx dos HCPCS J9029	not published	not published	$106,564.16 – $106,564.16	1
Inj, aducanumab-avwa, 2 mg HCPCS J0172	not published	not published	$10.03 – $20.13	2
Inj, adzynma, 10 iu HCPCS J7171	not published	not published	$59.77 – $120.79	2
Inj, aflibercept hd, 1 mg HCPCS J0177	not published	not published	$537.15 – $1,194.87	2
Inj, afstyla, 1 i.u HCPCS J7210	not published	not published	$2.64 – $2.64	1
Inj, alyglo, 500 mg HCPCS J1552	not published	not published	$220.28 – $531.93	2
Inj, amisulpride, 1 mg HCPCS J0184	not published	not published	$34.06 – $34.06	1
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 – $23,864.41	36
Inj, aspara, rylaze, 0.1 mg HCPCS J9021	not published	not published	$92.89 – $186.83	2
Inj, bezlotoxumab, 10 mg HCPCS J0565	not published	not published	$66.90 – $135.66	2
Inj, bortezomib freseniuskab HCPCS J9048	not published	not published	$4.49 – $163.52	2
Inj, bortezomib, dr. reddy's HCPCS J9046	not published	not published	$79.25 – $163.52	2
Inj, brixadi, 7 days or less HCPCS J0577	not published	not published	$710.34 – $1,524.39	2
Inj, brolucizumab-dbll, 1 mg HCPCS J0179	not published	not published	$581.60 – $1,215.31	2
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 – $1,592.09	36
Inj, carmustine (accord) HCPCS J9052	not published	not published	$0.08 – $874.65	2
Inj, cefepime hcl (b braun) HCPCS J0703	not published	not published	$8.52 – $30.87	2
Inj, cefiderocol, 10 mg HCPCS J0699	$846.06	$1,128.08	$2.42 – $1,015.27	36
Inj, cimerli, 0.1 mg HCPCS Q5128	not published	not published	$145.34 – $971.04	2
Inj, cipaglucosidase, 5 mg HCPCS J1203	not published	not published	$150.85 – $309.72	2
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	$1,857.45 – $1,857.45	1
Inj, cyclophosphamd, sandoz HCPCS J9074	not published	not published	$7.07 – $15.65	2
Inj, daptomycin (hospira) HCPCS J0877	not published	not published	$0.08 – $0.53	2
Inj, donanemab-azbt, 2 mg HCPCS J0175	not published	not published	$6.96 – $14.18	2
Inj, durolane 1 mg HCPCS J7318	$4,122.72	$5,496.96	$6.73 – $4,586.62	36
Inj, evinacumab-dgnb, 5mg HCPCS J1305	not published	not published	$318.78 – $652.58	2
Inj, factor x, (human), 1iu HCPCS J7175	$33.28	$44.37	$9.95 – $39.93	36
Inj, faricimab-svoa, 0.1mg HCPCS J2777	not published	not published	$57.91 – $136.22	2
Inj, focinvez, 1mg HCPCS J1434	not published	not published	$4.80 – $10.89	2
Inj, fosaprepitant (teva) HCPCS J1456	not published	not published	$1.90 – $7.18	2
Inj, fulvestrant (fresenius) HCPCS J9394	$1,713.99	$2,285.31	$5.58 – $2,056.78	36
Inj, fulvestrant (teva) HCPCS J9393	not published	not published	$35.62 – $71.40	2
Inj, granisetron, xr, 0.1 mg HCPCS J1627	not published	not published	$8.33 – $28.25	2
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	$0.20 – $0.70	2
Inj, invega hafyera/trinza HCPCS J2427	not published	not published	$21.76 – $46.62	2
Inj, ixinity, 1 i.u HCPCS J7213	not published	not published	$3.21 – $7.39	2
Inj, kovaltry, 1 i.u HCPCS J7211	not published	not published	$2.65 – $6.58	2
Inj, lanreotide, (cipla) 1mg HCPCS J1932	not published	not published	$41.08 – $264.57	2
Inj, lecanemab-irmb, 1 mg HCPCS J0174	not published	not published	$2.22 – $4.59	2
Inj, lenacapavir, 1 mg HCPCS J1961	not published	not published	$36.99 – $75.08	2
Inj, levothyroxine, freskabi HCPCS J0651	$244.63	$326.17	$6.96 – $293.55	36
Inj, levothyroxine, hikma HCPCS J0652	not published	not published	$8.62 – $26.74	2
Inj, mirikizumab-mrkz, 1 mg HCPCS J2267	not published	not published	$81.09 – $194.18	2
Inj, motixafortide, 0.25 mg HCPCS J2277	not published	not published	$42.35 – $84.95	2
Inj, moxifloxacin 100 mg HCPCS J2280	not published	not published	$14.63 – $40.95	2
Inj, nithiodote, 3mg / 125mg HCPCS J0211	not published	not published	$7.00 – $7.00	1
Inj, nogapendekin pmln, 1mcg HCPCS J9028	not published	not published	$158.10 – $319.52	2
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	$98.83 – $207.06	2
Inj, panzyga, 500 mg HCPCS J1576	not published	not published	$125.08 – $410.62	2
Inj, pasireotide long acting HCPCS J2502	not published	not published	$947.17 – $2,382.49	2
Inj, pedmark, 100 mg HCPCS J0208	not published	not published	$326.06 – $326.06	1
Inj, pegcetacoplan, 1mg HCPCS J2781	not published	not published	$238.41 – $526.44	2
Inj, pegulicianine, 1 mg HCPCS A9615	not published	not published	$126.32 – $126.32	1
Inj, pemetrexed (avyxa) 10mg HCPCS J9292	not published	not published	$139.91 – $282.03	2
Inj, pemrydi rtu, 10 mg HCPCS J9324	not published	not published	$134.57 – $285.25	2
Inj, releuko 1 mcg HCPCS Q5125	not published	not published	$0.67 – $1.89	2
Inj, rimabotulinumtoxinb HCPCS J0587	$2,348.22	$3,130.95	$13.28 – $1,408.93	36
Inj, rykindo, 0.5 mg HCPCS J2801	not published	not published	$43.89 – $43.89	1
Inj, sculptra, 0.5mg HCPCS Q2028	not published	not published	$2.31 – $2.31	1
Inj, sezaby, 1 mg HCPCS J2561	not published	not published	$4.76 – $4.76	1
Inj, spesolimab-sbzo, 1 mg HCPCS J1747	not published	not published	$110.41 – $221.38	2
Inj, susvimo 0.1 mg HCPCS J2779	not published	not published	$131.76 – $285.60	2
Inj, sutimlimab-jome, 10 mg HCPCS J1302	not published	not published	$30.41 – $62.23	2
Inj, taliglucerace alfa 10 u HCPCS J3060	not published	not published	$68.98 – $160.44	2
Inj, tislelizumab-jsgr HCPCS J9329	not published	not published	$96.45 – $195.06	2
Inj, tofidence, 1 mg HCPCS Q5133	not published	not published	$9.73 – $19.81	2
Inj, trivisc 1 mg HCPCS J7329	not published	not published	$9.14 – $64.37	2
Inj, tyenne, 1 mg HCPCS Q5135	not published	not published	$7.86 – $17.50	2
Inj, uzedy, 1 mg HCPCS J2799	not published	not published	$42.12 – $93.77	2
Inj, vancomycin hcl (mylan) HCPCS J3371	not published	not published	$28.70 – $28.70	1
Inj, vasopressin (baxter) HCPCS J2601	not published	not published	$4.92 – $13.41	2
Inj, vegzelma, 10 mg HCPCS Q5129	not published	not published	$73.26 – $241.85	2
Inj. asceniv HCPCS J1554	not published	not published	$834.12 – $1,674.05	2
Inj. byooviz, 0.1 mg HCPCS Q5124	not published	not published	$104.41 – $831.04	2
Inj. cetirizine hcl 0.5mg HCPCS J1201	not published	not published	$27.54 – $61.74	2
Inj. fe derisomaltose 10 mg HCPCS J1437	not published	not published	$31.84 – $120.54	2
Inj. herceptin hylecta, 10mg HCPCS J9356	$17,286.71	$23,048.94	$59.91 – $20,744.05	36
Inj. inebilizumab-cdon, 1 mg HCPCS J1823	$172,856.28	$230,475.04	$495.55 – $207,427.54	36
Inj. jivi 1 iu HCPCS J7208	not published	not published	$4.45 – $10.78	2
Inj. lumasiran, 0.5 mg HCPCS J0224	not published	not published	$552.89 – $1,135.19	2
Inj. mycophenolate mofetil HCPCS J7519	$387.27	$516.36	$0.69 – $99.04	26
Inj. naxitamab-gqgk, 1 mg HCPCS J9348	$96,378.67	$128,504.89	$686.09 – $115,654.40	36
Inj. pemetrexed, 10 mg HCPCS J9304	not published	not published	$88.60 – $317.91	2
Inj. tagraxofusp-erzs 10 mcg HCPCS J9269	$124,816.51	$166,422.01	$357.28 – $149,779.81	36
Inj. teprotumumab-trbw 10 mg HCPCS J3241	$66,625.08	$88,833.43	$367.91 – $79,950.09	36
Inj. xembify, 100 mg HCPCS J1558	not published	not published	$25.05 – $25.05	1
Inj., aristada initio, 1 mg HCPCS J1943	not published	not published	$5.46 – $12.88	2
Inj., benralizumab, 1 mg HCPCS J0517	$19,707.27	$26,276.36	$163.36 – $23,648.72	36
Inj., emapalumab-lzsg, 1 mg HCPCS J9210	not published	not published	$641.16 – $1,296.47	2
Inj., emicizumab-kxwh 0.5 mg HCPCS J7170	$58,842.17	$78,456.22	$55.64 – $14,122.13	36
Inj., evomela, 1 mg HCPCS J9246	not published	not published	$29.18 – $114.17	2
Inj., fibryga, 1 mg HCPCS J7177	not published	not published	$2.02 – $3.92	2
Inj., guselkumab, 1 mg HCPCS J1628	not published	not published	$125.76 – $260.02	2
Inj., ibalizumab-uiyk, 10 mg HCPCS J1746	not published	not published	$133.36 – $272.13	2
Inj., lumoxiti, 0.01 mg HCPCS J9313	not published	not published	$39.30 – $78.79	2
Inj., meropenem, vaborbactam HCPCS J2186	$759.87	$1,013.15	$2.17 – $911.84	36
Inj., omadacycline, 1 mg HCPCS J0121	not published	not published	$6.74 – $15.58	2
Inj., patisiran, 0.1 mg HCPCS J0222	$36,180.04	$48,240.05	$100.90 – $43,416.05	36
Inj., perseris, 0.5 mg HCPCS J2798	not published	not published	$20.38 – $43.12	2
Inj., plazomicin, 5 mg HCPCS J0291	not published	not published	$6.00 – $12.36	2
Inj., tildrakizumab, 1 mg HCPCS J3245	not published	not published	$212.07 – $641.24	2
Inj., triluron, 1 mg HCPCS J7332	not published	not published	$17.07 – $87.29	2
Inj., triptorelin X-ray 3.75 mg HCPCS J3316	not published	not published	$6,338.39 – $13,267.10	2
Inj., yutiq, 0.01 mg HCPCS J7314	not published	not published	$894.73 – $1,810.94	2
Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282	$2,233.50	$2,978.00	$729.61 – $2,680.20	35
Inject sacroiliac joint CPT 27096	$492.00	$656.00	$160.72 – $590.40	36
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454	$678.75	$905.00	$221.73 – $1,298.11	36
Injection arthrography hip without anesthesia (both sides) CPT 27093	$660.00	$880.00	$215.60 – $792.00	36
Injection carpal tunnel therapeutic (both sides) CPT 20526	$853.50	$1,138.00	$278.81 – $1,024.20	36
Injection during cath supravalvular aortography CPT 93567	$2,211.75	$2,949.00	$36.03 – $2,654.10	34
Injection epidural blood patch or clot CPT 62273	$1,618.50	$2,158.00	$528.71 – $1,942.20	35
Injection eye drug CPT 67028	$387.00	$516.00	$126.42 – $607.43	36
Injection for arthrography wrist (both sides) CPT 25246	$551.25	$735.00	$175.92 – $661.50	36
Injection for bladder x-ray CPT 51600	$498.00	$664.00	$162.68 – $597.60	36
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350	$540.75	$721.00	$146.46 – $648.90	36
Injection for ureter x-ray CPT 50690	$544.50	$726.00	$110.40 – $653.40	36
Injection glatiramer acetate HCPCS J1595	$1,749.29	$2,332.38	$41.32 – $151.79	26
Injection into hemorrhoid(s) CPT 46500	$1,058.25	$1,411.00	$345.70 – $1,710.18	36
Injection jugular CPT 36299	$1,890.00	$2,520.00	$617.40 – $2,268.00	24
Injection of sinus tract CPT 20500	$1,670.25	$2,227.00	$545.62 – $2,853.34	36
Injection px peyronie ds CPT 54200	$287.25	$383.00	$93.84 – $459.47	36
Injection radioactive tracer sentinel node (both sides) CPT 38792	$787.50	$1,050.00	$257.25 – $945.00	36
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374	$609.75	$813.00	$199.19 – $731.70	36
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375	$573.00	$764.00	$47.84 – $687.60	36
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376	$573.00	$764.00	$187.18 – $687.60	26
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372	$174.00	$232.00	$56.84 – $208.80	36
Injection torsemide 10 mg/ml HCPCS J3265	not published	not published	$10.61 – $10.61	1
Injection treatment of nerve CPT 64605	$2,238.00	$2,984.00	$731.08 – $3,591.04	35
Injection treatment of nerve CPT 64681	$2,708.25	$3,611.00	$884.70 – $3,249.90	35
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447	$1,471.50	$1,962.00	$480.69 – $1,765.80	34
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450	$1,567.50	$2,090.00	$393.47 – $1,445.40	36
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483	$1,668.00	$2,224.00	$544.88 – $2,001.60	35
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491	$1,236.75	$1,649.00	$96.64 – $1,484.10	36
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490	$1,777.50	$2,370.00	$580.65 – $2,133.00	36
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494	$1,334.25	$1,779.00	$90.62 – $1,601.10	36
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493	$1,512.75	$2,017.00	$494.17 – $1,815.30	36
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321	$2,233.50	$2,978.00	$721.17 – $2,680.20	36
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323	$1,943.25	$2,591.00	$634.80 – $2,331.90	36
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550	$255.00	$340.00	$83.30 – $564.48	36
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552	$1,078.50	$1,438.00	$313.60 – $1,294.20	36
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553	$656.25	$875.00	$214.38 – $787.50	36
Injection, belinostat, 10mg HCPCS J9032	$9,355.72	$12,474.29	$53.11 – $11,226.86	36
Injection, burosumab-twza 1m HCPCS J0584	not published	not published	$809.02 – $1,636.85	2
Injection, cangrelor HCPCS C9460	$3,425.21	$4,566.94	$20.02 – $4,110.25	36
Injection, daratumumab 10 mg HCPCS J9145	not published	not published	$117.31 – $276.89	2
Injection, doxercalciferol HCPCS J1270	$23.86	$31.81	$0.62 – $28.63	26
Injection, edaravone, 1 mg HCPCS J1301	not published	not published	$31.63 – $75.15	2
Injection, fulvestrant HCPCS J9395	$3,584.82	$4,779.76	$11.71 – $146.03	26
Injection, inclisiran, 1 mg HCPCS J1306	not published	not published	$20.75 – $43.37	2
Injection, isavuconazonium HCPCS J1833	$1,350.22	$1,800.29	$1.01 – $1,620.26	36
Injection, necitumumab, 1 mg HCPCS J9295	not published	not published	$9.63 – $19.32	2
Injection, peramivir HCPCS J2547	$1,257.68	$1,676.90	$1.68 – $1,509.21	36
Injection, renflexis HCPCS Q5104	$2,582.56	$3,443.41	$26.80 – $1,867.90	36
Injection, ruconest HCPCS J0596	not published	not published	$61.71 – $137.27	2
Injection, siltuximab HCPCS J2860	$23,535.37	$31,380.49	$174.08 – $7,060.60	36
Injection,onabotulinumtoxina HCPCS J0585	$4,814.15	$6,418.86	$6.51 – $1,606.19	36
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229	$88,429.23	$117,905.64	$2,816.77 – $106,115.08	36
Ins cath ren art 1st bi CPT 36252	$6,033.75	$8,045.00	$1,971.03 – $7,240.50	36
Ins cath ren art 1st uni CPT 36251	$5,074.50	$6,766.00	$1,657.67 – $6,089.40	36
Ins cath ren art 2nd+ bi CPT 36254	$7,922.25	$10,563.00	$2,587.94 – $9,506.70	36
Ins cath ren art 2nd+ uni CPT 36253	$5,184.00	$6,912.00	$1,693.44 – $10,233.02	36
Ins cerv dilator (sep proc) CPT 59200	$1,127.25	$1,503.00	$311.33 – $1,352.70	36
Ins icd gen exist mlt leads CPT 33231	$26,801.25	$35,735.00	$8,755.08 – $57,723.71	36
Ins icd gen exist sgl lead CPT 33240	$23,742.75	$31,657.00	$7,755.97 – $40,905.65	36
Ins lv lead exist pm/icd CPT 33224	$9,178.50	$12,238.00	$2,998.31 – $19,221.08	36
Ins mark abd/pel for right perq CPT 49411	$2,376.00	$3,168.00	$776.16 – $2,851.20	36
Ins mark thor for right perq CPT 32553	$2,831.25	$3,775.00	$924.88 – $3,397.50	36
Ins picad w subq port 5yr> CPT 36571	$5,089.50	$6,786.00	$1,662.57 – $6,107.40	35
Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572	$728.25	$971.00	$237.90 – $1,153.60	36
Ins pm gen exist dual lead CPT 33230	$19,065.75	$25,421.00	$6,228.15 – $40,905.65	36
Ins pm gen w/exist mlt leads CPT 33221	$15,600.75	$20,801.00	$5,096.25 – $35,422.00	36
Ins pq tunnld ip cath w/img CPT 49418	$4,113.75	$5,485.00	$1,343.83 – $6,584.31	36
Ins tun cv cath wo subq prt/pm CPT 36557	$4,564.50	$6,086.00	$1,491.07 – $10,233.02	35
Ins tun cv cath wo subq prt/pm CPT 36558	$4,218.00	$5,624.00	$1,377.88 – $5,806.57	35
Ins tun intraperit dia cath CPT 49421	$4,896.00	$6,528.00	$1,599.36 – $6,584.31	35
Ins/rpl ldless pm right vent w img & eval CPT 33274	$14,352.75	$19,137.00	$4,688.57 – $35,422.00	34
Ins/rpl pm gen exist dual lead CPT 33213	$11,005.50	$14,674.00	$3,595.13 – $19,221.08	35
Ins/rpl pm gen exist sgl lead CPT 33212	$7,319.25	$9,759.00	$2,390.96 – $15,218.33	35
Ins/rpl pm w/tv ld atrl CPT 33206	$8,724.00	$11,632.00	$2,849.84 – $19,221.08	36
Ins/rpl prph sac/gstr npg/r CPT 64590	$25,362.75	$33,817.00	$8,285.17 – $35,676.56	35
Ins/rpl wireless pulm art sensor incl s&i CPT 33289	$22,814.25	$30,419.00	$7,452.66 – $52,748.32	34
Ins/rplc spi npg/rcvr pocket CPT 63685	$36,000.00	$48,000.00	$11,760.00 – $56,746.91	35
Insemination of oocytes CPT 89268	not published	not published	$100.00 – $1,219.89	3
Insert abdomen-venous drain CPT 49425	$7,121.25	$9,495.00	$726.26 – $8,545.50	36
Insert cath pleura with image CPT 32557	$1,734.75	$2,313.00	$566.69 – $2,894.85	36
Insert cath pleura without image CPT 32556	$2,019.00	$2,692.00	$659.54 – $3,528.85	36
Insert drug delivery implant CPT 11981	$1,418.25	$1,891.00	$135.93 – $1,701.90	36
Insert hepatic shunt (tips) CPT 37182	$10,536.00	$14,048.00	$3,441.76 – $33,711.64	36
Insert intrauterine device iud CPT 58300	$723.75	$965.00	$99.56 – $868.50	36
Insert pessary/other device CPT 57160	$332.25	$443.00	$108.54 – $398.70	36
Insert picvad cath CPT 36570	$2,907.75	$3,877.00	$949.87 – $5,806.57	35
Insert pm/icd lead dual CPT 33217	$6,880.50	$9,174.00	$2,247.63 – $15,218.33	36
Insert sq defib electrode CPT 33271	$6,820.50	$9,094.00	$2,228.03 – $15,218.33	36
Insert swan-ganz cath CPT 93503	$6,580.50	$8,774.00	$1,608.25 – $7,896.60	34
Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565	$5,018.25	$6,691.00	$1,639.30 – $6,021.90	35
Insert tunneled cv cath CPT 36560	$3,252.75	$4,337.00	$1,062.57 – $5,806.57	35
Insert vad art access left hrt art & vein access CPT 33991	$15,454.50	$20,606.00	$411.25 – $18,545.40	34
Insert vad art access left hrt arterial access CPT 33990	$5,240.25	$6,987.00	$309.71 – $6,288.30	34
Insert/repl sq defib w/eltrd CPT 33270	$26,801.25	$35,735.00	$8,755.08 – $57,723.71	36
Insertion catheter bladder non indwelling CPT 51701	$327.75	$437.00	$107.07 – $393.30	36
Insertion catheter bladder temporary simple CPT 51702	$323.25	$431.00	$105.60 – $387.90	36
Insertion catheter pleural indwelling tunneled with cuff CPT 32550	$4,782.00	$6,376.00	$1,562.12 – $6,584.31	36
Insertion intra aortic balloon assist device percutaneous CPT 33967	$3,576.75	$4,769.00	$222.41 – $4,292.10	34
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191	$6,702.00	$8,936.00	$2,189.32 – $10,233.02	36
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556	$2,712.75	$3,617.00	$886.17 – $5,806.57	35
Insertion of catheter vein CPT 36481	$2,687.25	$3,583.00	$877.84 – $3,224.70	36
Insertion of catheter vein CPT 36500	$2,808.00	$3,744.00	$158.44 – $3,369.60	36
Insertion of heart electrode 33211 CPT 33211	$6,820.50	$9,094.00	$2,228.03 – $15,218.33	36
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208	$11,024.25	$14,699.00	$3,601.26 – $19,221.08	36
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207	$8,834.25	$11,779.00	$2,885.86 – $19,221.08	36
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225	$9,855.00	$13,140.00	$389.80 – $11,826.00	36
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569	$3,077.25	$4,103.00	$1,005.24 – $3,692.70	35
Insertion picc without port or pump with imaging guidance=>5y CPT 36573	$1,242.75	$1,657.00	$405.97 – $2,894.85	36
Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216	$6,820.50	$9,094.00	$2,228.03 – $15,218.33	34
Insertion subcutaneous cardiac rhythm monitor CPT 33285	$7,037.25	$9,383.00	$2,298.84 – $15,218.33	34
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561	$4,604.25	$6,139.00	$1,504.06 – $5,806.57	35
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249	$26,801.25	$35,735.00	$8,755.08 – $57,723.71	36
Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210	$6,820.50	$9,094.00	$2,228.03 – $15,218.33	34
Insitu hybridization (fish) CPT 88366	$907.50	$1,210.00	$56.00 – $1,089.00	36
Insitu hybridization auto CPT 88367	not published	not published	$128.06 – $174.03	3
Insitu hybridization manual CPT 88368	$459.75	$613.00	$56.00 – $659.18	36
Insj phrnc nrv stim sys CPT 33276	$54,756.75	$73,009.00	$17,887.21 – $81,000.90	36
Insj stablj dev without dcmprn CPT 22869	$15,258.00	$20,344.00	$4,984.28 – $23,610.17	36
Insole orthotic freedom sz6 6816 HCPCS L3060	$38.25	$51.00	$12.50 – $163.17	36
Inst fibrinolysis agent ini day CPT 32561	$1,359.75	$1,813.00	$444.19 – $1,631.70	36
Inst fibrinolysis agent sbsq d CPT 32562	$1,025.25	$1,367.00	$334.92 – $1,230.30	36
Inst tauro 1.35mg/hep 100u HCPCS J0911	not published	not published	$29.75 – $29.75	1
Inst via cath agent pleurds CPT 32560	$2,517.75	$3,357.00	$640.89 – $3,021.30	36
Insti hexaminolevulinate hcl HCPCS A9589	not published	not published	$2,392.87 – $4,819.50	2
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	$317.03 – $1,282.32	36
Insulin total CPT 83525	$103.50	$138.00	$5.41 – $124.20	36
Int hrhc lig 1 hroid without img CPT 46945	$3,491.25	$4,655.00	$1,140.48 – $5,104.40	36
Int hrhc lig 2+hroid without img CPT 46946	$3,767.25	$5,023.00	$1,230.64 – $5,104.40	36
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114	$9,970.16	$13,293.54	$3,256.92 – $11,964.19	26
Integra meshed bil wound mat HCPCS C9363	$35,280.97	$47,041.29	$127.14 – $8,814.64	36
Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359	$6,018.75	$8,025.00	$80.85 – $297.00	26
Interdental fixation CPT 21110	$1,733.25	$2,311.00	$566.20 – $2,853.34	36
Interdiscal perq aspir dx CPT 62267	$822.75	$1,097.00	$268.77 – $1,302.25	36
Interferon alfa-2b inj HCPCS J9214	not published	not published	$54.72 – $109.73	2
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027	$29,609.96	$39,479.94	$93.44 – $35,531.95	26
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	$24.01 – $108.49	36
Interrog dev eval icpms ip CPT 93290	$112.50	$150.00	$36.75 – $135.00	34
Interrog dev eval scrms ip CPT 93291	$285.75	$381.00	$29.55 – $342.90	36
Interrog device eval heart CPT 93289	$636.75	$849.00	$38.13 – $764.10	36
Interrog evl pm/ldls pm ip CPT 93288	$202.50	$270.00	$38.13 – $243.00	36
Interrog without prgrmg ipnss CPT 93153	$108.00	$144.00	$35.28 – $174.83	33
Interrog&prgrmg ipnss CPT 93151	$108.00	$144.00	$35.28 – $174.83	33
Interrogate subq defib CPT 93261	$336.75	$449.00	$38.13 – $404.10	36
Interstitial brachy inter CPT 77799	not published	not published	$512.87 – $512.87	1
Intra-atrial pacing CPT 93610	$5,625.00	$7,500.00	$1,837.50 – $14,343.48	36
Intra-atrial recording CPT 93602	$6,184.50	$8,246.00	$2,020.27 – $14,343.48	36
Intracard echo interv w/s&i CPT 93662	$4,089.00	$5,452.00	$1,335.74 – $4,906.80	24
Intracranial angioplasty CPT 61630	$9,051.00	$12,068.00	$1,229.57 – $10,861.20	36
Intracranial complete study CPT 93886	$1,464.00	$1,952.00	$243.77 – $1,756.80	36
Intracranial limited study CPT 93888	$1,091.25	$1,455.00	$106.81 – $1,309.50	36
Intranasal biopsy 30100 CPT 30100	$3,322.50	$4,430.00	$1,085.35 – $3,987.00	36
Intrapul surf admin endo tube CPT 94610	$256.50	$342.00	$83.79 – $402.70	36
Intrauterine transfusion ftl CPT 36460	$1,788.00	$2,384.00	$450.73 – $2,145.60	36
Intraventricular pacing CPT 93612	$5,625.00	$7,500.00	$1,837.50 – $14,343.48	36
Intrinsic factor antibody CPT 86340	$77.25	$103.00	$7.59 – $92.70	36
Intrm oph exam est patient CPT 92012	$161.25	$215.00	$52.68 – $244.84	36
Intro cath dialysis circuit CPT 36901	$1,643.25	$2,191.00	$536.80 – $2,894.85	36
Intro cath dialysis circuit w/pta CPT 36902	$8,422.50	$11,230.00	$2,751.35 – $10,466.71	36
Intro cath dialysis circuit w/stent plcmnt CPT 36903	$13,140.75	$17,521.00	$4,292.65 – $21,229.61	36
Intro cath svc/ivc CPT 36010	$1,942.50	$2,590.00	$475.28 – $2,331.00	36
Intro catheter aorta CPT 36200	$2,623.50	$3,498.00	$527.01 – $3,148.20	36
Intro long gi tube CPT 44500	$876.00	$1,168.00	$286.16 – $1,667.93	36
Intro long gi tube w/mult fluo CPT 74340	not published	not published	$206.04 – $206.04	1
Intrvasc Ultrasound noncoronary 1st vessel CPT 37252	$3,510.75	$4,681.00	$823.86 – $4,212.90	36
Intrvasc Ultrasound noncoronary addl vessel CPT 37253	$978.00	$1,304.00	$159.87 – $1,173.60	36
Intubation endotracheal emergency procedure CPT 31500	$934.50	$1,246.00	$241.98 – $1,121.40	36
Io rad tx deliver by elctrns CPT 77425	not published	not published	$1,233.75 – $33,298.56	2
Io rad tx delivery by x-ray CPT 77424	not published	not published	$1,138.77 – $33,298.56	2
Ionm in operatng room 15 min CPT 95940	$320.25	$427.00	$26.23 – $384.30	36
Ionm remote/>1 pt or per hr CPT 95941	$1,336.50	$1,782.00	$436.59 – $1,603.80	26
Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966	$199.60	$266.13	$0.74 – $71.88	26
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967	$244.04	$325.38	$0.25 – $19.53	26
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 – $40,175.88	36
Ipratropium bromide non-comp HCPCS J7644	$2.43	$3.23	$0.66 – $2.91	26
Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206	$378.32	$504.42	$2.34 – $419.53	26
Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205	$11,014.86	$14,686.47	$66.37 – $13,217.82	36
Iron CPT 83540	$428.25	$571.00	$3.06 – $77.40	36
Iron binding capacity CPT 83550	$89.25	$119.00	$4.13 – $107.10	36
Iron dextran 50 mg/ml injection solution HCPCS J1750	$140.34	$187.12	$18.11 – $168.41	36
Iron stain peripheral blood CPT 85536	not published	not published	$3.18 – $16.50	3
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756	$133.11	$177.48	$0.37 – $139.53	26
Irradiation of blood product each unit reference CPT 86945	$206.25	$275.00	$11.90 – $247.50	36
Irrigation implantable venous access device for drug delivery systems CPT 96523	$153.75	$205.00	$50.23 – $184.50	36
Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227	$15,760.97	$21,014.62	$83.58 – $3,782.59	36
Ivc venogram s&i CPT 75825	$4,438.50	$5,918.00	$168.42 – $5,806.57	36
Ivp w/nephrotomography CPT 74415	not published	not published	$350.49 – $764.78	2
Ivp w/wo kub w/wo tomography CPT 74400	not published	not published	$305.91 – $764.78	2
Ixabepilone 15 mg intravenous solution HCPCS J9207	$22,346.52	$29,795.35	$139.75 – $8,938.61	36
J-tube placement CPT 44015	$904.50	$1,206.00	$124.95 – $1,085.40	36
Jak2 targeted sequence analysis CPT 81279	not published	not published	$391.24 – $444.48	2
Jejunstmy tube plcmt CPT 44372	$3,895.50	$5,194.00	$1,272.53 – $4,674.60	35
John cunningham antibody CPT 86711	not published	not published	$7.92 – $40.53	3
Kerecis marigen shld sq cm HCPCS A2019	not published	not published	$2,125.59 – $2,125.59	1
Ketamine and metabolite screen - quest CPT 80357	$136.50	$182.00	$0.03 – $163.80	26
Ketogenic steroids fract CPT 83582	not published	not published	$7.39 – $37.14	3
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010	$285.75	$381.00	$3.59 – $221.40	36
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885	$17.11	$22.81	$0.34 – $2.91	36
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770	$972.75	$1,297.00	$106.81 – $1,167.30	36
Kidney function study CPT 78725	$1,133.25	$1,511.00	$218.82 – $1,359.90	36
Kidney imag w/bld flow multi CPT 78709	not published	not published	$747.63 – $2,095.20	2
Kidney imaging morphology CPT 78700	$1,238.25	$1,651.00	$377.13 – $1,485.90	36
Kidney img w/bldflw sgl without rx CPT 78707	$1,584.75	$2,113.00	$469.02 – $1,901.70	36
Kit case 4.2mm spinejack HCPCS C1062	$9,652.39	$12,869.85	$3,153.11 – $11,582.86	26
Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761	$10,575.00	$14,100.00	$0.01 – $0.03	26
Kit gene analys d816 variant CPT 81273	$268.50	$358.00	$56.00 – $322.20	36
Kit hfx iq ipg bundle HCPCS C1822	$58,500.00	$78,000.00	$1,352.40 – $4,968.00	26
Kit ipg optimizer smart HCPCS C1824	$51,750.00	$69,000.00	$16,905.00 – $62,100.00	26
Kit lead specify 5-6-5 HCPCS C1778	$73,912.50	$98,550.00	$31.85 – $117.00	26
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878	$801.57	$1,068.75	$187.67 – $689.40	26
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105	not published	not published	$43.81 – $242.76	2
Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615	$2,836.08	$3,781.44	$926.45 – $3,403.30	26
Knee MRI (with and without contrast) CPT 73723	$2,628.75	$3,505.00	$356.43 – $3,154.50	30
Knee MRI (with contrast) CPT 73722	$2,259.00	$3,012.00	$737.94 – $2,710.80	30
Knee MRI (without contrast) CPT 73721	$2,628.75	$3,505.00	$243.77 – $3,154.50	30
Knee X-ray CPT 73564	$508.50	$678.00	$99.27 – $610.20	36
Kras gene addl variants CPT 81276	not published	not published	$408.23 – $463.80	2
Kras gene variants exon 2 CPT 81275	not published	not published	$150.94 – $463.80	3
Kyleena, 19.5 mg HCPCS J7296	$4,491.10	$5,988.13	$1,467.09 – $5,389.32	26
L/s ratio fetal lung CPT 83661	not published	not published	$11.39 – $52.77	3
Labetalol 5 mg/ml IV (wrapper) HCPCS J1920	$22.19	$29.58	$0.64 – $6.93	26
Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254	$237.75	$317.00	$0.70 – $48.73	26
Lactate dehydrogenase (ldh) CPT 83615	$65.25	$87.00	$2.86 – $73.80	36
Lactated ringers intravenous solution HCPCS J7120	$22.19	$29.58	$2.42 – $8.87	26
Lactic acid CPT 83605	$209.25	$279.00	$5.05 – $251.10	36
Lactoferrin fecal qualitative CPT 83630	$72.75	$97.00	$9.28 – $87.30	36
Lactoferrin fecal quant CPT 83631	not published	not published	$9.85 – $47.10	3
Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930	$35,355.50	$47,140.66	$35.72 – $27,012.46	36
Lanthanum carbonate oral 5mg HCPCS J0607	$2,066.54	$2,755.38	$0.14 – $611.78	26
Laparoscopye procstom 43659 CPT 43659	$6,827.25	$9,103.00	$2,230.24 – $11,117.65	36
Largsc w/laser dstrj les CPT 31572	$6,297.75	$8,397.00	$2,057.27 – $7,557.30	36
Largsc w/njx augmentation CPT 31574	$3,180.00	$4,240.00	$1,038.80 – $3,816.00	36
Largsc w/removal lesion CPT 31578	$8,732.25	$11,643.00	$2,852.54 – $10,478.70	35
Largsc w/ther injection CPT 31573	$3,151.50	$4,202.00	$1,029.49 – $3,781.80	36
Laronidase injection HCPCS J1931	$4,116.73	$5,488.97	$39.95 – $4,940.07	36
Laryngeal function studies CPT 92520	$360.00	$480.00	$117.60 – $432.00	36
Laryngoscope w/vc inj CPT 31570	$4,485.00	$5,980.00	$1,465.10 – $6,856.38	35
Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525	$1,968.00	$2,624.00	$642.88 – $3,273.21	35
Laryngoscopy telescopic CPT 31579	$1,185.75	$1,581.00	$387.35 – $1,422.90	36
Laryngoscopy w/exc of tumor CPT 31540	$7,290.00	$9,720.00	$2,381.40 – $8,748.00	35
Laryngoscopy w/fb removal CPT 31530	$2,017.50	$2,690.00	$659.05 – $3,273.21	35
Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515	$473.25	$631.00	$154.60 – $719.26	35
Laryngoscopy with biopsy CPT 31576	$8,027.25	$10,703.00	$1,818.45 – $9,632.70	35
Lavage cannulation maxillary sinus CPT 31000	$1,871.25	$2,495.00	$241.98 – $2,245.50	36
Lead acuity x4 spiral l 86cm HCPCS C1900	$4,863.24	$6,484.32	$102.90 – $378.00	26
Lead capillary CPT 83655	$101.25	$135.00	$7.00 – $121.50	36
Lead ingevity 45cm pfret MRI HCPCS C1898	$7,616.25	$10,155.00	$2.90 – $10.67	26
Lead tachy durata sj4 58cm HCPCS C1777	$13,488.75	$17,985.00	$1,690.50 – $6,210.00	26
Leg Vein Ultrasound (DVT study, both legs) CPT 93970	$1,209.00	$1,612.00	$243.77 – $1,450.80	36
Leishmania antibody CPT 86717	$182.25	$243.00	$6.77 – $218.70	36
Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787	$2,238.75	$2,985.00	$363.83 – $1,336.50	26
Lens iol ant bicnvx 24.0 multi HCPCS V2632	$1,136.25	$1,515.00	$71.52 – $262.71	36
Lens iol ant chamb 10.5 HCPCS V2630	$191.25	$255.00	$62.48 – $262.31	36
Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640	$83.13	$110.83	$5.88 – $21.61	26
Leukacyte transfusion CPT 86950	not published	not published	$32.30 – $162.31	3
Leukocyte phagocytosis CPT 86344	not published	not published	$4.10 – $24.93	3
Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950	$42,325.47	$56,433.96	$927.63 – $3,407.62	36
Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217	$30,791.46	$41,055.27	$127.66 – $468.95	36
Leuprolide depot cipla 7.5mg HCPCS J1954	not published	not published	$370.84 – $1,612.56	2
Leuprolide inj, camcevi, 1mg HCPCS J1952	not published	not published	$86.35 – $362.95	2
Levalbuterol non-comp unit HCPCS J7614	$5.40	$7.19	$0.13 – $5.27	26
Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953	$97.62	$130.16	$0.07 – $4.11	26
Levetiracetam therapeutic drug level CPT 80177	$215.25	$287.00	$7.24 – $258.30	36
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956	$47.70	$63.60	$1.69 – $6.22	26
Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650	$652.50	$870.00	$12.92 – $552.73	26
Liberta rc ipg HCPCS C1820	$63,376.43	$84,501.90	$0.01 – $0.03	26
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002	$25.89	$34.51	$0.04 – $25.52	26
Lidocaine therapeutic drug level CPT 80176	$78.00	$104.00	$6.95 – $93.60	36
Lig/band angioaccess av fistula CPT 37607	$3,213.75	$4,285.00	$1,049.83 – $5,806.57	35
Liletta, 52 mg HCPCS J7297	$3,445.08	$4,593.43	$459.38 – $1,687.50	26
Limited visual field xm CPT 92081	$96.75	$129.00	$31.61 – $116.10	36
Lincomycin injection HCPCS J2010	not published	not published	$9.42 – $33.92	2
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020	$119.81	$159.74	$5.83 – $30.62	26
Lipase CPT 83690	$177.75	$237.00	$3.26 – $213.30	36
Lipoprotein blood high res frac & quant CPT 83701	not published	not published	$12.45 – $81.27	3
Lipoprotein blood quant CPT 83704	$254.25	$339.00	$15.83 – $305.10	36
Lipoprotein direct measurement hdl CPT 83718	$93.75	$125.00	$3.87 – $112.50	36
Lipoprotein direct measurement ldl CPT 83721	$104.25	$139.00	$4.51 – $125.10	36
Lipoprtn dir meas sd ldl chl CPT 83722	not published	not published	$72.22 – $82.05	2
Lisocabtagene mara car pos t HCPCS Q2054	not published	not published	$909,947.89 – $909,947.89	1
Listeria monocytogenes CPT 86723	not published	not published	$6.36 – $31.65	3
Lithium therapeutic drug level CPT 80178	$94.50	$126.00	$3.13 – $113.40	36
Lithotripsy transluminal coronary percutaneous CPT 92972	$3,650.25	$4,867.00	$120.71 – $4,380.30	34
Liver Function Test CPT 80076	$141.75	$189.00	$2.99 – $170.10	36
Liver ds alys 3 bmrk srm alg CPT 81517	$812.25	$1,083.00	$56.00 – $803.70	36
Liver elastography 91200 CPT 91200	$552.75	$737.00	$131.46 – $663.30	36
Liver imag w/vasclr flow CPT 78202	not published	not published	$468.09 – $2,095.20	2
Liver imaging CPT 78201	$1,241.25	$1,655.00	$405.48 – $1,694.37	36
Liver/spleen imag static only CPT 78215	$1,856.25	$2,475.00	$408.43 – $2,227.50	36
Liver/spleen imag w/vasclr flow CPT 78216	not published	not published	$279.90 – $1,613.97	2
Locm 100-199mg/ml iodine,1ml HCPCS Q9965	not published	not published	$2.38 – $3.02	2
Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359	$104,719.60	$139,626.13	$221.49 – $125,663.52	36
Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060	$49.14	$65.52	$1.59 – $5.82	26
Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133	$1,817.25	$2,423.00	$179.20 – $2,180.70	30
Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132	$1,829.25	$2,439.00	$356.43 – $2,195.10	30
Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131	$1,734.75	$2,313.00	$106.81 – $2,081.70	30
Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158	$2,590.50	$3,454.00	$356.43 – $3,108.60	30
Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149	$2,441.25	$3,255.00	$356.43 – $2,929.50	30
Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148	$2,265.75	$3,021.00	$243.77 – $2,718.90	30
Lower Back (Lumbar Spine) X-ray CPT 72100	$439.50	$586.00	$80.19 – $527.40	36
Lumbar diskogram s&i CPT 72295	$2,909.25	$3,879.00	$197.55 – $3,591.04	36
Lumizyme injection HCPCS J0221	$3,672.96	$4,897.27	$207.51 – $4,407.54	36
Lung Function Test (Spirometry) CPT 94010	$478.50	$638.00	$156.31 – $574.20	36
Lung function test (mbc/mvv) CPT 94200	$220.50	$294.00	$60.27 – $264.60	36
Lung perfusion imaging CPT 78580	$1,789.50	$2,386.00	$408.43 – $2,147.40	36
Lurbinectedin 4 mg intravenous solution HCPCS J9223	$30,504.38	$40,672.50	$212.10 – $36,605.25	36
Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896	$45,624.83	$60,833.10	$42.75 – $18,250.01	36
Lutetium lu 177 dotatat ther HCPCS A9513	not published	not published	$474.13 – $1,067.57	2
Lutetium lu 177 vipivotide HCPCS A9607	not published	not published	$435.88 – $869.37	2
Lvad shower bag heartmate HCPCS Q0501	$1,059.75	$1,413.00	$220.50 – $1,131.91	36
Lymph vessel x-ray arm/leg CPT 75801	$2,379.00	$3,172.00	$640.89 – $2,854.80	36
Lymph vessel x-ray arms/legs CPT 75803	$2,379.00	$3,172.00	$777.14 – $2,894.85	36
Lymph vessel x-ray trunk CPT 75805	$2,489.25	$3,319.00	$813.16 – $5,806.57	36
Lymph vessel x-ray trunk CPT 75807	$2,489.25	$3,319.00	$813.16 – $5,806.57	36
Lymphatics/lymph node imaging CPT 78195	$2,091.75	$2,789.00	$554.73 – $2,510.10	36
Lymphocyte culture mixed CPT 86821	not published	not published	$23.60 – $87.75	3
Lymphocyte transformation mitogen CPT 86353	$858.75	$1,145.00	$23.19 – $151.20	36
Lymphocytotoxicity assay CPT 86805	not published	not published	$27.60 – $454.83	3
Lysis intranasal synechia 30560 CPT 30560	$3,098.25	$4,131.00	$551.01 – $3,717.90	35
M.avium-intra dna amp prob CPT 87561	$489.75	$653.00	$17.13 – $463.50	36
M.avium-intra dna dir prob CPT 87560	not published	not published	$9.64 – $65.49	3
M.tuberculo dna dir probe CPT 87555	not published	not published	$9.64 – $64.50	3
M/phmtrc alys ishquant/semiq CPT 88373	not published	not published	$35.61 – $94.71	3
M/phmtrc alys ishquant/semiq CPT 88377	$435.00	$580.00	$56.00 – $522.00	36
M/phmtrc alys skeletal musc CPT 88355	not published	not published	$115.20 – $209.93	3
M/phmtrc alysishquant/semiq CPT 88369	not published	not published	$43.67 – $209.70	3
MRA abdomen post contrast CPT 74185	$2,229.00	$2,972.00	$312.07 – $2,674.80	30
MRA aorta thoracic w/wo contrast CPT 71555	$2,121.75	$2,829.00	$310.78 – $2,546.10	30
MRA ext low(run-off)pst cntrst CPT 73725	$2,229.00	$2,972.00	$313.31 – $2,674.80	30
MRA pelvis CPT 72198	$2,229.00	$2,972.00	$312.31 – $2,674.80	30
MRA spinal canal CPT 72159	$1,320.00	$1,760.00	$313.53 – $1,584.00	30
MRA upper extremity post contrast-bil CPT 73225	$1,574.25	$2,099.00	$300.88 – $1,889.10	36
MRI brain w/dye CPT 70558	not published	not published	$525.78 – $525.78	1
MRI brain without & w/dye CPT 70559	$2,608.50	$3,478.00	$179.20 – $3,130.20	30
MRI brain without dye CPT 70557	not published	not published	$1,577.10 – $1,577.10	1
MRI breast c- unilateral CPT 77046	not published	not published	$412.35 – $412.35	1
MRI breast c-+ w/cad uni CPT 77048	$303.75	$405.00	$99.23 – $560.49	30
MRI breast w IV cont bi CPT 77049	$303.75	$405.00	$99.23 – $570.87	30
MRI breast without cont bi CPT 77047	$262.50	$350.00	$85.75 – $438.79	30
MRI cardiac morph & func wo IV cont CPT 75557	$2,379.00	$3,172.00	$243.77 – $2,854.80	30
MRI cardiac morph & func wwo IV cont CPT 75561	$2,945.25	$3,927.00	$356.43 – $3,534.30	30
MRI cardiac morph & func wwo IV cont w/stress img CPT 75563	$3,879.75	$5,173.00	$800.90 – $4,655.70	30
MRI chest w IV cont CPT 71551	$2,105.25	$2,807.00	$687.72 – $2,526.30	30
MRI chest without & w/contrast CPT 71552	$2,877.75	$3,837.00	$356.43 – $3,453.30	30
MRI chest without contrast CPT 71550	$1,818.00	$2,424.00	$243.77 – $2,181.60	30
MRI fetal ea addl gestation CPT 74713	not published	not published	$345.99 – $345.99	1
MRI fetal sngl/1st gestation CPT 74712	not published	not published	$700.95 – $700.95	1
MRI guid ndl plc s&i CPT 77021	$1,454.25	$1,939.00	$394.22 – $1,745.10	30
MRI guid parenchymal tiss ablation CPT 77022	not published	not published	$1,289.76 – $1,289.76	1
MRI loex nonjt w IV cont CPT 73719	$2,259.00	$3,012.00	$356.43 – $2,710.80	30
MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720	$2,628.75	$3,505.00	$356.43 – $3,154.50	30
MRI lower extremity other than joint without contrast (both sides) CPT 73718	$2,127.00	$2,836.00	$243.77 – $2,552.40	30
MRI orbit fac&nck w IV cont CPT 70542	$2,776.50	$3,702.00	$356.43 – $3,331.80	30
MRI orbit/face/neck without & w/contrast CPT 70543	$2,181.00	$2,908.00	$356.43 – $2,617.20	30
MRI orbit/face/neck without contrast CPT 70540	$1,883.25	$2,511.00	$243.77 – $2,259.90	30
MRI tmj CPT 70336	$1,860.00	$2,480.00	$243.77 – $2,232.00	30
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220	$2,628.75	$3,505.00	$356.43 – $3,154.50	30
MRI upper extremity other than joint without contrast (both sides) CPT 73218	$2,127.00	$2,836.00	$243.77 – $2,552.40	30
MRI upper extremity w/dye CPT 73219	$2,550.75	$3,401.00	$356.43 – $3,060.90	30
Macro exam dissect molec study ea CPT 88387	not published	not published	$16.11 – $16.80	2
Macroscopic exam arthropod CPT 87168	not published	not published	$2.15 – $10.26	3
Macroscopic exam parasite CPT 87169	not published	not published	$2.02 – $10.35	3
Magnesium CPT 83735	$96.00	$128.00	$2.73 – $62.10	36
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475	$23.30	$31.06	$0.82 – $4.73	26
Magnetic image bone marrow CPT 77084	not published	not published	$700.95 – $700.95	1
Makena, 10 mg HCPCS J1726	not published	not published	$48.62 – $48.62	1
Malaria antibody CPT 86750	not published	not published	$6.98 – $31.65	3
Manipulat palm cord post inj CPT 26341	$532.50	$710.00	$173.95 – $639.00	36
Manipulation chest wall demonstration/evaluation subsequent CPT 94668	$216.75	$289.00	$70.81 – $260.10	36
Manipulation chest wall initial demonstration/evaluation CPT 94667	$219.00	$292.00	$71.54 – $262.80	36
Mannitol 12.5 gm/50 ml inj HCPCS J2150	not published	not published	$3.75 – $16.56	2
Manual diff wbc count b-coat CPT 85009	not published	not published	$1.76 – $12.18	3
Map tachycard site(s) CPT 93609	$10,926.00	$14,568.00	$3,569.16 – $13,111.20	26
Mapping functional cort/subcort ea add'l hr CPT 95962	$1,137.75	$1,517.00	$291.63 – $1,365.30	36
Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353	$9,885.94	$13,181.25	$53.27 – $11,863.13	36
Marker biop eviva buckle ss HCPCS A4648	$819.00	$1,092.00	$44.10 – $162.00	26
Mastoids complete CPT 70130	$524.25	$699.00	$106.81 – $629.10	36
Matrion 1 sq cm HCPCS Q4201	not published	not published	$133.09 – $998.13	2
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	$35.01 – $79.21	2
Mayo a1app alpha 1 antitrypsin phenotype CPT 82104	$117.00	$156.00	$7.28 – $140.40	36
Mayo aathr protein s free CPT 85306	$226.50	$302.00	$8.11 – $145.80	36
Mayo activated protein c resistance assay CPT 85307	$170.25	$227.00	$7.49 – $204.30	36
Mayo adalimumab (humira) therapeutic drug level CPT 80145	$3,813.75	$5,085.00	$38.57 – $785.70	36
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321	$70.50	$94.00	$0.03 – $84.60	26
Mayo alcohol definitive assay volatile screen CPT 80320	$627.75	$837.00	$0.03 – $753.30	26
Mayo alkaline phosphatase isoenzyme CPT 84080	$222.00	$296.00	$7.00 – $266.40	36
Mayo alkaloids definitive assay nicotine/cotinine CPT 80323	$270.75	$361.00	$0.03 – $56.00	26
Mayo alpha 1 antitrypsin CPT 82103	$398.25	$531.00	$6.36 – $183.60	36
Mayo amikacin trough therapeutic drug level CPT 80150	$207.75	$277.00	$8.00 – $249.30	36
Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325	$94.50	$126.00	$0.03 – $113.40	26
Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359	$102.75	$137.00	$0.03 – $56.00	26
Mayo analysis gene calr common variants exon 9 CPT 81219	not published	not published	$256.95 – $291.90	2
Mayo analysis gene jak2 p.val617phe variant CPT 81270	$215.25	$287.00	$43.83 – $258.30	36
Mayo analysis gene smn1 dosage/deletion CPT 81329	$368.25	$491.00	$56.00 – $441.90	36
Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229	$1,416.75	$1,889.00	$16.07 – $2,088.00	36
Mayo androstenedione CPT 82157	$249.00	$332.00	$13.85 – $298.80	36
Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164	$59.25	$79.00	$7.59 – $71.10	36
Mayo antithrombin iii antigen CPT 85301	$88.50	$118.00	$5.85 – $106.20	36
Mayo aspergillus fumigatus antibody CPT 86606	$106.50	$142.00	$6.50 – $77.40	36
Mayo avwpr vw factor activity CPT 85397	$911.25	$1,215.00	$9.42 – $248.40	36
Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469	$105.00	$140.00	$34.30 – $126.00	36
Mayo barbiturates definitive assay confirmation urine CPT 80345	$501.00	$668.00	$0.03 – $155.70	26
Mayo bart bartonella henselae antibody igg CPT 86611	$104.25	$139.00	$5.03 – $125.10	36
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207	$318.75	$425.00	$56.00 – $382.50	36
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208	not published	not published	$158.59 – $515.10	3
Mayo blastomyces antibody immunodiffusion CPT 86612	$262.50	$350.00	$6.36 – $315.00	36
Mayo bnzu sedative hypnotics definitive urine CPT 80368	$128.25	$171.00	$0.03 – $56.00	26
Mayo bordetella pertussis antibody igg CPT 86615	$135.75	$181.00	$6.24 – $162.90	36
Mayo brcmg brucella antibody igm CPT 86622	$324.75	$433.00	$5.13 – $389.70	36
Mayo c1 esterase inhibitor CPT 83883	$183.00	$244.00	$6.43 – $84.60	36
Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349	$333.75	$445.00	$0.03 – $56.00	26
Mayo carnitine total and free quantitative each specimen plasma CPT 82379	$110.25	$147.00	$7.70 – $132.30	36
Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356	$773.25	$1,031.00	$11.76 – $48.20	36
Mayo cdcom hla class ii typing low resolution one locus each CPT 81376	$333.00	$444.00	$56.00 – $399.60	36
Mayo ceruloplasmin CPT 82390	$117.75	$157.00	$5.08 – $141.30	36
Mayo chemiluminescent parathyroid related peptide CPT 82397	$377.25	$503.00	$6.68 – $63.00	36
Mayo chikv chikungunya antibodies igg CPT 86790	$423.00	$564.00	$6.87 – $60.30	36
Mayo chlap chlamydia pneumoniae antibody igg CPT 86631	$128.25	$171.00	$5.59 – $153.90	36
Mayo chlap chlamydia pneumoniae antibody igm CPT 86632	$93.00	$124.00	$6.01 – $111.60	36
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230	$519.00	$692.00	$56.00 – $513.00	36
Mayo chromium CPT 82495	$129.75	$173.00	$9.60 – $155.70	36
Mayo cocaine definitive assay confirmation urine CPT 80353	$297.00	$396.00	$0.03 – $56.00	26
Mayo coccidioides antibody CPT 86635	$124.50	$166.00	$6.16 – $149.40	36
Mayo cocou cortisone urine CPT 82542	$1,213.50	$1,618.00	$8.31 – $118.80	36
Mayo cortisol free CPT 82530	$183.00	$244.00	$7.91 – $107.10	36
Mayo covid-19 antibody nucleocapsid total CPT 86769	$122.25	$163.00	$31.85 – $117.00	36
Mayo coxiella brunetii (q fever) igg antibody CPT 86638	$110.25	$147.00	$6.36 – $132.30	36
Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347	$156.00	$208.00	$0.03 – $187.20	26
Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364	$161.25	$215.00	$0.03 – $193.50	26
Mayo cyanide CPT 82600	$170.25	$227.00	$9.06 – $204.30	36
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120	not published	not published	$357.73 – $1,209.16	3
Mayo deoxyribonuclease antibody titer CPT 86215	$96.00	$128.00	$6.98 – $115.20	36
Mayo dhea (dehydroepiandrosterone) CPT 82626	$276.75	$369.00	$11.96 – $332.10	36
Mayo dihydrotestosterone CPT 82642	$169.50	$226.00	$29.28 – $203.40	36
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518	not published	not published	$4.01 – $23.13	3
Mayo efpo chloride stool CPT 82438	$102.00	$136.00	$2.57 – $116.10	36
Mayo estriol CPT 82677	$173.25	$231.00	$11.44 – $207.90	36
Mayo estrone CPT 82679	$123.00	$164.00	$9.64 – $147.60	36
Mayo ethosuximide therapeutic drug level CPT 80168	$138.75	$185.00	$8.52 – $166.50	36
Mayo everolimus therapeutic drug level CPT 80169	$245.25	$327.00	$7.49 – $294.30	36
Mayo factor ii CPT 85210	$190.50	$254.00	$5.85 – $228.60	36
Mayo factor v CPT 85220	$219.00	$292.00	$5.95 – $262.80	36
Mayo factor vii CPT 85230	$204.00	$272.00	$5.95 – $244.80	36
Mayo factor viii vw factor antigen CPT 85246	$150.00	$200.00	$12.11 – $180.00	36
Mayo factor viii vw factor multimetric analysis CPT 85247	$656.25	$875.00	$12.11 – $787.50	36
Mayo factor viii vw factor ristocetin cofactor CPT 85245	$414.75	$553.00	$12.11 – $497.70	36
Mayo factor x CPT 85260	$250.50	$334.00	$5.95 – $300.60	36
Mayo factor xi CPT 85270	$288.75	$385.00	$5.95 – $346.50	36
Mayo fat/lipids feces quantitative CPT 82710	$62.25	$83.00	$7.95 – $74.70	36
Mayo fbl culture fungi blood CPT 87103	$127.50	$170.00	$4.62 – $153.00	36
Mayo fdp/fsp paracoagulation CPT 85366	not published	not published	$4.51 – $193.11	3
Mayo ffspg allergen clam igg CPT 86001	$57.75	$77.00	$2.47 – $39.60	36
Mayo fibrinogen antigen CPT 85385	$230.25	$307.00	$4.02 – $276.30	36
Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171	$159.75	$213.00	$7.24 – $191.70	36
Mayo gamma-globin full gene sequencing CPT 81479	$7,125.00	$9,500.00	$0.01 – $56.00	26
Mayo hemosiderin qualitative urine CPT 83070	$50.25	$67.00	$2.15 – $60.30	36
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535	$237.75	$317.00	$16.60 – $285.30	36
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538	not published	not published	$17.13 – $84.21	3
Mayo hiser histoplasma antibodies immunodiffusion CPT 86698	$161.25	$215.00	$6.57 – $86.40	36
Mayo hla typing a/b/c single antigen CPT 86812	not published	not published	$13.13 – $61.95	3
Mayo hvdip HIV 1 antibody CPT 86701	$274.50	$366.00	$4.20 – $329.40	36
Mayo hvdip HIV 2 antibody CPT 86702	not published	not published	$6.39 – $32.46	3
Mayo hydroxyprogesterone 17-d CPT 83498	$120.75	$161.00	$12.85 – $144.90	36
Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520	$1,192.50	$1,590.00	$6.12 – $53.10	36
Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317	$154.50	$206.00	$7.09 – $72.90	36
Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300	$83.25	$111.00	$10.26 – $99.90	36
Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316	$186.75	$249.00	$6.76 – $102.60	36
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899	$141.75	$189.00	$5.67 – $170.10	36
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305	$351.00	$468.00	$6.02 – $421.20	36
Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498	$554.25	$739.00	$17.61 – $665.10	36
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563	$98.25	$131.00	$32.10 – $117.90	36
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581	$744.75	$993.00	$17.13 – $794.70	36
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594	$292.50	$390.00	$35.09 – $351.00	36
Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497	$546.75	$729.00	$17.13 – $656.10	36
Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596	$258.75	$345.00	$56.00 – $310.50	36
Mayo infliximab therapeutic drug level CPT 80230	$4,117.50	$5,490.00	$38.57 – $675.90	36
Mayo inhab inhibin a CPT 86336	$309.75	$413.00	$15.59 – $371.70	36
Mayo insft insulin free CPT 83527	$56.25	$75.00	$10.67 – $67.50	36
Mayo insulin antibodies CPT 86337	$117.00	$156.00	$12.21 – $140.40	36
Mayo iodine CPT 83789	$571.50	$762.00	$8.31 – $97.20	36
Mayo itraconazole therapeutic drug level CPT 80189	$159.00	$212.00	$27.11 – $190.80	36
Mayo lacosamide therapeutic drug level CPT 80235	$265.50	$354.00	$27.11 – $318.60	36
Mayo lamotrigine therapeutic drug level CPT 80175	$171.00	$228.00	$7.24 – $205.20	36
Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625	$104.25	$139.00	$6.77 – $125.10	36
Mayo legionella antibody CPT 86713	$87.00	$116.00	$8.00 – $104.40	36
Mayo leptospira antibody igm CPT 86720	$82.50	$110.00	$6.98 – $99.00	36
Mayo lipoprotein electrophoresis CPT 83700	$45.75	$61.00	$5.55 – $54.90	36
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617	$180.00	$240.00	$7.33 – $216.00	36
Mayo manganese CPT 83785	$148.50	$198.00	$11.63 – $178.20	36
Mayo metanephrines plasma CPT 83835	$803.25	$1,071.00	$8.01 – $154.80	36
Mayo methadone definitive assay confirmation urine CPT 80358	$127.50	$170.00	$0.03 – $56.00	26
Mayo mgle voltage-gated calcium channel antibody each CPT 86596	$507.00	$676.00	$12.05 – $608.40	36
Mayo microsomal antibody liver-kidney CPT 86376	$177.00	$236.00	$6.88 – $102.60	36
Mayo mitotane (lysodren) therapeutic drug level CPT 80299	$503.25	$671.00	$5.44 – $41.40	36
Mayo molecular pathology procedure level 2 apoe genotype CPT 81401	$886.50	$1,182.00	$50.00 – $332.10	36
Mayo mpl sequence analysis exon 10 CPT 81339	not published	not published	$391.24 – $444.48	2
Mayo muramidase CPT 85549	$96.75	$129.00	$8.87 – $116.10	36
Mayo muscle-specific kinase (musk) antibody CPT 86366	$1,833.00	$2,444.00	$18.40 – $2,199.60	36
Mayo mycophenolic acid therapeutic drug level CPT 80180	$581.25	$775.00	$9.85 – $697.50	36
Mayo myoglobin CPT 83874	$165.00	$220.00	$6.87 – $176.40	36
Mayo nickel CPT 83885	$90.00	$120.00	$11.59 – $108.00	36
Mayo opatu opiates definitive assay >=1 CPT 80361	$99.00	$132.00	$0.03 – $56.00	26
Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362	$86.25	$115.00	$0.03 – $56.00	26
Mayo opatu oxycodone definitive assay CPT 80365	$111.00	$148.00	$0.03 – $56.00	26
Mayo organic acid methylmalonic single quantitative CPT 83921	$375.75	$501.00	$7.79 – $105.30	36
Mayo organic acids qualitative each specimen CPT 83919	not published	not published	$7.59 – $39.48	3
Mayo oxalate 24 hour urine CPT 83945	$183.00	$244.00	$6.09 – $96.30	36
Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656	not published	not published	$5.75 – $27.66	3
Mayo parvs parvovirus b19 antibody igg CPT 86747	$136.50	$182.00	$7.11 – $163.80	36
Mayo paval fluorescent antibody screen agna type 1 CPT 86255	$1,833.00	$2,444.00	$12.05 – $72.00	36
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476	$735.00	$980.00	$16.60 – $882.00	36
Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598	$255.75	$341.00	$10.12 – $306.90	36
Mayo pntft phenytoin free therapeutic drug level CPT 80186	$120.75	$161.00	$7.28 – $144.90	36
Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110	$131.25	$175.00	$4.41 – $157.50	36
Mayo pregnenolone CPT 84140	$175.50	$234.00	$15.90 – $210.60	36
Mayo prmb primidone therapeutic drug level CPT 80188	$157.50	$210.00	$8.11 – $189.00	36
Mayo proinsulin CPT 84206	$206.25	$275.00	$8.21 – $247.50	36
Mayo psaft prostate specific antigen free CPT 84154	$128.25	$171.00	$8.70 – $153.90	36
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519	$1,768.50	$2,358.00	$6.39 – $74.70	36
Mayo rbcme osmotic fragility rbc incubated CPT 85557	$277.50	$370.00	$5.44 – $303.30	36
Mayo receptor assay transferrin soluble CPT 84238	$159.00	$212.00	$18.57 – $190.80	36
Mayo renin CPT 84244	$147.75	$197.00	$8.21 – $177.30	36
Mayo repu protein electrophoresis urine CPT 84166	$69.00	$92.00	$13.62 – $82.80	36
Mayo selenium CPT 84255	$177.00	$236.00	$12.08 – $212.40	36
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322	not published	not published	$7.58 – $37.20	3
Mayo serotonin CPT 84260	$202.50	$270.00	$14.65 – $243.00	36
Mayo sfgp rickettsia rickettsii antibody igg CPT 86757	$122.25	$163.00	$9.54 – $146.70	36
Mayo sirolimus therapeutic drug level CPT 80195	$250.50	$334.00	$6.88 – $300.60	36
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581	$137.25	$183.00	$22.79 – $165.65	36
Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592	$52.50	$70.00	$2.02 – $63.00	36
Mayo tau phosphorylated 217 each CPT 84393	$504.00	$672.00	$56.00 – $604.80	36
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340	$501.75	$669.00	$56.00 – $602.10	36
Mayo tgrp testosterone free CPT 84402	$121.50	$162.00	$12.04 – $145.80	36
Mayo tgrp testosterone total CPT 84403	$193.50	$258.00	$9.64 – $232.20	36
Mayo thiopurine s-methyltransferase CPT 84433	not published	not published	$53.22 – $53.22	1
Mayo thyroglobulin CPT 84432	$665.25	$887.00	$7.60 – $143.10	36
Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666	$189.00	$252.00	$4.81 – $226.80	36
Mayo ticks babesia microti antibody igg CPT 86753	$153.75	$205.00	$6.57 – $101.70	36
Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373	$69.75	$93.00	$0.03 – $56.00	26
Mayo ttfb testosterone bioavailable direct CPT 84410	not published	not published	$108.32 – $123.06	2
Mayo tulab francisella tularensis antibody igg CPT 86668	$55.50	$74.00	$5.64 – $66.60	36
Mayo valpg valproic acid free therapeutic drug level CPT 80165	$126.00	$168.00	$4.54 – $151.20	36
Mayo vasoactive intestinal peptide CPT 84586	$326.25	$435.00	$27.09 – $391.50	36
Mayo vitamin b-2 (riboflavin) CPT 84252	$104.25	$139.00	$10.67 – $125.10	36
Mayo vitamin b3 (niacin) CPT 84591	$147.00	$196.00	$5.85 – $176.40	36
Mayo vitamin k CPT 84597	$458.25	$611.00	$7.08 – $549.90	36
Mayo zonisamide therapeutic drug level CPT 80203	$300.00	$400.00	$7.24 – $360.00	36
Mcoln1 gene CPT 81290	not published	not published	$60.89 – $94.35	3
Measurement post void urine by ultrasound CPT 51798	$266.25	$355.00	$60.27 – $319.50	36
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	$77.55 – $360.00	3
Mecp2 gene full seq CPT 81302	not published	not published	$330.74 – $1,266.90	3
Mecp2 gene known variant CPT 81303	not published	not published	$8.91 – $288.00	3
Med physic dos eval rad exps CPT 76145	$621.00	$828.00	$202.86 – $745.20	36
Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050	$252.10	$336.13	$0.96 – $34.97	26
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 – $968.40	36
Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155	$4,218.75	$5,625.00	$45.88 – $2,025.00	26
Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151	not published	not published	$230.48 – $230.48	1
Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163	not published	not published	$306.06 – $1,487.50	2
Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330	$235,134.00	$313,512.00	$44,588.78 – $163,795.50	26
Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140	not published	not published	$276.91 – $1,328.78	2
Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258	not published	not published	$138.45 – $4,962.30	2
Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175	$23.88	$31.84	$2.56 – $9.40	26
Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182	$11,523.04	$15,364.05	$31.82 – $13,827.65	36
Meropenem 1 gram intravenous solution HCPCS J2185	$102.84	$137.11	$0.72 – $6.38	26
Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364	not published	not published	$64.37 – $64.37	1
Mesna 100 mg/ml intravenous solution HCPCS J9209	$73.95	$98.60	$2.23 – $30.84	26
Metabolic Blood Panel (Basic) CPT 80048	$123.00	$164.00	$3.47 – $147.60	36
Metabolic Blood Panel (Comprehensive) CPT 80053	$198.00	$264.00	$5.00 – $237.60	36
Metabolic panel ionized ca CPT 80047	$121.50	$162.00	$9.77 – $145.80	36
Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674	$2,776.62	$3,702.15	$2.89 – $102.46	26
Methadone injection HCPCS J1230	$725.09	$966.78	$38.49 – $870.10	26
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800	$38.39	$51.18	$3.71 – $13.63	26
Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260	$215.83	$287.77	$2.24 – $8.24	26
Methotrexate sodium 2.5 mg tablet HCPCS J8610	$466.63	$622.17	$0.32 – $3.72	26
Methotrexate therapeutic drug level CPT 80204	$66.75	$89.00	$21.81 – $80.10	36
Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968	$4,037.33	$5,383.10	$10.29 – $53.88	36
Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210	$76.59	$102.12	$18.42 – $67.67	26
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212	$582.48	$776.63	$5.08 – $698.97	26
Methylprednisolone 4 mg tablet HCPCS J7509	$685.89	$914.52	$0.39 – $4.94	26
Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010	$67.62	$90.15	$0.20 – $17.22	26
Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919	$306.72	$408.95	$0.42 – $20.03	26
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765	$12.40	$16.53	$0.79 – $2.91	26
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616	$7.59	$10.11	$0.22 – $2.91	26
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836	$11.84	$15.78	$0.03 – $5.33	26
Mgmt promoter methylation analysis CPT 81287	$261.75	$349.00	$56.00 – $314.10	36
Micafungin 100 mg intravenous solution HCPCS J2248	$691.44	$921.91	$0.50 – $72.20	26
Microalbumin urine screen CPT 82044	not published	not published	$2.60 – $14.94	3
Microbe susceptible mlc CPT 87187	not published	not published	$4.10 – $96.42	3
Microdissection laser CPT 88380	not published	not published	$96.88 – $161.13	3
Microdissection manual CPT 88381	$262.50	$350.00	$56.00 – $315.00	36
Microfluid analy tears CPT 83861	not published	not published	$9.43 – $53.94	3
Microsatellite instability CPT 81301	not published	not published	$162.94 – $836.55	3
Microvolt t-wave assess CPT 93025	$1,542.00	$2,056.00	$131.46 – $1,850.40	36
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251	$102.80	$137.06	$0.27 – $33.72	26
Midazolam 1 mg/ml injection solution HCPCS J2250	$97.25	$129.66	$0.25 – $5.82	26
Middle cerebral artery echo CPT 76821	$645.75	$861.00	$106.81 – $774.90	36
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	$2.35 – $20.32	26
Minocycline hydrochloride HCPCS J2265	$884.76	$1,179.68	$2.66 – $1,061.71	36
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063	not published	not published	$116.79 – $236.81	2
Mitomycin 40 mg intravenous solution HCPCS J9280	$4,332.81	$5,777.08	$28.46 – $193.95	36
Mitomycin instillation HCPCS J9281	not published	not published	$533.27 – $1,092.42	2
Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293	$437.16	$582.88	$38.61 – $347.60	36
Mlh1 gene CPT 81288	$290.25	$387.00	$56.00 – $348.30	36
Mlh1 gene dup/delete variant CPT 81294	not published	not published	$288.77 – $485.76	3
Mlh1 gene full seq CPT 81292	not published	not published	$863.26 – $1,620.96	3
Mlh1 gene known variants CPT 81293	not published	not published	$70.22 – $794.40	3
Mnl appl strs jt radiography CPT 77071	not published	not published	$154.62 – $346.32	2
Mog-igg1 antb flo cytmtry ea CPT 86363	$924.00	$1,232.00	$15.80 – $1,108.80	36
Mometasone sinus sinuva HCPCS J7402	not published	not published	$19.05 – $38.99	2
Monitor reveal linq ii cardiac HCPCS C1764	$10,575.00	$14,100.00	$2,793.00 – $10,260.00	26
Monovisc inj per dose HCPCS J7327	$2,155.28	$2,873.70	$655.34 – $2,586.33	36
Mopath procedure level 1 CPT 81400	$1,012.50	$1,350.00	$25.00 – $1,215.00	36
Mopath procedure level 3 CPT 81402	not published	not published	$100.00 – $360.78	3
Mopath procedure level 5 CPT 81404	$1,825.50	$2,434.00	$56.00 – $1,425.60	36
Mopath procedure level 6 CPT 81405	$2,340.75	$3,121.00	$56.00 – $1,361.70	36
Mopath procedure level 7 CPT 81406	$2,340.75	$3,121.00	$56.00 – $637.20	36
Mopath procedure level 8 CPT 81407	$1,587.00	$2,116.00	$56.00 – $1,523.29	36
Mopath procedure level 9 CPT 81408	$2,250.00	$3,000.00	$56.00 – $3,600.00	36
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274	$1,132.55	$1,510.06	$18.13 – $82.00	26
Morphine 4 mg/ml injection (wrapper) HCPCS J2270	$46.08	$61.43	$1.59 – $5.82	26
Morphine 4 mg/ml injection (wrapper)\|discarded drug not administered HCPCS J2272	$8.37	$11.16	$1.93 – $7.08	26
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374	not published	not published	$120.40 – $609.70	3
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361	$311.25	$415.00	$56.00 – $659.18	36
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360	$311.25	$415.00	$56.00 – $373.50	36
Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350	not published	not published	$1,096.60 – $2,228.59	2
Mpl gene analysis common variants CPT 81338	not published	not published	$317.56 – $360.78	2
Mr elastography CPT 76391	not published	not published	$423.27 – $423.27	1
Mr safety determination physician/other qhp CPT 76016	$102.75	$137.00	$33.57 – $160.04	30
Mr safety implant elec prepj CPT 76018	$108.00	$144.00	$35.28 – $174.83	30
Mr safety implt pos&/immoblj CPT 76019	$70.50	$94.00	$23.03 – $108.49	30
Mr sfty implt&/fb asmt stf 1 CPT 76014	$30.00	$40.00	$9.80 – $53.19	30
Mr sfty med physics xm cstmz CPT 76017	$283.50	$378.00	$92.61 – $438.79	30
Mr spectroscopy CPT 76390	$1,610.25	$2,147.00	$88.91 – $1,932.30	30
Mra, w/dye, upper extremity HCPCS C8934	$1,976.25	$2,635.00	$356.43 – $2,371.50	30
Mra, w/o&w/dye, spinal canal HCPCS C8933	$417.75	$557.00	$136.47 – $641.57	30
Mra, without dye, spinal canal HCPCS C8932	$1,867.50	$2,490.00	$243.77 – $2,241.00	30
Mra, without dye, upper extr HCPCS C8935	$1,833.75	$2,445.00	$243.77 – $2,200.50	30
Msh2 gene dup/delete variant CPT 81297	not published	not published	$256.08 – $511.92	3
Msh2 gene full seq CPT 81295	not published	not published	$773.86 – $916.08	3
Msh2 gene known variants CPT 81296	not published	not published	$70.22 – $810.54	3
Msh6 gene dup/delete variant CPT 81300	not published	not published	$247.26 – $571.20	3
Msh6 gene full seq CPT 81298	not published	not published	$937.56 – $1,540.44	3
Msh6 gene known variants CPT 81299	not published	not published	$70.22 – $739.20	3
Mthfr gene analy common variants CPT 81291	$986.25	$1,315.00	$43.83 – $1,183.50	36
Mucin synovial fluid CPT 83872	not published	not published	$3.08 – $14.07	3
Mucopolysaccharides CPT 83864	$911.25	$1,215.00	$6.87 – $1,093.50	36
Multi family grp psychotherapy CPT 90849	$370.50	$494.00	$121.03 – $444.60	36
Multiple sleep latency test CPT 95805	$2,395.50	$3,194.00	$782.53 – $2,874.60	36
Mumps antibody igg CPT 86735	$148.50	$198.00	$6.17 – $160.20	36
Muscle test cran nerv unilat CPT 95867	$773.25	$1,031.00	$220.60 – $927.90	36
Muscle test hemidiaphragm CPT 95866	$733.50	$978.00	$131.46 – $880.20	36
Muscle test larynx CPT 95865	$771.00	$1,028.00	$135.93 – $925.20	36
Muscle test one fiber CPT 95872	$645.75	$861.00	$210.95 – $774.90	36
Mycobacteria dna amp probe CPT 87551	$444.75	$593.00	$17.13 – $463.50	36
Mycophenolate mofetil 250 mg capsule HCPCS J7517	$6,452.88	$8,603.84	$0.25 – $2.91	26
Mycophenolic acid HCPCS J7518	$6,135.49	$8,180.65	$0.60 – $12.38	26
Mycoplasma antibody igm CPT 86738	$183.00	$244.00	$6.27 – $123.30	36
Myd88 gene p.leu265pro vrnt CPT 81305	$370.50	$494.00	$56.00 – $444.60	36
Myelogphy 2/> spine regions CPT 72270	not published	not published	$241.20 – $3,063.11	2
Myelography l-s spine CPT 72265	not published	not published	$190.26 – $3,063.11	2
Myelography neck spine CPT 72240	not published	not published	$188.43 – $3,063.11	2
Myelography thoracic spine CPT 72255	not published	not published	$177.51 – $3,063.11	2
Myelography via inj w/s&i 2+ regions CPT 62305	$3,226.50	$4,302.00	$800.90 – $3,871.80	36
Myelography via inj w/s&i cervical CPT 62302	$3,186.00	$4,248.00	$800.90 – $3,823.20	36
Myelography via inj w/s&i lumbosacral CPT 62304	$2,333.25	$3,111.00	$762.20 – $2,799.90	36
Myelography via inj w/s&i thoracic CPT 62303	$3,226.50	$4,302.00	$800.90 – $3,871.80	36
Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516	$911.25	$1,215.00	$5.46 – $33.30	36
Myocrd img pet 1 std w/ct CPT 78429	not published	not published	$3,600.00 – $3,600.00	1
Myocrd img pet 1std rst/strs CPT 78491	$4,928.25	$6,571.00	$1,460.92 – $5,913.90	31
Myocrd img pet 2rtracer CT CPT 78433	not published	not published	$3,600.00 – $3,600.00	1
Myocrd img pet mlt rst&strs CPT 78492	$5,301.00	$7,068.00	$1,460.92 – $6,361.20	31
Myocrd img pet rst/strs w/ct CPT 78430	not published	not published	$3,600.00 – $3,600.00	1
N block inj hypogas plxs CPT 64517	$2,031.75	$2,709.00	$663.71 – $2,438.10	35
N-invas est c ffr sw aly cta CPT 75580	$2,020.50	$2,694.00	$660.03 – $2,424.60	36
Nafcillin 2 gram solution for injection HCPCS J2290	$79.98	$106.63	$0.08 – $13.41	26
Nalbuphine 10 mg/ml injection solution HCPCS J2300	$178.93	$238.57	$4.26 – $15.63	26
Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312	$116.48	$155.30	$0.10 – $11.11	26
Naltrexone, depot form HCPCS J2315	$5,794.40	$7,725.86	$4.25 – $6,953.27	36
Nasal endoscopy dx uni/bi separate proc CPT 31231	$600.00	$800.00	$196.00 – $720.00	36
Nasal endoscopy with removal of nasal foreign body CPT 30999	$283.50	$378.00	$92.61 – $435.56	36
Nasal/sinus endoscopy surg w/bx 31237 CPT 31237	$4,086.00	$5,448.00	$1,334.76 – $4,903.20	35
Nasopharyngoscopy w/endoscope CPT 92511	$279.75	$373.00	$91.39 – $367.07	36
Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323	$32,830.92	$43,774.56	$24.32 – $39,397.10	36
Natriuretic peptide CPT 83880	$206.25	$275.00	$16.06 – $171.00	36
Natural killer cells total count CPT 86357	$262.50	$350.00	$18.92 – $77.40	36
Navigational bronchoscopy 31627 CPT 31627	$190.50	$254.00	$62.23 – $1,910.02	36
Ndl emg musc 1 xtr/non-limb CPT 95870	$376.50	$502.00	$122.99 – $451.80	36
Ndl insj without njx 1 or 2 musc CPT 20560	$22.50	$30.00	$7.35 – $53.19	36
Ndl insj without njx 3+ musc CPT 20561	$34.50	$46.00	$11.27 – $53.19	36
Ndl round specialty proguide HCPCS C1715	$27.00	$36.00	$8.82 – $32.40	26
Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127	not published	not published	$411.00 – $411.00	1
Neck (Cervical Spine) CT scan (with contrast) CPT 72126	$1,732.50	$2,310.00	$356.43 – $2,079.00	30
Neck (Cervical Spine) CT scan (without contrast) CPT 72125	$1,568.25	$2,091.00	$106.81 – $1,881.90	30
Neck (Cervical Spine) MRI (with and without contrast) CPT 72156	$2,590.50	$3,454.00	$356.43 – $3,108.60	30
Neck (Cervical Spine) MRI (with contrast) CPT 72142	$2,373.75	$3,165.00	$356.43 – $2,848.50	30
Neck (Cervical Spine) MRI (without contrast) CPT 72141	$2,194.50	$2,926.00	$243.77 – $2,633.40	30
Neck MRA (blood vessel MRI, with and without contrast) CPT 70549	$2,229.00	$2,972.00	$356.43 – $2,674.80	30
Neck MRA (blood vessel MRI, with contrast) CPT 70548	$1,998.00	$2,664.00	$356.43 – $2,397.60	30
Neck MRA (blood vessel MRI, without contrast) CPT 70547	$1,779.75	$2,373.00	$243.77 – $2,135.70	30
Needle emg guid w/chemodenervation add-on CPT 95874	$182.25	$243.00	$59.54 – $218.70	36
Neisseria meningitidis CPT 86741	$433.50	$578.00	$6.98 – $520.20	36
Nelarabine injection HCPCS J9261	$2,265.28	$3,020.37	$52.71 – $924.89	36
Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710	$99.51	$132.67	$2.24 – $8.22	26
Nerobehav stas exam by psy/md f2f 1st hr CPT 96116	$323.25	$431.00	$105.60 – $397.08	36
Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121	$127.50	$170.00	$41.65 – $153.00	36
Nerve conduction 7-8 studies CPT 95910	$2,176.50	$2,902.00	$381.24 – $2,611.80	36
Nerve conduction studies 1-2 CPT 95907	$797.25	$1,063.00	$220.60 – $956.70	36
Nerve conduction studies 11-12 CPT 95912	$3,818.25	$5,091.00	$381.24 – $4,581.90	36
Nerve conduction studies 13+ CPT 95913	$4,900.50	$6,534.00	$381.24 – $5,880.60	36
Nerve conduction studies 3-4 CPT 95908	$1,221.75	$1,629.00	$220.60 – $1,466.10	36
Nerve conduction studies 5-6 CPT 95909	$1,914.00	$2,552.00	$220.60 – $2,296.80	36
Nerve conduction studies 9-10 CPT 95911	$3,230.25	$4,307.00	$381.24 – $3,876.30	36
Nerve teasing preparations CPT 88362	not published	not published	$159.28 – $265.95	3
Nesiritide injection HCPCS J2325	not published	not published	$251.93 – $251.93	1
Neuroeltrd stim post tibial CPT 64566	$710.25	$947.00	$232.02 – $852.30	36
Neurolysis celiac plexus CPT 64680	$2,847.00	$3,796.00	$903.63 – $3,416.40	35
Neurolysis trigeminal nerve CPT 64600	$1,056.75	$1,409.00	$345.21 – $1,626.53	35
Neuromuscular junction testing ea nerve any 1 method CPT 95937	$420.00	$560.00	$131.46 – $504.00	36
Neutrlzg antb sarscov2 scr CPT 86408	not published	not published	$126.39 – $126.39	1
Neutrlzg antb sarscov2 titer CPT 86409	not published	not published	$315.99 – $315.99	1
Neutron beam tx complex CPT 77423	not published	not published	$230.91 – $2,322.99	2
Nfct ds bv&vaginitis dna alg CPT 81514	not published	not published	$555.56 – $631.17	2
Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404	not published	not published	$0.13 – $0.35	2
Nitroblue tetrazolium dye CPT 86384	not published	not published	$5.39 – $32.67	3
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305	$74.88	$99.84	$2.37 – $56.04	26
Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299	$29,956.95	$39,942.59	$33.62 – $5,991.43	36
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298	not published	not published	$332.04 – $674.70	2
Njx aa&/strd nrv nrvtg si jt CPT 64451	$801.75	$1,069.00	$261.91 – $1,298.11	36
Njx aa&/strd vagus nrv CPT 64408	$345.75	$461.00	$112.95 – $564.48	36
Njx cath slct p angrph mapca CPT 93575	$1,301.25	$1,735.00	$88.18 – $1,561.50	34
Njx cath slct p-art angrp bi CPT 93573	$1,951.50	$2,602.00	$59.75 – $2,341.80	34
Njx cath slct pulm vn angrph CPT 93574	$1,301.25	$1,735.00	$65.65 – $1,561.50	34
Njx cth slct p-art angrp uni CPT 93569	$1,301.25	$1,735.00	$36.25 – $1,561.50	34
Njx interlaminar crv/thrc CPT 62324	$1,843.50	$2,458.00	$602.21 – $2,212.20	36
Njx interlaminar crv/thrc CPT 62325	$2,067.00	$2,756.00	$675.22 – $2,480.40	36
Njx interlaminar lmbr/sac CPT 62326	$1,953.00	$2,604.00	$637.98 – $2,343.60	36
Njx interlaminar lmbr/sac CPT 62327	$1,970.25	$2,627.00	$643.62 – $2,364.30	36
Njx px nfrosgrm &/urtrgrm CPT 50430	$612.00	$816.00	$199.92 – $1,282.32	36
Nm imaging bone/joint 3 phase study CPT 78315	$2,543.25	$3,391.00	$408.43 – $3,051.90	36
Nm imaging bone/joint whole body CPT 78306	$2,499.75	$3,333.00	$408.43 – $2,999.70	36
Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472	$1,746.00	$2,328.00	$408.43 – $2,095.20	36
Nm imaging gastric emptying study CPT 78264	$1,431.75	$1,909.00	$408.43 – $1,718.10	36
Nm imaging gastrointestinal acute blood loss CPT 78278	$2,023.50	$2,698.00	$408.43 – $2,428.20	36
Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227	$2,326.50	$3,102.00	$554.73 – $2,791.80	36
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708	$1,674.75	$2,233.00	$328.11 – $2,009.70	36
Nm imaging pulmonary ventilation/perfusion CPT 78582	$2,622.00	$3,496.00	$554.73 – $3,146.40	36
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014	$1,419.00	$1,892.00	$408.43 – $1,702.80	36
Nm radiopharmaceutical therapy oral administration CPT 79005	$1,642.50	$2,190.00	$94.33 – $429.10	36
Non-card vasc flow imaging CPT 78445	$914.25	$1,219.00	$298.66 – $1,097.10	36
Non-imaging heart function CPT 78414	not published	not published	$132.78 – $2,095.20	2
Noninv pace analysis CPT 93724	$504.00	$672.00	$164.64 – $604.80	36
Noonan spectrum disorders CPT 81442	$2,412.00	$3,216.00	$56.00 – $3,858.48	36
Npm1 gene CPT 81310	$376.50	$502.00	$44.71 – $451.80	36
Npsy fam hlth interv ea addl 15 min CPT 96168	$115.50	$154.00	$27.78 – $138.60	33
Npsy grp hlth intrv ea addl 15 min CPT 96165	$117.00	$156.00	$4.89 – $140.40	33
Npsy indiv hlth intrv ea addl 15 min CPT 96159	$115.50	$154.00	$24.83 – $138.60	33
Npsy tst eval phsy/qhp 1st hr CPT 96132	$316.50	$422.00	$103.39 – $686.23	36
Npsy tst eval phsy/qhp ea l hr CPT 96133	$153.75	$205.00	$50.23 – $184.50	36
Nr lnr acclrtr tx max 5 sessions CPT 77373	not published	not published	$2,609.91 – $7,425.54	2
Nras gene variants exon 2&3 CPT 81311	not published	not published	$624.85 – $709.89	2
Nsl/sinus ndsc cryoabltj pnn CPT 31243	$6,921.00	$9,228.00	$2,260.86 – $10,886.49	36
Ntrk translocation analysis CPT 81194	not published	not published	$1,094.86 – $1,243.86	2
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	$979.86 – $6,500.70	36
Nuclear exam of tear flow CPT 78660	$951.75	$1,269.00	$306.15 – $1,142.10	36
Nuclear matrix protein 22 CPT 86386	not published	not published	$10.26 – $52.26	3
Nuclear rx IV admin CPT 79101	$1,315.50	$1,754.00	$146.70 – $1,578.60	36
Nuclear rx intra-arterial CPT 79445	$1,467.00	$1,956.00	$238.39 – $1,760.40	36
Nuclear rx intra-articular CPT 79440	$288.75	$385.00	$94.33 – $429.10	36
Nuclear rx intracav admin CPT 79200	$1,755.00	$2,340.00	$144.12 – $2,106.00	36
Nuclr rx interstit colloid CPT 79300	not published	not published	$114.45 – $1,083.33	2
Nudt15 gene common variants CPT 81306	not published	not published	$615.49 – $699.27	2
Nushield 1 square cm HCPCS Q4160	$501.00	$668.00	$29.65 – $228.85	36
Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326	$492,978.44	$657,304.58	$1,285.78 – $591,574.12	36
Ob Ultrasound nuchal meas 1 gest CPT 76813	$596.25	$795.00	$106.81 – $715.50	36
Ob Ultrasound nuchal meas add-on CPT 76814	$409.50	$546.00	$71.29 – $491.40	36
Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301	$33,278.55	$44,371.39	$81.81 – $39,934.25	36
Observation direct referral from physician office for admission HCPCS G0379	$551.25	$735.00	$180.08 – $1,095.17	36
Observation per hour HCPCS G0378	$3,767.25	$5,023.00	$10.29 – $37.80	25
Obstetrics panel CPT 80055	not published	not published	$88.80 – $114.75	3
Obtaining screen pap smear HCPCS Q0091	$23.25	$31.00	$7.60 – $53.19	36
Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350	$76,319.96	$101,759.94	$59.60 – $91,583.95	36
Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354	$887.40	$1,183.20	$1.01 – $5.76	26
Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353	$23,458.95	$31,278.59	$188.35 – $14,348.86	36
Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302	$2,224.00	$2,965.33	$62.23 – $2,668.80	36
Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814	$857.48	$1,143.30	$280.11 – $1,028.97	26
Olanzapine 10 mg intramuscular solution HCPCS J2359	$172.31	$229.74	$1.51 – $62.04	26
Olanzapine long-acting inj HCPCS J2358	not published	not published	$4.89 – $10.01	2
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357	$5,445.54	$7,260.71	$41.82 – $3,072.54	36
Onc brst mrna 11 genes CPT 81518	not published	not published	$8,181.71 – $9,295.20	2
Onc brst mrna 70 cnt 31 gene CPT 81523	not published	not published	$8,181.71 – $9,295.20	2
Onc thyr mrna 10,196 gen alg CPT 81546	not published	not published	$7,605.00 – $8,640.00	2
Onco (ovar) five proteins CPT 81503	not published	not published	$49.15 – $2,152.80	3
Onco (ovar) two proteins CPT 81500	not published	not published	$13.28 – $625.20	2
Oncology colon mrna CPT 81525	not published	not published	$6,582.55 – $7,478.40	2
Oncology colorectal scr CPT 81528	not published	not published	$1,075.00 – $1,221.30	2
Oncology gynecologic CPT 81535	not published	not published	$1,224.11 – $1,390.71	2
Oncology gynecologic CPT 81536	not published	not published	$375.08 – $426.15	2
Oncology prostate prob score CPT 81539	$1,623.75	$2,165.00	$56.00 – $1,948.50	36
Oncology tum unknown origin CPT 81540	not published	not published	$7,921.88 – $9,000.00	2
Oncoprotein dcp CPT 83951	$537.00	$716.00	$44.99 – $644.40	36
Oncoprotein her-2/neu CPT 83950	$237.00	$316.00	$32.52 – $284.40	36
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	$0.02 – $0.42	2
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405	$34.32	$45.76	$0.15 – $2.91	26
Oocyte identification CPT 89254	not published	not published	$321.78 – $1,309.05	3
Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513	not published	not published	$118.38 – $466.11	2
Oph Ultrasound dx quan a-scan only CPT 76511	$127.50	$170.00	$41.65 – $192.26	36
Ophth Ultrasound b & quant a CPT 76510	not published	not published	$82.92 – $482.76	2
Ophthalmic mitomycin HCPCS J7315	$1,327.41	$1,769.87	$433.62 – $1,592.88	26
Oprelvekin injection HCPCS J2355	not published	not published	$1,573.53 – $1,573.53	1
Oral aprepitant HCPCS J8501	$3,616.34	$4,821.78	$4.55 – $103.79	26
Oral busulfan HCPCS J8510	not published	not published	$490.39 – $490.39	1
Oral everolimus HCPCS J7527	$2,255.34	$3,007.11	$3.33 – $18.50	26
Oral methotrexate (jylamvo) HCPCS J8611	not published	not published	$31.11 – $65.17	2
Oral methotrexate (xatmep) HCPCS J8612	not published	not published	$38.05 – $74.38	2
Oral netupitant, palonosetro HCPCS J8655	not published	not published	$687.99 – $2,463.65	2
Organic acids total quant ea spec CPT 83918	$508.50	$678.00	$7.79 – $121.50	36
Oritavancin 1,200 mg intravenous solution HCPCS J2406	not published	not published	$69.55 – $158.76	2
Oritavancin 400 mg intravenous solution HCPCS J2407	$11,913.61	$15,884.81	$28.57 – $14,296.33	36
Oropharyngeal biopsy 42800 CPT 42800	$3,186.00	$4,248.00	$1,040.76 – $3,823.20	36
Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360	$31.68	$42.24	$4.63 – $17.00	26
Ortho elbow without jnt cstm w/fit&adj HCPCS L3702	$129.00	$172.00	$42.14 – $581.35	36
Ortho hnd without jnt w/fit&adj HCPCS L3919	$52.50	$70.00	$17.15 – $545.22	36
Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921	$389.25	$519.00	$57.09 – $646.70	36
Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913	$26.25	$35.00	$8.58 – $545.22	36
Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808	$153.00	$204.00	$49.98 – $717.17	36
Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905	$72.75	$97.00	$23.77 – $1,996.49	36
Orthopantogram CPT 70355	$270.00	$360.00	$23.79 – $324.00	36
Orthovisc inj per dose HCPCS J7324	$443.85	$591.80	$109.09 – $532.62	36
Oscillation chest wall mechanical per session CPT 94669	$237.75	$317.00	$77.67 – $402.70	36
Osmolality blood CPT 83930	$77.25	$103.00	$3.13 – $92.70	36
Osmolality urine CPT 83935	$75.75	$101.00	$3.22 – $69.30	36
Osteopath manip tx/5-6 body region 98927 CPT 98927	$125.25	$167.00	$22.06 – $150.30	36
Osteopath manip tx/7-8 body region 98928 CPT 98928	$147.00	$196.00	$22.06 – $176.40	36
Osteopath manip tx/9-10 body region98929 CPT 98929	$183.75	$245.00	$22.06 – $220.50	36
Ot evaluation high complexity patient/family CPT 97167	$297.00	$396.00	$96.30 – $356.40	35
Ot evaluation low complexity patient/family CPT 97165	$297.00	$396.00	$96.30 – $356.40	35
Ot evaluation moderate complexity patient/family CPT 97166	$297.00	$396.00	$96.30 – $356.40	35
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763	$138.00	$184.00	$45.08 – $165.60	36
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760	$138.75	$185.00	$43.57 – $166.50	36
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140	$138.75	$185.00	$26.59 – $166.50	35
Ot re-evaluation patient/family CPT 97168	$212.25	$283.00	$65.34 – $254.70	36
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530	$156.75	$209.00	$33.33 – $188.10	35
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130	$98.25	$131.00	$20.61 – $117.90	36
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129	$98.25	$131.00	$21.92 – $117.90	36
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110	$143.25	$191.00	$27.87 – $171.90	35
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112	$138.75	$185.00	$31.37 – $166.50	35
Ot training self care/home management direct contact each 15 minutes CPT 97535	$138.75	$185.00	$30.92 – $166.50	36
Oth resp proc, group HCPCS G0239	$187.50	$250.00	$38.16 – $225.00	34
Other immunoelectrophoresis CPT 86325	$186.00	$248.00	$17.59 – $223.20	36
Otolaryngo binocular microscopy 92504 CPT 92504	$104.25	$139.00	$26.78 – $125.10	36
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700	not published	not published	$1.38 – $10.43	2
Oxaliplatin 5 mg/ml desensitization HCPCS J9263	$342.84	$457.11	$0.15 – $23.88	26
Oxytocin 10 unit/ml injection solution HCPCS J2590	$35.06	$46.74	$1.53 – $6.42	26
P-32 sod phosphate ther per mci HCPCS A9563	not published	not published	$1,088.40 – $1,088.40	1
PSA (Prostate) Test CPT 84153	$127.50	$170.00	$8.70 – $153.00	36
Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605	$57,937.50	$77,250.00	$1,286.25 – $4,725.00	26
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267	$34.43	$45.90	$0.17 – $29.51	26
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264	$5,416.36	$7,221.81	$6.02 – $3,356.64	36
Palb2 gene full gene seq CPT 81307	not published	not published	$1,429.12 – $1,623.60	2
Palb2 gene known famil vrnt CPT 81308	not published	not published	$636.61 – $723.24	2
Palifermin injection HCPCS J2425	$11,767.98	$15,690.63	$36.72 – $14,121.57	36
Paliperidone 117 mg/0.75 ml inj HCPCS J2426	$6,272.41	$8,363.21	$15.08 – $2,508.78	36
Palivizumab 50 mg/0.5 ml inj CPT 90378	$9,797.53	$13,063.37	$436.75 – $6,226.27	36
Palonosetron hcl HCPCS J2469	$184.88	$246.50	$0.74 – $11.54	26
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430	$148.35	$197.80	$10.03 – $36.83	26
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303	$27,287.26	$36,383.01	$174.39 – $7,796.39	36
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470	$18.49	$24.65	$1.47 – $5.39	26
Papaverin hcl injection HCPCS J2440	$143.71	$191.61	$16.31 – $59.90	26
Parathormone (pth) intact CPT 83970	$500.25	$667.00	$19.53 – $453.60	36
Parathyrd planar w/spect&ct CPT 78072	$2,445.00	$3,260.00	$554.73 – $2,934.00	36
Parathyroid planar imaging CPT 78070	$1,436.25	$1,915.00	$408.43 – $1,723.50	36
Parathyroid planar img w/tomo spect CPT 78071	$2,424.75	$3,233.00	$408.43 – $2,909.70	36
Paricalcitol HCPCS J2501	$35.52	$47.35	$1.13 – $15.89	26
Paring/cutting benign hyperkeratotic lesion single CPT 11055	$291.75	$389.00	$95.31 – $368.96	36
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118	$7,702.14	$10,269.51	$4.28 – $5,173.20	26
Passy muir valve metal trach HCPCS L8501	$1,016.73	$1,355.64	$73.05 – $268.33	36
Path clin consltj high 41-60 CPT 80505	not published	not published	$191.52 – $204.54	2
Path clin consltj mod 21-40 CPT 80504	not published	not published	$101.63 – $108.84	2
Path clin consltj sf 5-20 CPT 80503	not published	not published	$47.52 – $50.55	2
Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350	$7.50	$10.00	$2.45 – $50.60	36
Pdgfra gene CPT 81314	$618.00	$824.00	$56.00 – $741.60	36
Pegaspargase injection HCPCS J9266	$82,241.50	$109,655.33	$26,865.56 – $98,689.80	36
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506	$16,623.78	$22,165.04	$98.10 – $19,948.54	36
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122	not published	not published	$221.81 – $1,167.71	2
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111	$11,163.13	$14,884.17	$135.89 – $13,395.75	36
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127	not published	not published	$384.90 – $1,279.32	2
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108	$6,455.84	$8,607.78	$79.50 – $7,404.38	36
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130	not published	not published	$250.67 – $743.75	2
Pegloticase 8 mg/ml intravenous solution HCPCS J2507	$113,672.22	$151,562.95	$3,824.52 – $136,406.66	36
Pegunigalsidase alfa-iwxj HCPCS J2508	not published	not published	$386.85 – $790.51	2
Pelvic CT scan (with and without contrast) CPT 72194	$1,881.00	$2,508.00	$179.20 – $2,257.20	30
Pelvic CT scan (with contrast) CPT 72193	$1,710.75	$2,281.00	$179.20 – $2,052.90	30
Pelvic CT scan (without contrast) CPT 72192	$1,392.75	$1,857.00	$106.81 – $1,671.30	30
Pelvic MRI (with and without contrast) CPT 72197	$2,590.50	$3,454.00	$356.43 – $3,108.60	30
Pelvic MRI (with contrast) CPT 72196	$2,373.75	$3,165.00	$356.43 – $2,848.50	30
Pelvic MRI (without contrast) CPT 72195	$2,221.50	$2,962.00	$243.77 – $2,665.80	30
Pelvic Ultrasound (complete) CPT 76856	$919.50	$1,226.00	$106.81 – $1,103.40	36
Pelvic Ultrasound (limited) CPT 76857	$567.00	$756.00	$72.00 – $680.40	36
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271	$21,806.82	$29,075.76	$61.25 – $26,168.18	36
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305	$13,859.24	$18,478.98	$4.04 – $46.02	36
Peng benzathine/procaine inj HCPCS J0558	not published	not published	$29.16 – $72.31	2
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561	$2,592.13	$3,456.17	$31.47 – $803.91	36
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540	$203.37	$271.15	$1.46 – $16.49	26
Penicillin g procaine inj HCPCS J2510	not published	not published	$72.86 – $164.05	2
Penile injection CPT 54235	$306.75	$409.00	$100.21 – $459.47	36
Penile rear tip xtnd 0.5cm HCPCS C2622	$26,765.44	$35,687.25	$7,408.80 – $27,216.00	26
Penile vascular study CPT 93980	$1,240.50	$1,654.00	$106.81 – $1,488.60	36
Penile vascular study CPT 93981	$792.00	$1,056.00	$106.81 – $950.40	36
Pentamidine 300 mg solution for injection HCPCS J2516	$572.10	$762.79	$50.39 – $185.11	26
Pentamidine non-comp unit HCPCS J2545	$396.65	$528.86	$75.41 – $277.00	26
Pentobarbital sodium inj HCPCS J2515	$3,170.80	$4,227.73	$36.84 – $3,767.90	36
Pentostatin 10 mg intravenous solution HCPCS J9268	$8,715.64	$11,620.85	$2,626.33 – $10,458.77	36
Perc cryo ablate renal tum CPT 50593	$6,669.00	$8,892.00	$2,178.54 – $19,548.13	36
Perc d-e cor revasc chro sin HCPCS C9607	$32,979.75	$43,973.00	$10,773.39 – $39,575.70	34
Perc d-e cor revasc t cabg b HCPCS C9605	$27,913.50	$37,218.00	$9,118.41 – $33,496.20	24
Perc d-e cor revasc t cabg s HCPCS C9604	$32,979.75	$43,973.00	$10,773.39 – $39,575.70	34
Perc d-e cor stent ather br HCPCS C9603	$27,915.00	$37,220.00	$9,118.90 – $33,498.00	24
Perc d-e cor stent ather s HCPCS C9602	$32,979.75	$43,973.00	$10,773.39 – $39,575.70	34
Perc drug-el cor stent bran HCPCS C9601	$16,054.50	$21,406.00	$5,244.47 – $19,265.40	24
Perc drug-el cor stent sing HCPCS C9600	$16,258.50	$21,678.00	$5,311.11 – $21,229.61	34
Perc rf ablate renal tumor CPT 50592	$5,724.00	$7,632.00	$1,869.84 – $11,117.65	36
Percut ablate liver rf CPT 47382	$6,566.25	$8,755.00	$2,144.98 – $11,117.65	36
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957	$321.71	$428.94	$69.22 – $386.02	26
Peri-proc device eval icd CPT 93287	$609.75	$813.00	$48.64 – $731.70	36
Peri-proc device eval pm CPT 93286	$327.75	$437.00	$41.46 – $393.30	36
Pericardial drain w/cath pq w/ct guid CPT 33019	$3,796.50	$5,062.00	$177.52 – $4,555.80	36
Pericardiocentesis wwo imaging CPT 33016	$2,472.75	$3,297.00	$807.77 – $2,967.30	36
Peripheral vascular rehab CPT 93668	$184.50	$246.00	$60.27 – $221.40	36
Perit-vens shunt pat tst CPT 78291	not published	not published	$549.18 – $1,613.97	2
Peritoneogram rs&i CPT 74190	not published	not published	$1,460.28 – $2,068.79	2
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 – $11,367.90	36
Perq clsr tcat l atr apndge CPT 33340	$7,520.25	$10,027.00	$601.25 – $9,024.30	36
Perq dev breast 1st mr guide CPT 19287	$4,497.00	$5,996.00	$723.47 – $5,396.40	36
Perq dev breast 1st strtctc CPT 19283	$3,114.75	$4,153.00	$723.47 – $3,737.70	36
Perq p-art revsc 1 abnor bi CPT 33903	$27,235.50	$36,314.00	$8,896.93 – $32,682.60	34
Perq p-art revsc 1 abnor uni CPT 33902	$44,278.50	$59,038.00	$14,464.31 – $53,134.20	34
Perq p-art revsc 1 nm nt bi CPT 33901	$27,235.50	$36,314.00	$8,896.93 – $32,682.60	34
Perq p-art revsc 1 nm nt uni CPT 33900	$27,235.50	$36,314.00	$8,896.93 – $32,682.60	34
Perq p-art revsc each addl CPT 33904	$13,844.25	$18,459.00	$254.60 – $16,613.10	34
Perq plmt bile duct stent CPT 47538	$4,355.25	$5,807.00	$1,422.72 – $11,117.65	36
Perq plmt bile duct stent CPT 47539	$4,355.25	$5,807.00	$1,422.72 – $11,117.65	36
Perq plmt bile duct stent CPT 47540	$4,355.25	$5,807.00	$1,422.72 – $11,117.65	36
Perq rplcmt g-tube req revsn gstrst trk CPT 43763	$1,159.50	$1,546.00	$255.26 – $1,391.40	34
Perq transcath closure each CPT 93592	$12,118.50	$16,158.00	$322.93 – $14,542.20	34
Perq transcath septal reduxn CPT 93583	$15,793.50	$21,058.00	$634.32 – $18,952.20	34
Pertussis ag if CPT 87265	not published	not published	$5.67 – $28.74	3
Pertuzu, trastuzu, 10 mg HCPCS J9316	$51,456.39	$68,608.52	$60.23 – $41,163.47	36
Pertuzumab 30 mg/ml desensitization HCPCS J9306	$25,218.78	$33,625.03	$17.02 – $30,262.53	36
Pet CT skull-mid thgh initial CPT 78815	$4,854.75	$6,473.00	$1,460.92 – $5,825.70	31
Pet CT whole body initial CPT 78816	$4,915.50	$6,554.00	$1,460.92 – $5,898.60	31
Pet fdg brain metoblic eval sb CPT 78608	$4,834.50	$6,446.00	$1,460.92 – $5,801.40	31
Pet image full body CPT 78813	not published	not published	$3,600.00 – $3,600.00	1
Pet image ltd area CPT 78811	$4,590.75	$6,121.00	$1,322.69 – $5,508.90	31
Pet image skull-thigh CPT 78812	not published	not published	$3,600.00 – $3,600.00	1
Pet image w/ct lmtd CPT 78814	$4,680.75	$6,241.00	$1,460.92 – $5,616.90	31
Pet scan brain perf study CPT 78609	$4,525.50	$6,034.00	$69.63 – $5,430.60	31
Pfc sigma fem post aug sz3 8mm HCPCS C1776	$1,024,537.50	$1,366,050.00	$3.98 – $14.61	26
Ph body fluid CPT 83986	$104.25	$139.00	$1.69 – $43.20	36
Phencyclidine (pcp) CPT 83992	$498.00	$664.00	$0.03 – $56.00	26
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560	$203.37	$271.15	$14.35 – $52.71	26
Phenobarbital therapeutic drug level CPT 80184	$153.00	$204.00	$5.13 – $183.60	36
Phentolaine mesylate inj HCPCS J2760	$1,028.40	$1,371.19	$257.45 – $1,234.07	36
Phenylep ketorolac opth soln HCPCS J1097	not published	not published	$207.01 – $421.26	2
Phenylephrine 10 mg/ml injection solution HCPCS J2371	$58.80	$78.39	$0.04 – $2.91	26
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165	$7.71	$10.28	$1.09 – $5.15	26
Phenytoin total therapeutic drug level CPT 80185	$135.00	$180.00	$6.27 – $162.00	36
Phleb veins 1 extrm 10-20 stab CPT 37765	$3,682.50	$4,910.00	$1,202.95 – $5,806.57	36
Phleb veins 1 extrm >20 stab CPT 37766	$3,629.25	$4,839.00	$1,185.56 – $5,806.57	36
Phlebotomy therapeutic CPT 99195	$308.25	$411.00	$100.70 – $369.90	36
Phosphorus CPT 84100	$57.75	$77.00	$2.24 – $69.30	36
Phosphorus 24 hour urine CPT 84105	$108.75	$145.00	$2.45 – $55.80	36
Phys blood bank serv authrj CPT 86079	not published	not published	$30.88 – $111.96	3
Phys blood bank serv reactj CPT 86078	not published	not published	$36.86 – $111.96	3
Phys blood bank serv xmatch CPT 86077	not published	not published	$35.05 – $111.96	3
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430	$158.14	$210.85	$4.21 – $15.45	26
Piflu f-18, dia 1 millicurie HCPCS A9595	not published	not published	$2,195.76 – $2,195.76	1
Pik3ca gene trgt seq alys CPT 81309	not published	not published	$580.58 – $659.58	2
Pin caspar distraction 12mm HCPCS C1821	$53,100.00	$70,800.00	$36.75 – $135.00	26
Pinworm exam CPT 87172	$40.50	$54.00	$2.02 – $48.60	36
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543	$407.95	$543.93	$1.56 – $5.72	26
Place cath intracranial art CPT 36228	$7,997.25	$10,663.00	$1,423.61 – $9,596.70	36
Place cath xtrnl carotid CPT 36227	$6,755.25	$9,007.00	$257.74 – $8,106.30	36
Place duod/jej tube perc CPT 49441	$1,596.00	$2,128.00	$521.36 – $3,528.85	36
Place gastrostomy tube perc CPT 49440	$2,093.25	$2,791.00	$683.80 – $3,528.85	36
Place ndl musc/tis for right CPT 20555	$3,220.50	$4,294.00	$1,052.03 – $6,017.17	36
Place non-slctv cath thoracic arta CPT 36221	$4,710.75	$6,281.00	$1,538.85 – $5,806.57	36
Place slctv cath carotd art uni CPT 36224	$10,950.75	$14,601.00	$3,577.25 – $13,140.90	36
Place slctv cath carotid/inom art excrn uni CPT 36222	$6,498.00	$8,664.00	$2,122.68 – $7,797.60	36
Place slctv cath carotid/inom art intcrn uni CPT 36223	$10,186.50	$13,582.00	$3,327.59 – $12,223.80	36
Place slctv cath subclavian art CPT 36225	$5,625.00	$7,500.00	$1,837.50 – $6,750.00	36
Place slctv cath vertebral art uni CPT 36226	$9,490.50	$12,654.00	$3,100.23 – $11,388.60	36
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281	$2,732.25	$3,643.00	$892.54 – $3,278.70	36
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282	$2,658.00	$3,544.00	$153.44 – $3,189.60	36
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285	$2,838.00	$3,784.00	$723.47 – $3,405.60	36
Placement nephrostomy catheter (both sides) CPT 50432	$1,842.00	$2,456.00	$601.72 – $3,844.19	36
Placement occlusive device venous/arterial access site post procedure HCPCS G0269	$1,262.25	$1,683.00	$412.34 – $1,514.70	24
Placement stent(s) intravascular transcatheter artery initial CPT 37236	$12,427.50	$16,570.00	$4,059.65 – $21,229.61	36
Placental lactogen CPT 83632	not published	not published	$10.67 – $48.54	3
Plasma cryoprecipitate reduced each unit HCPCS P9044	not published	not published	$379.83 – $379.83	1
Plasma protein fract,5%,50ml HCPCS P9043	not published	not published	$40.10 – $80.40	3
Plasma volume multiple CPT 78111	not published	not published	$176.07 – $5,594.99	2
Plasma volume single CPT 78110	not published	not published	$167.88 – $5,594.99	2
Plasmaprotein fract,5%,250ml HCPCS P9048	not published	not published	$94.18 – $188.83	3
Platelet aggregation each agent teg CPT 85576	$223.50	$298.00	$13.92 – $151.20	36
Platelet automated CPT 85049	$43.50	$58.00	$2.12 – $52.20	36
Platelet pheresis each unit HCPCS P9034	$1,015.50	$1,354.00	$308.96 – $1,218.60	36
Platelet pheresis irr ea HCPCS P9036	$2,500.50	$3,334.00	$816.83 – $3,000.60	36
Platelet survival CPT 78191	not published	not published	$273.66 – $1,613.97	2
Platelets each unit HCPCS P9019	$1,876.50	$2,502.00	$53.17 – $2,251.80	36
Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052	not published	not published	$45.00 – $45.00	1
Platelets irradiated ea unit HCPCS P9032	not published	not published	$328.20 – $328.20	1
Platelets leukocytes reduced each unit HCPCS P9031	not published	not published	$1,041.57 – $1,041.57	1
Platelets leukocytes reduced irradiated each unit HCPCS P9033	not published	not published	$842.58 – $842.58	1
Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055	not published	not published	$3,290.37 – $3,290.37	1
Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053	not published	not published	$6,479.52 – $6,479.52	1
Platelets pheresis leukocytes reduced each unit HCPCS P9035	$1,982.25	$2,643.00	$511.59 – $2,378.70	36
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037	$1,989.00	$2,652.00	$649.74 – $2,386.80	36
Platelets pheresis pathogen-reduced each unit HCPCS P9073	$2,487.00	$3,316.00	$607.43 – $2,984.40	36
Plc pq device breast ea addl lesion MRI guide CPT 19288	$4,497.00	$5,996.00	$421.19 – $5,396.40	36
Plc pq device breast ea addl lesion Ultrasound guide CPT 19286	$2,616.00	$3,488.00	$264.34 – $3,139.20	36
Plcmnt biliary drainage cath w/img ext CPT 47533	$2,959.50	$3,946.00	$966.77 – $6,584.31	36
Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908	$10,059.75	$13,413.00	$1,284.34 – $12,071.70	36
Plcmnt ureteral stent pq w/img exstng trct CPT 50693	$2,677.50	$3,570.00	$874.65 – $6,482.39	36
Plcmnt ureteral stent pq w/img new w/cath CPT 50695	$2,677.50	$3,570.00	$874.65 – $6,482.39	36
Plcmt dlyd xtn pros 1st vsl CPT 34710	$7,148.25	$9,531.00	$713.70 – $8,577.90	34
Plcmt sft tiss loc pq w/img 1st lsn CPT 10035	$1,124.25	$1,499.00	$367.26 – $1,349.10	36
Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036	$560.25	$747.00	$183.02 – $672.30	36
Plcmt xtn pros evasc rpr per vsl CPT 34709	$5,988.00	$7,984.00	$286.95 – $7,185.60	34
Plerixafor injection HCPCS J2562	$36,856.95	$49,142.59	$32.74 – $524.50	36
Plethysmography lung volumes/airway resistance CPT 94726	$368.25	$491.00	$120.30 – $686.23	36
Plmt biliary drainage cath CPT 47534	$2,959.50	$3,946.00	$966.77 – $6,584.31	36
Plmt nephroureteral catheter CPT 50433	$2,677.50	$3,570.00	$874.65 – $6,482.39	36
Plmt ureteral stent prq CPT 50694	$2,677.50	$3,570.00	$874.65 – $6,482.39	36
Pm device progr eval dual CPT 93280	$237.75	$317.00	$38.13 – $285.30	36
Pm device progr eval multi CPT 93281	$245.25	$327.00	$38.13 – $294.30	36
Pm phone r-strip device eval CPT 93293	$181.50	$242.00	$38.13 – $217.80	36
Pml/raralpha 1 breakpoint CPT 81316	not published	not published	$83.24 – $497.55	3
Pmp22 gene dup/delet CPT 81324	$1,054.50	$1,406.00	$56.00 – $1,365.05	36
Pmp22 gene full sequence CPT 81325	not published	not published	$175.64 – $1,846.98	3
Pmp22 gene known fam variant CPT 81326	not published	not published	$98.44 – $627.82	3
Pms2 gene dup/delet variants CPT 81319	not published	not published	$429.91 – $649.35	3
Pms2 gene full seq analysis CPT 81317	not published	not published	$645.11 – $1,623.60	3
Pms2 known familial variants CPT 81318	not published	not published	$65.62 – $794.40	3
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803	$249.75	$333.00	$25.14 – $299.70	36
Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309	$68,815.70	$91,754.26	$137.23 – $82,578.83	36
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811	$6,604.50	$8,806.00	$877.34 – $7,925.40	36
Porfimer sodium injection HCPCS J9600	$75,528.84	$100,705.11	$24,672.75 – $90,634.60	26
Postpartum Care Only CPT 59430	$255.75	$341.00	$83.55 – $451.35	36
Potassium 24 hour urine CPT 84133	$93.00	$124.00	$2.03 – $66.60	36
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480	$137.19	$182.91	$0.27 – $4.00	26
Potassium hydroxide preps HCPCS Q0112	not published	not published	$4.96 – $12.32	2
Potassium serum/plasma/whole blood CPT 84132	$101.25	$135.00	$2.17 – $72.00	36
Pq biliary strict dil s&i CPT 74363	$1,803.00	$2,404.00	$207.84 – $2,163.60	26
Pq dr cath chg w cont s&i CPT 75984	$4,221.75	$5,629.00	$88.27 – $5,066.10	36
Pq kyphplsty 1 bdy lumb w/img CPT 22514	$9,145.50	$12,194.00	$2,987.53 – $13,344.08	36
Pq thr inj ext pse CPT 36002	$993.00	$1,324.00	$324.38 – $1,191.60	36
Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	36
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512	$2,061.75	$2,749.00	$673.51 – $2,474.10	36
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511	$2,787.00	$3,716.00	$910.42 – $6,017.17	36
Pr application of long arm splint CPT 29105	$467.25	$623.00	$81.10 – $298.84	36
Pr application splint static short arm CPT 29125	$307.50	$410.00	$100.45 – $369.00	36
Pr assessment emotional/behavioral per instrument brief CPT 96127	$39.75	$53.00	$12.99 – $68.69	36
Pr biopsy skin punch single lesion CPT 11104	$311.25	$415.00	$101.68 – $747.58	36
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406	$120.75	$161.00	$38.28 – $144.90	36
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597	$578.25	$771.00	$120.05 – $441.00	36
Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384	$167.25	$223.00	$54.64 – $238.94	33
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246	$3,061.50	$4,082.00	$1,000.09 – $3,673.80	35
Pr evaluation psychiatric diagnostic w/medical services CPT 90792	$394.50	$526.00	$128.87 – $473.40	36
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402	$130.50	$174.00	$42.63 – $244.84	36
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420	$1,533.00	$2,044.00	$500.78 – $3,037.27	36
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404	$2,709.00	$3,612.00	$884.94 – $3,250.80	35
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750	$1,716.75	$2,289.00	$415.32 – $2,060.10	36
Pr incision & drainage abscess complicated/multiple CPT 10061	$382.50	$510.00	$124.95 – $747.58	36
Pr incision & drainage abscess simple/single CPT 10060	$561.75	$749.00	$183.51 – $674.10	36
Pr incision & drainage abscess vulva/perineal CPT 56405	$465.75	$621.00	$152.15 – $560.39	36
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120	$676.50	$902.00	$220.99 – $811.80	36
Pr management transitional care moderate w/in 14 days of discharge CPT 99495	$229.50	$306.00	$74.97 – $275.40	33
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152	$330.00	$440.00	$47.78 – $396.00	34
Pr planning advance care 1st 30 minutes CPT 99497	$176.25	$235.00	$57.58 – $211.50	36
Pr removal drug delivery implant CPT 11982	$1,448.25	$1,931.00	$456.40 – $1,737.90	36
Pr removal foreign body external auditory canal without anesthesia CPT 69200	$313.50	$418.00	$102.41 – $376.20	36
Pr removal intrauterine device CPT 58301	$270.75	$361.00	$88.45 – $560.39	36
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032	$980.25	$1,307.00	$320.22 – $1,176.30	36
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013	$335.25	$447.00	$109.52 – $402.30	36
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011	$317.25	$423.00	$103.64 – $380.70	36
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001	$330.00	$440.00	$107.80 – $396.00	36
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002	$352.50	$470.00	$115.15 – $423.00	36
Pr tube thoracostomy w/connection to drainage open CPT 32551	$2,108.25	$2,811.00	$688.70 – $2,894.85	36
Pralatrexate injection HCPCS J9307	$46,709.38	$62,279.17	$392.72 – $30,644.42	36
Pralidoxime 1 gram solution for injection HCPCS J2730	$297.18	$396.23	$97.08 – $356.61	26
Prcrd drg 0-5yr or w/anomly CPT 33018	$3,798.00	$5,064.00	$248.97 – $4,557.60	34
Prcrd drg 6+yr without anomly CPT 33017	$3,798.00	$5,064.00	$211.85 – $4,557.60	34
Prealbumin CPT 84134	$144.75	$193.00	$6.90 – $173.70	36
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510	$3,856.50	$5,141.99	$0.45 – $2.91	26
Prednisone 1 mg tablet HCPCS J7512	$398.89	$531.85	$0.70 – $2.91	26
Pregabalin - sendout CPT 80366	$65.25	$87.00	$0.03 – $56.00	26
Pregnancy Ultrasound (complete, after first trimester) CPT 76805	$867.00	$1,156.00	$106.81 – $1,040.40	36
Pregnancy Ultrasound (first trimester) CPT 76801	$801.75	$1,069.00	$106.81 – $962.10	36
Pregnancy associated plasma protein-a CPT 84163	$75.00	$100.00	$7.12 – $90.00	36
Prep skin to 100cm2 other CPT 15004	$2,049.75	$2,733.00	$415.32 – $2,459.70	36
Prep skin to 100cm2 trk/ext CPT 15002	$1,410.00	$1,880.00	$460.60 – $1,692.00	36
Prep skn trk/ext adl 100cm2 CPT 15003	$1,018.50	$1,358.00	$71.15 – $1,222.20	36
Prepare embryo for transfer CPT 89255	not published	not published	$107.22 – $1,000.41	3
Pressure max expiratory/inspiratory CPT 94799	$260.25	$347.00	$85.02 – $312.30	36
Pressure velocity wire add ves CPT 93572	$2,646.00	$3,528.00	$864.36 – $3,175.20	24
Pretreat rbc absorption reference CPT 86978	$131.25	$175.00	$19.80 – $157.50	36
Pretreat rbc density gradient separation reference CPT 86972	not published	not published	$19.80 – $87.00	3
Pretreat rbc w chem/drugs reference CPT 86970	not published	not published	$16.20 – $62.14	3
Pretreat rbc w enzyme reference CPT 86971	$270.75	$361.00	$16.20 – $324.90	36
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977	not published	not published	$16.20 – $74.56	3
Prgr stim/pace a/iv drug CPT 93623	$5,091.75	$6,789.00	$1,663.31 – $6,110.10	26
Prgrmg dev eval impltbl sys CPT 93260	$336.75	$449.00	$38.13 – $404.10	36
Prgrmg dev eval pm/ldls pm CPT 93279	$204.00	$272.00	$38.13 – $244.80	36
Prgrmg dev eval scrms ip CPT 93285	$289.50	$386.00	$38.13 – $347.40	36
Prgrmg eval implantable dfb CPT 93282	$300.00	$400.00	$38.13 – $360.00	36
Prgrmg eval implantable dfb CPT 93283	$510.00	$680.00	$38.13 – $612.00	36
Prgrmg eval implantable dfb CPT 93284	$329.25	$439.00	$38.13 – $395.10	36
Prim art mech thrmbc non-intracranial CPT 37184	$18,078.00	$24,104.00	$5,905.48 – $33,711.64	36
Prim art mech thrmbc non-intracranial add-on CPT 37185	$5,235.00	$6,980.00	$430.17 – $6,282.00	36
Probe cryo 1150mm endo flex ster disp HCPCS C2618	$5,175.00	$6,900.00	$247.99 – $910.98	26
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690	$1,611.15	$2,148.19	$103.02 – $386.66	36
Procalcitonin CPT 84145	$99.00	$132.00	$11.19 – $118.80	36
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	$2.63 – $9.68	26
Prochlorperazine maleate 5 mg tablet HCPCS Q0164	not published	not published	$0.74 – $1.23	2
Proctosigmoidoscopy control bleed 45317 CPT 45317	$1,989.75	$2,653.00	$649.99 – $2,387.70	35
Proctosigmoidoscopy dx 45300 CPT 45300	$2,371.50	$3,162.00	$774.69 – $2,845.80	36
Proctosigmoidoscopy removal CPT 45308	$2,967.75	$3,957.00	$969.47 – $5,104.40	35
Proctosigmoidoscopy w/bx 45305 CPT 45305	$2,566.50	$3,422.00	$838.39 – $3,079.80	35
Proctosigmoidoscopy w/fb remove 45307 CPT 45307	$3,251.25	$4,335.00	$1,062.08 – $5,104.40	35
Progenamatrix, per sq cm HCPCS Q4222	not published	not published	$214.27 – $642.60	2
Progesterone CPT 84144	$99.00	$132.00	$9.06 – $118.80	36
Prolactin CPT 84146	$162.00	$216.00	$9.17 – $194.40	36
Prolng off/op e/m ea 15 min 99417 CPT 99417	$42.00	$56.00	$13.72 – $56.11	33
Promethazine 25 mg tablet HCPCS Q0169	not published	not published	$0.32 – $0.32	1
Promethazine hcl injection HCPCS J2550	$10.99	$14.65	$1.35 – $4.94	26
Proph rta dtchmnt pc CPT 67145	$642.00	$856.00	$209.72 – $1,011.44	36
Propofol infusion 10 mg/ml HCPCS J2704	$35.88	$47.83	$0.15 – $7.37	26
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800	$16.46	$21.94	$1.93 – $7.08	26
Prostate biopsy, any mthd HCPCS G0416	$711.00	$948.00	$56.00 – $853.20	36
Prosthesis voc advantage 20f 14mm HCPCS L8509	$1,329.00	$1,772.00	$39.20 – $242.06	36
Protamine 10 mg/ml intravenous solution HCPCS J2720	$112.23	$149.63	$2.74 – $44.84	26
Protector nerve neurawrap 4cm HCPCS C9353	$5,366.25	$7,155.00	$1,197.73 – $4,399.81	26
Protein c activity CPT 85303	$87.00	$116.00	$7.28 – $104.40	36
Protein c concentrate HCPCS J2724	not published	not published	$2.52 – $53.55	2
Protein electrophoretic fractionation & quantitation serum CPT 84165	$84.00	$112.00	$10.74 – $100.80	36
Protein s total CPT 85305	$181.50	$242.00	$6.16 – $217.80	36
Protein total 24 hour urine CPT 84156	$62.25	$83.00	$1.73 – $74.70	36
Protein total body fluid CPT 84157	$114.00	$152.00	$1.85 – $84.60	36
Protein total serum plasma whole blood CPT 84155	$46.50	$62.00	$1.73 – $55.80	36
Prothrombin complex kcentra HCPCS J7168	$7,912.65	$10,550.20	$2.05 – $8.87	36
Prothrombin time substitution plasma fractions each CPT 85611	$62.25	$83.00	$1.87 – $74.70	36
Proton treatment complex CPT 77525	not published	not published	$3,127.35 – $5,538.42	2
Proton trmt intermediate CPT 77523	not published	not published	$2,829.93 – $5,538.42	2
Proton trmt simple w/comp CPT 77522	not published	not published	$2,432.07 – $5,538.42	2
Proton trmt simple without comp CPT 77520	not published	not published	$2,322.99 – $2,426.85	2
Protoporphyrin rbc screen CPT 84203	not published	not published	$4.07 – $23.37	3
Prq av fstl crt uxtr sep acs CPT 36837	$20,328.00	$27,104.00	$6,640.48 – $33,711.64	36
Prq card revasc mi 1 vsl CPT 92941	$31,300.50	$41,734.00	$583.47 – $37,560.60	34
Prq card revasc mi 1 vsl drug-eluting HCPCS C9606	$35,208.75	$46,945.00	$11,501.53 – $42,250.50	24
Prq revasc byp graft 1 art and/or branches CPT 92937	$29,319.00	$39,092.00	$9,577.54 – $35,182.80	34
Prq tcat plmt ntrac st 1 les CPT 92928	$12,034.50	$16,046.00	$3,931.27 – $21,229.61	34
Prq tcat plmt ntrac st 2+les CPT 92930	$6,903.00	$9,204.00	$2,254.98 – $33,711.64	34
Prq trl rvs ch occ ant&rtrgr CPT 92945	$32,826.75	$43,769.00	$10,723.41 – $39,392.10	34
Prq trlml c athrc st angiop1 CPT 92933	$29,319.00	$39,092.00	$9,577.54 – $35,182.80	34
Prq trluml c angiop 1art&/br CPT 92920	$9,413.25	$12,551.00	$3,075.00 – $11,295.90	34
Prq trluml c athrc 1 art&/br CPT 92924	$9,140.25	$12,187.00	$2,985.82 – $21,229.61	34
Prq trluml revsc ch occ ant CPT 92943	$29,319.00	$39,092.00	$9,577.54 – $35,182.80	34
Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136	$316.50	$422.00	$103.39 – $379.80	36
Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137	$153.75	$205.00	$35.19 – $184.50	36
Psy/npsy tst admin tech 2> ea l 30 min CPT 96139	$102.00	$136.00	$32.32 – $122.40	36
Psych test eval svc phys/qhp 1st hr CPT 96130	$316.50	$422.00	$103.39 – $397.08	36
Psych test eval svc phys/qhp ea addl hr CPT 96131	$127.50	$170.00	$41.65 – $153.00	36
Psychotherapy group therapy CPT 90853	$271.50	$362.00	$22.79 – $186.82	36
Psychotherapy patient individual therapy 30 minutes CPT 90832	$193.50	$258.00	$63.21 – $326.41	36
Psychotherapy patient individual therapy 45 minutes CPT 90834	$267.00	$356.00	$87.22 – $326.41	36
Psychotherapy patient individual therapy 60 minutes CPT 90837	$328.50	$438.00	$107.31 – $394.20	36
Psycl/nrpsyc tech 1st CPT 96138	$210.75	$281.00	$68.85 – $821.52	36
Psytx complex interactive CPT 90785	$54.00	$72.00	$14.38 – $64.80	36
Psytx pt w/e&m 16-37 min CPT 90833	$290.25	$387.00	$79.60 – $348.30	36
Psytx pt w/e&m 38-52 min CPT 90836	$399.00	$532.00	$100.79 – $478.80	36
Psytx pt w/e&m 53+ min CPT 90838	$492.00	$656.00	$133.42 – $590.40	36
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032	$164.25	$219.00	$14.18 – $197.10	35
Pt application of modality >=1 area hot/cold packs CPT 97010	$19.50	$26.00	$6.13 – $22.50	35
Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033	$133.50	$178.00	$18.17 – $160.20	36
Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035	$117.00	$156.00	$13.75 – $135.90	35
Pt application of modality traction mechanical CPT 97012	$135.75	$181.00	$13.84 – $162.90	35
Pt evaluation high complexity patient/family CPT 97163	$297.00	$396.00	$93.86 – $356.40	35
Pt evaluation low complexity patient/family CPT 97161	$264.00	$352.00	$86.24 – $316.80	35
Pt evaluation moderate complexity patient/family CPT 97162	$264.00	$352.00	$86.24 – $316.80	35
Pt re-evaluation patient/family CPT 97164	$177.00	$236.00	$57.82 – $212.40	36
Pt repositioning canalith procedure(s) per day CPT 95992	$150.75	$201.00	$39.39 – $180.90	36
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116	$138.75	$185.00	$27.87 – $166.50	35
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124	$115.50	$154.00	$28.19 – $138.60	36
Pt wheelchair management each 15 minutes CPT 97542	$123.00	$164.00	$29.79 – $147.60	36
Pten gene dup/delet variant CPT 81323	not published	not published	$633.75 – $1,000.22	3
Pten gene full sequence CPT 81321	not published	not published	$738.70 – $1,440.00	3
Pten gene known fam variant CPT 81322	not published	not published	$98.44 – $269.72	3
Pul art balloon repr percut CPT 92997	$8,869.50	$11,826.00	$2,897.37 – $21,229.61	34
Pul art balloon repr percut CPT 92998	$4,406.25	$5,875.00	$272.10 – $5,287.50	34
Pulmonary vent imaging CPT 78579	$478.50	$638.00	$156.31 – $735.17	36
Pulse ox continuous overnight monitoring CPT 94762	$376.50	$502.00	$122.99 – $451.80	36
Pulse ox multiple CPT 94761	$309.00	$412.00	$4.00 – $370.80	36
Pulse ox single CPT 94760	$151.50	$202.00	$3.69 – $181.80	36
Punc of shunt for asp or inj CPT 61070	$801.75	$1,069.00	$261.91 – $1,298.11	35
Puncture arterial withdrawal blood for diagnosis CPT 36600	$138.00	$184.00	$38.22 – $244.67	36
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160	$382.50	$510.00	$124.95 – $747.58	36
Puncture spinal lumbar diagnostic CPT 62270	$1,088.25	$1,451.00	$355.50 – $1,305.90	35
Puraply 1 sq cm HCPCS Q4195	$18,720.00	$24,960.00	$127.14 – $621.00	36
Pvb thoracic 2nd+ inj site CPT 64462	$680.25	$907.00	$74.72 – $816.30	36
Pvb thoracic single inj site CPT 64461	$801.75	$1,069.00	$261.91 – $1,298.11	36
Pyridoxine hcl 100 mg HCPCS J3415	$29.11	$38.81	$9.51 – $34.93	26
Pyruvate CPT 84210	$108.75	$145.00	$5.14 – $130.50	36
Pyruvate kinase CPT 84220	$252.75	$337.00	$5.03 – $242.10	36
Quant diff pulm perf and vent w/imaging CPT 78598	$2,580.00	$3,440.00	$554.73 – $3,096.00	36
Quant diff pulm perf w/imaging CPT 78597	$1,789.50	$2,386.00	$408.43 – $2,147.40	36
Quest t3 uptake CPT 84479	$108.75	$145.00	$3.06 – $130.50	36
Quinupristin/dalfopristin HCPCS J2770	not published	not published	$829.87 – $1,663.66	2
R hrt cath chd nml nt cnj CPT 93593	$7,495.50	$9,994.00	$2,448.53 – $8,994.60	34
Rabies ig heat-treated human im/subq 90376 CPT 90376	$3,103.43	$4,137.90	$352.44 – $3,724.11	36
Rabies ig ht&sol human im/sc CPT 90377	$8,111.40	$10,815.19	$242.18 – $1,946.74	36
Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375	$11,649.94	$15,533.25	$275.18 – $2,795.98	36
Radiation handling CPT 77790	not published	not published	$19.32 – $19.32	1
Radiation physics consult CPT 77336	not published	not published	$234.12 – $543.29	2
Radiation therapy dose plan CPT 77300	$949.50	$1,266.00	$88.32 – $1,139.40	36
Radiation treatment aid(s) CPT 77332	not published	not published	$41.16 – $543.29	2
Radiation treatment aid(s) CPT 77333	not published	not published	$256.89 – $543.29	2
Radiation treatment aid(s) CPT 77334	not published	not published	$172.17 – $1,449.86	2
Radiation treatment delivery CPT 77401	not published	not published	$512.87 – $512.87	1
Radiation treatment delivery CPT 77402	not published	not published	$331.11 – $512.87	2
Radiation treatment delivery CPT 77412	not published	not published	$601.98 – $1,034.91	2
Radiology port images(s) CPT 77417	not published	not published	$39.42 – $39.42	1
Radiotherapy dose plan imrt CPT 77301	not published	not published	$3,748.17 – $5,406.57	2
Radium ra223 dichl ther/uci HCPCS A9606	not published	not published	$340.74 – $603.40	2
Radphm lcl tmr plnr bdy sgl day img CPT 78802	$2,841.00	$3,788.00	$554.73 – $3,409.20	36
Radphm lcl tmr plnr bdy two day img CPT 78804	$3,232.50	$4,310.00	$554.73 – $3,879.00	36
Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831	not published	not published	$1,549.50 – $5,594.99	2
Radphm lcl tomogr sgl area sgl day CPT 78803	$2,619.00	$3,492.00	$554.73 – $3,142.80	36
Radphm lcl tumor plr sgl day CPT 78800	not published	not published	$551.79 – $1,613.97	2
Radphm quant measure sgl area add-on CPT 78835	$46.50	$62.00	$15.19 – $150.23	36
Ramucirumab 10 mg/ml intravenous solution HCPCS J9308	not published	not published	$125.08 – $262.64	2
Ranibizumab injection HCPCS J2778	not published	not published	$153.06 – $1,392.30	2
Rapid Strep Test CPT 87880	$100.50	$134.00	$11.39 – $120.60	36
Rasburicase 1.5 mg intravenous solution HCPCS J2783	$20,465.52	$27,287.36	$382.19 – $4,911.73	36
Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303	$88,558.68	$118,078.24	$223.68 – $106,270.42	36
Rbc count only automated CPT 85041	$37.50	$50.00	$1.36 – $45.00	36
Rbc deglycerolized each unit HCPCS P9039	$1,524.00	$2,032.00	$313.00 – $1,828.80	36
Rbc irradiated each unit HCPCS P9038	$1,046.25	$1,395.00	$145.22 – $1,255.50	36
Rbc serum pretx incubj drugs CPT 86975	not published	not published	$16.20 – $67.24	3
Red blood cells each unit HCPCS P9021	$1,275.00	$1,700.00	$150.57 – $1,530.00	36
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057	not published	not published	$1,068.12 – $1,068.12	1
Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058	not published	not published	$749.97 – $749.97	1
Red blood cells leukocytes reduced each unit HCPCS P9016	$830.25	$1,107.00	$60.00 – $996.30	36
Red blood cells leukocytes reduced irradiated each unit HCPCS P9040	$837.00	$1,116.00	$265.41 – $1,004.40	36
Red blood cells washed each unit HCPCS P9022	$1,280.25	$1,707.00	$368.58 – $1,536.30	36
Red cell mass multiple CPT 78121	not published	not published	$176.07 – $2,095.20	2
Red cell mass single CPT 78120	not published	not published	$167.88 – $1,613.97	2
Red cell sequestration CPT 78140	not published	not published	$233.49 – $1,613.97	2
Red cell survival study CPT 78130	not published	not published	$273.66 – $1,613.97	2
Redo endovas vena cava filtr CPT 37192	$3,682.50	$4,910.00	$1,202.95 – $5,806.57	36
Reduction of procidentia 45900 CPT 45900	$1,067.25	$1,423.00	$348.64 – $1,710.18	35
Refill maint impl spine pump CPT 95991	$352.50	$470.00	$115.15 – $564.48	36
Refill/maint pump/resvr syst CPT 96522	$630.00	$840.00	$205.80 – $756.00	36
Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785	$698.06	$930.74	$4.86 – $31.69	26
Release of eye fluid CPT 67015	$2,667.75	$3,557.00	$871.47 – $4,244.06	35
Relocation skin pocket aicd CPT 33223	$3,869.25	$5,159.00	$1,263.96 – $4,643.10	35
Relocation skin pocket pm CPT 33222	$2,939.25	$3,919.00	$960.16 – $3,794.35	35
Rem endovas vena cava filter CPT 37193	$5,661.75	$7,549.00	$1,849.51 – $6,794.10	36
Rem interrog dev eval icpms CPT 93297	$109.50	$146.00	$35.77 – $131.40	36
Rem interrog dev eval scrms CPT 93298	$109.50	$146.00	$35.77 – $131.40	36
Rem interrog evl pm/ids CPT 93296	$204.00	$272.00	$38.13 – $244.80	36
Rem mntr physiol 1st dev supply ea 30 days CPT 99454	$84.00	$112.00	$27.44 – $100.80	33
Rem mntr physiol 1st set up pt educaj eqp CPT 99453	$295.50	$394.00	$96.53 – $354.60	33
Rem/biv cast full arm/leg CPT 29705	$320.25	$427.00	$104.62 – $514.35	36
Remdesivir 100 mg intravenous powder for solution HCPCS J0248	$2,406.04	$3,208.05	$6.90 – $2,478.25	36
Removal anal seton other marker 46030 CPT 46030	$1,368.00	$1,824.00	$446.88 – $2,200.61	35
Removal biliary drg cath CPT 47537	$2,025.75	$2,701.00	$661.75 – $2,430.90	36
Removal central venous catheter tunneled without port/pump CPT 36589	$1,899.75	$2,533.00	$620.59 – $2,279.70	35
Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590	$2,838.00	$3,784.00	$927.08 – $3,405.60	35
Removal cerclage w/anes CPT 59871	$3,577.50	$4,770.00	$1,168.65 – $5,953.03	35
Removal cerclage without anes CPT 59899	$778.50	$1,038.00	$206.55 – $934.20	36
Removal cerumen impacted (both sides) CPT 69210	$170.25	$227.00	$55.62 – $204.30	36
Removal clot in graft oth/thn 35875 CPT 35875	$5,270.25	$7,027.00	$1,721.62 – $10,233.02	35
Removal clot in graft xcp 35876 CPT 35876	$5,270.25	$7,027.00	$1,721.62 – $10,233.02	35
Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602	$343.50	$458.00	$85.75 – $368.96	36
Removal duct glbldr calculi CPT 47544	$3,895.50	$5,194.00	$734.12 – $4,674.60	36
Removal embedded foreign body vestibule mouth smpl CPT 40804	$876.00	$1,168.00	$286.16 – $1,667.93	34
Removal foreign body foot cmplx CPT 28193	$2,117.25	$2,823.00	$691.64 – $3,037.27	35
Removal foreign body foot subcutaneous right CPT 28190	$1,181.25	$1,575.00	$385.88 – $1,417.50	36
Removal foreign body gum 41805 CPT 41805	$1,692.75	$2,257.00	$552.97 – $2,853.34	34
Removal implant superficial separate procedure CPT 20670	$3,387.00	$4,516.00	$1,106.42 – $4,064.40	35
Removal of breast lesion CPT 19120	$3,704.25	$4,939.00	$1,210.06 – $7,200.43	35
Removal of implant deep CPT 20680	$5,565.75	$7,421.00	$1,818.15 – $6,678.90	35
Removal of intranasal lesion CPT 30117	$3,732.00	$4,976.00	$1,219.12 – $6,097.09	35
Removal of shunt CPT 49429	$6,577.50	$8,770.00	$2,148.65 – $7,893.00	36
Removal of skin tags each add'l 10 CPT 11201	$421.50	$562.00	$17.68 – $505.80	36
Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200	$292.50	$390.00	$95.55 – $368.96	36
Removal sutr or stapl no anes CPT 15853	$328.50	$438.00	$12.23 – $394.20	36
Removal tunnled intprtnl cath CPT 49422	$4,377.00	$5,836.00	$1,429.82 – $5,806.57	35
Removal w/reinsrt nonbiogrdble CPT 11983	$3,072.00	$4,096.00	$456.40 – $3,686.40	36
Removal/replacement ppm generator dual lead system CPT 33228	$9,527.25	$12,703.00	$3,112.24 – $19,221.08	36
Remove anal fist complex CPT 46280	$3,371.25	$4,495.00	$1,101.28 – $5,104.40	35
Remove anal fist subq CPT 46270	$3,249.75	$4,333.00	$1,061.59 – $5,104.40	35
Remove cva lumen obstruct CPT 75902	$2,241.75	$2,989.00	$79.94 – $2,690.10	36
Remove ear canal lesion(s) CPT 69145	$3,293.25	$4,391.00	$1,075.80 – $5,341.73	35
Remove esophagus obstruction CPT 74235	not published	not published	$284.88 – $284.88	1
Remove eyelid lesion CPT 67840	$1,133.25	$1,511.00	$370.20 – $1,833.25	36
Remove hip foreign body 27086 CPT 27086	$417.75	$557.00	$136.47 – $5,341.73	35
Remove hip/pelvis lesion 27047 CPT 27047	$3,348.75	$4,465.00	$1,093.93 – $5,341.73	35
Remove in/ex hem grps w/fist CPT 46262	$3,255.75	$4,341.00	$1,063.55 – $5,104.40	35
Remove renal tube w/fluoro CPT 50389	$1,281.75	$1,709.00	$418.71 – $1,538.10	36
Remove shoulder foreign body subq 23330 CPT 23330	$1,879.50	$2,506.00	$613.97 – $3,037.27	35
Remove spine eltrd perq aray CPT 63661	$2,238.75	$2,985.00	$731.33 – $3,591.04	36
Remove stent via transureth CPT 50386	$1,638.75	$2,185.00	$535.33 – $3,844.19	36
Remove tonsils and adenoids CPT 42821	$3,600.75	$4,801.00	$1,176.25 – $6,097.09	35
Remove ureter stent percut CPT 50384	$3,552.00	$4,736.00	$1,160.32 – $4,262.40	36
Remove vaginal foreign body 57415 CPT 57415	$3,577.50	$4,770.00	$1,168.65 – $5,953.03	35
Renal cyst study s&i CPT 74470	not published	not published	$1,460.28 – $2,068.79	2
Renal function panel CPT 80069	$188.25	$251.00	$4.11 – $225.90	36
Renal venogram bil s&i CPT 75833	$3,386.25	$4,515.00	$216.75 – $5,806.57	36
Repair blood vessel dir upper extr CPT 35206	$3,682.50	$4,910.00	$1,202.95 – $5,806.57	36
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121	$969.00	$1,292.00	$316.54 – $1,162.80	35
Repair dental ellis ii fx CPT 41899	$3,575.25	$4,767.00	$241.98 – $4,290.30	36
Repair detached retina CPT 67110	$2,701.50	$3,602.00	$882.49 – $4,244.06	36
Repair detached retina pc CPT 67105	$666.75	$889.00	$217.81 – $1,011.44	36
Repair elbow perc CPT 24357	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	36
Repair eyelid wound CPT 67930	$2,675.25	$3,567.00	$873.92 – $4,372.16	36
Repair eyelid wound CPT 67935	$2,675.25	$3,567.00	$873.92 – $4,372.16	35
Repair finger tendon CPT 26433	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	35
Repair lip full thkns =<one-half vert height CPT 40652	$579.00	$772.00	$189.14 – $991.82	35
Repair lip full thkns >one-half vert height/cmplx CPT 40654	$1,768.50	$2,358.00	$577.71 – $2,853.34	35
Repair of toe dislocation CPT 28675	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	35
Repair pm/icd lead dual CPT 33220	$6,205.50	$8,274.00	$2,027.13 – $7,446.60	36
Repair pm/icd lead sgl CPT 33218	$4,257.75	$5,677.00	$1,390.87 – $6,872.22	36
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252	$262.50	$350.00	$85.75 – $435.56	35
Repair rpr lip full thickness vermilion only CPT 40650	$579.00	$772.00	$189.14 – $991.82	35
Repair stomach opening CPT 43870	$4,451.25	$5,935.00	$1,454.08 – $7,090.16	35
Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260	$3,752.25	$5,003.00	$1,225.74 – $6,017.17	35
Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251	$262.50	$350.00	$85.75 – $435.56	35
Repair upper arm/elbow tendon/muscle ea CPT 24341	$8,293.50	$11,058.00	$2,709.21 – $13,344.08	35
Replace aortic valve open femoral 33362 CPT 33362	$31,283.25	$41,711.00	$1,161.00 – $37,539.90	34
Replace aortic valve open iliac 33364 CPT 33364	$44,969.25	$59,959.00	$1,247.68 – $53,963.10	34
Replace aortic valve w/byp prq aprch 33367 CPT 33367	$44,969.25	$59,959.00	$552.28 – $53,963.10	34
Replace duod/jej tube perc CPT 49451	$1,464.75	$1,953.00	$478.49 – $1,757.70	36
Replace g-j tube perc CPT 49452	$1,479.75	$1,973.00	$483.39 – $1,775.70	36
Replace g/c tube perc CPT 49450	$1,059.75	$1,413.00	$346.19 – $1,667.93	36
Replace tunneled cv cath CPT 36578	$4,034.25	$5,379.00	$1,317.86 – $5,806.57	35
Repos lv lead pm/icd CPT 33226	$3,322.50	$4,430.00	$1,085.35 – $5,806.57	36
Repos sq defib eltrd CPT 33273	$10,506.75	$14,009.00	$3,432.21 – $12,608.10	36
Reposg phrnc nrv stim trnsvn CPT 33281	$4,023.75	$5,365.00	$1,314.43 – $6,429.29	36
Reposition pm/icd lead CPT 33215	$4,089.00	$5,452.00	$1,335.74 – $5,806.57	36
Reprogram cochlear implt 7/> CPT 92604	$382.50	$510.00	$124.95 – $459.00	36
Reprogram cochlear implt <7 CPT 92602	$762.75	$1,017.00	$131.46 – $915.30	36
Reptilase test CPT 85635	$138.75	$185.00	$4.31 – $166.50	36
Resect inferior turbinate CPT 30140	$3,810.75	$5,081.00	$1,244.85 – $6,097.09	35
Reslizumab 10 mg/ml intravenous solution HCPCS J2786	$4,119.02	$5,492.02	$11.53 – $4,942.82	36
Resp virus 6-11 targets CPT 87632	$1,559.25	$2,079.00	$56.00 – $1,871.10	36
Respirator motion mgmt simul CPT 77293	not published	not published	$796.86 – $1,321.97	2
Resuscitation cardiopulmonary CPT 92950	$1,155.00	$1,540.00	$220.60 – $1,386.00	36
Resuscitation delivery/birthing room CPT 99465	$721.50	$962.00	$235.69 – $1,215.47	36
Reteplase injection HCPCS J2993	not published	not published	$10,785.08 – $10,785.08	1
Reticulated platelet assay CPT 85055	$99.00	$132.00	$13.75 – $118.80	36
Reticulocyte automated CPT 85045	$54.75	$73.00	$1.89 – $65.70	36
Reticulocyte direct measurement automated CPT 85046	not published	not published	$2.67 – $13.38	3
Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345	not published	not published	$50.37 – $103.22	2
Retrograde ejaculation anal CPT 89331	not published	not published	$9.58 – $47.01	3
Rev-rem impl neurostim gen-rec CPT 63688	$3,945.00	$5,260.00	$1,288.70 – $6,429.29	35
Revasc evasc fpvt angio cplx 1st CPT 37265	$9,528.00	$12,704.00	$3,112.48 – $11,433.60	36
Revasc evasc fpvt angio sf 1st CPT 37263	$9,528.00	$12,704.00	$3,112.48 – $11,433.60	36
Revasc evasc fpvt athrec cplx 1st CPT 37273	$16,954.50	$22,606.00	$5,538.47 – $33,711.64	36
Revasc evasc fpvt athrec sf 1st CPT 37271	$16,954.50	$22,606.00	$5,538.47 – $33,711.64	36
Revasc evasc fpvt st athrec sf 1st CPT 37275	$21,221.25	$28,295.00	$6,932.28 – $33,711.64	36
Revasc evasc fpvt stent cplx 1st CPT 37269	$16,936.50	$22,582.00	$5,532.59 – $21,229.61	36
Revasc evasc fpvt stent sf 1st CPT 37267	$16,936.50	$22,582.00	$5,532.59 – $21,229.61	36
Revasc evasc imvt angio cplx 1st CPT 37298	$11,497.50	$15,330.00	$3,755.85 – $21,229.61	36
Revasc evasc imvt angio sf 1st CPT 37296	$11,497.50	$15,330.00	$3,755.85 – $21,229.61	36
Revasc evasc ivt angio cplx 1st CPT 37256	$9,998.25	$13,331.00	$3,266.10 – $11,997.90	36
Revasc evasc ivt stent cplx 1st CPT 37260	$14,052.00	$18,736.00	$4,590.32 – $21,229.61	36
Revasc evasc ivt stent sf 1st CPT 37258	$14,052.00	$18,736.00	$4,590.32 – $21,229.61	36
Revasc evasc tpvt angio cplx 1st CPT 37282	$9,804.00	$13,072.00	$3,202.64 – $21,229.61	36
Revasc evasc tpvt angio sf 1st CPT 37280	$9,804.00	$13,072.00	$3,202.64 – $21,229.61	36
Revasc evasc tpvt athrec cplx 1st CPT 37290	$14,665.50	$19,554.00	$4,790.73 – $33,711.64	36
Revasc evasc tpvt athrec sf 1st CPT 37288	$14,665.50	$19,554.00	$4,790.73 – $33,711.64	36
Revasc intra lithotrip-ather HCPCS C9766	$20,329.50	$27,106.00	$6,640.97 – $33,711.64	34
Revasc intra lithotrip-stent HCPCS C9765	$20,329.50	$27,106.00	$6,640.97 – $33,711.64	34
Revasc intravasc lithotripsy HCPCS C9764	$12,754.50	$17,006.00	$4,166.47 – $21,229.61	34
Revasc lith-sten-ath tib/per HCPCS C9775	$20,329.50	$27,106.00	$6,640.97 – $33,711.64	34
Revasc lithotr-ather tib/per HCPCS C9774	$20,329.50	$27,106.00	$6,640.97 – $33,711.64	34
Revasc lithotr-stent tib/per HCPCS C9773	$20,329.50	$27,106.00	$6,640.97 – $33,711.64	34
Revasc lithotrip tibi/perone HCPCS C9772	$12,754.50	$17,006.00	$4,166.47 – $21,229.61	34
Revasc lithotrip-stent-ather HCPCS C9767	$20,329.50	$27,106.00	$6,640.97 – $33,711.64	34
Revise abdomen-venous shunt CPT 49426	$7,104.75	$9,473.00	$2,320.89 – $8,525.70	35
Revise/remove sling repair CPT 57287	$3,720.00	$4,960.00	$1,215.20 – $5,953.03	36
Revision of cervix CPT 57720	$5,771.25	$7,695.00	$1,885.28 – $6,925.50	35
Revision of cervix CPT 59320	$7,213.50	$9,618.00	$2,356.41 – $8,656.20	35
Revision of iris CPT 66761	$2,392.50	$3,190.00	$561.91 – $2,871.00	36
Revision of penis CPT 54420	$4,040.25	$5,387.00	$1,319.82 – $6,482.39	35
Revision tips CPT 37183	$7,994.25	$10,659.00	$2,611.46 – $10,466.71	36
Revitalon 1 square cm HCPCS Q4157	not published	not published	$623.46 – $623.46	1
Rezafungin 200 mg intravenous solution HCPCS J0349	not published	not published	$17.82 – $36.58	2
Rf abltj nrv nrvtg si jt CPT 64625	$1,746.75	$2,329.00	$570.61 – $3,591.04	36
Rheumatoid factor qualitative CPT 86430	not published	not published	$2.68 – $14.73	3
Rheumatoid factor quantitative CPT 86431	$98.25	$131.00	$2.68 – $56.70	36
Rho d immune globulin 50 mcg HCPCS J2788	not published	not published	$46.79 – $106.54	2
Rho d immune globulin inj HCPCS J2790	$194.25	$259.00	$63.46 – $233.10	26
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	$8.33 – $36.79	2
Rho(d) immune globulin h, sd HCPCS J2792	$5,242.06	$6,989.41	$34.26 – $1,895.49	36
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804	$300.54	$400.72	$0.25 – $222.12	26
Right ventric recording CPT 93603	$3,039.75	$4,053.00	$992.99 – $3,647.70	36
Ring fx reform 11-13x17mm HCPCS L8610	$1,509.75	$2,013.00	$23.52 – $1,506.64	36
Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327	not published	not published	$24.93 – $61.74	2
Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794	$4,536.51	$6,048.67	$10.80 – $1,361.01	36
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311	$27,790.74	$37,054.31	$36.28 – $29,180.30	36
Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312	not published	not published	$127.56 – $343.28	2
Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115	$9,097.89	$12,130.52	$31.28 – $2,183.50	36
Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123	not published	not published	$50.25 – $255.92	2
Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119	$8,464.14	$11,285.51	$13.69 – $2,031.40	36
Rmv implant contraceptive capsule 11976 CPT 11976	$1,478.25	$1,971.00	$482.90 – $1,773.90	36
Rmv&rplcmt phrnc nrv stim ld CPT 33288	$15,792.75	$21,057.00	$5,158.97 – $20,491.27	36
Rmv&rplcmt phrnc nrv stim pg CPT 33287	$36,000.00	$48,000.00	$11,760.00 – $56,746.91	36
Rmvl foreign body upper arm/elbow subcutaneous CPT 24200	$1,897.50	$2,530.00	$619.85 – $3,037.27	34
Rmvl icd by tv extr CPT 33244	$4,848.75	$6,465.00	$1,583.93 – $6,872.22	36
Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263	$22,197.75	$29,597.00	$7,251.27 – $40,905.65	36
Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264	$26,801.25	$35,735.00	$8,755.08 – $57,723.71	36
Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262	$21,319.50	$28,426.00	$6,964.37 – $40,905.65	36
Rmvl icd pulse gen only CPT 33241	$4,307.25	$5,743.00	$1,407.04 – $6,872.22	36
Rmvl ndwellg tun pleural cath CPT 32552	$2,230.50	$2,974.00	$640.89 – $2,676.60	36
Rmvl perm pm pulse gen CPT 33233	$6,820.50	$9,094.00	$2,228.03 – $15,218.33	35
Rmvl phrnc nrv stim pg only CPT 33280	$4,023.75	$5,365.00	$1,314.43 – $6,429.29	36
Rmvl phrnc nrv stim sys CPT 33278	$4,023.75	$5,365.00	$1,314.43 – $6,429.29	36
Rmvl phrnc nrv stim transvns CPT 33279	$3,945.00	$5,260.00	$1,288.70 – $6,429.29	36
Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229	$18,045.00	$24,060.00	$5,894.70 – $35,422.00	36
Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227	$8,797.50	$11,730.00	$2,873.85 – $15,218.33	36
Rmvl pq iabp CPT 33968	$84.00	$112.00	$27.44 – $100.80	34
Rmvl pq vad left hrt vein sep session CPT 33992	$6,116.25	$8,155.00	$163.30 – $7,339.50	34
Rmvl sq defib electrode CPT 33272	$4,551.75	$6,069.00	$1,486.91 – $6,872.22	36
Rmvl subq card rhythm mntr CPT 33286	$7,037.25	$9,383.00	$723.47 – $8,444.70	34
Rmvl tv pm lead dual CPT 33235	$3,988.50	$5,318.00	$1,302.91 – $6,872.22	36
Rmvl tv pm lead sgl CPT 33234	$3,303.75	$4,405.00	$1,079.23 – $6,872.22	36
Rolapitant, oral, 1mg HCPCS J8670	not published	not published	$2.60 – $13.16	2
Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319	$11,827.02	$15,769.35	$30.80 – $14,192.42	36
Romiplostim 125 mcg subcutaneous solution HCPCS J2802	$20,356.48	$27,141.97	$11.11 – $5,366.65	36
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111	$8,372.44	$11,163.25	$12.19 – $5,831.69	36
Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795	$184.88	$246.50	$0.10 – $11.41	26
Rotavirus antibody CPT 86759	not published	not published	$6.98 – $43.74	3
Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333	not published	not published	$38.91 – $78.09	2
Rp loclzj tum 2+area 1+d img CPT 78801	not published	not published	$589.08 – $1,613.97	2
Rp loclzj tum spect w/ct 1 CPT 78830	$2,531.25	$3,375.00	$826.88 – $3,037.50	36
Rp loclzj tum spect w/ct 2 CPT 78832	not published	not published	$1,986.42 – $6,336.77	2
Rp therapy unlisted px CPT 79999	not published	not published	$1,083.33 – $1,083.33	1
Rpl non-tun cvc wo sbq prt/pmp CPT 36580	$2,703.00	$3,604.00	$882.98 – $3,243.60	35
Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584	$2,534.25	$3,379.00	$827.86 – $3,041.10	35
Rpl tun cvc wo subq port CPT 36581	$2,957.25	$3,943.00	$966.04 – $5,806.57	35
Rpl tun-cvad w subq port CPT 36582	$3,880.50	$5,174.00	$1,267.63 – $5,806.57	35
Rsv assay w/optic CPT 87807	not published	not published	$11.00 – $31.44	3
Rubella antibody igg CPT 86762	$84.00	$112.00	$6.81 – $26.10	36
Rubeola antibody igg CPT 86765	$171.00	$228.00	$6.09 – $182.70	36
Russell viper venom diluted CPT 85613	$108.00	$144.00	$4.31 – $129.60	36
S bowel endoscope w/stent CPT 44379	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	35
Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317	$9,478.55	$12,638.06	$36.80 – $11,374.25	36
Salivary gland function exam CPT 78232	not published	not published	$228.06 – $1,613.97	2
Salivary gland imaging CPT 78230	$585.00	$780.00	$191.10 – $735.17	36
Salivary glnd img serial img CPT 78231	not published	not published	$228.06 – $1,613.97	2
Salmonella antibody CPT 86768	$29.25	$39.00	$6.98 – $35.10	36
Sargramostim injection HCPCS J2820	$1,092.15	$1,456.20	$61.89 – $1,268.35	36
Sars-cov-2 antb quantitative CPT 86413	not published	not published	$126.39 – $126.39	1
Sarscov & inf vir a&b ag ia CPT 87428	not published	not published	$220.47 – $220.47	1
Sarscov coronavirus ag ia CPT 87426	$59.25	$79.00	$19.36 – $71.10	36
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975	$1,225.50	$1,634.00	$243.77 – $1,470.60	36
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976	$977.25	$1,303.00	$106.81 – $1,172.70	36
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978	$994.50	$1,326.00	$243.77 – $1,193.40	36
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979	$724.50	$966.00	$106.81 – $869.40	36
Scan duplex extracranial arteries unilateral/limited study CPT 93882	$127.50	$170.00	$41.65 – $192.26	36
Scan duplex extremity veins unilateral/limited study CPT 93971	$999.75	$1,333.00	$106.81 – $1,199.70	36
Scan duplex lower extremity arteries complete bilateral CPT 93925	$1,207.50	$1,610.00	$243.77 – $1,449.00	36
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926	$830.25	$1,107.00	$106.81 – $996.30	36
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931	$779.25	$1,039.00	$106.81 – $935.10	36
Sclerotherapy fluid collection pq w/img CPT 49185	$1,810.50	$2,414.00	$591.43 – $3,037.27	36
Scope uretscp lithovue dig disp HCPCS C1747	$7,863.75	$10,485.00	$110.25 – $405.00	26
Scr c/v cyto,thinlayer,rescr HCPCS G0144	not published	not published	$23.50 – $92.89	2
Scr c/v cyto,thinlayer,rescr HCPCS G0145	not published	not published	$23.50 – $55.97	2
Screen cerv/vag thin layer HCPCS G0123	not published	not published	$23.50 – $42.80	2
Screen pap by tech w md supv HCPCS P3000	not published	not published	$12.28 – $42.63	3
Screen/visual acuity/bilat/quant 99173 CPT 99173	$26.25	$35.00	$3.08 – $31.50	36
Screening Colonoscopy (average risk) HCPCS G0121	$2,602.50	$3,470.00	$850.15 – $3,123.00	35
Screening Colonoscopy (high risk) HCPCS G0105	$2,602.50	$3,470.00	$850.15 – $3,123.00	35
Screening HIV antigen/antibody combination assay HCPCS G0475	not published	not published	$50.86 – $50.86	1
Screening Mammogram CPT 77067	$509.25	$679.00	$117.58 – $611.10	33
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328	not published	not published	$12.00 – $38.12	2
Screening hepatitis b non-obstetric high risk HCPCS G0499	not published	not published	$59.74 – $59.74	1
Screening hepatitis c antibody high risk HCPCS G0472	not published	not published	$7.49 – $97.92	2
Screening pap smear by phys HCPCS P3001	not published	not published	$54.36 – $54.36	1
Screening prostate cancer PSA HCPCS G0103	not published	not published	$9.40 – $40.79	2
Screw cortex 2.0 x 10mm HCPCS C1713	$28,563.75	$38,085.00	$1.39 – $5.11	26
Sec art mech thrmbc non-intracranial add-on CPT 37186	$8,255.25	$11,007.00	$1,073.96 – $9,906.30	36
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 – $801.00	34
Sedimentation rate erythrocyte automated CPT 85652	$75.00	$100.00	$2.05 – $90.00	36
Select picture audiometry CPT 92583	$67.50	$90.00	$22.05 – $108.49	36
Self-mgmt educ/train 2-4 pt 30min CPT 98961	$135.00	$180.00	$14.36 – $162.00	36
Semen analysis presence/motility CPT 89321	not published	not published	$5.70 – $28.92	3
Semen analysis w/count CPT 89310	not published	not published	$9.13 – $20.67	3
Sensorimotor examination CPT 92060	$109.50	$146.00	$35.77 – $131.40	36
Sept9 promoter methylation analysis CPT 81327	not published	not published	$405.60 – $460.80	2
Serpina1 gene CPT 81332	not published	not published	$51.68 – $104.76	3
Sertraline (zoloft) - sendout CPT 80332	$101.25	$135.00	$0.03 – $56.00	26
Set radiation therapy field CPT 77280	not published	not published	$543.29 – $607.98	2
Set radiation therapy field CPT 77285	not published	not published	$1,008.09 – $1,449.86	2
Set radiation therapy field CPT 77290	not published	not published	$959.31 – $1,449.86	2
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	$0.18 – $6.69	26
Sgmdsc w/band ligation CPT 45350	$1,380.00	$1,840.00	$450.80 – $2,200.61	36
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310	$987.75	$1,317.00	$204.98 – $1,185.30	33
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311	$935.25	$1,247.00	$204.98 – $1,122.30	36
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312	$935.25	$1,247.00	$305.52 – $1,122.30	36
Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313	$582.75	$777.00	$190.37 – $747.58	36
Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305	$219.00	$292.00	$71.54 – $368.96	33
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306	$231.75	$309.00	$75.71 – $368.96	33
Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307	$252.00	$336.00	$82.32 – $368.96	33
Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308	$367.50	$490.00	$120.05 – $747.58	33
Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300	$311.25	$415.00	$101.68 – $747.58	33
Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301	$206.25	$275.00	$67.38 – $368.96	33
Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302	$304.50	$406.00	$99.47 – $368.96	33
Sheath gldlight lasr 12fx50cm HCPCS C2629	$7,076.25	$9,435.00	$2,311.58 – $8,491.50	26
Sheath laser cavaclear 14f HCPCS C1603	$11,238.75	$14,985.00	$3,671.33 – $13,486.50	26
Shigella antibody CPT 86771	not published	not published	$6.98 – $58.74	3
Shoe post-op mens m HCPCS L3260	$29.76	$39.67	$8.19 – $30.08	26
Shoulder MRI (with and without contrast) CPT 73223	$2,628.75	$3,505.00	$356.43 – $3,154.50	30
Shoulder MRI (with contrast) CPT 73222	$2,259.00	$3,012.00	$737.94 – $2,710.80	30
Shoulder MRI (without contrast) CPT 73221	$2,127.00	$2,836.00	$243.77 – $2,552.40	30
Shoulder X-ray CPT 73030	$461.25	$615.00	$71.07 – $553.50	36
Shunt glaucoma baerveldt 350mm HCPCS C1783	$4,050.00	$5,400.00	$44.10 – $162.00	26
Shuntogram nonvascular supervision & interpretation CPT 75809	$539.25	$719.00	$106.81 – $647.10	36
Sialidase enzyme assay CPT 87905	not published	not published	$23.66 – $29.34	3
Sialography s&i CPT 70390	not published	not published	$267.60 – $985.19	2
Sialolithotomy 42330 CPT 42330	$3,732.75	$4,977.00	$1,219.37 – $6,097.09	36
Sickling rbc CPT 85660	$90.75	$121.00	$2.77 – $81.00	36
Sig w/tndsc balloon dilation CPT 45340	$2,738.25	$3,651.00	$894.50 – $3,285.90	35
Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333	$2,535.00	$3,380.00	$828.10 – $3,042.00	35
Sigmoidoscopy and biopsy CPT 45331	$1,942.50	$2,590.00	$634.55 – $2,331.00	35
Sigmoidoscopy flex decompression 45337 CPT 45337	$1,058.25	$1,411.00	$345.70 – $1,710.18	35
Sigmoidoscopy for bleeding CPT 45334	$2,765.25	$3,687.00	$903.32 – $3,318.30	35
Sigmoidoscopy w/ablation CPT 45346	$2,604.00	$3,472.00	$850.64 – $3,124.80	36
Sigmoidoscopy w/fb removal 45332 CPT 45332	$1,370.25	$1,827.00	$447.62 – $2,200.61	35
Sigmoidoscopy w/plcmt stent CPT 45347	$4,379.25	$5,839.00	$1,430.56 – $11,164.30	36
Sigmoidoscopy w/resection CPT 45349	$3,254.25	$4,339.00	$1,063.06 – $5,104.40	36
Sigmoidoscopy w/tumr remove CPT 45338	$2,502.75	$3,337.00	$817.57 – $3,003.30	35
Sigmoidoscopy w/ultrasound CPT 45341	$3,027.00	$4,036.00	$950.10 – $3,632.40	35
Sigmoidoscopy w/us guide bx CPT 45342	$4,014.75	$5,353.00	$1,222.56 – $4,817.70	35
Sigmoidoscopy/submucosal injection 45335 CPT 45335	$2,389.50	$3,186.00	$780.57 – $2,867.40	35
Sildenafil citrate, 25 mg HCPCS S0090	not published	not published	$0.95 – $0.95	1
Simple cystometrogram 51725 CPT 51725	$759.00	$1,012.00	$247.94 – $910.80	36
Sincalide 5 mcg solution for injection HCPCS J2805	$456.17	$608.22	$77.43 – $284.45	26
Sinus CT scan (with and without contrast) CPT 70488	$1,576.50	$2,102.00	$179.20 – $1,891.80	30
Sinus CT scan (with contrast) CPT 70487	$1,519.50	$2,026.00	$179.20 – $1,823.40	30
Sinus CT scan (without contrast) CPT 70486	$1,303.50	$1,738.00	$106.81 – $1,564.20	30
Sinus/juglr venogram s&i CPT 75860	$2,489.25	$3,319.00	$199.47 – $5,806.57	36
Sipuleucel-t - su HCPCS Q2043	$95,750.46	$127,667.28	$31,278.48 – $114,900.55	36
Sirolimus, oral HCPCS J7520	$12,667.27	$16,889.69	$1.60 – $28.16	26
Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331	not published	not published	$141.99 – $284.83	2
Skin Biopsy CPT 11102	$300.00	$400.00	$98.00 – $747.58	36
Skin test unlisted antigen ea CPT 86486	not published	not published	$1.92 – $13.92	3
Skyla, 13.5 mg HCPCS J7301	$3,739.59	$4,986.11	$1,221.60 – $4,487.50	26
Sleep Study (Polysomnography) CPT 95810	$6,070.50	$8,094.00	$877.34 – $7,284.60	36
Sleep study attended CPT 95807	$404.25	$539.00	$132.06 – $686.23	36
Sleep study unattended CPT 95806	$594.00	$792.00	$194.04 – $712.80	36
Sleeve fing rolyan med HCPCS L3933	$32.25	$43.00	$10.54 – $429.55	36
Sling arm deluxe w/pad xs HCPCS A4565	$30.35	$40.46	$9.91 – $36.41	36
Sling suprapubic suburetheral HCPCS C1771	$21,217.50	$28,290.00	$305.03 – $1,120.50	26
Slp pure tone screening CPT 92551	$64.50	$86.00	$12.23 – $77.40	36
Sm-153 lexidron ther HCPCS A9604	not published	not published	$58,129.89 – $58,129.89	1
Small bowel endoscopy CPT 44360	$2,597.25	$3,463.00	$848.44 – $3,528.85	35
Small bowel endoscopy CPT 44364	$3,657.00	$4,876.00	$1,194.62 – $4,388.40	35
Small bowel endoscopy CPT 44366	$3,970.50	$5,294.00	$1,297.03 – $4,764.60	35
Small bowel endoscopy CPT 44369	$3,175.50	$4,234.00	$1,037.33 – $3,810.60	35
Small bowel endoscopy CPT 44376	$3,048.00	$4,064.00	$995.68 – $3,657.60	35
Small bowel endoscopy CPT 44378	$4,077.00	$5,436.00	$1,331.82 – $4,892.40	35
Small bowel endoscopy CPT 44382	$2,467.50	$3,290.00	$806.05 – $2,961.00	35
Small bowel endoscopy 44365 CPT 44365	$3,540.00	$4,720.00	$1,156.40 – $4,248.00	35
Small bowel endoscopy >2nd w/remove 44363 CPT 44363	$3,096.75	$4,129.00	$1,011.61 – $3,716.10	35
Small bowel endoscopy br/wa CPT 44380	$2,166.75	$2,889.00	$707.81 – $2,600.10	35
Small bowel endoscopy br/wa CPT 44381	$2,218.50	$2,958.00	$724.71 – $3,528.85	36
Small bowel endoscopy/biopsy CPT 44361	$4,161.00	$5,548.00	$1,359.26 – $4,993.20	35
Small bowel endoscopy/biopsy CPT 44377	$2,205.75	$2,941.00	$720.55 – $3,528.85	35
Small bowel endoscopy/stent 44370 CPT 44370	$6,607.50	$8,810.00	$2,158.45 – $11,164.30	35
Smallpox&monkeypox vac 0.5ml CPT 90611	$2.43	$3.23	$0.01 – $2.91	36
Smear fluorescent and/or acid fast stain CPT 87206	$81.00	$108.00	$2.54 – $97.20	36
Smear gram stain CPT 87205	$66.00	$88.00	$2.02 – $79.20	36
Smear nasal eosinophil CPT 89190	$46.50	$62.00	$1.58 – $55.80	36
Smear special stain inclusion bodies/parasites CPT 87207	$52.50	$70.00	$5.99 – $63.00	36
Smear wet mount CPT 87210	$88.50	$118.00	$5.54 – $106.20	36
Smn1 gene full gene sequence CPT 81336	not published	not published	$636.61 – $723.24	2
Smpd1 gene common variants CPT 81330	not published	not published	$87.68 – $112.80	3
Snrpn/ube3a gene CPT 81331	$376.50	$502.00	$41.02 – $291.60	36
So gsap cll fr dna/dna&rna CPT 81462	$2,242.50	$2,990.00	$56.00 – $2,691.00	36
So gsap dna cpy nmbr&mcrstl CPT 81458	$1,580.25	$2,107.00	$56.00 – $1,883.43	36
Sodium 24 hour urine CPT 84300	$60.00	$80.00	$2.30 – $56.70	36
Sodium chloride 0.9 % IV bolus HCPCS J7040	$20.34	$27.12	$2.30 – $15.53	26
Sodium chloride 0.9 % IV bolus HCPCS J7050	$19.42	$25.89	$1.19 – $12.20	26
Sodium chloride 0.9 % intravenous solution HCPCS J7030	$33.28	$44.37	$3.62 – $13.31	26
Sodium chloride 3 % ivpb HCPCS J7131	$11.10	$14.79	$0.60 – $13.31	26
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916	$28.46	$37.94	$3.65 – $34.15	26
Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321	$651.32	$868.42	$123.28 – $781.58	26
Sodium serum/plasma/whole blood CPT 84295	$57.00	$76.00	$2.28 – $68.40	36
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209	not published	not published	$2.87 – $2.87	1
Somatosensory testing CPT 95927	$1,404.00	$1,872.00	$220.60 – $1,684.80	36
Somatropin injection HCPCS J2941	$2,600.83	$3,467.77	$554.96 – $3,120.99	26
Sotalol hydrochloride IV HCPCS C9482	$13,396.05	$17,861.39	$86.21 – $16,075.25	26
Special physics consult CPT 77370	not published	not published	$380.79 – $543.29	2
Special radiation dosimetry CPT 77331	not published	not published	$50.76 – $543.29	2
Special radiation treatment CPT 77470	not published	not published	$94.56 – $2,322.99	2
Special teletx port plan CPT 77321	not published	not published	$117.15 – $1,449.86	2
Specific gravity body fluid CPT 84315	not published	not published	$1.23 – $7.86	3
Specimen fat stain CPT 89125	$60.75	$81.00	$2.15 – $72.90	36
Speech audiometry complete CPT 92556	$104.25	$139.00	$34.06 – $125.10	36
Speech evaluation complex CPT 70371	$1,077.00	$1,436.00	$186.63 – $1,292.40	36
Speech recep thresh CPT 92555	$104.25	$139.00	$34.06 – $125.10	36
Sperm antibody test CPT 89325	not published	not published	$5.44 – $25.62	3
Sperm identification CPT 89257	not published	not published	$107.22 – $1,246.32	3
Sperm isolation complex CPT 89261	not published	not published	$83.30 – $320.19	3
Sperm isolation simple CPT 89260	not published	not published	$81.00 – $352.26	3
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328	$1,416.00	$1,888.00	$462.56 – $1,699.20	36
Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060	$672.00	$896.00	$219.52 – $806.40	36
Spirometry up to 2 yrs old CPT 94011	$1,005.75	$1,341.00	$131.46 – $1,206.90	36
Spleen imaging CPT 78185	$469.50	$626.00	$153.37 – $735.17	36
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906	$48.75	$65.00	$15.93 – $1,020.22	36
Splint extn xsm w sof-stretch rolyan HCPCS L3925	$93.00	$124.00	$30.38 – $132.25	36
Splint finger frog med HCPCS L3927	$73.50	$98.00	$24.01 – $88.20	36
Splint rstrc wrst/cmc right med HCPCS L3923	$35.25	$47.00	$11.52 – $194.47	36
Split blood or products CPT 86985	$606.00	$808.00	$6.40 – $727.20	36
Sputum specimen collection CPT 89220	$337.50	$450.00	$15.15 – $405.00	36
Sr-89 stront chlor ther / mci HCPCS A9600	not published	not published	$13,387.50 – $13,387.50	1
Srs linear based CPT 77372	not published	not published	$2,499.27 – $33,298.56	2
Srs multisource CPT 77371	not published	not published	$2,926.98 – $33,298.56	2
St analysis behavior qualitative voice/resonance CPT 92524	$393.00	$524.00	$105.70 – $471.60	36
St cognitve performance testing healthcare professional each hour CPT 96125	$330.75	$441.00	$98.99 – $396.90	36
St evaluate speech sound production CPT 92522	$341.25	$455.00	$107.86 – $409.50	36
St evaluate speech sound production comprehensive/expressive CPT 92523	$387.00	$516.00	$126.42 – $464.40	36
St evaluation motion fluoroscopic swallow function cine/video CPT 92611	$551.25	$735.00	$87.52 – $661.50	36
St evaluation swallow function CPT 92610	$442.50	$590.00	$81.27 – $531.00	36
St treatment speech individual CPT 92507	$332.25	$443.00	$73.34 – $398.70	35
St treatment swallow dysfunction/oral CPT 92526	$415.50	$554.00	$80.77 – $498.60	36
Staggered spondaic word test CPT 92572	$474.75	$633.00	$131.46 – $569.70	36
Staph a dna amp probe CPT 87640	$129.00	$172.00	$17.61 – $154.80	36
Stem cells total count CPT 86367	$96.00	$128.00	$18.92 – $140.00	36
Stenger test pure tone CPT 92565	$162.00	$216.00	$52.92 – $194.40	36
Stenger test speech CPT 92577	$404.25	$539.00	$132.06 – $686.23	36
Stent axios caut enh 15x10mm electrocaut HCPCS C1874	$47,137.50	$62,850.00	$0.01 – $0.03	26
Stent bili dbl pgtl 10fx5cm HCPCS C2617	$5,076.00	$6,768.00	$21.92 – $80.51	26
Stent bili rx wallflx 10x80 uncvr HCPCS C1876	$38,815.81	$51,754.41	$1.62 – $5.94	26
Stereoscopic x-ray guidance HCPCS G6002	not published	not published	$224.91 – $224.91	1
Storage/year embryo(s) CPT 89342	not published	not published	$36.00 – $467.82	3
Storage/year oocyte(s) CPT 89346	not published	not published	$36.00 – $735.00	3
Storage/year reprod tissue CPT 89344	not published	not published	$36.00 – $321.78	3
Storage/year sperm/semen CPT 89343	not published	not published	$36.00 – $337.50	3
Str markers spec anal addl CPT 81266	not published	not published	$304.81 – $731.55	3
Str markers specimen anal CPT 81265	$1,678.50	$2,238.00	$56.00 – $623.70	36
Strapping of ankle and/or ft 29540 CPT 29540	$183.75	$245.00	$48.76 – $298.84	36
Strapping of elbow or wrist 29260 CPT 29260	$230.25	$307.00	$60.27 – $276.30	36
Strapping of hand or finger CPT 29280	$315.00	$420.00	$60.27 – $378.00	36
Strapping of hip CPT 29520	$147.00	$196.00	$48.02 – $244.67	36
Strapping of knee CPT 29530	$204.75	$273.00	$66.89 – $245.70	36
Strapping of toes 29550 CPT 29550	$151.50	$202.00	$49.49 – $181.80	36
Strep a ag ia CPT 87430	not published	not published	$5.67 – $40.35	3
Strep a dna dir probe CPT 87650	not published	not published	$9.49 – $48.12	3
Strep b assay w/optic CPT 87802	not published	not published	$5.67 – $30.54	3
Strep b dna amp probe CPT 87653	not published	not published	$17.61 – $84.21	3
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	$5.22 – $30.39	3
Streptomycin injection HCPCS J3000	not published	not published	$52.67 – $278.92	2
Streptozocin injection HCPCS J9320	$1,286.99	$1,715.98	$420.42 – $1,544.38	26
Stress test pulmonary CPT 94618	$654.00	$872.00	$135.93 – $784.80	36
Stress tte complete CPT 93351	$2,007.00	$2,676.00	$558.25 – $2,408.40	36
Subq njx filling matrl 1cc/< CPT 11950	$1,392.00	$1,856.00	$204.98 – $1,670.40	36
Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330	$22.19	$29.58	$1.96 – $7.19	26
Sugars multiple quant CPT 84379	not published	not published	$5.44 – $27.66	3
Sugars single quant CPT 84378	not published	not published	$5.44 – $27.66	3
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865	not published	not published	$0.08 – $0.28	2
Sulfonylurea screen qn-sendout CPT 80377	$270.00	$360.00	$0.03 – $324.00	26
Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030	$167.98	$223.97	$3.87 – $14.22	26
Support clav 29.6-40.5in med HCPCS L3650	$105.75	$141.00	$7.42 – $145.08	36
Supprelin la implant HCPCS J9226	$185,546.55	$247,395.39	$41,173.43 – $222,655.85	36
Surgical pathology level 1 gross examination only CPT 88300	$117.00	$156.00	$14.18 – $140.40	36
Surgical pathology level 2 gross & microscopic examination CPT 88302	$193.50	$258.00	$30.67 – $232.20	36
Surgical pathology level 3 gross & microscopic examination CPT 88304	$240.00	$320.00	$40.47 – $288.00	36
Surgical pathology level 4 gross & microscopic examination CPT 88305	$330.75	$441.00	$53.24 – $354.60	36
Surgical pathology level 5 gross & microscopic examination CPT 88307	$507.00	$676.00	$56.00 – $659.18	36
Surgical pathology level 6 gross & microscopic examination CPT 88309	$720.75	$961.00	$56.00 – $1,481.63	36
Suscept studies macrobroth dilution ea CPT 87188	not published	not published	$3.14 – $15.93	3
Susceptibility agar dilution per agent CPT 87181	$130.50	$174.00	$0.82 – $63.00	36
Susceptibility enzyme detection per enzyme CPT 87185	$31.50	$42.00	$2.36 – $37.80	36
Susceptibility mic per plate CPT 87186	$96.00	$128.00	$3.65 – $115.20	36
Svc venogram s&i CPT 75827	$4,438.50	$5,918.00	$180.24 – $5,326.20	36
Sweat collection by iontophoresis CPT 89230	not published	not published	$4.06 – $6.66	3
Synvisc or synvisc-one HCPCS J7325	$1,696.83	$2,262.43	$6.96 – $678.74	36
Syphilis test non-treponemal antibody quantitative rpr CPT 86593	$67.50	$90.00	$2.09 – $81.00	36
System cardiomems hosp electronics HCPCS C2624	$53,437.50	$71,250.00	$14,332.50 – $52,650.00	26
System pacing micra av HCPCS C1786	$33,750.00	$45,000.00	$1,446.68 – $5,314.33	26
System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785	$11,441.25	$15,255.00	$1,470.00 – $5,400.00	26
System sealant biosentry tract HCPCS C2613	$900.00	$1,200.00	$294.00 – $1,080.00	26
T cells absolute cd 4 count CPT 86361	not published	not published	$22.98 – $64.26	3
T cells absolute cd4/cd8 including ratio CPT 86360	not published	not published	$22.23 – $112.74	3
T cells total count CPT 86359	$108.00	$144.00	$21.07 – $77.40	36
T3 (triiodothyronine) free CPT 84481	$62.25	$83.00	$8.01 – $74.70	36
T3 (triiodothyronine) total CPT 84480	$52.50	$70.00	$6.71 – $63.00	36
T4 (thyroxine) free CPT 84439	$45.75	$61.00	$4.27 – $54.90	36
T4 (thyroxine) total CPT 84436	$99.75	$133.00	$3.25 – $119.70	36
Tacrol astagraf ex rel oral HCPCS J7508	$2,970.47	$3,960.62	$0.97 – $356.47	26
Tacrol envarsus ex rel oral HCPCS J7503	$8,369.30	$11,159.06	$3.07 – $564.92	26
Tacrolimus 1 mg capsule, immediate-release HCPCS J7507	$12,682.80	$16,910.40	$0.25 – $4.89	26
Tacrolimus 5 mg/ml intravenous solution HCPCS J7525	$874.23	$1,165.63	$259.96 – $1,049.07	36
Tacrolimus therapeutic drug level CPT 80197	$174.75	$233.00	$7.28 – $209.70	36
Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349	$5,161.23	$6,881.64	$14.17 – $6,193.48	36
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325	$25,827.38	$34,436.50	$73.94 – $309.97	36
Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055	not published	not published	$121.62 – $248.61	2
Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187	not published	not published	$0.70 – $0.70	1
Target gsa panel hmtlmph neop CPT 81450	$1,708.50	$2,278.00	$56.00 – $1,424.70	36
Target gsa panel organ neop CPT 81445	$1,643.25	$2,191.00	$56.00 – $1,576.80	36
Target gsa panel organ/hmtlmph neop CPT 81455	not published	not published	$800.00 – $7,007.04	3
Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026	not published	not published	$2,633.38 – $5,355.00	2
Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921	$1,148.25	$1,531.00	$375.10 – $1,377.90	36
Tavr perq femoral CPT 33361	$25,185.75	$33,581.00	$1,065.65 – $30,222.90	34
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481	$460.50	$614.00	$34.89 – $552.60	36
Tb test cell mediated immunity antigen response gamma interferon CPT 86480	not published	not published	$31.09 – $148.74	3
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447	$959.55	$1,279.39	$0.25 – $719.46	36
Tbs techl calculation only CPT 77091	not published	not published	$76.53 – $346.32	2
Tbs techl prep&transmis data CPT 77090	not published	not published	$7.41 – $346.32	2
Tc-99m bicisate HCPCS A9557	not published	not published	$13,088.78 – $13,088.78	1
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	$6,118.88 – $6,118.88	1
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	$197.47 – $1,498.49	26
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	$1,541.05 – $5,660.99	26
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	$111.86 – $1,170.00	26
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	$98.74 – $362.70	26
Tc-99m succimer (dmsa) HCPCS A9551	not published	not published	$2,139.94 – $2,139.94	1
Tc-99m sulfur colloid HCPCS A9541	$3,734.48	$4,979.30	$483.99 – $1,777.91	26
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
Tcd emboli detect w/inj CPT 93893	$1,061.25	$1,415.00	$106.81 – $1,273.50	36
Tcd emboli detect without inj CPT 93892	$1,269.00	$1,692.00	$106.81 – $1,522.80	36
Tcran magn stim redetemine CPT 90869	$354.00	$472.00	$115.64 – $424.80	36
Tcranial magn stim tx deli CPT 90868	$354.00	$472.00	$115.64 – $424.80	36
Tcranial magn stim tx plan CPT 90867	$354.00	$472.00	$115.64 – $424.80	36
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274	not published	not published	$364.69 – $731.15	2
Tee w or without fol w/cont, mon HCPCS C8927	$1,165.50	$1,554.00	$380.73 – $1,441.62	36
Tee w or without fol w/cont,cong HCPCS C8926	$1,826.25	$2,435.00	$596.58 – $2,191.50	36
Telavancin injection HCPCS J3095	$2,428.05	$3,237.39	$7.03 – $2,913.65	36
Telehealth original site facility fee HCPCS Q3014	$151.50	$202.00	$49.49 – $181.80	22
Telethx isodose plan cplx CPT 77307	not published	not published	$357.66 – $1,449.86	2
Telethx isodose plan simple CPT 77306	not published	not published	$197.61 – $1,449.86	2
Temozolomide HCPCS J8700	$1,918.68	$2,558.23	$0.60 – $58.66	26
Temozolomide 100 mg intravenous solution HCPCS J9328	$3,438.61	$4,584.81	$10.40 – $4,126.33	36
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330	not published	not published	$54.23 – $184.17	2
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101	$29,758.74	$39,678.32	$197.44 – $35,710.49	36
Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105	$68.57	$91.42	$1.46 – $5.36	26
Teriparatide injection HCPCS J3110	not published	not published	$179.69 – $179.69	1
Tert gene targeted seq alys CPT 81345	$347.25	$463.00	$56.00 – $416.70	36
Test for chlorohydrocarbons CPT 82441	$225.00	$300.00	$3.18 – $270.00	36
Test for porphobilinogen CPT 84106	not published	not published	$2.15 – $13.98	3
Test for urine cystines CPT 82615	not published	not published	$3.39 – $22.92	3
Test pathogen(s) for platelets reference HCPCS P9100	not published	not published	$120.09 – $154.74	2
Test stress cardiovascular tracing only CPT 93017	$1,012.50	$1,350.00	$220.60 – $1,215.00	36
Test urine for lactose CPT 83633	not published	not published	$2.87 – $27.00	3
Test urine for porphyrins CPT 84119	not published	not published	$3.59 – $32.07	3
Test urine urobilinogen CPT 84578	not published	not published	$1.64 – $10.74	3
Testicular imaging w/vasc flow CPT 78761	$1,209.75	$1,613.00	$395.19 – $1,451.70	36
Testosterone undecanoate 1mg HCPCS J3145	not published	not published	$3.34 – $9.42	2
Tetanus immune globulin inj HCPCS J1670	$1,939.05	$2,585.40	$558.12 – $2,326.86	36
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356	not published	not published	$30.74 – $74.27	2
Tgsap hl neo 5-50 rna alys CPT 81451	not published	not published	$1,822.86 – $1,822.86	1
Tgsap so neo 5-50 rna alys CPT 81449	not published	not published	$1,434.99 – $1,434.99	1
Tgsap so/hl 51/< rna alys CPT 81456	not published	not published	$7,007.04 – $7,007.04	1
Thaw cryoprsvrd reprod tiss CPT 89354	not published	not published	$34.14 – $500.00	3
Thawing cryopresrved embryo CPT 89352	not published	not published	$116.61 – $500.00	3
Thawing cryopresrved oocyte CPT 89356	not published	not published	$69.00 – $500.00	3
Thawing cryopresrved sperm CPT 89353	not published	not published	$49.98 – $500.00	3
Theophylline therapeutic drug level CPT 80198	$111.00	$148.00	$6.69 – $133.20	36
Ther nma rdctj intus/obstrcj CPT 74283	$208.50	$278.00	$68.11 – $356.07	36
Ther/proph/diag inj ia CPT 96373	$380.25	$507.00	$124.22 – $456.30	36
Therapy activation ipnss CPT 93150	$108.00	$144.00	$35.28 – $174.83	33
Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802	$65.25	$87.00	$21.32 – $78.30	36
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803	$65.25	$87.00	$21.32 – $78.30	36
Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411	$23.67	$31.56	$2.91 – $10.70	26
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555	$1,687.50	$2,250.00	$551.25 – $2,025.00	36
Thoracotomy with cardiac massage CPT 32160	$4,610.25	$6,147.00	$751.99 – $5,532.30	34
Throat x-ray & fluoroscopy CPT 70370	not published	not published	$240.30 – $346.32	2
Thrombectmy crnry perq mechanical CPT 92973	$4,489.50	$5,986.00	$80.65 – $5,387.40	34
Thrombectomy/inf pq dialysis circuit CPT 36904	$6,205.50	$8,274.00	$2,027.13 – $10,466.71	36
Thrombectomy/inf pq dialysis circuit w/pta CPT 36905	$10,103.25	$13,471.00	$3,300.40 – $21,229.61	36
Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906	$15,313.50	$20,418.00	$5,002.41 – $33,711.64	36
Thrombin time CPT 85670	$87.00	$116.00	$2.26 – $104.40	36
Thrombin time titer CPT 85675	not published	not published	$3.69 – $16.44	3
Thromboplastin time partial (ptt) substitution fractions each CPT 85732	$99.75	$133.00	$6.47 – $119.70	36
Thromboxane urine CPT 84431	not published	not published	$4.46 – $84.27	3
Thyroglobulin antibody CPT 86800	$47.25	$63.00	$7.52 – $56.70	36
Thyroid (TSH) Test CPT 84443	$136.50	$182.00	$7.95 – $163.80	36
Thyroid Ultrasound CPT 76536	$885.75	$1,181.00	$106.81 – $1,062.90	36
Thyroid imaging CPT 78013	not published	not published	$421.71 – $1,613.97	2
Thyroid met imaging CPT 78015	not published	not published	$493.56 – $1,613.97	2
Thyroid met imaging/studies CPT 78016	not published	not published	$602.97 – $1,613.97	2
Thyroid met uptake CPT 78020	not published	not published	$143.07 – $143.07	1
Thyroid mets imag whole body CPT 78018	$2,506.50	$3,342.00	$554.73 – $3,007.80	36
Thyroid uptake measurement CPT 78012	$856.50	$1,142.00	$197.79 – $1,027.80	36
Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240	$7,476.81	$9,969.08	$2,125.34 – $8,972.17	36
Thyrotropin releasing hormone CPT 80438	not published	not published	$26.47 – $120.99	3
Thyroxine binding globulin (tbg) CPT 84442	$58.50	$78.00	$7.00 – $70.20	36
Tib/per revasc stent & ather 37231 CPT 37231	$21,900.00	$29,200.00	$7,154.00 – $26,280.00	26
Tigecycline injection HCPCS J3243	$534.77	$713.02	$0.84 – $76.52	26
Tilt table study CPT 93660	$1,428.00	$1,904.00	$381.24 – $1,713.60	36
Tirofiban 12.5 mg/50 ml HCPCS J3246	not published	not published	$5.75 – $13.51	2
Tisagenlecleucel car-pos t HCPCS Q2042	$2,194,589.53	$2,926,119.37	$450,528.05 – $1,655,001.00	36
Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273	$27,364.47	$36,485.95	$196.12 – $32,837.36	36
Tissue amnio epifix inj 100mg HCPCS Q4145	not published	not published	$32.71 – $89.25	2
Tissue culture placenta CPT 88235	$6,844.50	$9,126.00	$56.00 – $649.80	36
Tissue culture skin/biopsy CPT 88233	$1,468.50	$1,958.00	$56.00 – $618.30	36
Tissue culture tumor CPT 88239	$945.00	$1,260.00	$56.00 – $1,134.00	36
Tissue exam koh skin/hair/nails CPT 87220	$66.00	$88.00	$4.27 – $79.20	36
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122	$2,516.07	$3,354.75	$127.14 – $3,019.28	36
Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142	$1,679.65	$2,239.53	$127.14 – $1,831.79	36
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358	$6,114.24	$8,152.32	$857.30 – $3,149.28	26
Tissue transglutaminase iga CPT 86364	$42.75	$57.00	$11.53 – $51.30	36
Tl-201 thallium diag per mci HCPCS A9505	not published	not published	$116.59 – $116.59	1
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260	$286.24	$381.65	$1.05 – $3.87	26
Tobramycin non-comp unit HCPCS J7682	$124.14	$165.51	$7.46 – $27.41	26
Tobramycin peak therapeutic drug level CPT 80200	$93.00	$124.00	$8.41 – $111.60	36
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262	not published	not published	$9.71 – $25.10	2
Tomosynthesis breast diagnostic left HCPCS G0279	not published	not published	$99.54 – $99.54	1
Tomosynthesis breast screen bilateral CPT 77063	$81.75	$109.00	$26.71 – $98.10	33
Tongue biopsy; posterior one-third 41105 CPT 41105	$2,845.50	$3,794.00	$929.53 – $6,097.09	36
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351	$517.65	$690.20	$2.25 – $101.88	26
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263	not published	not published	$66.34 – $138.25	2
Total tau CPT 84394	$504.00	$672.00	$56.00 – $604.80	36
Toxoplasma antibody igg CPT 86777	$60.00	$80.00	$7.49 – $72.00	36
Toxoplasma antibody igm CPT 86778	$93.00	$124.00	$7.70 – $111.60	36
Tp53 gene full gene sequence CPT 81351	not published	not published	$1,355.90 – $1,540.44	2
Tp53 gene trgt sequence alys CPT 81352	not published	not published	$696.09 – $790.83	2
Tpmt gene com vrnts CPT 81335	$1,022.25	$1,363.00	$56.00 – $1,226.70	36
Trabectedin 1 mg intravenous solution HCPCS J9352	$13,641.34	$18,188.45	$391.07 – $16,369.61	36
Trabeculoplasty laser surg CPT 65855	$671.25	$895.00	$219.28 – $1,011.44	36
Tracheobrnchsc thru est trachs incisn CPT 31615	$2,597.25	$3,463.00	$551.01 – $3,116.70	35
Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108	$101.25	$135.00	$33.08 – $121.50	36
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290	$77.65	$103.53	$1.16 – $4.27	26
Transabdom amnioinfus w/us CPT 59070	$1,177.50	$1,570.00	$311.33 – $1,413.00	36
Transcath biopsy CPT 37200	$4,294.50	$5,726.00	$1,402.87 – $10,233.02	36
Transcath closure of asd CPT 93580	$16,096.50	$21,462.00	$5,258.19 – $33,711.64	34
Transcath closure of vsd CPT 93581	$15,782.25	$21,043.00	$5,155.54 – $33,711.64	34
Transcath mv repair init prosthesis CPT 33418	$19,213.50	$25,618.00	$1,558.27 – $23,056.20	34
Transcath occlusion cns CPT 61624	$19,546.50	$26,062.00	$6,385.19 – $33,711.64	36
Transcath occlusion non-cns CPT 61626	$16,788.75	$22,385.00	$5,484.33 – $21,229.61	36
Transcath rmvl perm ldss pmkr rv CPT 33275	$3,696.00	$4,928.00	$1,207.36 – $5,806.57	34
Transcatheter bx s&i CPT 75970	$3,122.25	$4,163.00	$1,019.94 – $3,746.70	26
Transcutaneous hgb 88738 CPT 88738	not published	not published	$2.35 – $12.06	3
Transferrin CPT 84466	$136.50	$182.00	$5.74 – $163.80	36
Transfusion blood/blood component(s) CPT 36430	$1,166.25	$1,555.00	$380.98 – $1,399.50	36
Transorl lwr esophgl myotomy CPT 43497	$6,978.00	$9,304.00	$2,279.48 – $11,164.30	36
Trastuzumab 150 mg intravenous solution HCPCS J9355	$5,762.28	$7,683.03	$73.43 – $6,914.72	36
Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117	$12,199.65	$16,266.19	$56.38 – $5,853.61	36
Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116	not published	not published	$48.06 – $288.26	2
Trauma partial team response w/critical care services level 4 HCPCS G0390	$3,822.00	$5,096.00	$881.51 – $3,238.20	36
Tray bonemarrw oncontrol 102mm HCPCS C1830	$1,094.25	$1,459.00	$111.48 – $409.50	26
Trb@ gene rearrange dirprobe CPT 81341	not published	not published	$77.55 – $119.01	3
Treat ankle dislocation CPT 27842	$1,872.00	$2,496.00	$611.52 – $2,957.08	35
Treat clavicle dislocation 23545 CPT 23545	$261.75	$349.00	$85.51 – $453.62	34
Treat elbow dislocation CPT 24605	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat elbow fracture CPT 24620	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat finger fracture each CPT 26742	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat foot dislocation CPT 28570	$261.75	$349.00	$85.51 – $453.62	34
Treat fracture of radius CPT 25505	$1,514.25	$2,019.00	$494.66 – $2,957.08	35
Treat fracture of radius CPT 25520	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat fracture of ulna CPT 25535	$2,169.75	$2,893.00	$252.01 – $2,603.70	35
Treat hip dislocation CPT 27252	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat humerus fracture CPT 24535	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat humerus fracture CPT 24565	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat knee dislocation CPT 27552	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat knee fracture 27530 CPT 27530	$344.25	$459.00	$112.46 – $453.62	35
Treat knee fracture(s) CPT 27538	$642.00	$856.00	$209.72 – $770.40	35
Treat metacarpal fracture CPT 26608	$3,767.25	$5,023.00	$1,230.64 – $6,017.17	35
Treat sternum fracture CPT 21820	$423.00	$564.00	$138.18 – $507.60	35
Treat thigh fracture CPT 27230	$261.75	$349.00	$85.51 – $453.62	35
Treat thigh fx growth plate CPT 27517	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat ulnar fracture CPT 24675	$1,198.50	$1,598.00	$391.51 – $2,957.08	35
Treat vaginal bleeding CPT 57180	$235.50	$314.00	$76.93 – $371.79	35
Treat wrist bone fracture CPT 25635	$1,815.75	$2,421.00	$593.15 – $2,957.08	35
Treat wrist dislocation CPT 25675	$656.25	$875.00	$214.38 – $787.50	35
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608	$8,370.75	$11,161.00	$2,734.45 – $13,344.08	36
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609	$8,370.75	$11,161.00	$2,734.45 – $13,344.08	36
Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607	$8,370.75	$11,161.00	$2,734.45 – $13,344.08	36
Treatment incomplete abortion completed surgically any trimester CPT 59812	$3,996.00	$5,328.00	$1,305.36 – $5,953.03	35
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644	$333.75	$445.00	$109.03 – $400.50	36
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645	$320.25	$427.00	$15.28 – $384.30	36
Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640	$198.75	$265.00	$64.93 – $402.70	36
Treatment missed abortion completed surgically 1st trimester CPT 59820	$7,085.25	$9,447.00	$2,314.52 – $8,502.30	35
Treatment of ankle fracture 27786 CPT 27786	$358.50	$478.00	$117.11 – $453.62	35
Treatment of fibula fracture 27780 CPT 27780	$558.75	$745.00	$182.53 – $670.50	35
Treatment of foot infection CPT 28002	$1,872.75	$2,497.00	$611.77 – $2,957.08	35
Treatment of heel fracture 28400 CPT 28400	$352.50	$470.00	$115.15 – $453.62	35
Treatment of miscarriage CPT 59821	$9,051.75	$12,069.00	$2,956.91 – $10,862.10	35
Treatment of thigh fracture CPT 27501	$732.75	$977.00	$239.37 – $879.30	35
Treatment of thigh fracture CPT 27503	$2,068.50	$2,758.00	$675.71 – $2,957.08	35
Treatment of thigh fracture CPT 27508	$525.75	$701.00	$171.75 – $630.90	35
Treatment of thigh fracture CPT 27510	$2,093.25	$2,791.00	$683.80 – $2,957.08	35
Treatment of toe fracture 28510 CPT 28510	$315.00	$420.00	$102.90 – $453.62	36
Treatment radiation delivery level 2 CPT 77407	not published	not published	$455.25 – $1,034.91	2
Treatment x10sv retinopathy CPT 67228	$674.25	$899.00	$220.26 – $1,011.44	36
Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347	not published	not published	$237.15 – $482.86	2
Treponema pallidum antibody CPT 86780	$169.50	$226.00	$2.49 – $116.10	36
Treprostinil injection HCPCS J3285	$21,186.46	$28,248.61	$55.19 – $1,644.80	36
Trg gene rearrangement anal CPT 81342	$732.00	$976.00	$56.00 – $453.60	36
Triamcinolone a inj prs-free HCPCS J3300	$3,235.98	$4,314.64	$18.78 – $712.40	36
Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301	$162.88	$217.17	$1.44 – $8.96	26
Trichinella antibody CPT 86784	$140.25	$187.00	$6.57 – $168.30	36
Trichomonas assay w/optic CPT 87808	not published	not published	$6.02 – $36.69	3
Triglycerides CPT 84478	$78.75	$105.00	$2.72 – $94.50	36
Trilaciclib 300 mg intravenous solution HCPCS J1448	not published	not published	$9.06 – $18.62	2
Trim nail(s) HCPCS G0127	$69.75	$93.00	$22.79 – $108.49	36
Trim nondyst nails CPT 11719	$318.75	$425.00	$60.27 – $382.50	36
Trimethobenzamide hcl inj HCPCS J3250	$191.20	$254.93	$62.46 – $229.44	26
Triptorelin pamoate HCPCS J3315	$16,454.18	$21,938.90	$469.38 – $3,290.84	36
Trml dstrj ios bvn 1st 2 l/s CPT 64628	$15,258.00	$20,344.00	$4,984.28 – $23,610.17	36
Trml dstrj ios bvn ea addl CPT 64629	$10,173.00	$13,564.00	$164.71 – $12,207.60	36
Trnscath plc stent crv crtd w/prtct CPT 37215	$9,767.25	$13,023.00	$877.04 – $11,720.70	36
Trnscath plc stent crv crtd without prtct CPT 37216	$7,944.75	$10,593.00	$841.82 – $9,533.70	36
Trnscath plc vas stent w/s&i ea addl artery CPT 37237	$7,463.25	$9,951.00	$1,125.53 – $8,955.90	36
Trnscath plc vas stent w/s&i ea addl vein CPT 37239	$7,374.00	$9,832.00	$1,525.60 – $8,848.80	36
Trnscath plc vas stent w/s&i ini vein CPT 37238	$10,059.75	$13,413.00	$3,286.19 – $21,229.61	36
Trnscath retrv pq vasc fb w/guide CPT 37197	$3,869.25	$5,159.00	$1,263.96 – $5,806.57	36
Trnscath tx thromblytc art/ven sbsq day CPT 37213	$4,505.25	$6,007.00	$1,471.72 – $5,806.57	36
Trnscath tx thromblytc artery non-intracrn ini day CPT 37211	$8,034.75	$10,713.00	$2,624.69 – $10,233.02	36
Trnscath tx thromblytc cath rmv sbsq day CPT 37214	$15,764.25	$21,019.00	$3,225.87 – $18,917.10	36
Trnscath tx thromblytc vein ini day CPT 37212	$2,489.25	$3,319.00	$813.16 – $5,806.57	36
Troponin quantitative CPT 84484	$180.00	$240.00	$4.66 – $216.00	36
Tte w or without fol w/con,stres HCPCS C8928	$1,949.25	$2,599.00	$636.76 – $2,339.10	36
Tte w or without fol w/cont, com HCPCS C8921	$1,922.25	$2,563.00	$627.94 – $2,306.70	36
Tte w or without fol w/cont, f/u HCPCS C8922	$1,341.75	$1,789.00	$438.31 – $1,610.10	36
Tx atrial fib pulm vein isol CPT 93656	$29,199.75	$38,933.00	$9,538.59 – $48,067.18	36
Tx closed distal humerus fx CPT 24999	$3,632.25	$4,843.00	$252.01 – $4,358.70	36
Tx closed hip disl traumatic without anes CPT 27250	$261.75	$349.00	$85.51 – $453.62	35
Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532	$3,767.25	$5,023.00	$1,230.64 – $6,017.17	35
Tx closed tib shaft fx without manip CPT 27750	$362.25	$483.00	$118.34 – $453.62	35
Tx contour defects 1.1-5.0cc 11951 CPT 11951	$2,245.50	$2,994.00	$733.53 – $2,694.60	36
Tx l/r atrial fib addl CPT 93657	$10,523.25	$14,031.00	$257.77 – $12,627.90	36
Tx tarsal bone fx without manip 28450 CPT 28450	$365.25	$487.00	$119.32 – $453.62	36
Tympanometry & reflex thresh CPT 92550	$141.75	$189.00	$46.31 – $397.08	36
Tympanostomy/ven tube/loc/top anes 69433 CPT 69433	$2,048.25	$2,731.00	$551.01 – $2,457.90	36
Ua w/micro/comp poc CPT 81000	$100.50	$134.00	$4.02 – $120.60	36
Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329	not published	not published	$120.79 – $264.43	2
Ugt1a1 gene analy common variants CPT 81350	$438.75	$585.00	$52.78 – $526.50	36
Ultrasound abdomen aorta screening study aaa CPT 76706	$473.25	$631.00	$106.81 – $567.90	36
Ultrasound bone density measure CPT 76977	not published	not published	$12.87 – $466.11	2
Ultrasound breast complete CPT 76641	$510.00	$680.00	$106.81 – $612.00	36
Ultrasound breast unilateral limited (both sides) CPT 76642	$478.50	$638.00	$87.52 – $574.20	36
Ultrasound chest CPT 76604	$695.25	$927.00	$82.92 – $834.30	36
Ultrasound doppler velocimetry fetal umbilical artery CPT 76820	$561.00	$748.00	$58.35 – $673.20	36
Ultrasound dx ophth b-scan CPT 76512	$404.25	$539.00	$49.26 – $485.10	36
Ultrasound elastography ea l target les CPT 76983	$177.00	$236.00	$56.96 – $212.40	36
Ultrasound elastography parenchyma CPT 76981	$284.25	$379.00	$92.86 – $341.10	36
Ultrasound encephalogram CPT 76506	$463.50	$618.00	$106.81 – $556.20	36
Ultrasound exam k transpl w/doppler CPT 76776	$967.50	$1,290.00	$106.81 – $1,161.00	36
Ultrasound fetal biophysical profile without non-stress testing CPT 76819	$535.50	$714.00	$106.81 – $642.60	36
Ultrasound guidance for vascular access CPT 76937	$511.50	$682.00	$37.87 – $613.80	36
Ultrasound guide intraoperative CPT 76998	$822.00	$1,096.00	$135.57 – $986.40	26
Ultrasound guide tissue ablation CPT 76940	$1,032.75	$1,377.00	$165.75 – $1,239.30	26
Ultrasound guided needle placement supervision & interpretation CPT 76942	$1,074.75	$1,433.00	$60.57 – $1,289.70	36
Ultrasound hips infant dynamic CPT 76885	$382.50	$510.00	$87.52 – $459.00	36
Ultrasound infant hips ltd without stress CPT 76886	$311.25	$415.00	$87.52 – $373.50	36
Ultrasound joint complete left CPT 76881	$808.50	$1,078.00	$30.15 – $970.20	36
Ultrasound joint/nonvascular extremity limited left CPT 76882	$542.25	$723.00	$84.72 – $650.70	36
Ultrasound nrv&acc strux 1xtr compre CPT 76883	not published	not published	$39.24 – $39.24	1
Ultrasound ob >=14wks ea addl gest CPT 76810	$849.75	$1,133.00	$83.79 – $1,019.70	36
Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802	$602.25	$803.00	$57.30 – $722.70	36
Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811	$915.75	$1,221.00	$161.25 – $1,098.90	36
Ultrasound pregnant uterus follow up per fetus CPT 76816	$450.75	$601.00	$106.81 – $540.90	36
Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815	$548.25	$731.00	$106.81 – $657.90	36
Ultrasound pregnant uterus transvaginal CPT 76817	$765.75	$1,021.00	$106.81 – $918.90	36
Ultrasound prostate/transrectal CPT 76872	$954.75	$1,273.00	$106.81 – $1,145.70	36
Ultrasound retroperitoneal limited CPT 76775	$718.50	$958.00	$89.28 – $862.20	36
Ultrasound scrotum and contents CPT 76870	$735.75	$981.00	$106.81 – $882.90	36
Ultrasound spinal canal and contents CPT 76800	$352.50	$470.00	$106.81 – $423.00	36
Ultrasound transabd ea addl gest CPT 76812	$701.25	$935.00	$182.85 – $841.50	36
Ultrasound transvaginal non obstetric CPT 76830	$877.50	$1,170.00	$106.81 – $1,053.00	36
Ultrasound trgt dyn mbubb 1st les CPT 76978	$303.00	$404.00	$98.98 – $641.57	36
Unit mobile power mpu HCPCS Q0479	$18,857.25	$25,143.00	$6,160.04 – $26,605.60	36
Unlisted CT procedure CPT 76497	$1,578.75	$2,105.00	$88.91 – $1,894.50	30
Unlisted cv px dx nuc med CPT 78499	not published	not published	$1,613.97 – $1,613.97	1
Unlisted cytogenetic study CPT 88299	not published	not published	$107.22 – $107.22	1
Unlisted cytopathology px CPT 88199	not published	not published	$107.22 – $107.22	1
Unlisted dx gi procedure CPT 91299	$2,470.50	$3,294.00	$131.46 – $2,964.60	36
Unlisted endocrine px dx nuc CPT 78099	not published	not published	$1,613.97 – $1,613.97	1
Unlisted fluoroscopic px CPT 76496	not published	not published	$240.30 – $346.32	2
Unlisted gi px dx nuc med CPT 78299	not published	not published	$1,613.97 – $1,613.97	1
Unlisted gu px dx nuc med CPT 78799	not published	not published	$1,613.97 – $1,613.97	1
Unlisted hystsc px uterus CPT 58579	$3,720.00	$4,960.00	$206.55 – $4,464.00	36
Unlisted misc path test CPT 89240	$1,014.00	$1,352.00	$53.24 – $1,216.80	36
Unlisted mr procedure CPT 76498	$1,616.25	$2,155.00	$88.91 – $1,939.50	30
Unlisted muscskel px dx nuc CPT 78399	not published	not published	$1,613.97 – $1,613.97	1
Unlisted nrvs sys px dx nuc CPT 78699	not published	not published	$1,613.97 – $1,613.97	1
Unlisted orl service/px CPT 92700	$121.50	$162.00	$29.55 – $140.40	36
Unlisted procedure colon CPT 45399	$6,297.75	$8,397.00	$950.10 – $7,557.30	36
Unlisted procedure esophagus CPT 43499	$6,297.75	$8,397.00	$926.63 – $7,557.30	36
Unlisted procedure larynx CPT 31599	$4,960.50	$6,614.00	$241.98 – $5,952.60	36
Unlisted procedure liver CPT 47399	$2,802.00	$3,736.00	$723.47 – $3,362.40	36
Unlisted procedure microbiology CPT 87999	$277.50	$370.00	$56.00 – $333.00	26
Unlisted procedure pancreas CPT 48999	$2,967.75	$3,957.00	$723.47 – $3,561.30	36
Unlisted procedure rectum CPT 45999	$1,058.25	$1,411.00	$345.70 – $1,710.18	36
Unlisted px abdomen muscskel CPT 22999	$1,824.75	$2,433.00	$252.01 – $2,189.70	36
Unlisted px casting/strpg CPT 29799	$316.50	$422.00	$103.39 – $379.80	36
Unlisted px foot/toes CPT 28899	$3,846.75	$5,129.00	$252.01 – $4,616.10	36
Unlisted px med radj physics CPT 77399	not published	not published	$543.29 – $543.29	1
Unlisted px neck/thorax CPT 21899	$2,340.75	$3,121.00	$241.98 – $2,808.90	36
Unlisted px small intestine CPT 44799	$2,493.00	$3,324.00	$814.38 – $2,991.60	36
Unlisted px ther rad tx plng CPT 77299	not published	not published	$543.29 – $543.29	1
Unlisted px tongue flr mouth CPT 41599	$1,627.50	$2,170.00	$241.98 – $1,953.00	36
Unlisted reprod med lab proc CPT 89398	not published	not published	$0.01 – $0.01	1
Unlisted resp px dx nuc med CPT 78599	not published	not published	$1,613.97 – $1,613.97	1
Unlisted surgical path px CPT 88399	not published	not published	$107.22 – $107.22	1
Unlisted transfusion med px CPT 86999	not published	not published	$53.30 – $53.30	1
Unlisted ultrasound procedure CPT 76999	$532.50	$710.00	$87.52 – $552.60	36
Unlstd hematop ret/endo lymp CPT 78199	not published	not published	$1,613.97 – $1,613.97	1
Upgrade pm system CPT 33214	$13,140.75	$17,521.00	$4,292.65 – $19,221.08	36
Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157	$2,590.50	$3,454.00	$356.43 – $3,108.60	30
Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147	$2,441.25	$3,255.00	$356.43 – $2,929.50	30
Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146	$2,265.75	$3,021.00	$243.77 – $2,718.90	30
Upper Endoscopy (EGD, diagnostic) CPT 43235	$2,514.75	$3,353.00	$821.49 – $3,017.70	35
Upper Endoscopy (EGD, with biopsy) CPT 43239	$2,464.50	$3,286.00	$805.07 – $2,957.40	35
Uppr gi scope w/submuc inj CPT 43236	$2,262.00	$3,016.00	$738.92 – $2,714.40	35
Urea nitrogen CPT 84520	$54.00	$72.00	$1.87 – $64.80	36
Urea nitrogen 24 hour urine CPT 84540	$49.50	$66.00	$2.25 – $21.60	36
Urea nitrogen clearance CPT 84545	$57.00	$76.00	$3.39 – $68.40	36
Ureteral reflux study CPT 78740	$1,353.75	$1,805.00	$408.43 – $1,624.50	36
Urethrcystgrphy rtrgrde s&i CPT 74450	$810.75	$1,081.00	$243.77 – $972.90	36
Urethrocystography void s&i CPT 74455	$880.50	$1,174.00	$242.10 – $1,056.60	36
Uric acid blood CPT 84550	$58.50	$78.00	$2.14 – $70.20	36
Uric acid urine CPT 84560	$55.50	$74.00	$2.25 – $56.70	36
Urinalysis (with microscopy) CPT 81001	$123.00	$164.00	$3.17 – $147.60	36
Urinalysis (without microscopy) CPT 81003	$62.25	$83.00	$1.06 – $74.70	36
Urinalysis microscopic only CPT 81015	not published	not published	$4.00 – $7.32	3
Urinalysis qual/semiquant excpt ia CPT 81005	not published	not published	$2.77 – $5.22	3
Urinary bldr retent nuc study CPT 78730	not published	not published	$166.62 – $273.29	2
Urine Culture Test CPT 87086	$126.00	$168.00	$8.07 – $151.20	36
Urine flow measurement 51736 CPT 51736	$148.50	$198.00	$48.51 – $244.67	36
Urine pregnancy test CPT 81025	$69.75	$93.00	$8.21 – $83.70	36
Urography inf drip &/or bolus CPT 74410	not published	not published	$325.02 – $764.78	2
Urography, antegrade CPT 74425	$808.50	$1,078.00	$264.11 – $970.20	36
Use 1st target lesion CPT 76982	$252.00	$336.00	$82.32 – $302.40	36
Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358	$8,225.22	$10,966.96	$11.62 – $9,870.26	36
Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357	$109,781.59	$146,375.45	$261.88 – $65,869.00	26
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321	$368.25	$491.00	$120.30 – $441.90	36
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322	$368.25	$491.00	$120.30 – $441.90	36
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319	$222.00	$296.00	$72.52 – $266.40	36
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318	$165.00	$220.00	$53.90 – $198.00	36
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320	$331.50	$442.00	$108.29 – $397.80	36
Vaccine dtap < 7 years im CPT 90700	$60.00	$80.00	$19.60 – $72.00	26
Vaccine dtap-hep b-ipv im CPT 90723	$233.91	$311.87	$8.33 – $30.60	26
Vaccine dtap-ipv 4-6 years im CPT 90696	$129.00	$172.00	$42.14 – $154.80	26
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	$8.33 – $30.60	26
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647	$111.00	$148.00	$32.64 – $119.90	26
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648	$45.33	$60.44	$8.58 – $31.50	26
Vaccine hepatitis a (hepa) adult im CPT 90632	$241.96	$322.61	$76.69 – $281.70	26
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636	$354.74	$472.98	$107.07 – $393.30	26
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633	$135.00	$180.00	$32.41 – $119.05	26
Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743	$54.75	$73.00	$17.89 – $135.26	36
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746	$162.07	$216.09	$52.68 – $193.50	36
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739	$118.50	$158.00	$38.71 – $319.60	36
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744	$75.39	$100.52	$15.68 – $59.77	36
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649	$599.25	$799.00	$195.76 – $719.10	26
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	$169.54 – $622.80	26
Vaccine influenza (iiv) preservative free antigen content im CPT 90662	$67.50	$90.00	$22.05 – $176.69	36
Vaccine influenza inactivated adjuvant im CPT 90653	$50.25	$67.00	$16.42 – $176.69	36
Vaccine influenza nos 0.5ml dose im CPT 90658	not published	not published	$36.71 – $68.46	2
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656	$45.75	$61.00	$14.95 – $54.90	36
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688	not published	not published	$35.06 – $65.38	2
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694	not published	not published	$129.95 – $242.27	2
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685	$25.50	$34.00	$8.33 – $30.60	26
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686	$25.50	$34.00	$8.33 – $30.60	26
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687	not published	not published	$17.52 – $32.69	2
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682	$50.25	$67.00	$16.42 – $60.30	26
Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672	$102.00	$136.00	$33.32 – $122.40	26
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661	$89.25	$119.00	$29.16 – $107.10	36
Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657	not published	not published	$18.35 – $34.23	2
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620	$569.67	$759.56	$123.73 – $454.50	26
Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621	$747.00	$996.00	$244.02 – $896.40	26
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	$84.77 – $311.40	26
Vaccine mmr live subcutaneous CPT 90707	$311.03	$414.70	$33.81 – $124.20	26
Vaccine mmrv live subcutaneous CPT 90710	$957.30	$1,276.39	$167.09 – $613.80	26
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732	$401.34	$535.11	$25.24 – $240.25	36
Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670	$793.01	$1,057.34	$85.75 – $464.38	36
Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671	$239.25	$319.00	$78.16 – $484.75	36
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677	$913.50	$1,218.00	$298.41 – $1,096.20	36
Vaccine polio (ipv) subcutaneous/im CPT 90713	$1,529.59	$2,039.45	$8.82 – $32.40	26
Vaccine rabies im CPT 90675	$1,514.28	$2,019.04	$315.22 – $1,698.40	36
Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678	$907.50	$1,210.00	$296.45 – $1,089.00	26
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	$326.10 – $1,197.90	26
Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681	$504.00	$672.00	$121.62 – $446.76	26
Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680	$344.25	$459.00	$95.35 – $350.26	26
Vaccine td preservative free >= 7 years im CPT 90714	$145.19	$193.58	$26.61 – $97.76	26
Vaccine tdap >=7 years im CPT 90715	$140.25	$187.00	$42.86 – $157.46	26
Vaccine typhoid vicps im CPT 90691	$333.00	$444.00	$108.78 – $399.60	26
Vaccine varicella live subcutaneous CPT 90716	$642.96	$857.28	$24.50 – $90.00	26
Vaccine yellow fever live subcutaneous CPT 90717	$714.00	$952.00	$206.51 – $758.62	26
Vaccinia vrs vac 0.3 ml perq CPT 90622	not published	not published	$0.04 – $0.04	1
Vad battery clip set hmii 14-v li-ion HCPCS Q0497	$2,592.00	$3,456.00	$576.44 – $3,110.40	36
Vad univ batt charger hm 1440 HCPCS Q0495	$16,971.75	$22,629.00	$5,143.47 – $20,366.10	36
Vaginal bx CPT 58999	$231.00	$308.00	$75.46 – $371.79	36
Vaginal hysterectomy CPT 58260	$5,766.00	$7,688.00	$1,883.56 – $9,199.44	36
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379	$22.29	$29.71	$2.19 – $8.06	26
Valproic acid total therapeutic drug level CPT 80164	$153.75	$205.00	$4.54 – $184.50	36
Valrubicin injection HCPCS J9357	$6,841.31	$9,121.74	$1,270.52 – $8,209.57	36
Valvuloplasty aortic CPT 92986	$6,749.25	$8,999.00	$2,204.76 – $10,466.71	34
Valvuloplasty mitral CPT 92987	$9,472.50	$12,630.00	$3,094.35 – $21,229.61	34
Valvuloplasty pulmonary CPT 92990	$14,701.50	$19,602.00	$4,802.49 – $21,229.61	34
Vancomycin 1,000 mg intravenous injection HCPCS J3373	$366.03	$488.03	$0.05 – $7.41	26
Vancomycin 750 mg intravenous solution HCPCS J3374	$303.13	$404.17	$0.20 – $43.05	26
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 – $176.40	36
Vanomycin dna amp probe CPT 87500	not published	not published	$17.16 – $84.21	3
Varicella zoster antibody igg CPT 86787	$99.75	$133.00	$6.09 – $117.90	36
Varicella-zoster immue globin im CPT 90396	$8,070.06	$10,760.07	$2,363.25 – $9,684.06	36
Vasc emb/occ w/prs cath HCPCS C9797	$21,009.00	$28,012.00	$6,862.94 – $33,711.64	36
Vasectomy CPT 55250	$2,361.00	$3,148.00	$771.26 – $3,844.19	35
Vasopressin 20 unit/ml intravenous solution HCPCS J2598	$103.53	$138.04	$2.10 – $46.11	26
Vedolizumab 300 mg intravenous solution HCPCS J3380	$34,608.27	$46,144.36	$20.98 – $41,529.92	36
Veeg cont 2-12 hrs CPT 95713	$2,361.75	$3,149.00	$381.24 – $2,834.10	36
Veeg ea 12-26hr cont mntr CPT 95716	$4,640.25	$6,187.00	$877.34 – $5,568.30	36
Veeg intrmnt 2-12 hrs CPT 95712	$1,329.00	$1,772.00	$381.24 – $1,594.80	36
Veeg unmon 12-26 hrs CPT 95714	$422.25	$563.00	$137.94 – $686.23	36
Veeg unmon 2-12 hrs CPT 95711	$422.25	$563.00	$137.94 – $506.70	36
Vein x-ray adrenal gland CPT 75840	$2,489.25	$3,319.00	$204.93 – $5,806.57	36
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	$204.03 – $2,448.00	36
Vein x-ray kidney CPT 75831	$2,750.25	$3,667.00	$187.65 – $5,806.57	36
Vein x-ray liver CPT 75891	$3,135.75	$4,181.00	$199.47 – $5,806.57	36
Vein x-ray liver w/hemodynam CPT 75885	$3,413.25	$4,551.00	$197.67 – $5,806.57	36
Vein x-ray liver w/hemodynam CPT 75889	$3,859.50	$5,146.00	$197.67 – $5,806.57	36
Vein x-ray liver without hemodyn CPT 75887	$2,489.25	$3,319.00	$199.47 – $5,806.57	36
Vein x-ray skull CPT 75870	$2,489.25	$3,319.00	$267.72 – $5,806.57	36
Vein x-ray skull epidural CPT 75872	$1,424.25	$1,899.00	$204.93 – $1,709.10	36
Vein x-ray spleen/liver CPT 75810	$3,682.50	$4,910.00	$1,202.95 – $5,806.57	36
Velaglucerase alfa 400 unit intravenous solution HCPCS J3385	$5,564.78	$7,419.70	$388.16 – $6,677.73	36
Vemp test i&r cervical CPT 92517	$867.00	$1,156.00	$131.46 – $1,040.40	36
Vemp test i&r ocular CPT 92518	$632.25	$843.00	$131.46 – $758.70	36
Vemp tst i&r cervical&ocular CPT 92519	$1,181.25	$1,575.00	$220.60 – $1,417.50	36
Ven thrombosis images bilat CPT 78458	$1,103.25	$1,471.00	$360.40 – $1,323.90	36
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410	$144.00	$192.00	$17.97 – $172.80	36
Venogram ext bil s&i CPT 75822	$2,472.00	$3,296.00	$179.34 – $2,966.40	36
Venogram extremity supervision & interpretation unilateral CPT 75820	$1,653.75	$2,205.00	$162.06 – $2,894.85	36
Venous m-thrombectomy add-on CPT 37188	$6,159.75	$8,213.00	$2,012.19 – $7,391.70	36
Venous mech thrombectomy CPT 37187	$8,869.50	$11,826.00	$2,897.37 – $21,229.61	36
Venous sampling s&i CPT 75893	$4,294.50	$5,726.00	$218.58 – $10,233.02	36
Venous thrombosis imaging CPT 78457	not published	not published	$326.19 – $2,095.20	2
Ventilator each subsequent day CPT 94003	$1,138.50	$1,518.00	$371.91 – $1,366.20	36
Ventilator initial day CPT 94002	$1,387.50	$1,850.00	$453.25 – $1,665.00	36
Ventricular puncture prev burr hole without inj 61020 CPT 61020	$832.50	$1,110.00	$271.95 – $1,626.53	35
Version cephalic external CPT 59412	$2,361.75	$3,149.00	$771.51 – $5,953.03	36
Verteporfin injection HCPCS J3396	not published	not published	$19.40 – $40.71	2
Very long chain fatty acids CPT 82726	$465.00	$620.00	$8.31 – $558.00	36
Vest large holster HCPCS Q0498	$1,012.50	$1,350.00	$2.45 – $1,138.46	36
Vinblastine 1 mg/ml intravenous solution HCPCS J9360	$177.38	$236.50	$8.89 – $212.85	26
Vincristine 1 mg/ml intravenous solution HCPCS J9370	$111.30	$148.40	$7.31 – $26.85	26
Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390	$177.04	$236.05	$3.28 – $58.97	26
Viper venom prothrombin time CPT 85612	not published	not published	$4.31 – $41.97	3
Virus isolation addl studies ea CPT 87253	not published	not published	$9.55 – $48.48	3
Visual audiometry (vra) CPT 92579	$202.50	$270.00	$66.15 – $397.08	36
Vital capacity test CPT 94150	$256.50	$342.00	$83.79 – $307.80	36
Vitamin D Test CPT 82306	$265.50	$354.00	$14.00 – $209.70	36
Vitamin b-12 CPT 82607	$111.00	$148.00	$7.13 – $133.20	36
Vkorc1 gene CPT 81355	not published	not published	$59.53 – $211.68	3
Voiding pressure study/intra-abd 51797 CPT 51797	$810.00	$1,080.00	$143.99 – $972.00	36
Vol reduction of blood/prod CPT 86960	$131.25	$175.00	$24.60 – $313.31	36
Volume measurement urine timed CPT 81050	$43.50	$58.00	$1.42 – $52.20	36
Vonvendi inj 1 iu vwf:rco HCPCS J7179	not published	not published	$3.09 – $6.16	2
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465	$221.85	$295.80	$1.29 – $59.15	26
Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225	not published	not published	$8,372.87 – $17,043.32	2
Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401	not published	not published	$1,742.34 – $1,742.34	1
Warde 1003990 aldosterone CPT 82088	$189.00	$252.00	$22.06 – $226.80	36
Warde 1005020 citrate 24 hour urine CPT 82507	$182.25	$243.00	$13.15 – $218.70	36
Warde 1005055 5-hiaa 24 hour urine CPT 83497	$176.25	$235.00	$6.10 – $138.60	36
Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384	$127.50	$170.00	$13.13 – $153.00	36
Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585	$133.50	$178.00	$7.33 – $160.20	36
Warde 1015200 kappa light chain free CPT 83521	$139.50	$186.00	$17.27 – $167.40	36
Warde 3004000 immunoglobulin subclass 1 CPT 82787	$157.50	$210.00	$8.02 – $189.00	36
Warde 3008005 oligoclonal bands CPT 83916	$94.50	$126.00	$9.51 – $113.40	36
Warde 3016000 west nile virus antibody CPT 86788	$174.75	$233.00	$8.45 – $209.70	36
Warde 3016000 west nile virus antibody igg CPT 86789	$173.25	$231.00	$7.22 – $207.90	36
Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671	$44.25	$59.00	$5.80 – $53.10	36
Warde 3400652 ova & parasites direct smear concentration and id CPT 87177	$36.00	$48.00	$4.21 – $43.20	36
Warde 3400652 smear complex special stain ova/parasites CPT 87209	$36.00	$48.00	$8.68 – $43.20	36
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513	$400.50	$534.00	$56.00 – $480.60	36
Warde 3400852 arsenic CPT 82175	$232.50	$310.00	$7.22 – $36.90	36
Warde 3708165 mercury urine CPT 83825	$150.00	$200.00	$7.69 – $128.70	36
Warde acetylcholine receptor blocking antibody CPT 86042	$357.75	$477.00	$18.40 – $429.30	36
Warde actin (smooth muscle) antibody each CPT 86015	$135.00	$180.00	$12.05 – $162.00	36
Warde adenosine deaminase pleural fluid CPT 84311	$347.25	$463.00	$3.31 – $86.40	36
Warde adrenocorticotropic hormone (acth) CPT 82024	$141.75	$189.00	$18.27 – $170.10	36
Warde aldolase CPT 82085	$72.75	$97.00	$4.59 – $87.30	36
Warde amino acids 6 or more quantitative each specimen CPT 82139	$480.00	$640.00	$7.98 – $232.20	36
Warde amiodarone therapeutic drug level CPT 80151	$96.00	$128.00	$18.64 – $115.20	36
Warde analysis gene hfe common variants CPT 81256	$153.75	$205.00	$40.18 – $147.60	36
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206	$318.75	$425.00	$56.00 – $382.50	36
Warde anti-mullerian hormone CPT 82166	$198.75	$265.00	$38.62 – $238.50	36
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339	$128.25	$171.00	$0.03 – $153.90	26
Warde apolipoprotein b CPT 82172	$141.00	$188.00	$7.33 – $54.90	36
Warde bile acids CPT 82239	$124.50	$166.00	$8.11 – $149.40	36
Warde cadmium blood CPT 82300	$84.75	$113.00	$10.95 – $101.70	36
Warde calcitonin CPT 82308	$111.00	$148.00	$14.06 – $133.20	36
Warde calculus (stone) infrared CPT 82365	$92.25	$123.00	$6.87 – $110.70	36
Warde clozapine therapeutic drug level CPT 80159	$94.50	$126.00	$10.09 – $113.40	36
Warde cobalt heavy metal quantitative each nes CPT 83018	$248.25	$331.00	$10.39 – $168.30	36
Warde collagen cross links c-telopeptide CPT 82523	$207.00	$276.00	$8.84 – $159.30	36
Warde complement total hemolytic CPT 86162	$171.75	$229.00	$9.61 – $206.10	36
Warde copper CPT 82525	$243.00	$324.00	$5.87 – $181.80	36
Warde cryoglobulin CPT 82595	$164.25	$219.00	$3.06 – $197.10	36
Warde erythropoietin CPT 82668	$127.50	$170.00	$8.89 – $153.00	36
Warde estrogen fractionated CPT 82671	not published	not published	$15.28 – $77.52	3
Warde fluorescent antibody screen endomysial iga CPT 86231	$222.75	$297.00	$12.09 – $267.30	36
Warde folic acid rbc CPT 82747	$52.50	$70.00	$8.19 – $63.00	36
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955	$252.75	$337.00	$4.31 – $63.00	36
Warde gastrin CPT 82941	$121.50	$162.00	$9.03 – $145.80	36
Warde growth hormone (hgh) CPT 83003	$110.25	$147.00	$7.89 – $132.30	36
Warde haloperidol therapeutic drug level CPT 80173	$81.00	$108.00	$7.18 – $97.20	36
Warde helminth antibody strongyloides igg CPT 86682	$205.50	$274.00	$6.98 – $48.60	36
Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020	$506.25	$675.00	$12.87 – $290.70	36
Warde hepatitis a antibody CPT 86708	$87.00	$116.00	$5.86 – $104.40	36
Warde hepatitis be antibody CPT 86707	$77.25	$103.00	$5.47 – $92.70	36
Warde hepatitis delta agent antibody CPT 86692	$198.00	$264.00	$9.03 – $237.60	36
Warde immunofixation electrophoresis urine CPT 86335	$349.50	$466.00	$13.62 – $419.40	36
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350	$70.50	$94.00	$5.45 – $84.60	36
Warde infectious agent nucleic acid genotype hepatitis c CPT 87902	$1,140.00	$1,520.00	$56.00 – $1,134.00	36
Warde islet cell antibody zinc transporter 8 CPT 86341	$615.75	$821.00	$8.31 – $121.50	36
Warde lipoprotein (a) CPT 83695	$168.00	$224.00	$6.50 – $201.60	36
Warde lipoprotein-associated phospholipase a2 CPT 83698	not published	not published	$17.03 – $111.15	3
Warde mitochondrial antibody each CPT 86381	$123.00	$164.00	$25.45 – $147.60	36
Warde neutralization rabies CPT 86382	$183.00	$244.00	$8.00 – $219.60	36
Warde oxcarbazepine therapeutic drug level CPT 80183	$60.00	$80.00	$7.24 – $72.00	36
Warde pancreatic elastase fecal quantitative CPT 82653	$144.75	$193.00	$22.97 – $173.70	36
Warde protein c antigen CPT 85302	$141.75	$189.00	$6.36 – $170.10	36
Warde sex hormone binding globulin CPT 84270	$141.00	$188.00	$9.06 – $169.20	36
Warde somatomedin CPT 84305	$93.75	$125.00	$10.06 – $112.50	36
Warde sugars single qualitative each specimen stool CPT 84376	$54.75	$73.00	$2.57 – $65.70	36
Warde t3 (triiodothyronine) reverse CPT 84482	$77.25	$103.00	$7.46 – $92.70	36
Warde thyroid stimulating immunoglobulins CPT 84445	$403.50	$538.00	$24.93 – $484.20	36
Warde topiramate therapeutic drug level CPT 80201	$384.75	$513.00	$6.67 – $461.70	36
Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252	$113.25	$151.00	$12.33 – $135.90	36
Warde viscosity CPT 85810	$153.00	$204.00	$5.53 – $183.60	36
Warde vitamin a CPT 84590	$90.00	$120.00	$5.48 – $108.00	36
Warde vitamin b-1 (thiamine) CPT 84425	$109.50	$146.00	$11.18 – $131.40	36
Warde vitamin b6 (pyridoxine) CPT 84207	$114.00	$152.00	$13.29 – $136.80	36
Warde vitamin c (ascorbic acid) CPT 82180	$36.75	$49.00	$4.68 – $44.10	36
Warde vitamin d (1 25 dihydroxy) CPT 82652	$193.50	$258.00	$20.01 – $232.20	36
Warde vitamin e (alpha-tocopherol) CPT 84446	$52.50	$70.00	$6.71 – $63.00	36
Warde zinc CPT 84630	$90.00	$120.00	$5.39 – $108.00	36
Wbc automated CPT 85048	$63.00	$84.00	$1.20 – $75.60	36
Western blot test CPT 84181	$603.00	$804.00	$17.03 – $441.90	36
Wet mounts/ w preparations HCPCS Q0111	not published	not published	$4.96 – $33.64	2
Whole blood for transfusion HCPCS P9010	not published	not published	$93.15 – $93.15	1
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054	not published	not published	$998.28 – $998.28	1
Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051	not published	not published	$1,332.72 – $1,332.72	1
Whole mitochondrial genome CPT 81460	not published	not published	$800.00 – $3,088.80	3
Wilate injection HCPCS J7183	not published	not published	$2.13 – $2.13	1
Wnd prep f/n/hf/g addl cm CPT 15005	$1,496.25	$1,995.00	$119.36 – $1,795.50	36
Wound therapy negative pressure per session <= 50 sq cm CPT 97607	$729.00	$972.00	$238.14 – $874.80	36
Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605	$318.75	$425.00	$104.13 – $382.50	36
Wound therapy negative pressure per session > 50 sq cm CPT 97608	$822.75	$1,097.00	$268.77 – $987.30	36
Wound therapy negative pressure per session > 50 sq cm dme CPT 97606	$414.75	$553.00	$135.49 – $747.58	36
Wrist X-ray CPT 73110	$461.25	$615.00	$87.52 – $553.50	36
X-ray abdomen 1 view CPT 74018	$284.25	$379.00	$59.25 – $341.10	36
X-ray abdomen 2 views CPT 74019	$489.00	$652.00	$71.07 – $586.80	36
X-ray abdomen >=3 views CPT 74021	$502.50	$670.00	$82.92 – $603.00	36
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022	$471.75	$629.00	$95.64 – $566.10	36
X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050	$525.75	$701.00	$54.72 – $630.90	36
X-ray ankle 2 views (both sides) CPT 73600	$361.50	$482.00	$67.44 – $433.80	36
X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040	$1,134.00	$1,512.00	$287.61 – $1,360.80	36
X-ray bone age studies CPT 77072	$367.50	$490.00	$46.53 – $441.00	36
X-ray bone length studies CPT 77073	$287.25	$383.00	$88.38 – $344.70	36
X-ray bone survey complete CPT 77075	$963.75	$1,285.00	$106.81 – $1,156.50	36
X-ray bone survey infant CPT 77076	$403.50	$538.00	$106.81 – $484.20	36
X-ray cervical spine 2-3 views CPT 72040	$432.75	$577.00	$79.26 – $519.30	36
X-ray cervical spine 4-5 views CPT 72050	$663.75	$885.00	$106.81 – $796.50	36
X-ray cervical spine >= 6 views CPT 72052	$781.50	$1,042.00	$106.81 – $937.80	36
X-ray clavicle complete (both sides) CPT 73000	$364.50	$486.00	$67.44 – $437.40	36
X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270	$814.50	$1,086.00	$179.20 – $977.40	36
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280	$966.00	$1,288.00	$179.20 – $1,159.20	36
X-ray elbow 2 views (both sides) CPT 73070	$379.50	$506.00	$58.35 – $455.40	36
X-ray elbow >= 3 views (both sides) CPT 73080	$462.00	$616.00	$67.44 – $554.40	36
X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220	$792.75	$1,057.00	$179.20 – $951.30	36
X-ray exam entire spi 4/5 vw CPT 72083	$381.75	$509.00	$106.81 – $458.10	36
X-ray exam entire spi 6/> vw CPT 72084	$341.25	$455.00	$106.81 – $409.50	36
X-ray exam of arm infant CPT 73092	$299.25	$399.00	$65.61 – $359.10	36
X-ray exam of eye sockets CPT 70200	$674.25	$899.00	$94.74 – $809.10	36
X-ray exam of femur 1 CPT 73551	$295.50	$394.00	$58.35 – $354.60	36
X-ray exam of jaw joint CPT 70328	$429.00	$572.00	$71.07 – $514.80	36
X-ray exam of jaw joint CPT 70332	not published	not published	$156.60 – $985.19	2
X-ray exam of mastoids CPT 70120	$374.25	$499.00	$81.09 – $449.10	36
X-ray exam of middle ear CPT 70134	not published	not published	$122.94 – $2,068.79	2
X-ray exam of penis CPT 74445	not published	not published	$291.24 – $466.11	2
X-ray exam of perineum CPT 74775	$284.25	$379.00	$92.86 – $438.79	36
X-ray exam of salivary gland CPT 70380	not published	not published	$81.09 – $346.32	2
X-ray exam of sinuses CPT 70210	$444.75	$593.00	$65.61 – $533.70	36
X-ray exam of tear duct CPT 70170	not published	not published	$648.78 – $985.19	2
X-ray exam of teeth CPT 70300	not published	not published	$21.96 – $346.32	2
X-ray exam of teeth CPT 70310	not published	not published	$89.28 – $985.19	2
X-ray exam si joints CPT 72200	not published	not published	$69.27 – $466.11	2
X-ray exam thorac spine4/>vw CPT 72074	$616.50	$822.00	$90.18 – $739.80	36
X-ray eye detection foreign body (both sides) CPT 70030	not published	not published	$66.54 – $346.32	2
X-ray facial bones complete > 3 views CPT 70150	$663.00	$884.00	$95.64 – $795.60	36
X-ray fallopian tube CPT 74742	$940.50	$1,254.00	$146.52 – $1,128.60	26
X-ray femur >=2 views (both sides) CPT 73552	$300.75	$401.00	$73.80 – $360.90	36
X-ray finger(s) >= 2 views (both sides) CPT 73140	$387.00	$516.00	$86.55 – $464.40	36
X-ray foot 2 views (both sides) CPT 73620	$333.00	$444.00	$58.35 – $399.60	36
X-ray forearm 2 views (both sides) CPT 73090	$394.50	$526.00	$59.25 – $473.40	36
X-ray hand 2 views (both sides) CPT 73120	$426.75	$569.00	$64.71 – $512.10	36
X-ray head for orthodontia CPT 70350	not published	not published	$22.86 – $346.32	2
X-ray heel/calcaneus > 2 views (both sides) CPT 73650	$385.50	$514.00	$57.45 – $462.60	36
X-ray hip uni w/wo pelvis min 4 views CPT 73503	$531.00	$708.00	$106.81 – $637.20	36
X-ray hip with pelvis when performed bilateral 2 views CPT 73521	$342.75	$457.00	$83.82 – $411.30	36
X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522	$475.50	$634.00	$106.81 – $570.60	36
X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523	$683.25	$911.00	$106.81 – $819.90	36
X-ray hip with pelvis when performed unilateral 1 view left CPT 73501	$265.50	$354.00	$65.61 – $318.60	36
X-ray humerus >= 2 views left CPT 73060	$363.75	$485.00	$66.54 – $436.50	36
X-ray joint survey 1 view CPT 77077	$393.75	$525.00	$83.82 – $472.50	36
X-ray knee 1-2 views (both sides) CPT 73560	$283.50	$378.00	$72.00 – $340.20	36
X-ray knee 3 views (both sides) CPT 73562	$420.75	$561.00	$87.45 – $504.90	36
X-ray knee ap standing bilateral CPT 73565	$388.50	$518.00	$87.45 – $466.20	36
X-ray l/s-spine bend vw only 2-3 vw CPT 72120	$408.00	$544.00	$81.99 – $489.60	36
X-ray lower extremities infant > 2 views (both sides) CPT 73592	$375.75	$501.00	$65.61 – $450.90	36
X-ray lumbosacral spine >= 4 views CPT 72110	$548.25	$731.00	$106.81 – $657.90	36
X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114	$702.75	$937.00	$106.81 – $843.30	36
X-ray male genital tract CPT 74440	not published	not published	$218.46 – $985.19	2
X-ray mandible complete > 4 views CPT 70110	$421.50	$562.00	$87.45 – $505.80	36
X-ray mandible ltd <4 views CPT 70100	$319.50	$426.00	$82.92 – $383.40	36
X-ray nasal bones complete > 3 views CPT 70160	$367.50	$490.00	$81.09 – $441.00	36
X-ray neck soft tissue CPT 70360	$350.25	$467.00	$61.98 – $420.30	36
X-ray nose to rectum for foreign body child CPT 76010	$367.50	$490.00	$57.45 – $441.00	36
X-ray of mammary ducts CPT 77054	$634.50	$846.00	$207.27 – $761.40	33
X-ray optic foramina CPT 70190	$426.75	$569.00	$73.80 – $512.10	36
X-ray pelvis 1-2 views CPT 72170	$300.00	$400.00	$53.79 – $360.00	36
X-ray pelvis complete > 3 views CPT 72190	$355.50	$474.00	$82.92 – $426.60	36
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420	$810.75	$1,081.00	$147.51 – $972.90	36
X-ray ribs 2 views left CPT 71100	$448.50	$598.00	$72.00 – $538.20	36
X-ray ribs 3 views bilateral CPT 71110	$492.75	$657.00	$82.92 – $591.30	36
X-ray ribs w/posterior anterior chest 3 views left CPT 71101	$471.75	$629.00	$81.09 – $566.10	36
X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111	$524.25	$699.00	$102.00 – $629.10	36
X-ray sacroiliac joints >= 3 views CPT 72202	$542.25	$723.00	$78.36 – $650.70	36
X-ray sacrum/coccyx >= 2 views CPT 72220	$297.00	$396.00	$66.54 – $356.40	36
X-ray scapula complete (both sides) CPT 73010	$255.00	$340.00	$41.97 – $306.00	36
X-ray sella turcica CPT 70240	not published	not published	$65.61 – $346.32	2
X-ray shoulder 1 view (both sides) CPT 73020	$244.50	$326.00	$39.24 – $293.40	36
X-ray sinus tract/fistula/abscess CPT 76080	$944.25	$1,259.00	$96.57 – $1,133.10	36
X-ray sinuses paranasal complete > 3 views CPT 70220	$629.25	$839.00	$74.73 – $755.10	36
X-ray skull < 4 views CPT 70250	$377.25	$503.00	$74.73 – $452.70	36
X-ray skull > 4 views complete CPT 70260	$749.25	$999.00	$85.65 – $899.10	36
X-ray slg plne bdy sect without urogr CPT 76100	$1,032.75	$1,377.00	$106.81 – $1,239.30	36
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250	$709.50	$946.00	$161.25 – $851.40	36
X-ray small intestine follow-through study CPT 74248	$422.25	$563.00	$74.71 – $506.70	36
X-ray spine single view CPT 72020	$360.00	$480.00	$45.60 – $432.00	36
X-ray sternoclavicular joint(s) > 3 views CPT 71130	$527.25	$703.00	$84.72 – $632.70	36
X-ray sternum > 2 views CPT 71120	$521.25	$695.00	$66.54 – $625.50	36
X-ray surgical specimen CPT 76098	$432.75	$577.00	$75.63 – $1,004.85	36
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230	$719.25	$959.00	$161.25 – $863.10	36
X-ray temporomandibular joint open/closed mouth bilateral CPT 70330	$636.00	$848.00	$87.52 – $763.20	36
X-ray thoracic spine 2 views CPT 72070	$388.50	$518.00	$63.81 – $466.20	36
X-ray thoracic spine 3 views CPT 72072	$606.00	$808.00	$79.26 – $727.20	36
X-ray thoracolumbar spine >=2 views CPT 72080	$408.00	$544.00	$67.44 – $489.60	36
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081	$367.50	$490.00	$82.92 – $441.00	36
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082	$378.00	$504.00	$106.81 – $453.60	36
X-ray tibia/fibula 2 views (both sides) CPT 73590	$372.75	$497.00	$65.61 – $447.30	36
X-ray toe(s) > 2 views (both sides) CPT 73660	$375.75	$501.00	$62.88 – $450.90	36
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246	$813.00	$1,084.00	$179.20 – $975.60	36
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240	$709.50	$946.00	$179.20 – $851.40	36
X-ray wrist 2 views (both sides) CPT 73100	$355.50	$474.00	$71.07 – $426.60	36
X-ray xm phrnx&/crv esoph c+ CPT 74210	not published	not published	$183.90 – $764.78	2
Xe133 xenon 10mci HCPCS A9558	not published	not published	$910.70 – $910.70	1
Xm archive tissue molec anal CPT 88363	$51.75	$69.00	$16.91 – $62.10	36
Xylose absorption test blood &/or urine CPT 84620	not published	not published	$4.51 – $30.99	3
Xyntha inj HCPCS J7185	not published	not published	$2.59 – $2.59	1
Yersinia antibody CPT 86793	not published	not published	$6.98 – $31.65	3
Yttrium y-90 ibritumomab ther HCPCS A9543	not published	not published	$238,492.59 – $238,492.59	1
Ziconotide injection HCPCS J2278	$4,530.00	$6,039.99	$10.46 – $5,435.99	36
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485	$100.06	$133.41	$1.51 – $120.07	36
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 – $262.80	36
Zika virus igm antibody CPT 86794	$128.25	$171.00	$16.85 – $153.90	36
Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486	$32.46	$43.27	$5.26 – $38.93	26
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400	not published	not published	$13.39 – $57.12	2
Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326	not published	not published	$56.36 – $56.36	1
Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489	$146.06	$194.74	$6.92 – $25.43	26
Zoster vaccine-live inj CPT 90736	$436.50	$582.00	$142.59 – $523.80	26
_afb id by dna probe rflx ast CPT 87149	$150.00	$200.00	$9.85 – $180.00	36
_afb org id by sequencing rflx ast-sendout CPT 87153	not published	not published	$11.71 – $276.87	3
_fragile x methylation-sendout CPT 81244	not published	not published	$26.79 – $107.73	3
_propoxygc/msur CPT 80367	$240.00	$320.00	$0.03 – $56.00	26

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.