UPMC Mercy

1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308

Source: hospital's published price file ↗ · Published Mar 6, 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
#a/b/c/c/h pnl-candida albicans ab CPT 86628	$133.20	$222.00	$10.01 – $199.80	20
#acylcarnitineprfl CPT 82017	$205.80	$343.00	$14.06 – $308.70	19
#aptt mix-1:1 incubated CPT 87532	$229.20	$382.00	$29.25 – $343.80	19
#bac vag cand-c. albicans naa CPT 87481	$409.20	$682.00	$29.25 – $613.80	20
#cbg+cort-cbg CPT 84449	$128.40	$214.00	$15.00 – $192.60	20
#cf-97variants CPT 81220	$3,357.60	$5,596.00	$256.16 – $1,095.30	20
#cmvcul-virus inoculation shell CPT 87254	$292.80	$488.00	$5.95 – $439.20	20
#coxa-coxsackie a serotype a16 CPT 86658	$99.00	$165.00	$10.86 – $140.40	19
#creutz-prot.,western blot CPT 84182	$190.20	$317.00	$24.35 – $285.30	20
#fecal-sodium CPT 84302	$91.20	$152.00	$4.05 – $136.80	20
#flow interp 9 - 15 markers CPT 88188	$777.00	$1,295.00	$45.99 – $1,165.50	18
#pnh-flow cytometry interp CPT 88187	$547.20	$912.00	$45.10 – $820.80	18
17-hydroxypregnenolone CPT 84143	$243.00	$405.00	$19.01 – $364.50	20
24 hr ambulatory b/p monitor CPT 93786	$137.40	$229.00	$24.91 – $206.10	17
2d tee w or without fol w/con,in HCPCS C8925	$2,358.00	$3,930.00	$432.45 – $3,537.00	17
2d tte w or without fol w/con,co HCPCS C8923	$2,508.00	$4,180.00	$315.29 – $3,762.00	17
2nd order venous cath CPT 36012	$5,122.80	$8,538.00	$125.95 – $7,684.20	18
3-d radiotherapy plan CPT 77295	$4,423.20	$7,372.00	$603.72 – $6,634.80	19
3d ech img cgen car anomal CPT 93319	$139.20	$232.00	$21.73 – $208.80	18
3d recon without postprocess indpndt CPT 76376	$543.00	$905.00	$190.59 – $814.50	16
5' nucleotidase - sendout CPT 83915	$223.20	$372.00	$9.29 – $334.80	20
88334 ap bill cytologic exam each additional site CPT 88334	$79.80	$133.00	$19.51 – $119.70	18
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129	$83.20	$2,979.05	$27.85 – $93.60	19
Abd aorta w/runoff s&i CPT 75630	$4,845.60	$8,076.00	$268.71 – $7,268.40	19
Abd paracentesis/w/o image guide 49082 CPT 49082	$2,751.60	$4,586.00	$59.98 – $4,127.40	19
Abd/low ext cath 1st CPT 36245	$4,752.00	$7,920.00	$771.90 – $7,128.00	16
Abd/low ext cath 2nd CPT 36246	$4,366.20	$7,277.00	$804.27 – $6,549.30	16
Abd/low ext cath 3rd CPT 36247	$4,867.80	$8,113.00	$958.02 – $7,301.70	16
Abd/low ext cath addl CPT 36248	$841.20	$1,402.00	$53.44 – $1,261.80	18
Abdominal CT scan (with and without contrast) CPT 74170	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
Abdominal CT scan (with contrast) CPT 74160	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
Abdominal CT scan (without contrast) CPT 74150	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
Abdominal MRI (with and without contrast) CPT 74183	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
Abdominal MRI (with contrast) CPT 74182	$2,502.00	$4,170.00	$283.82 – $3,753.00	20
Abdominal MRI (without contrast) CPT 74181	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
Abdominal Ultrasound (complete) CPT 76700	$1,969.80	$3,283.00	$84.51 – $2,954.70	19
Abdominal Ultrasound (limited) CPT 76705	$867.00	$1,445.00	$68.75 – $1,300.50	19
Abdominal paracentesis w/image guidance CPT 49083	$3,763.20	$6,272.00	$92.76 – $5,644.80	19
Abdominoplasty 15830 CPT 15830	not published	not published	$681.00 – $6,839.17	9
Abl1 gene CPT 81170	$2,004.60	$3,341.00	$230.27 – $922.50	20
Ablate heart dysrhythm focus CPT 93650	$6,998.40	$11,664.00	$441.48 – $10,497.60	18
Ablate inf turbinate submuc 30802 CPT 30802	not published	not published	$41.80 – $1,553.44	10
Ablate pulm tumor perq rf CPT 32998	$22,931.40	$38,219.00	$4,636.78 – $34,397.10	18
Ablation cryo abd perit om CPT 49999	$81.00	$135.00	$18.59 – $965.36	17
Ablation cryo thigh/knee CPT 27599	not published	not published	$18.59 – $251.57	7
Ablation of upper extremity nerves rf CPT 64999	$3,989.40	$6,649.00	$18.59 – $2,299.50	17
Abobotulinumtoxina HCPCS J0586	$68.20	$85.25	$5.53 – $72.00	19
Abscess drain retroperitoneal surg code CPT 49406	$7,281.60	$12,136.00	$190.99 – $10,922.40	19
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131	$0.80	$18.62	$0.04 – $0.90	18
Acetazolamide 500 mg solution for injection HCPCS J1120	$133.60	$167.00	$12.53 – $150.30	18
Acetone qualitative CPT 82009	$46.20	$77.00	$3.77 – $69.30	20
Acetylcholine receptor modulating antibody CPT 86043	$168.60	$281.00	$4.50 – $252.90	20
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132	$648.00	$1,080.00	$0.24 – $16.20	18
Acetylcysteine non-comp unit HCPCS J7608	$42.80	$53.50	$5.46 – $47.92	17
Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250	$464.40	$774.00	$97.09 – $696.60	19
Acute hepatitis panel CPT 80074	$591.00	$985.00	$39.70 – $886.50	20
Acyclovir 400 mg tablet HCPCS J8499	not published	$454.60	$0.15 – $0.54	16
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133	$370.80	$618.00	$0.02 – $3.60	18
Adapter b 8 channel 10cm HCPCS C1883	$17,888.40	$29,814.00	$435.12 – $3,957.34	15
Adenosine 3 mg/250 ml bag for osm HCPCS J0153	$3,064.20	$5,107.00	$0.35 – $29.70	18
Adenovirus antibody,serum - quest CPT 86603	$97.20	$162.00	$10.73 – $145.80	20
Adh-sendout CPT 84588	$360.00	$600.00	$28.29 – $540.00	20
Adj gastric band via subq port CPT 43999	$2,164.80	$3,608.00	$18.59 – $3,247.20	17
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815	$450.00	$750.00	$0.15 – $2.76	17
Administration chemotherapy IV infusion each additional hour CPT 96415	$214.80	$358.00	$31.11 – $322.20	19
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417	$336.00	$560.00	$56.56 – $504.00	19
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413	$771.00	$1,285.00	$137.28 – $1,156.50	19
Administration chemotherapy IV push single/initial substance/drug CPT 96409	$361.80	$603.00	$101.42 – $542.70	19
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402	$154.80	$258.00	$34.94 – $232.20	19
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401	$154.80	$258.00	$55.25 – $232.20	19
Administration immunization 1 vaccine CPT 90471	$12.00	$20.00	$0.93 – $73.28	17
Administration immunization each additional vaccine CPT 90472	$12.00	$20.00	$0.44 – $18.00	15
Administration vaccine hepatitis b HCPCS G0010	$12.00	$20.00	$3.92 – $47.51	17
Administration vaccine influenza virus HCPCS G0008	$12.00	$20.00	$5.58 – $46.19	18
Administration vaccine pneumococcal HCPCS G0009	$12.00	$20.00	$5.58 – $46.19	18
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354	$102.60	$13,185.75	$23.33 – $153.90	19
Aep hearing status deter i&r CPT 92651	$336.60	$561.00	$65.60 – $504.90	19
Aep neurodiagnostic i&r CPT 92653	$519.60	$866.00	$62.99 – $779.40	19
Aep thrshld est mlt freq i&r CPT 92652	$519.60	$866.00	$86.16 – $779.40	19
Afamelanotide implant, 1 mg HCPCS J7352	$6,529.20	$10,882.00	$1,364.81 – $9,793.80	18
Aflibercept injection HCPCS J0178	$6,024.00	$10,040.00	$487.16 – $4,518.90	19
Agalsidase beta 35 mg intravenous solution HCPCS J0180	$20,627.40	$34,379.00	$145.32 – $644.40	19
Air conduction bilat CPT 92552	$122.40	$204.00	$8.80 – $183.60	19
Air injection into abdomen 49400 CPT 49400	$2,270.40	$3,784.00	$52.80 – $3,405.60	18
Albumin (human), 25%, 50ml HCPCS P9047	$376.00	$553.00	$33.51 – $249.30	18
Albumin (human), 5%, 250 ml HCPCS P9045	$466.40	$583.00	$33.51 – $524.70	19
Albumin (microalbumin) 24 hour urine quantitative CPT 82043	$60.60	$101.00	$4.82 – $90.90	20
Albumin body fluid quantitative each specimen CPT 82042	$24.00	$40.00	$0.66 – $33.30	19
Albumin serum plasma or whole blood CPT 82040	$42.00	$70.00	$4.01 – $63.00	20
Albuterol ipratrop non-comp HCPCS J7620	$7.80	$9.75	$0.12 – $8.78	17
Albuterol non-comp con HCPCS J7611	$5.00	$6.25	$0.11 – $4.72	18
Albuterol non-comp unit HCPCS J7613	$8.00	$10.00	$0.05 – $9.00	17
Aldesleukin injection HCPCS J9015	not published	$8,017.43	$1,299.67 – $7,215.69	18
Alkaline phosphatase CPT 84075	$43.80	$73.00	$4.32 – $65.70	20
Allergen alpha lactalbumin ige CPT 86008	$57.60	$96.00	$14.03 – $86.40	20
Allergen egg white ige CPT 86003	$57.60	$96.00	$4.35 – $86.40	20
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100	$33,312.60	$55,521.00	$402.00 – $2,846.13	17
Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790	$2,715.00	$4,525.00	$311.28 – $1,912.47	15
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256	$40.40	$50.50	$3.45 – $45.00	19
Alpha-fetoprotein afp-l3 frac & total CPT 82107	$441.00	$735.00	$53.69 – $661.50	20
Alpha-fetoprotein amniotic CPT 82106	$121.20	$202.00	$14.17 – $181.80	20
Alpha-fetoprotein tumor marker CPT 82105	$222.00	$370.00	$13.98 – $333.00	20
Alt/sgpt CPT 84460	$44.40	$74.00	$4.42 – $66.60	20
Alteplase 100 mg infusion from pyxis vial HCPCS J2997	$612.00	$20,518.05	$48.57 – $212.40	20
Aluminum - quest CPT 82108	$158.40	$264.00	$21.24 – $237.60	20
Alveoloplasty each quadrant CPT 41874	not published	not published	$228.55 – $3,401.07	7
Alys cplx sp/pn npgt w/prgrm CPT 95972	$1,074.00	$1,790.00	$71.24 – $1,611.00	19
Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278	$33.40	$41.75	$0.40 – $9.90	19
Amino acids quant 2-5 CPT 82136	$192.60	$321.00	$16.35 – $288.90	20
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281	$8.20	$10.25	$1.08 – $9.00	18
Aminolevulinic acid delta CPT 82135	$124.20	$207.00	$13.20 – $186.30	20
Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280	$16.40	$20.50	$2.04 – $18.00	18
Amiodarone 50 mg/ml intravenous solution HCPCS J0282	$71.60	$89.50	$0.27 – $30.69	18
Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061	$32.40	$54.00	$8.25 – $48.60	19
Ammonia CPT 82140	$141.00	$235.00	$5.50 – $211.50	20
Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952	not published	not published	$321.20 – $3,402.68	10
Amp metatarsal w/toe single 28810 CPT 28810	not published	not published	$252.45 – $3,402.68	10
Amp thigh through femur re-amp 27596 CPT 27596	not published	not published	$1,272.72 – $7,645.51	3
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285	$108.00	$135.00	$11.07 – $114.30	18
Amphotericin b lipid complex HCPCS J0287	not published	$200.75	$6.50 – $180.68	19
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289	$621.00	$1,035.00	$13.56 – $186.30	19
Ampicillin 1 gram solution for injection HCPCS J0290	$60.40	$75.50	$0.34 – $25.67	18
Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295	$48.00	$60.00	$0.88 – $53.10	18
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515	$213.00	$355.00	$92.53 – $319.50	19
Amputate metacarpal bone 26910 CPT 26910	not published	not published	$276.65 – $3,402.68	10
Amputation thru metatarsal CPT 28805	not published	not published	$1,020.69 – $3,402.68	8
Amputation toe interphalangeal joint CPT 28825	not published	not published	$596.00 – $3,402.68	9
Amputation toe metatarsophalangeal joint CPT 28820	not published	not published	$596.00 – $3,402.68	9
Amylase CPT 82150	$111.60	$186.00	$5.40 – $167.40	20
An cholangiogram percutaneous compl CPT 47531	$3,342.00	$5,570.00	$85.71 – $5,013.00	19
An fluoro guide for cvp CPT 77001	$528.00	$880.00	$66.41 – $792.00	18
Anal/urinary muscle study CPT 51784	$580.20	$967.00	$83.39 – $870.30	18
Anal/urinary muscle study CPT 51785	$1,722.00	$2,870.00	$193.29 – $2,583.00	18
Analysis gene f2 20210g>a variant CPT 81240	$2,503.20	$4,172.00	$28.91 – $420.30	20
Analysis gene f5 leiden variant CPT 81241	$1,251.60	$2,086.00	$28.91 – $1,787.40	20
Analyze neurostimulator simple w/reprogramming 95971 CPT 95971	$558.60	$931.00	$39.13 – $837.90	19
Anaplsma phgcytophlm amp prb CPT 87468	$355.80	$593.00	$13.98 – $533.70	20
Anca screen with reflex to titer -quest CPT 86021	$85.80	$143.00	$5.50 – $128.70	20
Angio balloon ctrl dialysis seg add-on CPT 36907	$7,522.20	$12,537.00	$112.62 – $11,283.30	18
Angio tib/peroneal/init ves/unila 37228 CPT 37228	$37,499.40	$62,499.00	$518.43 – $56,249.10	19
Angio trnslmnl balloon same artery ea addl CPT 37247	$11,276.40	$18,794.00	$159.14 – $16,914.60	18
Angio trnslmnl balloon same artery ini CPT 37246	$11,276.40	$18,794.00	$320.94 – $16,914.60	19
Angio trnslmnl balloon same vein ea addl CPT 37249	$11,276.40	$18,794.00	$135.41 – $16,914.60	18
Angio trnslmnl balloon same vein ini CPT 37248	$7,522.20	$12,537.00	$275.98 – $11,283.30	19
Angioplasty fem/pop unilat 37224 CPT 37224	$21,886.80	$36,478.00	$424.06 – $32,830.20	19
Angioplasty tib/pero/unilat/ea add 37232 CPT 37232	$28,104.00	$46,840.00	$187.55 – $42,156.00	18
Angioplasty/iliac/init ves/unilat 37220 CPT 37220	$20,443.20	$34,072.00	$385.15 – $30,664.80	18
Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490	$22,037.40	$39,550.50	$0.15 – $1.91	17
Ankle X-ray CPT 73610	$456.60	$761.00	$26.10 – $684.90	18
Ankle arthroscopy/surgery CPT 29891	not published	not published	$681.00 – $3,402.68	9
Ankle arthroscopy/surgery CPT 29897	not published	not published	$681.00 – $3,402.68	9
Anl sp inf pmp w/mdreprg&fil CPT 62370	$639.00	$1,065.00	$40.46 – $958.50	19
Anoscopy remove fb 46608 CPT 46608	$3,046.80	$5,078.00	$77.41 – $4,570.20	19
Ans parasymp & symp w/tilt CPT 95924	$265.20	$442.00	$47.47 – $397.80	19
Ant instr 2-3 vert segm 22845 CPT 22845	not published	not published	$815.66 – $3,340.21	3
Anti mog serum - sendout CPT 86362	$213.00	$355.00	$5.11 – $319.50	20
Anti-inhibitor HCPCS J7198	$11.60	$14.50	$1.52 – $12.60	19
Antibody bacterium, not elsewhere specified CPT 86609	$136.20	$227.00	$10.74 – $204.30	19
Antibody elution rbc reference CPT 86860	$250.20	$417.00	$9.29 – $375.30	20
Antibody htlv-i CPT 86687	$57.60	$96.00	$7.58 – $86.40	20
Antibody id rbc panel CPT 86870	$235.80	$393.00	$9.29 – $360.10	20
Antibody identification platelet antibodies heparin-pf4 igg CPT 86022	$274.80	$458.00	$5.50 – $412.20	20
Antibody influenza virus CPT 86710	$147.00	$245.00	$11.30 – $220.50	19
Antibody lymphocytic choriomeningitis CPT 86727	$66.00	$110.00	$10.73 – $99.00	20
Antibody screen rbc CPT 86850	$39.60	$66.00	$8.14 – $59.40	20
Antibody tetanus CPT 86774	$112.80	$188.00	$12.34 – $169.20	19
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187	$15.20	$19.00	$0.65 – $2.10	19
Antineutrophil cytoplasmic antibody screen each antibody CPT 86036	$85.80	$143.00	$5.11 – $128.70	20
Antineutrophil cytoplasmic antibody titer each antibody CPT 86037	$85.80	$143.00	$5.11 – $128.70	20
Antinuclear antibodies CPT 86038	$131.40	$219.00	$10.08 – $197.10	20
Antinuclear antibodies titer CPT 86039	$138.00	$230.00	$9.30 – $207.00	20
Antiphosphatidylserine antibody CPT 86148	$307.80	$513.00	$13.40 – $461.70	19
Antistreptolysin o screen CPT 86063	$29.40	$49.00	$4.81 – $44.10	20
Antistreptolysin o titer CPT 86060	$83.40	$139.00	$6.09 – $125.10	20
Antithrombin iii activity CPT 85300	$175.20	$292.00	$9.88 – $262.80	20
Antithrombin iii injection HCPCS J7197	$15.20	$19.00	$1.52 – $17.10	19
Antithymocyte globuln rabbit HCPCS J7511	not published	$1,886.35	$467.95 – $1,697.71	19
Apc gene dup/delet variants CPT 81203	$2,299.20	$3,832.00	$166.72 – $3,448.80	20
Apheresis plasma CPT 36514	$4,792.80	$7,988.00	$82.50 – $7,189.20	19
Apheresis platelets CPT 36513	$1,177.80	$1,963.00	$82.50 – $1,766.70	19
Apheresis wbc CPT 36511	$1,168.80	$1,948.00	$55.00 – $1,753.20	19
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276	$384.00	$640.00	$53.17 – $576.00	16
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277	not published	not published	$473.23 – $1,918.35	8
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278	not published	not published	$129.52 – $584.39	2
App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272	$384.00	$640.00	$42.90 – $576.00	16
App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273	not published	not published	$472.54 – $3,839.33	8
App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274	not published	not published	$109.98 – $584.39	3
App mltpln uni xtrnl fix 1st CPT 20696	not published	not published	$1,748.14 – $19,285.98	8
Appendix Removal (Laparoscopic) CPT 44970	not published	not published	$1,189.47 – $6,118.60	8
Appl mltpln uni ext fixj sys CPT 20692	not published	not published	$681.00 – $13,493.67	9
Appl modality 1/> areas paraffin bath 97018 CPT 97018	$80.40	$134.00	$6.60 – $120.60	18
Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016	$141.60	$236.00	$14.54 – $212.40	18
Appl unipln uni ext fixj sys CPT 20690	not published	not published	$596.00 – $7,491.76	9
Application finger splntstatic 29130 CPT 29130	$158.40	$264.00	$55.76 – $237.60	18
Application long leg splint 29505 CPT 29505	$945.60	$1,576.00	$40.70 – $1,418.40	19
Application lower leg splint 29515 CPT 29515	$366.60	$611.00	$38.50 – $549.90	19
Application multi layer compression below knee (both sides) CPT 29581	$322.80	$538.00	$125.40 – $484.20	18
Application of forearm cast 29075 CPT 29075	$424.20	$707.00	$50.05 – $636.30	19
Application of paste boot 29580 CPT 29580	$366.60	$611.00	$105.15 – $549.90	18
Application short leg cast 29405 CPT 29405	$366.60	$611.00	$55.55 – $549.90	19
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275	$2,682.00	$4,470.00	$246.45 – $4,023.00	18
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271	$2,682.00	$4,470.00	$229.02 – $4,023.00	18
Apply forearm splintdynamic 29126 CPT 29126	$513.60	$856.00	$28.60 – $770.40	19
Apply hand/wrist cast 29085 CPT 29085	$535.80	$893.00	$30.25 – $803.70	19
Apply interstit radiat compl CPT 77778	$4,419.00	$7,365.00	$361.85 – $6,628.50	19
Apply of finger splint 29131 CPT 29131	$514.80	$858.00	$30.48 – $772.20	19
Apply rigid leg cast 29445 CPT 29445	$1,273.20	$2,122.00	$111.62 – $1,909.80	19
Apply short leg castambul type 29425 CPT 29425	$727.80	$1,213.00	$57.75 – $1,091.70	19
Apply surf ldr radionuclide CPT 77789	$360.00	$600.00	$73.49 – $540.00	19
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185	$9.20	$11.50	$1.04 – $6.30	19
Aqaprn-4 antb flo cytmtry ea CPT 86053	$18.60	$31.00	$5.11 – $39.62	20
Aqua therapy w/exercise/ea 15 min 97113 CPT 97113	$126.60	$211.00	$10.56 – $189.90	18
Aquaporin-4 antibody cba each CPT 86052	$213.00	$355.00	$5.11 – $319.50	20
Aquaporin-4 antibody elisa CPT 86051	$213.00	$355.00	$4.89 – $319.50	20
Aquatic exercise - group charge CPT 97150	$96.00	$160.00	$25.48 – $144.00	16
Aqueous shunt eye w/graft CPT 66180	not published	not published	$958.00 – $5,411.08	9
Argatroban nonesrd use 1mg HCPCS J0883	$64.80	$512.93	$0.50 – $15.30	19
Aripiprazole 441 mg/1.6 ml inj HCPCS J1944	$10.20	$12.75	$1.88 – $1,085.83	20
Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017	$204.00	$340.00	$5.15 – $306.00	19
Arterial blood draw/perc 36620 CPT 36620	$486.60	$811.00	$52.34 – $729.90	18
Artery x-rays adrenals CPT 75733	$3,440.40	$5,734.00	$41.25 – $5,160.60	19
Artery x-rays arm/leg 75710-26 CPT 75710	$2,866.20	$4,777.00	$41.25 – $4,299.30	19
Artery x-rays arms/legs 75716-26 CPT 75716	$2,937.00	$4,895.00	$41.25 – $4,405.50	19
Artery x-rays chest CPT 75756	$3,306.00	$5,510.00	$41.25 – $4,959.00	19
Artery x-rays lung CPT 75741	$2,866.20	$4,777.00	$41.25 – $4,299.30	19
Artery x-rays lung CPT 75746	$2,564.40	$4,274.00	$27.50 – $3,846.60	19
Artery x-rays lungs CPT 75743	$2,797.80	$4,663.00	$41.25 – $4,196.70	19
Artery x-rays spine CPT 75705	$2,866.20	$4,777.00	$41.25 – $5,411.37	19
Artery xray each vessel 7577426 CPT 75774	$2,312.40	$3,854.00	$41.25 – $3,468.60	18
Artery xray of abdomen 75726-26 CPT 75726	$4,130.40	$6,884.00	$41.25 – $6,195.60	19
Artery xrays of pelvis 75736 26 CPT 75736	$3,111.60	$5,186.00	$41.25 – $5,411.37	19
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826	not published	not published	$681.00 – $2,483.86	4
Arthrd ant ntrbdy cervical CPT 22551	not published	not published	$1,612.25 – $13,493.67	8
Arthrd wrist lmtd without b1 grf CPT 25820	not published	not published	$598.32 – $7,491.76	10
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824	not published	not published	$517.29 – $3,402.68	10
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604	$214.80	$358.00	$40.76 – $322.20	19
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610	$855.00	$1,425.00	$18.59 – $1,282.50	19
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606	$214.80	$358.00	$46.59 – $693.24	19
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605	$855.00	$1,425.00	$18.59 – $1,282.50	19
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611	$1,195.20	$1,992.00	$54.80 – $1,792.80	19
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600	$855.00	$1,425.00	$19.80 – $1,282.50	19
Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552	not published	not published	$696.05 – $2,331.30	3
Arthrodesis subtalar CPT 28725	not published	not published	$803.41 – $13,493.67	10
Arthrodesis triple CPT 28715	not published	not published	$669.90 – $13,493.67	10
Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614	not published	not published	$746.33 – $1,379.20	2
Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000	not published	not published	$308.55 – $3,402.68	10
Arthrp ntrcrp/crp/mtcr ntrps CPT 25447	not published	not published	$484.00 – $3,402.68	10
Arthrt elbw jt expl bx rmvl CPT 24101	not published	not published	$840.00 – $3,402.68	9
Artiss fibrin sealant HCPCS C9250	$2,568.00	$4,280.00	$31.62 – $1,981.80	18
Ascenda two piece catheter HCPCS C1772	$28,797.60	$47,996.00	$6,943.99 – $36,941.87	15
Asp core fat pad CPT 17999	$83.40	$139.00	$18.59 – $204.60	17
Aspir/inj thyroid cyst 60300 CPT 60300	$873.00	$1,455.00	$40.49 – $1,309.50	19
Aspirate bladder/sprapubic cath 51102 CPT 51102	$1,973.40	$3,289.00	$169.77 – $2,960.10	19
Aspirate pleura without imaging 32554 CPT 32554	$1,560.60	$2,601.00	$296.09 – $2,340.90	18
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005	$1,112.40	$1,854.00	$65.76 – $1,668.60	19
Aspiration orbital contents CPT 67415	not published	not published	$94.90 – $2,446.62	10
Aspiration peritonsillar abscess CPT 42999	$336.00	$560.00	$18.59 – $504.00	17
Assay dir meas fr estradiol CPT 82681	$78.00	$130.00	$20.86 – $117.00	19
Assay myeloperoxidase CPT 83876	$128.40	$214.00	$14.20 – $192.60	19
Assay of breath ethanol CPT 82075	$165.00	$275.00	$24.04 – $247.50	19
Assay of feces porphyrins CPT 84126	$204.60	$341.00	$32.60 – $306.90	19
Assay of fluoride CPT 82735	$186.00	$310.00	$8.80 – $279.00	20
Assay of glutathione CPT 82978	$54.60	$91.00	$7.42 – $81.90	20
Assay of interleukin-6 (il-6) CPT 83529	$100.20	$167.00	$7.32 – $150.30	19
Assay of lrh hormone CPT 83727	$201.60	$336.00	$14.33 – $302.40	20
Assay of osteocalcin CPT 83937	$297.00	$495.00	$24.88 – $445.50	20
Assay of prostaglandin CPT 84150	$192.00	$320.00	$12.10 – $288.00	20
Assay of sialic acid CPT 84275	$134.40	$224.00	$11.20 – $201.60	20
Assay of somatostatin CPT 84307	$118.20	$197.00	$15.24 – $177.30	20
Assay of urine sulfate CPT 84392	$33.60	$56.00	$4.58 – $50.40	19
Assay phosphohexose enzymes CPT 84087	$105.00	$175.00	$8.94 – $157.50	20
Assess aphasia/interp/rpt/per hr 96105 CPT 96105	$449.40	$749.00	$55.00 – $674.10	18
Assess cyst contrast inject CPT 49424	$845.40	$1,409.00	$34.32 – $1,268.10	18
Assessment leukocyte fecal qualitative/semiquantitative CPT 89055	$49.20	$82.00	$3.56 – $73.80	20
Ast/sgot CPT 84450	$43.80	$73.00	$4.32 – $65.70	20
Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022	$311.20	$25,868.08	$49.09 – $350.10	19
Athrectomy fem/pop/unilateral 37225 CPT 37225	$34,849.20	$58,082.00	$571.49 – $52,273.80	18
Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229	$35,258.40	$58,764.00	$669.43 – $52,887.60	18
Atropine 0.1 mg/ml injection syringe HCPCS J0461	$11.40	$19.00	$0.06 – $0.90	18
Audiometry air + bone CPT 92553	$136.20	$227.00	$15.40 – $204.30	19
Augment injectable kit 3.0cc HCPCS C1734	$1,686.60	$2,811.00	$674.64 – $3,161.77	15
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513	not published	not published	$4,701.43 – $11,046.49	8
Autgrft implnt knee w/scope CPT 29866	not published	not published	$1,845.27 – $7,491.76	8
Autologous blood op salvage CPT 86891	$254.40	$424.00	$44.59 – $841.13	18
Autologous blood process CPT 86890	$334.20	$557.00	$73.12 – $501.30	18
Autonomic nrv syst funj test CPT 95923	$604.80	$1,008.00	$28.68 – $907.20	18
Av fusion direct any site CPT 36821	not published	not published	$681.00 – $3,300.84	9
Avelumab 20 mg/ml intravenous solution HCPCS J9023	$231.00	$4,562.25	$55.19 – $346.50	19
Avul nail plate addl CPT 11732	$388.20	$647.00	$28.32 – $582.30	18
Avulsion nail plate partial/complete simple single nail plate CPT 11730	$366.60	$611.00	$28.32 – $549.90	19
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038	$100.20	$167.00	$35.14 – $150.30	19
Azacitidine injection HCPCS J9025	$13.80	$495.98	$0.36 – $20.70	18
Azathioprine 50 mg tablet HCPCS J7500	$10.80	$13.50	$0.04 – $11.70	18
Azathioprine parenteral HCPCS J7501	not published	$522.63	$145.81 – $470.37	18
Azithromycin 500 mg intravenous solution HCPCS J0456	$104.80	$131.00	$1.29 – $41.86	19
Aztreonam 1 gram solution for injection HCPCS J0457	$11.80	$14.75	$1.26 – $10.80	18
B cells total count CPT 86355	$382.20	$637.00	$31.45 – $573.30	20
B-hexosaminidase ea assay CPT 83080	$154.80	$258.00	$14.06 – $232.20	19
Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475	$7,524.60	$12,541.00	$114.42 – $531.64	19
Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476	$517.60	$647.00	$31.54 – $370.92	18
Baclofen eval charges CPT 97750	$85.80	$143.00	$18.43 – $128.70	18
Bacterial meningitis antigen CPT 86403	$108.00	$180.00	$9.62 – $162.00	20
Bacterial vaginosis pcr CPT 87801	$118.20	$197.00	$42.68 – $177.30	20
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358	$24.00	$40.00	$10.00 – $36.00	16
Balloon dilate urtrl strix CPT 50706	$6,571.80	$10,953.00	$512.58 – $9,857.70	16
Bartholin gland cyst/marsupializat 56440 CPT 56440	not published	not published	$179.30 – $3,334.43	10
Bartonella dna pcr-sendout CPT 87471	$393.00	$655.00	$29.25 – $589.50	20
Basic vestibular evaluation CPT 92540	$462.60	$771.00	$28.64 – $693.90	19
Bausch health Ultrasound surg HCPCS V2788	$609.00	$1,015.00	$126.25 – $552.75	13
Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034	$67.20	$112.00	$8.52 – $45.68	19
Benign lesion paring 2-4 CPT 11056	$250.20	$417.00	$32.65 – $375.30	19
Benign lesion paring 4+ CPT 11057	$573.00	$955.00	$42.83 – $859.50	19
Benztropine 1 mg/ml injection solution HCPCS J0515	$94.80	$158.00	$9.68 – $71.10	18
Beta 2 glycoprotein 1 antibody iga CPT 86146	$266.40	$444.00	$21.22 – $399.60	20
Beta-2 microglobulin CPT 82232	$165.00	$275.00	$13.49 – $247.50	20
Beta-amyloid 1-40 CPT 82233	$1,056.60	$1,761.00	$440.25 – $1,584.90	15
Beta-amyloid 1-42 CPT 82234	$1,056.60	$1,761.00	$440.25 – $1,584.90	15
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702	$43.80	$81.60	$4.39 – $48.60	19
Bevacizumab 25 mg/ml intravenous solution HCPCS J9035	$5,250.00	$8,750.00	$46.22 – $612.90	19
Bevacizumab injection HCPCS C9257	$12.60	$21.00	$1.21 – $18.90	18
Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107	$370.80	$6,572.13	$17.59 – $556.20	19
Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118	not published	$1,292.85	$16.27 – $122.27	19
Bilateral n blobk inj pudendal 64430 CPT 64430	$2,270.40	$3,784.00	$38.50 – $3,405.60	19
Bilateral n block inj occipital 64405 CPT 64405	$945.60	$1,576.00	$38.50 – $1,418.40	19
Bilateral n block inj trigeminal 64400 CPT 64400	$1,565.40	$2,609.00	$14.30 – $2,348.10	19
Biliary endo perq dx w/speci CPT 47552	$4,037.40	$6,729.00	$596.00 – $6,424.76	18
Biliary endoscopy thru skin CPT 47555	$3,922.80	$6,538.00	$681.00 – $5,884.20	18
Bilirubin direct CPT 82248	$58.80	$98.00	$4.18 – $88.20	20
Bilirubin total CPT 82247	$58.80	$98.00	$4.18 – $88.20	20
Biofeedback, pt CPT 90901	$308.40	$514.00	$51.12 – $462.60	16
Biopsy abdominal mass CPT 49180	$1,948.80	$3,248.00	$89.07 – $2,923.20	19
Biopsy bone trocar/needle superficial CPT 20220	$1,629.60	$2,716.00	$69.30 – $2,444.40	19
Biopsy cervixsingle/multiple 57500 CPT 57500	$7,606.20	$12,677.00	$72.73 – $11,409.30	19
Biopsy conjunctiva CPT 68100	not published	not published	$297.94 – $2,446.62	8
Biopsy lower leg soft tissue 27610 CPT 27610	not published	not published	$378.95 – $3,402.68	10
Biopsy muscle percutaneous needle CPT 20206	$1,629.60	$2,716.00	$62.03 – $2,444.40	19
Biopsy needle liver percutaneous CPT 47000	$2,126.40	$3,544.00	$98.61 – $3,189.60	19
Biopsy needle lymph node superficial CPT 38505	$2,552.40	$4,254.00	$74.17 – $3,828.60	19
Biopsy of nerve CPT 64795	not published	not published	$596.00 – $2,047.90	9
Biopsy of penis CPT 54105	not published	not published	$52.80 – $3,001.48	10
Biopsy of penis 54100 CPT 54100	not published	not published	$38.50 – $1,699.17	10
Biopsy of prostate CPT 55700	not published	not published	$98.45 – $2,148.31	10
Biopsy of rectum wall anal approach 45100 CPT 45100	not published	not published	$165.55 – $2,875.99	10
Biopsy of urethra CPT 53200	not published	not published	$70.40 – $2,148.31	10
Biopsy renal percutaneous trocar/needle (both sides) CPT 50200	$1,560.60	$2,601.00	$150.82 – $2,340.90	19
Biopsy skin incisional single lesion CPT 11106	$639.00	$1,065.00	$54.13 – $958.50	19
Biopsy vestibule of mouth 40808 CPT 40808	$535.80	$893.00	$40.15 – $803.70	19
Biopsy vrt bdy open thoracic CPT 20250	not published	not published	$178.20 – $3,402.68	10
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222	$1,745.40	$2,909.00	$69.65 – $2,865.05	19
Biopsy, bone open deep CPT 20245	$3,819.60	$6,366.00	$248.05 – $5,729.40	19
Biopsy/removal lymph nodes CPT 38525	not published	not published	$171.60 – $4,015.84	10
Biopsy/soft tissue/neck or thorax 21550 CPT 21550	$2,868.60	$4,781.00	$37.95 – $4,302.90	19
Biospy of bladder CPT 53899	not published	not published	$18.59 – $255.06	7
Bivalirudin HCPCS J0583	$2,991.00	$4,985.00	$0.11 – $18.00	18
Bladder irrigate/lavage/instill 51700 CPT 51700	$991.80	$1,653.00	$31.57 – $1,487.70	19
Bld prd mix CPT 86965	$81.60	$136.00	$35.98 – $176.44	18
Bleomycin 15 unit solution for injection HCPCS J9040	$1,014.40	$1,519.00	$13.59 – $470.91	18
Blepharoplasty lower 15820 CPT 15820	not published	not published	$681.00 – $1,918.35	9
Blepharoplasty upper 15822 CPT 15822	not published	not published	$681.00 – $1,918.35	9
Blepharoplasty upper eyelid 15823 CPT 15823	not published	not published	$958.00 – $1,940.17	9
Blinatumomab 35 mcg intravenous solution HCPCS J9039	$313.80	$523.00	$72.34 – $470.70	19
Blink reflex test CPT 95933	$310.20	$517.00	$23.65 – $465.30	19
Bln 1.2 mono emrg 15x1.2 HCPCS C1725	$8,967.60	$14,946.00	$41.75 – $1,006.31	16
Bln 30frx10mmx12cm renal nephromax HCPCS C1726	$5,428.20	$9,047.00	$57.50 – $1,002.16	16
Bln dil 900ml preperitnl HCPCS C1727	$2,779.80	$4,633.00	$235.10 – $1,576.66	15
Bln inpact admiral 4x150x130cm HCPCS C2623	$4,954.20	$8,257.00	$1,011.36 – $3,792.60	16
Bln press regulation 71-80cm HCPCS C1815	$16,708.20	$27,847.00	$3,029.28 – $11,359.80	15
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877	$6,811.80	$11,353.00	$34.80 – $1,045.36	16
Bln ureth 5ml 28f 2wy ltx st HCPCS A4338	$83.40	$139.00	$2.50 – $46.70	16
Block brachial plexus w/cath plmt w/img CPT 64416	$2,117.40	$3,529.00	$89.17 – $3,176.10	19
Block femoral nerve cont infusion cath w/img CPT 64448	$1,381.20	$2,302.00	$80.54 – $2,071.80	19
Block tap inj(s) w/wo img bi CPT 64488	$1,914.60	$3,191.00	$100.36 – $2,871.90	16
Block tap inj(s) w/wo img uni CPT 64486	$1,914.60	$3,191.00	$81.56 – $2,871.90	16
Blood Clotting (PT/INR) Test CPT 85610	$61.20	$102.00	$3.58 – $91.80	20
Blood Clotting (PTT) Test CPT 85730	$47.40	$79.00	$5.01 – $71.10	20
Blood Count (CBC) Test CPT 85025	$66.60	$111.00	$6.48 – $99.90	20
Blood Count (CBC) Test (without differential) CPT 85027	$76.20	$127.00	$5.39 – $114.30	20
Blood Culture Test CPT 87040	$146.40	$244.00	$8.60 – $219.60	20
Blood draw capillary 36416 CPT 36416	$12.00	$20.00	$0.02 – $18.00	15
Blood gases o2 saturation direct measurement CPT 82805	$343.80	$573.00	$42.75 – $515.70	20
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274	$25.80	$43.00	$3.08 – $38.70	20
Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272	$20.40	$34.00	$3.53 – $30.60	20
Blood occult feces colorectal neoplasm screening qualitative CPT 82270	$20.40	$34.00	$1.25 – $30.60	20
Blood occult peroxidase activity qualitative gastric CPT 82271	$20.40	$34.00	$3.99 – $30.60	20
Blood smear interpretation CPT 85060	$92.40	$154.00	$2.33 – $138.60	15
Blood smear microscopic w manual differential wbc count CPT 85007	$59.40	$99.00	$2.72 – $89.10	20
Blood split unit HCPCS P9011	$320.40	$534.00	$50.19 – $480.60	18
Blood typing abo CPT 86900	$24.60	$41.00	$2.49 – $36.90	20
Blood typing ag donor ea ag CPT 86902	$102.00	$170.00	$3.10 – $153.00	20
Blood typing rbc ag non abo/rh ea CPT 86905	$102.00	$170.00	$2.22 – $153.00	20
Blood typing rh (d) CPT 86901	$90.60	$151.00	$2.49 – $135.90	20
Bone Density Scan (DEXA) CPT 77080	$240.00	$400.00	$66.12 – $360.00	19
Bone marrow imaging ltd CPT 78102	$745.20	$1,242.00	$70.77 – $1,117.80	19
Bone marrow interpretation CPT 85097	$153.00	$255.00	$1.70 – $817.76	19
Bone survey-lead poisoning CPT 77074	$1,823.40	$3,039.00	$51.63 – $2,735.10	19
Bone/joint imaging ltd area CPT 78300	$361.80	$603.00	$75.90 – $542.70	19
Boot j walker l HCPCS L4386	$950.40	$1,584.00	$231.57 – $1,425.60	15
Boot mlti podous univ xlg HCPCS L4396	$745.80	$1,243.00	$224.65 – $1,118.70	15
Boot walker genesis full shell 3-strap s HCPCS L4360	$838.80	$1,398.00	$335.52 – $1,258.20	15
Boot walker genesis mid-calf full shell s HCPCS L4361	$393.60	$656.00	$157.44 – $590.40	15
Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618	$129.60	$216.00	$14.20 – $194.40	20
Borrelia miyamotoi amp prb CPT 87478	$355.80	$593.00	$13.98 – $533.70	20
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041	$3,308.40	$5,514.00	$1.76 – $142.20	18
Bowel imaging CPT 78290	$1,137.60	$1,896.00	$82.50 – $1,706.40	19
Bra surgical elizabeth pink sm HCPCS L8000	$55.20	$92.00	$22.08 – $138.54	15
Brace afo lg left 6607 HCPCS L1930	$1,288.20	$2,147.00	$185.52 – $842.61	15
Brace ank air stirrup univ HCPCS L4350	$304.20	$507.00	$121.25 – $456.30	15
Brace ankle stablizing lg HCPCS L1902	$302.40	$504.00	$112.92 – $453.60	15
Brace knee extender plus 22-30in HCPCS L1832	$2,053.80	$3,423.00	$821.52 – $3,080.70	15
Brace knee support neoprene padded open patella med HCPCS L1810	$558.00	$930.00	$119.30 – $837.00	15
Brace oths wrist hnd fngr without HCPCS L3807	$516.00	$860.00	$75.60 – $846.11	14
Brace wrist classic lft sm HCPCS L3908	$225.00	$375.00	$79.74 – $337.50	15
Brach/thor cath 1st CPT 36215	$4,953.00	$8,255.00	$189.20 – $7,429.50	18
Brach/thor cath 2nd CPT 36216	$5,967.60	$9,946.00	$125.95 – $8,951.40	18
Brach/thor cath 3rd CPT 36217	$6,694.20	$11,157.00	$332.28 – $10,041.30	18
Brach/thor cath addl CPT 36218	$3,357.60	$5,596.00	$53.06 – $5,036.40	18
Brachytx isodose complex CPT 77318	$1,937.40	$3,229.00	$127.14 – $2,906.10	19
Brachytx isodose intermed CPT 77317	$384.00	$640.00	$93.68 – $576.00	19
Braf gene CPT 81210	$1,392.00	$2,320.00	$146.21 – $554.40	20
Brain MRA (blood vessel MRI, with and without contrast) CPT 70546	$6,512.40	$10,854.00	$283.82 – $9,768.60	19
Brain MRA (blood vessel MRI, with contrast) CPT 70545	$5,313.60	$8,856.00	$283.82 – $7,970.40	19
Brain MRA (blood vessel MRI, without contrast) CPT 70544	$4,125.00	$6,875.00	$192.10 – $6,187.50	19
Brain MRI (with and without contrast) CPT 70553	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
Brain MRI (with contrast) CPT 70552	$5,313.60	$8,856.00	$283.82 – $7,970.40	20
Brain MRI (without contrast) CPT 70551	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
Brain image w/flow 4 + views CPT 78606	$955.80	$1,593.00	$97.58 – $1,433.70	19
Brca1&2 gen ful dup/del alys CPT 81164	$2,287.20	$3,812.00	$356.80 – $3,430.80	20
Brcassure comprehensive panel-sendout CPT 81162	$1,920.00	$3,200.00	$892.80 – $2,880.00	20
Breast reduction CPT 19318	not published	not published	$840.00 – $6,839.17	9
Brentuximab vedotin 50 mg intravenous solution HCPCS J9042	$368.80	$22,317.50	$90.56 – $414.90	19
Bronch ebus ivntj perph les 31654 CPT 31654	not published	not published	$60.45 – $210.25	7
Bronch ebus samplng 1/2 node CPT 31652	$2,260.20	$3,767.00	$208.90 – $3,690.81	19
Bronch ebus samplng 3/> node CPT 31653	$2,476.20	$4,127.00	$210.10 – $3,714.30	19
Bronch w/debrdmt subgltc & uppr trach CPT 31899	$3,501.00	$5,835.00	$18.59 – $5,251.50	17
Bronchoscopy bronch stents CPT 31636	not published	not published	$205.50 – $7,259.71	10
Bronchoscopy clear airways 31645 CPT 31645	$2,487.00	$4,145.00	$162.58 – $3,730.50	19
Bronchoscopy dilate/fx repr CPT 31630	not published	not published	$210.40 – $3,866.57	10
Bronchoscopy revise stent CPT 31638	not published	not published	$228.84 – $7,259.71	10
Bronchoscopy treat blockage CPT 31641	not published	not published	$246.40 – $3,866.57	10
Bronchoscopy w/biopsy(s) 31625 CPT 31625	$1,829.40	$3,049.00	$173.59 – $2,744.10	19
Bronchoscopy w/fb removal 31635 CPT 31635	$3,279.00	$5,465.00	$193.76 – $4,918.50	19
Bronchoscopy w/tumor excise CPT 31640	not published	not published	$196.90 – $3,866.57	10
Bronchoscopy/lung bx addl 31632 CPT 31632	not published	not published	$55.54 – $150.41	7
Bronchoscopy/lung bx each 31628 CPT 31628	$1,829.40	$3,049.00	$193.38 – $3,690.81	19
Bronchoscopy/needle bx each 31629 CPT 31629	$6,549.60	$10,916.00	$206.13 – $9,824.40	19
Budesonide non-comp unit HCPCS J7626	$714.40	$893.00	$0.85 – $803.70	19
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939	$10.80	$13.50	$0.23 – $9.00	19
Bundled special stain group 1 microorganisms CPT 88312	$56.40	$94.00	$7.94 – $84.72	20
Bundled special stain group 2 CPT 88313	$56.40	$94.00	$6.25 – $129.03	20
Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665	$1.40	$1.75	$0.01 – $0.11	17
Buprenorph X-ray 100 mg or less HCPCS Q9991	$7,598.40	$12,664.00	$1,100.04 – $11,397.60	19
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572	$19.60	$24.50	$3.59 – $22.05	16
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574	$36.00	$45.00	$6.43 – $40.50	17
Buprenorphine X-ray over 100 mg HCPCS Q9992	$7,598.40	$12,664.00	$1,100.04 – $11,397.60	19
Buprenorphine hydrochloride HCPCS J0592	$14.40	$18.00	$1.78 – $16.20	18
Bur rotalink 2.15mm HCPCS C1724	$7,385.40	$12,309.00	$526.34 – $6,135.30	15
Burr hole implant ventricular cath/other device CPT 61210	$2,794.20	$4,657.00	$680.79 – $4,191.30	16
Burr hole skull & remove clot 61154 CPT 61154	$10,497.00	$17,495.00	$1,897.35 – $15,745.50	16
Bx bone trocar/ndl deep CPT 20225	$2,179.80	$3,633.00	$107.80 – $3,269.70	19
Bx breast perq without image 19100 CPT 19100	$2,916.60	$4,861.00	$67.38 – $4,374.90	19
Bx of cervix w/scope leep 57460 CPT 57460	not published	not published	$164.78 – $3,334.43	9
Bx pancreas pq ndl CPT 48102	$2,236.20	$3,727.00	$444.00 – $3,354.30	18
Bx pleura pq ndl CPT 32400	$1,560.60	$2,601.00	$89.14 – $2,340.90	19
Bx skin incisnl ea sep/add l les CPT 11107	$706.20	$1,177.00	$28.92 – $1,059.30	18
Bx skin punch ea sep/ addl les CPT 11105	$706.20	$1,177.00	$24.25 – $1,059.30	18
Bx thyroid/percutan core needle 60100 CPT 60100	$576.00	$960.00	$72.05 – $864.00	19
Bx vag mucos smpl (sep proc) CPT 57100	$711.00	$1,185.00	$65.99 – $1,066.50	19
Bx/exc lymph node/open/superfic 38500 CPT 38500	not published	not published	$467.75 – $4,015.84	9
Bypass temp external fem-fem CPT 37799	$2,349.00	$3,915.00	$18.59 – $3,523.50	17
C motor evoked lwr limbs CPT 95929	$366.60	$611.00	$70.10 – $549.90	19
C motor evoked uppr limbs CPT 95928	$355.80	$593.00	$64.95 – $1,018.46	19
C motor evoked upr&lwr limbs CPT 95939	$330.00	$550.00	$153.45 – $1,018.46	19
C-1 esterase, berinert HCPCS J0597	$163.20	$204.00	$47.90 – $183.60	19
C-1 esterase, cinryze HCPCS J0598	$5,831.40	$9,719.00	$41.44 – $224.10	19
C-peptide CPT 84681	$315.00	$525.00	$17.35 – $472.50	20
C-reactive protein CPT 86140	$133.20	$222.00	$3.30 – $199.80	20
C-reactive protein high sensitivity CPT 86141	$168.60	$281.00	$10.80 – $252.90	20
C-reactive protein, quantitative CPT 86406	$138.00	$230.00	$8.87 – $207.00	20
C1 esterase inhibitor func - sendout CPT 86161	$236.40	$394.00	$10.00 – $354.60	20
CT 3d report other modality w/workstation CPT 76377	$1,162.20	$1,937.00	$235.55 – $1,743.30	16
CT Angiogram of Abdomen and Pelvis CPT 74174	$5,897.40	$9,829.00	$283.82 – $8,846.10	19
CT Angiogram of the Chest (for blood clot) CPT 71275	$3,441.00	$5,735.00	$141.48 – $5,161.50	19
CT Angiogram of the Head CPT 70496	$3,441.00	$5,735.00	$141.48 – $5,161.50	19
CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178	$5,897.40	$9,829.00	$283.82 – $8,846.10	19
CT Scan of Abdomen and Pelvis (with contrast) CPT 74177	$5,897.40	$9,829.00	$283.82 – $8,846.10	19
CT Scan of Abdomen and Pelvis (without contrast) CPT 74176	$4,117.20	$6,862.00	$185.12 – $6,175.80	19
CT angio pelvis CPT 72191	$3,441.00	$5,735.00	$141.48 – $5,161.50	19
CT guid cryo ablat intramuscular CPT 20999	not published	not published	$18.59 – $251.57	7
CT guidance for needle placement CPT 77012	$2,065.20	$3,442.00	$174.66 – $3,097.80	18
CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989	$611.40	$1,019.00	$19.25 – $917.10	18
CT limited or localized follow-up study CPT 76380	$2,217.00	$3,695.00	$69.98 – $3,325.50	18
CT lower extremity w/contrast (both sides) CPT 73701	$3,054.00	$5,090.00	$141.48 – $4,581.00	18
CT lower extremity without contrast (both sides) CPT 73700	$1,950.00	$3,250.00	$84.51 – $2,925.00	18
CT lwr extremity w/o&w/dye CPT 73702	$3,394.80	$5,658.00	$141.48 – $5,092.20	18
CT neck soft tissue w/contrast CPT 70491	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
CT neck soft tissue without & w/contrast CPT 70492	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
CT neck soft tissue without contrast CPT 70490	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
CT orbit/sella/fossa w/wo contrast CPT 70482	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
CT scan for therapy guide CPT 77014	$777.00	$1,295.00	$109.50 – $1,165.50	18
CT t-spine w /wo contrast CPT 72130	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
CT thoracic spine w/contrast CPT 72129	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
CT thoracic spine without contrast CPT 72128	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
CT upper extremity w/contrast (both sides) CPT 73201	$3,054.00	$5,090.00	$278.97 – $4,581.00	18
CT upper extremity without contrast (both sides) CPT 73200	$1,950.00	$3,250.00	$84.51 – $2,925.00	18
CT uppr extremity w/o&w/dye CPT 73202	$3,394.80	$5,658.00	$141.48 – $5,092.20	18
Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043	$495.60	$33,002.93	$143.50 – $743.40	19
Cabergoline, oral 0.25mg HCPCS J8515	$154.80	$258.00	$1.76 – $115.20	17
Cable cath 22-pin diag HCPCS C1730	$1,274.40	$2,124.00	$160.08 – $1,709.77	16
Caffeine citrate 20 mg/ml inj for po HCPCS J0706	$15.60	$19.50	$0.25 – $5.69	16
Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630	$9,437.60	$11,797.00	$82.85 – $10,617.30	18
Calcium 24 hour urine CPT 82340	$63.60	$106.00	$5.03 – $95.40	20
Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612	$0.80	$1.00	$0.02 – $0.90	18
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613	$0.80	$1.00	$0.05 – $0.90	18
Calcium ionized CPT 82330	$108.60	$181.00	$9.73 – $162.90	20
Calcium total CPT 82310	$43.80	$73.00	$4.30 – $65.70	20
Caloric vstblr test w/rec CPT 92538	$559.80	$933.00	$3.03 – $423.00	19
Calprotectin fecal CPT 83993	$257.40	$429.00	$16.36 – $386.10	20
Campylobacter antibody CPT 86625	$93.60	$156.00	$10.94 – $140.40	20
Candida dna CPT 87480	$133.20	$222.00	$16.71 – $199.80	20
Cannula declotting 36861 CPT 36861	not published	not published	$587.91 – $5,669.06	9
Cannula ercp contour 5-4-3 tip HCPCS C1889	$7,828.80	$13,048.00	$5.52 – $4,566.80	16
Canthotomy 67715 CPT 67715	$2,630.40	$4,384.00	$330.44 – $3,945.60	18
Cap nerve 2x15mm HCPCS C1763	$5,785.80	$9,643.00	$275.52 – $2,925.42	15
Cap trach decann 15mm HCPCS C1750	$1,833.60	$3,056.00	$190.80 – $2,900.70	16
Capsaicin 8% patch HCPCS J7336	$11.40	$19.00	$2.16 – $557.16	19
Carbamazepine free CPT 80157	$66.60	$111.00	$11.05 – $99.90	20
Carbamazepine total therapeutic drug level CPT 80156	$189.60	$316.00	$12.15 – $284.40	20
Carbon dioxide CPT 82374	$39.60	$66.00	$4.07 – $59.40	20
Carboplatin 10 mg/ml desensitization HCPCS J9045	$1,096.00	$1,372.00	$1.41 – $289.32	18
Carboxyhemoglobin quantitative CPT 82375	$38.40	$64.00	$6.16 – $57.60	20
Carcinoembryonic ag (cea) CPT 82378	$194.40	$324.00	$15.81 – $291.60	20
Cardiac perf planar mult/ef/wm CPT 78454	$1,692.60	$2,821.00	$209.80 – $2,538.90	19
Cardiac perf planar sgl/ef/wm CPT 78453	$1,659.60	$2,766.00	$208.42 – $2,489.40	19
Cardiac perf spect sgl/ef/wm rst/strs CPT 78451	$2,236.20	$3,727.00	$267.23 – $3,354.30	19
Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798	$147.60	$246.00	$38.24 – $221.40	18
Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797	$48.00	$80.00	$11.80 – $129.64	18
Cardiolipin antibody iga CPT 86147	$197.40	$329.00	$21.22 – $296.10	20
Cardioversion elective electrical conversion arrhythmia external CPT 92960	$2,345.40	$3,909.00	$95.70 – $3,518.10	19
Caregiver training strategies&tq 1st 30 minutes CPT 97550	$105.00	$175.00	$18.90 – $157.50	16
Caregiver training strategies&tq ea addl 15 min CPT 97551	$52.20	$87.00	$9.44 – $78.30	16
Carfilzomib 10 mg intravenous solution HCPCS J9047	$102.00	$7,447.25	$23.23 – $153.00	19
Carmustine 100 mg intravenous powder for solution HCPCS J9050	not published	$5,016.70	$150.56 – $4,515.03	19
Carotene CPT 82380	$173.40	$289.00	$7.69 – $260.10	20
Carotid Artery Ultrasound (Duplex) CPT 93880	$1,441.80	$2,403.00	$160.56 – $2,162.70	19
Carpal Tunnel Release Surgery CPT 64721	$4,037.40	$6,729.00	$330.00 – $2,299.50	19
Caspofungin acetate HCPCS J0637	$1,500.60	$2,501.00	$2.24 – $159.30	18
Cataract Surgery CPT 66984	not published	not published	$662.78 – $3,170.46	10
Cataract surg w/iol 1 stage CPT 66983	not published	not published	$1,312.00 – $3,123.31	9
Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752	$1,345.80	$2,243.00	$96.96 – $764.92	16
Cath ablt clsfast 7fx100cmx HCPCS C1888	$6,990.00	$11,650.00	$250.50 – $3,236.64	15
Cath ablt rx lasr 2.0mm turbo HCPCS C1885	$3,128.40	$5,214.00	$1,192.50 – $4,293.00	15
Cath access del ds spyscop 2.0 HCPCS C1748	$7,057.80	$11,763.00	$2,940.75 – $10,586.70	15
Cath acuity innr ic130 6f 63cm HCPCS C1887	$21,034.20	$35,057.00	$7.00 – $441.14	16
Cath adherent clot 10mm 6f 10 HCPCS C1757	$24,926.40	$41,544.00	$44.75 – $837.39	16
Cath baloon occl urnry 34f 7x2x65 HCPCS C2628	$15,264.00	$25,440.00	$129.25 – $3,471.30	16
Cath bi-dir df smarttouch HCPCS C1732	$10,770.60	$17,951.00	$1,370.64 – $7,174.34	15
Cath blazer dx/20 2-10-2 space HCPCS C1731	$6,525.60	$10,876.00	$1,105.19 – $5,417.10	15
Cath combo lt&rt heart w/inj/s CPT 93453	$8,708.40	$14,514.00	$1,368.34 – $13,062.60	18
Cath council tip 16fr 5cc HCPCS A4344	$75.00	$125.00	$2.00 – $60.14	16
Cath cv dl inj 7fx16cm HCPCS C1751	$2,865.60	$4,776.00	$6.75 – $621.69	16
Cath del ampltz 12f 45d 80cm HCPCS C1893	$742.80	$1,238.00	$72.46 – $1,358.22	15
Cath entrl fd nutri 5fr 40cm HCPCS B4082	$11.40	$19.00	$4.75 – $65.53	15
Cath epdrl brevi-stf 12in .043 HCPCS C1755	$3,607.80	$6,013.00	$268.25 – $965.70	16
Cath groshong MRI 8fr plstc port HCPCS C1788	$4,219.80	$7,033.00	$369.46 – $3,145.50	16
Cath hawkone s directional HCPCS C1714	$7,680.60	$12,801.00	$431.99 – $8,478.00	15
Cath imag ivus pv 8.5fx90 .035 HCPCS C1753	$3,611.40	$6,019.00	$23.25 – $3,011.96	15
Cath infuse micro 150cm rapidtransit HCPCS A4351	$115.80	$193.00	$0.75 – $7.69	16
Cath left heart/lv gram CPT 93452	$7,483.80	$12,473.00	$1,046.36 – $11,225.70	18
Cath lt/rt pulm art CPT 36014	$1,527.00	$2,545.00	$125.95 – $2,290.50	18
Cath malecot 28fr 4-wing ltx HCPCS C1729	$4,114.20	$6,857.00	$2.50 – $226.63	15
Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817	$25,520.40	$42,534.00	$3,607.45 – $38,280.60	15
Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340	$190.20	$317.00	$3.25 – $140.27	16
Cath place 1st order venous 36011 CPT 36011	$6,134.40	$10,224.00	$125.95 – $9,201.60	18
Cath plc art ang/grft lt/rt hr CPT 93461	$14,482.80	$24,138.00	$1,756.25 – $21,724.20	18
Cath plc art/angio/rt hrt cath CPT 93456	$12,175.20	$20,292.00	$1,350.79 – $18,262.80	18
Cath plc art/grft/angio right hrt CPT 93457	$14,423.40	$24,039.00	$1,537.73 – $21,635.10	18
Cath right heart w/o2 sat & card CPT 93451	$4,684.80	$7,808.00	$1,095.37 – $7,027.20	18
Cath right hrt mnpul art CPT 36013	$2,270.40	$3,784.00	$125.95 – $3,405.60	18
Cath segmntl pulm art CPT 36015	$2,311.80	$3,853.00	$125.95 – $3,467.70	18
Cath steerable flex adv 12f HCPCS C1766	$6,377.40	$10,629.00	$59.87 – $3,408.30	15
Cath stripping venous s&i CPT 75901	$411.60	$686.00	$67.95 – $617.40	16
Cath suction replogle 8fr neonatal esophageal HCPCS A4624	$13.20	$22.00	$3.85 – $19.80	16
Cath uret open tp 6fx70cm HCPCS C1758	$671.40	$1,119.00	$2.88 – $144.64	16
Catheter stripping venous CPT 36595	$5,745.60	$9,576.00	$193.97 – $8,618.40	19
Catheterization collection of specimen single patient all places of service HCPCS P9612	$70.80	$118.00	$5.58 – $106.20	18
Cauterization chemical granulation tissue CPT 17250	$267.00	$445.00	$28.40 – $400.50	19
Cdna analysis for variants CPT 81403	$2,009.40	$3,349.00	$154.38 – $916.20	19
Cdp-sot 6 cond w/i&r CPT 92548	$282.00	$470.00	$102.44 – $423.00	18
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690	$15.40	$19.25	$0.50 – $2.66	19
Cefepime 1 gram solution for injection HCPCS J0692	$51.00	$63.75	$0.77 – $14.63	19
Cefotaxime sodium injection HCPCS J0698	$165.60	$276.00	$34.39 – $248.40	16
Cefoxitin 1 gram intravenous solution HCPCS J0694	$63.20	$79.00	$1.61 – $26.99	18
Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712	$440.40	$734.00	$1.25 – $4.57	19
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713	$31.20	$39.00	$0.99 – $13.22	19
Ceftazidime and avibactam HCPCS J0714	$935.40	$1,559.00	$51.53 – $350.10	19
Ceftriaxone 1 gram solution for injection HCPCS J0696	$102.40	$128.00	$0.27 – $43.94	19
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697	$44.60	$55.75	$1.17 – $11.30	18
Cell count body fluid CPT 89050	$112.80	$188.00	$3.93 – $169.20	20
Cell count w differential body fluid CPT 89051	$131.40	$219.00	$4.67 – $197.10	20
Cell cryopreserve/storage CPT 88240	$99.60	$166.00	$10.90 – $149.40	19
Cell function assay w/stim CPT 86352	$741.00	$1,235.00	$67.04 – $1,111.50	20
Cell marker study CPT 88182	$212.40	$354.00	$40.74 – $318.60	20
Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119	$497.40	$22,750.00	$16.60 – $105.30	19
Cerebrospinal fld flw imag CPT 78645	$1,608.00	$2,680.00	$149.71 – $2,412.00	19
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717	$35.00	$43.75	$2.47 – $6,694.99	20
Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055	$280.20	$1,616.23	$49.48 – $420.30	19
Change cystostomy tube simple CPT 51705	$257.40	$429.00	$30.80 – $386.10	19
Change cystostomy tube; complex 51710 CPT 51710	$2,270.40	$3,784.00	$30.80 – $3,405.60	19
Change g-tube to g-j perc CPT 49446	$3,534.60	$5,891.00	$138.42 – $5,301.90	19
Change nephroureteral cath CPT 50387	$3,154.80	$5,258.00	$1,307.94 – $4,732.20	18
Change of ureter tube/stent CPT 50688	$2,270.40	$3,784.00	$151.47 – $3,405.60	18
Change of windpipe airway 31502 CPT 31502	$841.20	$1,402.00	$92.94 – $1,261.80	18
Change ureter stent percut CPT 50382	not published	not published	$1,628.03 – $2,928.41	8
Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643	not published	not published	$63.48 – $141.14	7
Chemodenerv 1 extrem 5/> ea 64645 CPT 64645	not published	not published	$72.79 – $172.71	7
Chemodenerv 1 extrem 5/> mus 64644 CPT 64644	not published	not published	$102.89 – $726.25	9
Chemodenerv 1 extremity 1-4 64642 CPT 64642	not published	not published	$94.27 – $726.25	9
Chemodenerv musc migraine 64615 CPT 64615	$495.00	$825.00	$112.74 – $742.50	19
Chemodenerv musc neck dyston 64616 CPT 64616	not published	not published	$191.69 – $333.38	8
Chemodenerv trunk musc 1-5 64646 CPT 64646	not published	not published	$101.97 – $726.25	9
Chemodenervation nerve of eye muscle 67345 CPT 67345	not published	not published	$187.29 – $527.79	9
Chest 2 vws w oblique CPT 71048	$456.60	$761.00	$15.41 – $684.90	19
Chest CT scan (with and without contrast) CPT 71270	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
Chest CT scan (with contrast) CPT 71260	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
Chest CT scan (without contrast) CPT 71250	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
Chest X-ray CPT 71046	$456.60	$761.00	$11.78 – $684.90	19
Chest X-ray (single view) CPT 71045	$456.60	$761.00	$6.43 – $684.90	19
Chest apical lordotic proj CPT 71047	$456.60	$761.00	$14.98 – $684.90	19
Chg pr pul rehab for copd patients CPT 94626	$162.00	$270.00	$30.37 – $243.00	18
Chlnggrphy intraop addl s&i CPT 74301	$228.60	$381.00	$46.47 – $342.90	16
Chloride CPT 82435	$39.60	$66.00	$3.83 – $59.40	20
Chloride 24 hour urine CPT 82436	$50.40	$84.00	$4.79 – $75.60	20
Chloroprocaine hcl injection HCPCS J2401	$1.20	$47.57	$0.02 – $0.90	18
Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205	$1,196.00	$1,495.00	$14.96 – $90.84	18
Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230	$238.40	$298.00	$3.79 – $25.27	18
Chlorpromazine 100 mg tablet HCPCS Q0161	$0.80	$1.00	$0.25 – $0.90	16
Cholangiogram percutaneous compl CPT 47532	$3,342.00	$5,570.00	$193.84 – $5,013.00	19
Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300	$273.00	$455.00	$55.89 – $409.50	16
Cholecystostomy complete w/supervision & interpretation CPT 47490	$3,872.40	$6,454.00	$892.35 – $5,808.60	18
Cholesterol CPT 82465	$36.60	$61.00	$3.63 – $54.90	20
Cholesterol (Lipid) Test CPT 80061	$241.20	$402.00	$11.16 – $361.80	20
Cholesterol body fluid CPT 84999	$6,088.80	$10,148.00	$0.77 – $213.30	15
Cholinesterase CPT 82480	$79.80	$133.00	$6.56 – $99.90	20
Chromatography CPT 83021	$187.20	$312.00	$15.05 – $280.80	20
Chromo high res and frag x - sendout CPT 81243	$3,739.80	$6,233.00	$47.55 – $1,005.30	20
Chromogenic substrate assay CPT 85130	$119.40	$199.00	$9.91 – $179.10	19
Chromosome analys placenta CPT 88267	$1,302.60	$2,171.00	$157.19 – $1,953.90	20
Chromosome analysis 15-20 cell count CPT 88262	$941.40	$1,569.00	$104.61 – $1,412.10	20
Chromosome karyotype study CPT 88280	$181.80	$303.00	$27.90 – $272.70	20
Chronic urticaria - sendout CPT 86343	$171.60	$286.00	$10.39 – $257.40	19
Chylomicron screen, bf - sendout CPT 82664	$384.00	$640.00	$51.27 – $574.20	19
Cidofovir injection HCPCS J0740	$2,980.80	$3,726.00	$344.93 – $3,353.40	19
Cilastatin sodium injection HCPCS J0743	$223.80	$373.00	$6.34 – $24.70	18
Ciliary transsleral therapy CPT 66710	$3,989.40	$6,649.00	$596.00 – $5,984.10	18
Cinacalcet 30 mg tablet HCPCS J0604	not published	$195.63	$0.16 – $0.65	16
Cine/video x-rays CPT 76120	$4,165.80	$6,943.00	$57.64 – $6,248.70	19
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744	$59.40	$74.25	$0.92 – $25.43	18
Ciprofloxacin otic susp 6 mg HCPCS J7342	$876.80	$1,096.00	$8.36 – $209.38	17
Circum 28 days or older CPT 54161	not published	not published	$140.80 – $2,148.31	10
Circumcision (newborn) CPT 54150	not published	not published	$86.90 – $2,148.31	9
Cisplatin 1 mg/ml desensitization HCPCS J9060	$556.00	$695.00	$0.80 – $139.02	18
Cladribine 10 mg/10 ml intravenous solution HCPCS J9065	not published	$267.80	$6.74 – $241.02	19
Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733	$3,909.60	$6,516.00	$777.00 – $3,301.47	15
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736	$47.40	$59.25	$0.50 – $4.50	18
Clip ligating vesolock lg HCPCS C1760	$1,453.20	$2,422.00	$147.50 – $1,095.82	16
Clos txnose fx without stablz 21315 CPT 21315	$3,417.00	$5,695.00	$131.45 – $5,125.50	19
Close lac/mouth vest/2.5 cm or < 40830 CPT 40830	$882.60	$1,471.00	$34.65 – $1,323.90	19
Close tear duct opening CPT 68761	not published	not published	$218.66 – $313.49	8
Closed treatment of femoral fracture proximal end neck; wi CPT 27232	$3,279.60	$5,466.00	$1,308.97 – $4,919.40	16
Closed tx humerus fx w/manip 24505 CPT 24505	$1,651.80	$2,753.00	$179.30 – $2,477.70	19
Closed tx humerus fx with manip 23605 CPT 23605	$1,810.80	$3,018.00	$203.50 – $2,716.20	19
Closed tx metatarsophalangeal jnt disl without anes CPT 28630	$1,980.60	$3,301.00	$59.95 – $2,970.90	19
Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266	$3,520.20	$5,867.00	$260.70 – $5,280.30	19
Closed tx septal&nose fx CPT 21337	not published	not published	$47.30 – $3,401.07	10
Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831	$2,393.40	$3,989.00	$52.25 – $3,590.10	19
Closure of eyelid by suture CPT 67875	not published	not published	$312.58 – $1,015.73	8
Clot factor fletcher fact CPT 85292	$193.80	$323.00	$15.78 – $290.70	20
Clot factor wght kininogen CPT 85293	$193.80	$323.00	$15.78 – $290.70	20
Clot factor xii hageman CPT 85280	$150.60	$251.00	$14.30 – $225.90	20
Clot factor xiii fibrin stab CPT 85290	$129.60	$216.00	$8.80 – $194.40	20
Clozapine, 25 mg HCPCS S0136	$5.40	$6.75	$0.31 – $4.38	17
Cls tx of heel fracture w/manip 28405 CPT 28405	$4,057.20	$6,762.00	$190.64 – $6,085.80	19
Clsd tx bimalleol ank fx without manip 27808 CPT 27808	$2,270.40	$3,784.00	$190.64 – $3,405.60	18
Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670	$430.80	$718.00	$18.59 – $646.20	19
Clsd tx clavicle fracture w/manip 23505 CPT 23505	$3,029.40	$5,049.00	$103.95 – $4,544.10	19
Clsd tx dist fib fx w/manip 27788 CPT 27788	$1,651.80	$2,753.00	$174.90 – $2,477.70	19
Clsd tx elbow dislocation child 24640 CPT 24640	$1,651.80	$2,753.00	$58.30 – $2,477.70	19
Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605	$2,367.60	$3,946.00	$182.60 – $3,551.40	19
Clsd tx fx radius/ulna w/manip 25565 CPT 25565	$2,993.40	$4,989.00	$220.55 – $4,490.10	19
Clsd tx hip disloc without anes 27265 CPT 27265	$1,434.00	$2,390.00	$190.64 – $2,151.00	19
Clsd tx iphal jnt disl w/manip req anes CPT 26775	$3,433.80	$5,723.00	$211.07 – $5,150.70	18
Clsd tx metatarsal fracture w/manip 28475 CPT 28475	$3,321.00	$5,535.00	$129.80 – $4,981.50	19
Clsd tx of ankle fracture w/manip 28435 CPT 28435	$1,651.80	$2,753.00	$159.50 – $2,477.70	19
Clsd tx patella disloc without anes 27560 CPT 27560	$1,980.60	$3,301.00	$112.20 – $2,970.90	19
Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781	$2,630.40	$4,384.00	$216.70 – $3,945.60	19
Clsd tx radius fracture w/manip 24655 CPT 24655	$2,236.20	$3,727.00	$130.35 – $3,354.30	19
Clsd tx shoulder dislc/fx 23665 CPT 23665	$3,520.20	$5,867.00	$172.70 – $5,280.30	19
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675	$3,417.00	$5,695.00	$165.55 – $5,125.50	19
Clsd tx temporomandibular dislocat 21480 CPT 21480	$942.60	$1,571.00	$31.88 – $1,413.90	19
Clsd tx toe dislocation without anes28660 CPT 28660	$1,980.60	$3,301.00	$53.35 – $2,970.90	19
Clsd tx trimall ankle fx w/manip 27818 CPT 27818	$1,651.80	$2,753.00	$262.90 – $2,477.70	19
Clsd tx trimall ankle fx without manip 27816 CPT 27816	$2,370.60	$3,951.00	$190.64 – $3,555.90	18
Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680	$3,331.80	$5,553.00	$190.64 – $4,997.70	19
Clsd tx wrist ulnar styloid fx 25650 CPT 25650	$733.80	$1,223.00	$130.12 – $1,100.70	19
Clsd tx/fem shaft fx/manipulation 27502 CPT 27502	$1,810.80	$3,018.00	$434.50 – $2,716.20	19
Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515	$429.60	$716.00	$73.15 – $644.40	19
Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605	$1,651.80	$2,753.00	$116.60 – $2,477.70	19
Clsd tx/nasal bone fx/stabilize 21320 CPT 21320	not published	not published	$132.84 – $3,401.07	10
Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655	$1,980.60	$3,301.00	$152.90 – $2,970.90	19
Clsd/shoulder dislo/manip/no anest 23650 CPT 23650	$1,980.60	$3,301.00	$108.90 – $2,970.90	19
Cltx gr hmrl tbrs fx w/mnpj CPT 23625	$4,037.40	$6,729.00	$172.70 – $6,056.10	19
Cltx lunate dislc w/mnpj CPT 25690	$3,849.60	$6,416.00	$250.80 – $5,774.40	19
Cltx mndblr fx ntrdntl fixj CPT 21453	not published	not published	$439.45 – $6,203.86	10
Cltx palatal/max fx wire fix CPT 21421	$4,706.40	$7,844.00	$260.70 – $7,059.60	19
Cltx scap fx w/mnpj +-tractj CPT 23575	$2,450.40	$4,084.00	$123.20 – $3,675.60	19
Cmv pcr-sendout CPT 87496	$699.60	$1,166.00	$29.25 – $1,049.40	20
Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189	$7.40	$10,019.00	$1.68 – $8.10	19
Coagulation time activated teg CPT 85347	$55.80	$93.00	$3.57 – $83.70	20
Coagulation time otr method CPT 85348	$47.40	$79.00	$3.74 – $71.10	20
Coil axium 3d 14mmx40cm qc HCPCS C1770	$336.60	$561.00	$134.64 – $504.90	15
Cold agglutinin titer CPT 86157	$61.20	$102.00	$6.72 – $91.80	20
Colistimethate sodium inj HCPCS J0770	$206.40	$258.00	$6.42 – $45.82	18
Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120	$75.60	$126.00	$3.36 – $99.63	15
Collar cerv ascend 172 reg HCPCS L0172	$334.20	$557.00	$85.20 – $498.05	15
Collar cerv patriot adlt HCPCS L0150	$227.40	$379.00	$90.96 – $427.08	16
Collection blood specimen from completely implantable venous access device CPT 36591	$125.40	$209.00	$35.61 – $188.10	18
Collection blood specimen using established central/peripheral catheter venous nos CPT 36592	$125.40	$209.00	$44.02 – $188.10	18
Collection of venous blood by venipuncture CPT 36415	$18.00	$30.00	$0.02 – $27.00	18
Colonoscopy & polypectomy 44392 CPT 44392	$2,370.60	$3,951.00	$212.64 – $3,555.90	19
Colonoscopy (diagnostic) CPT 45378	$1,500.00	$2,500.00	$198.55 – $2,250.00	19
Colonoscopy (with biopsy) CPT 45380	$3,349.80	$5,583.00	$247.96 – $5,024.70	19
Colonoscopy (with polyp removal) CPT 45385	$3,349.80	$5,583.00	$294.89 – $5,024.70	19
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384	$3,141.00	$5,235.00	$261.22 – $4,711.50	19
Colonoscopy for bleeding 44391 CPT 44391	$2,450.40	$4,084.00	$241.94 – $3,675.60	19
Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403	$1,286.40	$2,144.00	$176.21 – $1,929.60	17
Colonoscopy stoma w/snare 44394 CPT 44394	$2,449.80	$4,083.00	$444.00 – $3,674.70	18
Colonoscopy submucous njx CPT 45381	$3,528.00	$5,880.00	$156.49 – $5,292.00	19
Colonoscopy thru stoma spx CPT 44388	$1,372.20	$2,287.00	$160.08 – $2,058.30	19
Colonoscopy w/ablation CPT 45388	$3,349.80	$5,583.00	$359.96 – $5,024.70	17
Colonoscopy w/balloon dilat CPT 45386	$3,349.80	$5,583.00	$255.45 – $5,024.70	19
Colonoscopy w/band ligation CPT 45398	$2,448.60	$4,081.00	$221.77 – $3,672.90	17
Colonoscopy w/control bleed CPT 45382	$3,349.80	$5,583.00	$279.40 – $5,024.70	19
Colonoscopy w/decompression CPT 44408	$2,786.40	$4,644.00	$176.21 – $4,179.60	17
Colonoscopy w/dilation CPT 44405	$2,448.60	$4,081.00	$176.21 – $3,672.90	17
Colonoscopy w/endoscope Ultrasound CPT 45391	$2,457.60	$4,096.00	$241.22 – $3,686.40	19
Colonoscopy w/endoscopic fnb CPT 45392	$2,842.20	$4,737.00	$305.16 – $4,263.30	19
Colonoscopy w/fb removal CPT 45379	$3,141.00	$5,235.00	$260.75 – $4,711.50	19
Colonoscopy w/injection CPT 44404	$2,595.60	$4,326.00	$176.21 – $3,893.40	17
Colonoscopy w/resection CPT 45390	$2,448.60	$4,081.00	$221.77 – $3,672.90	17
Colonoscopy with ablation CPT 44401	$1,333.20	$2,222.00	$324.38 – $1,999.80	17
Colonoscopy with biopsy CPT 44389	$1,372.20	$2,287.00	$177.36 – $2,058.30	19
Colporrhapy/vag injury sut/non ob 57200 CPT 57200	not published	not published	$144.65 – $3,334.43	10
Colposcopy w/biopsy of cervix 57455 CPT 57455	not published	not published	$111.85 – $319.01	9
Colposcopy/cervix/ conization 57461 CPT 57461	not published	not published	$190.88 – $3,334.43	9
Comp cystometrogram/void presssure 51728 CPT 51728	$3,818.40	$6,364.00	$248.22 – $5,727.60	19
Comp cystometrogram/void/uret pres 51729 CPT 51729	$1,541.40	$2,569.00	$272.11 – $2,312.10	19
Compatibility test each unit antiglobulin technique CPT 86922	$260.40	$434.00	$23.10 – $390.60	20
Compatibility test each unit electronic CPT 86923	$119.40	$199.00	$23.10 – $179.10	19
Compatibility test each unit immediate spin technique CPT 86920	$231.60	$386.00	$23.10 – $347.40	20
Complement antigen each component c3 CPT 86160	$175.80	$293.00	$10.00 – $263.70	20
Complement fixation each CPT 86171	$70.80	$118.00	$7.70 – $106.20	20
Complex repair trunk 1.1-2.5cm 13120 CPT 13120	$1,919.40	$3,199.00	$66.00 – $2,879.10	19
Complex repair trunk 2.6-7.5cm 13101 CPT 13101	$4,575.00	$7,625.00	$486.48 – $6,862.50	18
Complex uroflowmetry (electronic) 51741 CPT 51741	$1,501.20	$2,502.00	$26.40 – $2,251.80	19
Complx repair enel 1.1-2.5 cm 13151 CPT 13151	$1,966.80	$3,278.00	$194.70 – $2,950.20	19
Complx repair enel 2.6-7.5 cm 13152 CPT 13152	$2,097.00	$3,495.00	$486.48 – $3,145.50	18
Complx repair enel addl 5cm/< 13153 CPT 13153	$1,434.60	$2,391.00	$306.39 – $2,151.90	16
Complx repair fccmnaxghf 13131 CPT 13131	$1,829.40	$3,049.00	$78.10 – $2,744.10	19
Complx repair fccmnaxghf 13132 CPT 13132	$2,097.00	$3,495.00	$486.48 – $3,145.50	18
Complx repair fccmnaxghf 13133 CPT 13133	$679.20	$1,132.00	$271.61 – $1,018.80	16
Complx repair sal addl 5 cm/> 13122 CPT 13122	$378.00	$630.00	$157.50 – $822.33	16
Complx repair trunk 1.1-2.5 cm 13100 CPT 13100	$4,115.40	$6,859.00	$66.00 – $6,173.10	19
Complx repair trunk addl 5cm/< 13102 CPT 13102	$931.20	$1,552.00	$167.84 – $1,396.80	16
Composite graft/pri close/don area 15760 CPT 15760	$4,080.00	$6,800.00	$328.35 – $6,120.00	19
Comprehensive hearing test CPT 92557	$282.00	$470.00	$31.90 – $423.00	19
Concentration infection agents any type CPT 87015	$71.40	$119.00	$5.57 – $107.10	20
Condylomata destruction 56420 CPT 56420	$1,237.20	$2,062.00	$55.55 – $1,855.80	19
Conization/cerv/loop electrode exc 57522 CPT 57522	not published	not published	$239.75 – $3,334.43	10
Connect omega .5mm HCPCS L8613	$37,255.80	$62,093.00	$13.92 – $1,684.12	15
Connector tis 2x10mm HCPCS C9352	$5,560.80	$9,268.00	$1,411.68 – $5,293.80	15
Consultation pathology during surgery CPT 88329	$94.80	$158.00	$2.73 – $142.20	19
Consultation pathology during surgery cytological exam initial site CPT 88333	$79.80	$133.00	$23.04 – $817.76	20
Consultation pathology during surgery frozen section each additional block CPT 88332	$213.60	$356.00	$13.16 – $320.40	18
Consultation pathology during surgery frozen section first tissue block CPT 88331	$245.40	$409.00	$28.20 – $368.10	20
Contrast baths charges CPT 97034	$96.00	$160.00	$25.48 – $144.00	16
Contrast exam abdominl aorta 75625-26 CPT 75625	$4,130.40	$6,884.00	$42.90 – $6,195.60	19
Contrast exam thoracic aorta 75605-26 CPT 75605	$4,045.20	$6,742.00	$42.90 – $6,067.80	19
Contrast x-ray of elbow CPT 73085	$793.80	$1,323.00	$110.13 – $1,190.70	18
Contrast x-ray of knee joint CPT 73580	$2,851.20	$4,752.00	$129.44 – $4,276.80	16
Control nosebleed pack+caut 30905 CPT 30905	$937.20	$1,562.00	$87.45 – $1,405.80	19
Control of nosebleed ant comp 30903 CPT 30903	$2,393.40	$3,989.00	$44.55 – $3,590.10	19
Control of nosebleedantersmpl 30901 CPT 30901	$937.20	$1,562.00	$29.70 – $1,405.80	19
Control oropharyngeal hemorr/simp 42960 CPT 42960	$2,236.20	$3,727.00	$87.45 – $3,354.30	19
Control throat bleeding CPT 42961	$8,917.80	$14,863.00	$690.70 – $13,376.70	16
Controller infinity pt dbs HCPCS C1787	$4,257.00	$7,095.00	$76.32 – $3,867.08	16
Conv gtube to jtube CPT 44373	$3,279.00	$5,465.00	$196.35 – $4,918.50	19
Convert nephrostomy catheter CPT 50434	$1,941.60	$3,236.00	$602.44 – $2,912.40	18
Coombs direct CPT 86880	$98.40	$164.00	$4.49 – $147.60	20
Coombs indirect titer reference CPT 86886	$158.40	$264.00	$4.32 – $237.60	20
Core ndl bx lng/med perq CPT 32408	$3,052.80	$5,088.00	$133.56 – $4,579.20	19
Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785	$11,265.60	$18,776.00	$4,694.00 – $16,898.40	15
Corneal transplant CPT 65710	not published	not published	$1,329.00 – $5,411.08	9
Corneal transplant CPT 65730	not published	not published	$1,329.00 – $4,535.70	9
Corneal transplant CPT 65755	not published	not published	$1,329.00 – $5,314.79	9
Corneal trnspl endothelial CPT 65756	not published	not published	$1,648.28 – $4,218.84	8
Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459	$13,261.20	$22,102.00	$1,433.67 – $19,891.80	18
Coronary angio/lv gram/lt heart CPT 93458	$10,991.40	$18,319.00	$1,309.04 – $16,487.10	18
Coronary angio/lv gram/rt&lt heart CPT 93460	$12,212.40	$20,354.00	$1,506.28 – $18,318.60	18
Coronary art/grft angio s&i CPT 93455	$9,761.40	$16,269.00	$1,277.57 – $14,642.10	18
Coronary catheterization w/angiography supervision & interpretation CPT 93454	$7,491.00	$12,485.00	$1,089.93 – $11,236.50	18
Correct bunion/keller/mcbride/mayo 28292 CPT 28292	not published	not published	$329.45 – $3,402.68	10
Correct rectal prolapse CPT 45541	$8,616.60	$14,361.00	$1,413.84 – $12,924.90	18
Correction eyelid w/implant CPT 67912	not published	not published	$681.00 – $2,446.62	9
Cortisol total am CPT 82533	$159.00	$265.00	$13.20 – $238.50	20
Cosyntropin 0.25 mg solution for injection HCPCS J0834	$542.40	$678.00	$10.69 – $211.74	18
Counseling smoke cess interm >10mins CPT 99407	$48.00	$80.00	$21.26 – $72.00	19
Coveredge 32 lead kit 40cm 48 HCPCS C1897	$6,339.60	$10,566.00	$424.51 – $2,816.73	15
Covid-19 administration immunization im inj 1st/only component CPT 90480	$24.00	$40.00	$11.16 – $84.17	17
Cptr ophth dx img post segmt CPT 92134	$152.40	$254.00	$27.32 – $228.60	19
Create eardrum opening CPT 69436	not published	not published	$108.35 – $1,553.44	10
Create passage to kidney CPT 52334	not published	not published	$263.71 – $3,617.00	10
Creatine - sendout CPT 82540	$44.40	$74.00	$3.87 – $66.60	19
Creatine kinase CPT 82550	$168.00	$280.00	$5.43 – $252.00	20
Creatine kinase isoenzymes CPT 82552	$137.40	$229.00	$11.16 – $206.10	20
Creatine kinase mb CPT 82553	$162.00	$270.00	$9.63 – $243.00	20
Creatinine CPT 82565	$43.80	$73.00	$4.27 – $65.70	20
Creatinine 24 hour urine CPT 82570	$115.20	$192.00	$4.32 – $172.80	20
Creatinine clearance urine CPT 82575	$205.80	$343.00	$7.89 – $308.70	20
Critical care 30-74 minutes CPT 99291	$3,476.40	$5,794.00	$166.79 – $5,214.60	18
Critical care each additional 30 minutes CPT 99292	$627.60	$1,046.00	$71.66 – $941.40	17
Crnec exc tum/bone les skull CPT 61500	not published	not published	$1,631.43 – $4,063.52	3
Crotalidae poly immune fab HCPCS J0840	not published	$7,102.31	$1,154.65 – $6,392.08	19
Cryofibrinogen qualitative - sendout CPT 82585	$61.20	$102.00	$5.50 – $91.80	20
Cryoprecipitate each unit HCPCS P9012	$381.60	$636.00	$50.52 – $572.40	18
Cryptococcus abs qn - sendout CPT 86641	$105.00	$175.00	$12.01 – $157.50	20
Crystal identification light microscopy CPT 89060	$52.80	$88.00	$6.11 – $79.20	20
Cta abdomen without & /or w/contrast CPT 74175	$3,441.00	$5,735.00	$141.48 – $5,161.50	19
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635	$2,395.20	$3,992.00	$141.48 – $3,592.80	19
Cta lower extremity without & w/contrast (both sides) CPT 73706	$3,441.00	$5,735.00	$141.48 – $5,161.50	18
Cta neck without &/or w/contrast CPT 70498	$3,441.00	$5,735.00	$141.48 – $5,161.50	19
Cta upper extremity w &/or without contrast left CPT 73206	$3,441.00	$5,735.00	$141.48 – $5,161.50	18
Ctrl nosebld postir subsq 30906 CPT 30906	$2,487.00	$4,145.00	$87.45 – $3,730.50	19
Culture aerobic additional method definitive id each CPT 87077	$63.60	$106.00	$6.74 – $95.40	20
Culture afb any source CPT 87116	$141.00	$235.00	$8.25 – $211.50	20
Culture anaerobic additional method definitive id each CPT 87076	$133.20	$222.00	$6.74 – $199.80	20
Culture anaerobic except blood CPT 87075	$119.40	$199.00	$7.89 – $179.10	20
Culture bact stool aero addl path ea CPT 87046	$24.00	$40.00	$2.87 – $36.00	20
Culture body fluid CPT 87070	$121.20	$202.00	$7.19 – $181.80	20
Culture fungi definitive id mold CPT 87107	$108.00	$180.00	$8.60 – $162.00	20
Culture fungi definitive id yeast CPT 87106	$162.00	$270.00	$8.60 – $243.00	20
Culture fungi other (except blood) CPT 87102	$137.40	$229.00	$7.01 – $206.10	20
Culture fungi skin/hair/nail CPT 87101	$80.40	$134.00	$6.43 – $120.60	20
Culture mycobacteria definitive id each isolate CPT 87118	$134.40	$224.00	$12.18 – $201.60	20
Culture mycoplasma any source CPT 87109	$115.20	$192.00	$12.83 – $172.80	20
Culture quantitative aerobic other source CPT 87071	$237.00	$395.00	$5.74 – $355.50	20
Culture screening strep group a CPT 87081	$118.20	$197.00	$5.53 – $125.10	20
Culture typing immunologic CPT 87147	$45.60	$76.00	$3.30 – $68.40	20
Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150	$343.20	$572.00	$18.63 – $514.80	20
Culture urine each isolate CPT 87088	$74.40	$124.00	$6.74 – $111.60	20
Curette/treat cornea CPT 65435	$748.20	$1,247.00	$61.55 – $1,122.30	19
Curette/treat cornea CPT 65436	not published	not published	$143.00 – $2,446.62	9
Cutter lead HCPCS C1773	$3,284.40	$5,474.00	$204.75 – $859.06	15
Cv line/pic reposition CPT 36597	$1,099.80	$1,833.00	$63.95 – $1,649.70	19
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420	$16.40	$20.50	$0.63 – $5.12	19
Cyanocobalamin unsat binding capacity CPT 82608	$141.00	$235.00	$11.94 – $211.50	20
Cyclic citrullinated peptide antibody CPT 86200	$100.20	$167.00	$10.80 – $150.30	20
Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075	not published	$81.86	$0.30 – $73.67	19
Cyclophosphamide 25 mg capsule HCPCS J8530	$28.20	$47.00	$0.69 – $18.90	19
Cyclosporine 2 hour CPT 80158	$286.80	$478.00	$15.05 – $430.20	20
Cyclosporine modified 25 mg capsule HCPCS J7515	$10.80	$13.50	$0.39 – $9.90	19
Cyclosporine oral 100 mg HCPCS J7502	$85.20	$142.00	$1.29 – $19.80	19
Cylinder pump set 20cm titan zero angl HCPCS C1813	$27,160.20	$45,267.00	$429.84 – $13,124.45	15
Cyp2c19 gene com variants CPT 81225	$1,017.60	$1,696.00	$89.16 – $1,526.40	19
Cyp2c9 gene com variants CPT 81227	$1,870.20	$3,117.00	$134.32 – $2,347.20	19
Cyp2d6 gene com variants CPT 81226	$269.40	$449.00	$125.27 – $486.98	19
Cystatin c CPT 82610	$154.80	$258.00	$15.44 – $232.20	20
Cystic fibrosis cftr CPT 81223	$4,054.80	$6,758.00	$415.97 – $6,082.20	20
Cystine urine quantitative CPT 82131	$178.20	$297.00	$19.16 – $267.30	20
Cysto impl 4 or more HCPCS C9740	not published	not published	$3,668.68 – $9,697.66	7
Cysto/uretero stricture tx CPT 52344	not published	not published	$681.00 – $3,617.00	9
Cysto/uretero w/lithotripsy CPT 52356	not published	not published	$307.22 – $5,331.28	8
Cysto/uretero w/up stricture CPT 52345	not published	not published	$681.00 – $3,617.00	9
Cystogram >= 3 views supervision & interpretation CPT 74430	$1,868.40	$3,114.00	$40.15 – $2,802.60	19
Cystoscopy & revise urethra CPT 52275	not published	not published	$207.90 – $2,148.31	10
Cystoscopy & ureter catheter CPT 52005	$3,417.00	$5,695.00	$127.60 – $5,125.50	19
Cystoscopy (Bladder Scope) CPT 52000	$4,303.80	$7,173.00	$82.50 – $6,455.70	19
Cystoscopy and treatment CPT 52214	not published	not published	$199.65 – $3,617.00	10
Cystoscopy and treatment CPT 52234	not published	not published	$237.60 – $3,617.00	10
Cystoscopy and treatment CPT 52235	not published	not published	$297.01 – $3,617.00	10
Cystoscopy and treatment CPT 52240	not published	not published	$495.55 – $5,331.28	10
Cystoscopy and treatment CPT 52276	not published	not published	$272.61 – $2,148.31	10
Cystoscopy and treatment CPT 52310	$3,203.40	$5,339.00	$141.90 – $4,805.10	19
Cystoscopy and treatment CPT 52315	not published	not published	$214.50 – $2,148.31	10
Cystoscopy chemodenervation CPT 52287	not published	not published	$143.81 – $2,148.31	9
Cystoscopy implant stent CPT 52282	not published	not published	$991.61 – $3,617.00	9
Cystoscopy prostatic imp 1-3 HCPCS C9739	not published	not published	$1,269.34 – $5,331.28	7
Cystostomy cystotomy w/drainage 51040 CPT 51040	$4,228.80	$7,048.00	$289.60 – $6,343.20	19
Cystouretero & or pyeloscope CPT 52351	not published	not published	$681.00 – $3,617.00	9
Cystouretero w/biopsy CPT 52354	not published	not published	$840.00 – $5,331.28	9
Cystouretero w/lithotripsy CPT 52353	not published	not published	$840.00 – $5,331.28	9
Cystouretero w/stone remove CPT 52352	not published	not published	$840.00 – $3,617.00	9
Cystourethroscop/calib/dilat stric 52281 CPT 52281	not published	not published	$118.25 – $2,148.31	10
Cystourethroscopy w/biopsy(s) 52204 CPT 52204	not published	not published	$135.85 – $2,148.31	10
Cytarabine 20 mg/ml injection solution HCPCS J9100	not published	$18.53	$0.52 – $26.77	18
Cyto/molecular report CPT 88291	$39.00	$65.00	$6.01 – $58.50	16
Cytogenetics 25-99 CPT 88274	$325.20	$542.00	$35.33 – $487.80	19
Cytogenomic neo microra alys CPT 81277	$1,343.40	$2,239.00	$589.25 – $1,900.80	19
Cytomegalovirus (cmv) antibody igg CPT 86644	$203.40	$339.00	$12.00 – $305.10	20
Cytomegalovirus (cmv) antibody igm CPT 86645	$223.80	$373.00	$14.05 – $335.70	20
Cytopathology cellular enhancement technique non-gyn CPT 88112	$379.20	$632.00	$39.38 – $568.80	20
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175	$78.00	$130.00	$22.18 – $117.00	20
Cytopathology cervical/vaginal thin layer manual screening CPT 88142	$61.20	$102.00	$16.89 – $91.80	20
Cytopathology concentration technique smears & interpretation CPT 88108	$128.40	$214.00	$8.56 – $192.60	20
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104	$297.00	$495.00	$6.71 – $445.50	20
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177	$48.00	$80.00	$5.31 – $72.00	16
Cytopathology fna adequacy evaluation first episode each site CPT 88172	$213.00	$355.00	$13.53 – $319.50	19
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173	$241.20	$402.00	$22.03 – $361.80	19
Cytotoxic antibody screening CPT 86808	$288.60	$481.00	$24.74 – $432.90	20
Cytp urine 3-5 probes cmptr CPT 88121	$2,238.00	$3,730.00	$136.19 – $3,357.00	20
D&c/diagnostic/therapeutic/non ob 58120 CPT 58120	not published	not published	$596.00 – $3,334.43	9
Dacarbazine 100 mg intravenous solution HCPCS J9130	$124.00	$165.00	$2.18 – $36.00	18
Dalbavancin 500 mg intravenous solution HCPCS J0875	$68.20	$85.25	$9.86 – $34.15	19
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878	$1,138.20	$1,897.00	$0.02 – $27.92	19
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144	$109.20	$19,744.65	$32.73 – $163.80	19
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881	$53.20	$4,868.28	$1.85 – $513.27	20
Daunorubicin 5 mg/ml intravenous solution HCPCS J9150	not published	$224.84	$13.70 – $202.36	19
Dch validity tests CPT 81002	$33.60	$56.00	$2.90 – $50.40	20
Deamidated gliadin antibody iga CPT 86258	$108.60	$181.00	$4.89 – $162.90	19
Debr musc/fascia 20sq cm/< 11043 CPT 11043	$2,553.60	$4,256.00	$36.30 – $3,830.40	19
Debrid ecz/inf skin up tp 10% body 11000 CPT 11000	$622.20	$1,037.00	$32.23 – $933.30	19
Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010	$2,565.60	$4,276.00	$559.17 – $3,848.40	18
Debride nail1-5 11720 CPT 11720	$133.20	$222.00	$17.13 – $199.80	19
Debride nail6 or more 11721 CPT 11721	$200.40	$334.00	$22.00 – $300.60	19
Debride skin bone at fx site CPT 11012	$3,785.40	$6,309.00	$596.00 – $5,678.10	18
Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011	not published	not published	$559.17 – $1,053.82	9
Debride/subq tissue/ea add 20sq cm 11045 CPT 11045	$817.20	$1,362.00	$51.93 – $1,225.80	16
Debridement (>20 cm) charge pt CPT 97598	$321.00	$535.00	$12.72 – $481.50	18
Debridement bone <= 20 sq cm CPT 11044	$2,553.60	$4,256.00	$36.30 – $3,830.40	19
Debridement subcutaneous tissue <= 20 sq cm CPT 11042	$2,553.60	$4,256.00	$36.30 – $3,830.40	19
Debridement/bone/20 sq cm or less 11046 CPT 11046	$817.20	$1,362.00	$89.61 – $1,225.80	16
Debridement/bone/ea add 20 sq cm 11047 CPT 11047	$2,539.80	$4,233.00	$147.92 – $3,809.70	16
Decalcification CPT 88311	$121.20	$202.00	$18.39 – $181.80	18
Decitabine 50 mg intravenous solution HCPCS J0894	$82.80	$225.73	$0.77 – $124.20	18
Declotting thrombolytic agent implanted vas access device 36 CPT 36593	$317.40	$529.00	$27.57 – $476.10	19
Deep muscle biopsy 20205 CPT 20205	not published	not published	$109.45 – $3,001.48	10
Deferoxamine 500 mg solution for injection HCPCS J0895	not published	$56.68	$5.69 – $23.89	18
Degarelix 120 mg subcutaneous solution HCPCS J9155	$18.60	$31.00	$2.81 – $27.90	19
Delay flap fccnaxghf 15620 CPT 15620	not published	not published	$293.69 – $1,918.35	10
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664	$213.60	$356.00	$13.00 – $320.40	19
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897	$3,433.80	$5,723.00	$14.04 – $2,080.57	20
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800	$942.60	$1,571.00	$25.85 – $1,413.90	18
Derm autograft trnk/arm/leg CPT 15130	not published	not published	$596.00 – $1,918.35	9
Desmopressin 4 mcg/ml injection solution HCPCS J2597	$765.60	$1,276.00	$2.23 – $26.10	20
Destroy cervthor facet jnt 64633 CPT 64633	$2,841.60	$4,736.00	$201.32 – $4,262.40	19
Destroy cth facet jnt addl 64634 CPT 64634	$2,841.60	$4,736.00	$60.74 – $4,262.40	18
Destruct cut vasl lesions >50cm 17108 CPT 17108	not published	not published	$58.30 – $2,246.18	9
Destruction benign lesions < 14 lesions CPT 17110	$593.40	$989.00	$53.90 – $890.10	19
Destruction by injection tx of nerve 64630 CPT 64630	$3,040.20	$5,067.00	$80.85 – $4,560.30	19
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635	$7,348.20	$12,247.00	$197.27 – $11,022.30	19
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636	$7,348.20	$12,247.00	$52.82 – $11,022.30	18
Destruction les conjunctiva CPT 68135	not published	not published	$249.74 – $2,446.62	8
Device ablt adv novasure HCPCS C1886	$9,543.60	$15,906.00	$1,238.50 – $4,458.60	15
Device intraute mirena HCPCS J7298	$3,052.80	$3,816.00	$645.67 – $3,279.60	16
Device tiss remov myosure reach HCPCS C1782	$2,681.40	$4,469.00	$318.02 – $1,719.90	15
Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081	$121.20	$202.00	$30.23 – $181.80	19
Dexametha opth insert 0.1 mg HCPCS J1096	$1,430.40	$2,384.00	$64.99 – $568.80	19
Dexamethasone 4 mg tablet HCPCS J8540	$9.00	$15.00	$0.01 – $0.55	19
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100	$4.00	$5.00	$0.06 – $4.50	19
Dexamethasone intra implant HCPCS J7312	$3,437.40	$5,729.00	$129.19 – $780.30	19
Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190	not published	$828.85	$39.82 – $745.97	19
Dextrose 5 % IV bolus HCPCS J7070	$59.60	$74.50	$1.97 – $66.60	18
Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042	$58.60	$80.00	$0.89 – $36.00	18
Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121	$71.00	$88.75	$1.67 – $79.20	16
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060	$47.40	$59.25	$0.42 – $20.39	18
Dhea-s (dehydroepiand sulfate) CPT 82627	$289.20	$482.00	$18.53 – $433.80	20
Diab manage trn ind/group HCPCS G0109	$93.00	$155.00	$13.28 – $139.50	17
Diabetes (HbA1c) Test CPT 83036	$114.60	$191.00	$7.70 – $171.90	20
Diagnostic laryngoscopy 31575 CPT 31575	$1,651.80	$2,753.00	$75.90 – $2,477.70	19
Dialysis circuit perm vascular embolization 36909 CPT 36909	$4,614.60	$7,691.00	$160.23 – $6,921.90	18
Diatrizoate meglumine 18 % urethral solution HCPCS Q9958	$0.60	$1.00	$0.05 – $0.90	18
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360	$12.60	$73.77	$1.97 – $9.00	18
Dicyclomine injection HCPCS J0500	$425.60	$532.00	$3.35 – $478.80	18
Diffusing capacity CPT 94729	$873.00	$1,455.00	$36.25 – $1,309.50	18
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160	$20.40	$25.50	$1.94 – $9.05	18
Digoxin immune fab 40 mg intravenous solution HCPCS J1162	$10,544.00	$13,971.00	$1,285.38 – $11,862.00	19
Digoxin total therapeutic drug level CPT 80162	$119.40	$199.00	$11.07 – $179.10	20
Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110	$252.00	$315.00	$15.56 – $283.50	18
Dilat xst trc ndurlgc px CPT 50436	$2,397.00	$3,995.00	$94.52 – $3,595.50	18
Dilate esophagus CPT 43453	not published	not published	$64.90 – $1,989.40	10
Dilate esophagus 1/mult pass CPT 43450	$1,372.20	$2,287.00	$64.90 – $2,058.30	19
Dilate ic vasospasm ea add vsl diff territory CPT 61642	$1,623.00	$2,705.00	$676.25 – $2,434.50	15
Dilate ic vasospasm ea add vsl same territory CPT 61641	$1,623.00	$2,705.00	$351.03 – $2,434.50	15
Dilate ic vasospasm init CPT 61640	$1,948.20	$3,247.00	$811.75 – $2,922.30	15
Dilate urethra stricture CPT 53600	$682.20	$1,137.00	$22.00 – $1,023.30	19
Dilator fascial 10fx20cm HCPCS C2627	$1,469.40	$2,449.00	$87.50 – $315.00	15
Dimenhydrinate injection HCPCS J1240	$13.80	$17.25	$1.32 – $15.30	18
Dimethyl sulfoxide 50% 50 ml HCPCS J1212	$324.00	$1,343.50	$50.15 – $808.76	19
Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163	$9.60	$16.00	$0.24 – $0.90	16
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200	$16.40	$20.50	$0.35 – $2.44	19
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702	$24.60	$41.00	$9.93 – $36.90	18
Disability dlco CPT 94727	$212.40	$354.00	$34.35 – $318.60	19
Disaccharidases CPT 82657	$223.80	$373.00	$18.48 – $335.70	19
Dise eval slp do brth flx dx CPT 42975	not published	not published	$47.25 – $1,808.49	8
Dna antibody native/double stranded CPT 86225	$159.00	$265.00	$11.45 – $238.50	20
Dna gardnerella CPT 87510	$133.20	$222.00	$16.71 – $199.80	20
Dna trichomonas CPT 87660	$138.00	$230.00	$13.87 – $207.00	20
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250	$134.40	$224.00	$4.47 – $50.40	18
Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171	$113.60	$142.00	$0.33 – $41.02	18
Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265	$85.20	$142.00	$0.53 – $3.48	18
Doppler echo complete CPT 93320	$1,007.40	$1,679.00	$66.58 – $1,511.10	18
Doppler intravascular pressure flow initial vessel CPT 93571	$867.00	$1,445.00	$189.67 – $1,300.50	16
Doppler upper/lower extremity arteries complete bilateral CPT 93923	$901.80	$1,503.00	$100.70 – $1,352.70	19
Doppler upper/lower extremity arteries limited bilateral CPT 93922	$782.40	$1,304.00	$53.67 – $1,173.60	19
Doripenem 50 mg/ml inj 10 ml HCPCS J1267	$3.00	$90.16	$1.25 – $4.50	16
Dornase alfa non-comp unit HCPCS J7639	$380.80	$476.00	$11.25 – $428.40	19
Dornhoffer fixed part w/window HCPCS L8614	$53,356.20	$88,927.00	$403.44 – $54,007.08	14
Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000	$252.80	$486.03	$0.97 – $114.00	18
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050	$1,908.00	$3,180.00	$68.49 – $1,204.95	19
Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271	$0.40	$0.50	$0.07 – $0.45	18
Dpyd gene common variants CPT 81232	$2,524.20	$4,207.00	$110.86 – $2,303.10	19
Drain blood from under nail 11740 CPT 11740	$265.80	$443.00	$26.40 – $398.70	19
Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407	$4,594.20	$7,657.00	$203.36 – $6,891.30	19
Drain cath image guided visceral pq CPT 49405	$7,281.60	$12,136.00	$190.71 – $10,922.40	19
Drain cerebro spinal fluid 62272 CPT 62272	$1,370.40	$2,284.00	$40.70 – $2,055.60	19
Drain chst dry seal exp thorastat HCPCS A7041	$84.60	$141.00	$35.25 – $327.71	15
Drain finger abscess;simple 26010 CPT 26010	$484.20	$807.00	$29.15 – $726.30	19
Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800	$942.60	$1,571.00	$29.15 – $1,413.90	19
Drainage ext aud canal abscess 69020 CPT 69020	$1,541.40	$2,569.00	$38.50 – $2,312.10	19
Drainage external ear complex 69005 CPT 69005	$1,803.60	$3,006.00	$151.23 – $2,705.40	19
Drainage external ear simple 69000 CPT 69000	$576.00	$960.00	$47.30 – $864.00	19
Drainage mouth roof lesion CPT 42000	$1,651.80	$2,753.00	$22.00 – $2,477.70	19
Drainage of arm bursa 23931 CPT 23931	$3,331.80	$5,553.00	$43.45 – $4,997.70	19
Drainage of eye CPT 65800	$2,257.80	$3,763.00	$377.71 – $3,386.70	18
Drainage of eye CPT 65810	$4,053.60	$6,756.00	$260.70 – $6,080.40	19
Drainage of kidney lesion CPT 50390	$2,552.40	$4,254.00	$100.70 – $3,828.60	19
Drainage of mouth lesion CPT 41007	$2,270.40	$3,784.00	$25.85 – $3,405.60	19
Drainage of mouth lesion CPT 41008	$2,552.40	$4,254.00	$25.85 – $3,828.60	19
Drainage of mouth lesion CPT 41017	$2,450.40	$4,084.00	$25.85 – $3,675.60	19
Drainage of nose lesion int 30000 CPT 30000	$3,688.80	$6,148.00	$56.10 – $5,533.20	19
Drainage of nose lesion sept 30020 CPT 30020	$3,688.80	$6,148.00	$80.85 – $5,533.20	19
Drainage of rectal abscess CPT 45005	$3,520.20	$5,867.00	$103.40 – $5,280.30	19
Dress/debrid prtl-thick burn l 16030 CPT 16030	$1,038.60	$1,731.00	$126.59 – $1,557.90	19
Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025	$1,038.60	$1,731.00	$92.94 – $1,557.90	19
Dress/debride pt-thick burn/<5% bs 16020 CPT 16020	$360.00	$600.00	$22.00 – $540.00	19
Drill hole implt ventricular cath/device 61107 CPT 61107	$2,397.00	$3,995.00	$584.61 – $3,595.50	16
Drng of eyelid abscess 67700 CPT 67700	$5,772.60	$9,621.00	$179.59 – $8,658.90	18
Drng of finger abscess comp 26011 CPT 26011	$1,434.00	$2,390.00	$88.00 – $2,151.00	19
Drng of mouth lesion 40801 CPT 40801	$3,040.20	$5,067.00	$124.30 – $4,560.30	19
Drng of scrotum abscess 55100 CPT 55100	$2,630.40	$4,384.00	$38.50 – $3,945.60	19
Droperidol 2.5 mg/ml injection solution HCPCS J1790	$24.00	$30.00	$4.23 – $15.24	18
Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765	$2,118.60	$3,531.00	$131.03 – $1,027.80	15
Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259	$42.00	$70.00	$17.50 – $63.00	16
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008	$18,066.00	$30,110.00	$56.49 – $4,771.80	17
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104	$36,884.40	$61,474.00	$22.06 – $8,919.90	15
Drug assay vedolizumab CPT 80280	$129.60	$216.00	$21.60 – $194.40	19
Drug of abuse screen urine CPT 80305	$441.60	$736.00	$10.39 – $662.40	20
Drug test def 1-7 classes HCPCS G0480	$441.60	$736.00	$55.86 – $662.40	18
Drug test def 8-14 classes HCPCS G0481	$441.60	$736.00	$85.95 – $662.40	18
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307	$441.60	$736.00	$51.75 – $662.40	20
Drvvt confirm - quest CPT 85597	$187.20	$312.00	$14.99 – $280.80	20
Dstrj extensive retinopathy CPT 67227	not published	not published	$444.00 – $3,954.72	10
Dstrj nulyt agt gnclr nrv CPT 64624	$1,253.40	$2,089.00	$222.31 – $2,010.67	18
Dup scan/hemodialysis access 93990 CPT 93990	$841.80	$1,403.00	$84.51 – $1,262.70	19
Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924	$1,367.40	$2,279.00	$110.84 – $2,051.10	19
Dup scan/ue art/graft/bilat/comp 93930 CPT 93930	$1,347.00	$2,245.00	$146.23 – $2,020.50	19
Duplex scan unilateral study 93986 CPT 93986	$1,207.20	$2,012.00	$76.53 – $1,810.80	19
Durvalumab 50 mg/ml intravenous solution HCPCS J9173	$213.60	$2,161.20	$46.67 – $320.40	19
Dx bronchoscope/brush 31623 CPT 31623	$1,967.40	$3,279.00	$148.66 – $2,951.10	19
Dx bronchoscope/lavage 31624 CPT 31624	$1,967.40	$3,279.00	$138.20 – $2,951.10	19
Dx bronchoscope/wash 31622 CPT 31622	$3,305.40	$5,509.00	$147.25 – $4,958.10	19
Dxa bone density axl vrt fx CPT 77085	$675.00	$1,125.00	$25.84 – $1,012.50	18
E equine encephalitis igg CPT 86652	$138.00	$230.00	$11.00 – $207.00	20
ER Visit (level 1, minor) CPT 99281	$300.00	$500.00	$52.16 – $450.00	17
ER Visit (level 2) CPT 99282	$564.00	$940.00	$36.28 – $846.00	18
ER Visit (level 3) CPT 99283	$883.20	$1,472.00	$62.31 – $1,324.80	18
ER Visit (level 4) CPT 99284	$1,248.60	$2,081.00	$104.86 – $1,872.90	18
ER Visit (level 5, high severity) CPT 99285	$2,410.20	$4,017.00	$152.61 – $3,615.30	18
Ear and throat examination CPT 92502	not published	not published	$43.45 – $534.06	8
Ear canal biopsy 69105 CPT 69105	$1,211.40	$2,019.00	$61.89 – $1,817.10	19
Ear cartilage graft CPT 21235	not published	not published	$1,329.00 – $6,203.86	9
Ear irrigation 69209 CPT 69209	$168.00	$280.00	$8.38 – $252.00	18
Ecg 12 lead tracing only CPT 93005	$395.40	$659.00	$11.51 – $593.10	19
Ecg external < 48 hours recording CPT 93225	$829.20	$1,382.00	$20.07 – $1,243.80	19
Ecg external < 48 hours scanning analysis w/report CPT 93226	$966.00	$1,610.00	$43.74 – $1,449.00	19
Ecg external > 48 hours up to 7 days recording CPT 93242	$60.60	$101.00	$10.01 – $90.90	19
Ecg external >7 days up to 15 days recording CPT 93246	$60.00	$100.00	$9.61 – $90.00	19
Ecg/1-3 leads/tracing only 93041 CPT 93041	$38.40	$64.00	$5.57 – $59.46	19
Echo exam of eye CPT 76529	$430.20	$717.00	$69.98 – $645.30	19
Echo guidance radiotherapy CPT 76965	$2,718.00	$4,530.00	$623.24 – $4,077.00	16
Echo guide for artery repair CPT 76936	$1,288.80	$2,148.00	$208.38 – $1,933.20	19
Echo stress CPT 93350	$3,820.20	$6,367.00	$84.15 – $5,730.30	19
Echo tee guidance CPT 93355	$559.80	$933.00	$152.81 – $839.70	16
Echo tee probe placement image acquisition interpretation & report CPT 93312	$2,358.00	$3,930.00	$255.92 – $3,537.00	19
Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307	$2,508.00	$4,180.00	$154.42 – $3,762.00	19
Echocardiogram (Heart Ultrasound) CPT 93306	$2,508.00	$4,180.00	$155.12 – $3,762.00	19
Echocardiography doppler color flow mapping CPT 93325	$598.20	$997.00	$20.44 – $897.30	18
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929	$2,508.00	$4,180.00	$432.45 – $3,762.00	17
Echocardiography transthoracic 2d followup/limited CPT 93308	$1,223.40	$2,039.00	$40.15 – $1,835.10	19
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924	$1,223.40	$2,039.00	$283.82 – $1,835.10	17
Echocardiograpy doppler follow up/limited study CPT 93321	$336.00	$560.00	$31.13 – $504.00	18
Echograp trans r pros study CPT 76873	$1,909.20	$3,182.00	$84.51 – $2,863.80	18
Ecmo/ecls initiation artery 33947 CPT 33947	$1,077.60	$1,796.00	$236.07 – $1,616.40	16
Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952	$1,360.20	$2,267.00	$298.17 – $2,040.30	16
Ecp ciliary body destruction CPT 66711	not published	not published	$596.00 – $2,391.84	9
Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299	$657.60	$822.00	$28.30 – $739.80	19
Edu/train/pt/nonmd/in person/30 min98960 CPT 98960	$508.20	$847.00	$90.03 – $762.30	15
Eeg 41-60 minutes 95812-26 CPT 95812	$2,166.60	$3,611.00	$88.98 – $3,249.90	19
Eeg during surgery CPT 95955	$1,561.20	$2,602.00	$119.52 – $2,341.80	18
Eeg monitor/record/awake/drowsy 95816 CPT 95816	$855.60	$1,426.00	$24.75 – $1,283.40	19
Eeg over 1 hour 95813 - 26 CPT 95813	$2,782.80	$4,638.00	$104.63 – $4,174.20	19
Eeg recording awake and asleep CPT 95819	$1,456.80	$2,428.00	$24.75 – $2,185.20	19
Eeg without vid 2-12 hr unmntr CPT 95705	$586.20	$977.00	$88.00 – $879.30	18
Eeg without vid 2-12hr cont mntr CPT 95707	$586.80	$978.00	$182.09 – $880.20	18
Eeg without vid ea 12-26hr intmt CPT 95709	$1,126.20	$1,877.00	$421.68 – $1,689.30	18
Eeg wo vid 2-12hr intmt mntr CPT 95706	$586.80	$978.00	$182.09 – $880.20	18
Eeg wo vid ea 12-26hr unmntr CPT 95708	$1,126.20	$1,877.00	$116.17 – $1,689.30	18
Eeg/record in coma or sleep only 95822 CPT 95822	$455.40	$759.00	$24.75 – $683.10	19
Egd Ultrasound exam duodenum/jejunum CPT 43259	$4,036.80	$6,728.00	$681.00 – $6,055.20	17
Egd Ultrasound fine needle bx/aspir CPT 43238	not published	not published	$232.08 – $1,989.40	10
Egd Ultrasound fine needle bx/aspir CPT 43242	$3,677.40	$6,129.00	$277.43 – $5,516.10	19
Egd balloon dil esoph30 mm/> CPT 43233	$759.00	$1,265.00	$174.50 – $1,953.23	18
Egd control bleeding any CPT 43255	$2,978.40	$4,964.00	$255.75 – $4,467.60	19
Egd dilate stricture CPT 43245	not published	not published	$180.20 – $1,989.40	10
Egd endo mucosal resection CPT 43254	$866.40	$1,444.00	$210.30 – $1,953.23	18
Egd endoscopic stent place CPT 43266	$4,395.00	$7,325.00	$174.11 – $6,592.50	18
Egd guide wire insertion CPT 43248	$2,978.40	$4,964.00	$596.00 – $4,467.60	18
Egd lesion ablation CPT 43270	$3,349.80	$5,583.00	$836.96 – $5,024.70	18
Egd remove foreign body CPT 43247	$2,978.40	$4,964.00	$191.43 – $4,467.60	19
Egd remove lesion snare CPT 43251	$2,978.40	$4,964.00	$208.28 – $4,467.60	19
Egd varices ligation CPT 43244	$2,978.40	$4,964.00	$596.00 – $4,467.60	18
Egd w/thrml txmnt gerd CPT 43257	$7,006.20	$11,677.00	$549.83 – $10,509.30	18
Egd w/transmural drain cyst CPT 43240	$6,339.60	$10,566.00	$596.00 – $9,509.40	18
Egd/insert intraluminal tube/cath 43241 CPT 43241	$2,978.40	$4,964.00	$148.54 – $4,467.60	19
Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250	not published	not published	$596.00 – $1,989.40	9
Egfr gene com variants CPT 81235	$142.20	$237.00	$66.12 – $350.55	20
Ehrlicha chaffeensis amp prb CPT 87484	$355.80	$593.00	$13.98 – $533.70	20
Elec analys infus pump w/reprog 62368 CPT 62368	$2,065.20	$3,442.00	$36.32 – $3,097.80	19
Elect analysis of infusion pump 62367 CPT 62367	$3,989.40	$6,649.00	$127.28 – $5,984.10	18
Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369	$833.40	$1,389.00	$30.16 – $1,250.10	19
Electrd sq emblem s-icd HCPCS C1896	$12,043.80	$20,073.00	$2,577.89 – $13,635.00	15
Electrocochleography CPT 92584	$349.80	$583.00	$58.30 – $524.70	19
Electrocorticography durng sx CPT 95829	$643.80	$1,073.00	$159.69 – $965.70	16
Electrolyte panel CPT 80051	$159.00	$265.00	$5.84 – $238.50	20
Electron microscopy diagnostic CPT 88348	$554.40	$924.00	$75.90 – $831.60	20
Electrophys map 3d add-on CPT 93613	$7,357.80	$12,263.00	$282.95 – $11,036.70	15
Electrophysiology evaluation CPT 93619	$5,244.00	$8,740.00	$723.65 – $7,866.00	18
Electrophysiology evaluation CPT 93620	$10,233.60	$17,056.00	$989.90 – $15,350.40	18
Electrophysiology evaluation CPT 93641	$2,161.80	$3,603.00	$501.88 – $3,242.70	16
Electrophysiology evaluation CPT 93642	$1,368.00	$2,280.00	$476.95 – $2,052.00	18
Electrophysiology evaluation CPT 93644	$695.40	$1,159.00	$125.77 – $1,043.10	16
Elotuzumab 300 mg intravenous solution HCPCS J9176	$18.00	$6,377.50	$4.37 – $27.00	19
Embo or occlude vascular arterial s&i CPT 37242	$12,721.80	$21,203.00	$449.83 – $19,082.70	19
Embo or occlude vascular hemorrhage s&i CPT 37244	$12,721.80	$21,203.00	$625.66 – $19,082.70	19
Embo or occlude vascular tumor/organ/infarct s&i CPT 37243	$12,721.80	$21,203.00	$536.36 – $19,082.70	19
Embo or occlude vascular venous s&i CPT 37241	$12,721.80	$21,203.00	$402.84 – $19,082.70	19
Embolization s&i CPT 75894	$3,427.80	$5,713.00	$171.10 – $5,141.70	18
Emg 2 ext w-w/o paraspinal area 95861 CPT 95861	$665.40	$1,109.00	$41.25 – $998.10	19
Emg 3 ext w-w/o paraspinal area 95863 CPT 95863	$447.00	$745.00	$46.75 – $670.50	19
Emg cranial nerve bilateral CPT 95868	$394.80	$658.00	$62.11 – $592.20	19
Emg needle test 1-extremity CPT 95860	$568.20	$947.00	$33.00 – $852.30	18
Emg needle test 4-extremities CPT 95864	$588.60	$981.00	$53.90 – $882.90	19
Emg thor paraspinal without t1/t2 CPT 95869	$152.40	$254.00	$23.97 – $311.72	19
Encephalitis, california igg/igm CPT 86651	$138.00	$230.00	$11.00 – $207.00	20
Encephalitis, st louis igg/igm CPT 86653	$138.00	$230.00	$11.00 – $207.00	20
Encephalitis, western equine igg/igm CPT 86654	$138.00	$230.00	$11.00 – $207.00	20
Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475	$15,871.80	$26,453.00	$2,274.00 – $23,807.70	18
Endo cath bile duct s&i CPT 74328	$877.20	$1,462.00	$177.74 – $1,315.80	16
Endo cath panc duct s&i CPT 74329	$877.20	$1,462.00	$177.74 – $1,315.80	16
Endo cholangiopancreatograph CPT 43261	$4,282.20	$7,137.00	$596.00 – $6,423.30	18
Endo cholangiopancreatograph CPT 43262	$4,282.20	$7,137.00	$596.00 – $6,423.30	18
Endoluminal bx biliary tree CPT 47543	$7,821.60	$13,036.00	$151.04 – $11,732.40	18
Endoluminal bx urtr rnl plvs CPT 50606	$10,866.00	$18,110.00	$355.24 – $16,299.00	16
Endoluminl ivus oct c 1st CPT 92978	$3,325.80	$5,543.00	$125.84 – $4,988.70	18
Endoluminl ivus oct c ea CPT 92979	$260.40	$434.00	$63.27 – $396.37	16
Endome abla/them without hystero guide 58353 CPT 58353	not published	not published	$486.14 – $5,176.94	9
Endoscopic Ultrasound exam esoph CPT 43237	not published	not published	$186.92 – $1,989.40	10
Endoscopic injection/implant CPT 51715	not published	not published	$204.26 – $3,617.00	10
Endoscopic pancreatoscopy CPT 43273	$1,102.20	$1,837.00	$210.04 – $1,653.30	16
Endoscopy bowel pouch/biop CPT 44386	$808.80	$1,348.00	$121.29 – $1,213.20	19
Endoscopy maxillary sinus CPT 31267	not published	not published	$681.00 – $7,259.71	9
Endoscopy swallow (fees) vid CPT 92612	$691.80	$1,153.00	$69.17 – $1,037.70	18
Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238	$2,377.20	$3,962.00	$444.00 – $3,565.80	18
Endovasc rpr a-biiliac endogft 34705 CPT 34705	$10,363.80	$17,273.00	$997.71 – $15,545.70	16
Endovasc tempory vessel occl CPT 61623	$9,294.60	$15,491.00	$1,023.81 – $13,941.90	18
Endoven ther chem adhes 1st 36482 CPT 36482	$11,287.20	$18,812.00	$1,289.30 – $16,930.80	18
Endovenous mchnchem 1st vein CPT 36473	$5,231.40	$8,719.00	$927.60 – $7,847.10	18
Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177	$67.20	$112.00	$21.42 – $69.10	19
Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650	$54.00	$74.28	$0.37 – $10.05	19
Enzyme histochemistry CPT 88319	$388.80	$648.00	$79.18 – $817.76	20
Ep & ablate supravent arrhyt CPT 93653	$43,075.80	$71,793.00	$698.22 – $64,613.70	18
Epidural lysis on single day 62264 CPT 62264	$3,385.20	$5,642.00	$444.00 – $5,077.80	18
Epidural/lumbar/sacral/ea add level64484 CPT 64484	$1,656.60	$2,761.00	$65.56 – $2,484.90	18
Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165	$106.40	$133.00	$0.25 – $16.37	19
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166	$3.00	$5.00	$0.67 – $4.50	18
Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178	$82.80	$138.00	$1.33 – $62.71	18
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885	$98.40	$142.00	$5.39 – $92.70	20
Epoetin alfa, 100 units esrd HCPCS Q4081	not published	$342.68	$0.54 – $308.41	17
Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106	$918.00	$1,530.00	$4.96 – $34.20	20
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325	$529.20	$882.00	$10.23 – $129.60	18
Epstein barr early antigen antibody CPT 86663	$99.00	$165.00	$10.94 – $148.50	20
Epstein barr nuclear antigen antibody CPT 86664	$117.00	$195.00	$12.75 – $175.50	20
Epstein barr viral capsid antigen antibody igm CPT 86665	$133.20	$222.00	$15.12 – $199.80	20
Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327	$113.60	$142.00	$15.16 – $54.57	16
Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032	$3,637.20	$6,062.00	$12.61 – $5,455.80	19
Ercp bil/panc duct; each stent plcmt 43274 CPT 43274	$4,282.20	$7,137.00	$95.34 – $6,423.30	18
Ercp biliary & pancreas CPT 74330	$877.20	$1,462.00	$177.74 – $1,315.80	16
Ercp ea duct/ampulla dilate CPT 43277	$4,282.20	$7,137.00	$298.95 – $6,423.30	18
Ercp lesion ablate w/dilate 43278 CPT 43278	$2,311.80	$3,853.00	$707.40 – $3,917.33	18
Ercp lithotripsy calculi CPT 43265	$3,417.00	$5,695.00	$596.00 – $6,129.31	18
Ercp remove duct calculi 43264 CPT 43264	$4,282.20	$7,137.00	$596.00 – $6,423.30	18
Ercp remove forgn body duct 43275 CPT 43275	$4,282.20	$7,137.00	$297.17 – $6,423.30	18
Ercp stent exchange w/dilate CPT 43276	$4,282.20	$7,137.00	$374.99 – $6,423.30	18
Ercp w/specimen collection CPT 43260	$4,282.20	$7,137.00	$596.00 – $6,423.30	18
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179	$277.80	$2,824.90	$56.41 – $416.70	19
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335	$211.20	$264.00	$6.23 – $104.92	19
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364	$28.60	$35.75	$8.75 – $64.62	18
Esd endoscopy or colonoscopy HCPCS C9779	$4,282.20	$7,137.00	$1,057.88 – $6,423.30	17
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805	$13.00	$16.25	$0.14 – $14.40	18
Esoph balloon distension tst CPT 91040	$1,296.60	$2,161.00	$293.86 – $1,944.90	19
Esoph egd dilation <30 mm CPT 43249	$2,978.40	$4,964.00	$596.00 – $4,467.60	18
Esoph imped funct test > 1hr CPT 91038	$1,122.00	$1,870.00	$51.02 – $1,683.00	19
Esoph imped function test CPT 91037	$491.40	$819.00	$71.62 – $737.10	19
Esophageal dilat s&i CPT 74360	$1,091.40	$1,819.00	$119.23 – $1,637.10	18
Esophagoscop ultrasound exam CPT 43231	$2,959.80	$4,933.00	$180.76 – $4,439.70	19
Esophagoscopy balloon <30mm CPT 43220	$2,794.80	$4,658.00	$122.47 – $4,192.20	19
Esophagoscopy control bleed CPT 43227	$1,063.80	$1,773.00	$202.32 – $1,898.98	19
Esophagoscopy flex biopsy CPT 43202	not published	not published	$111.63 – $1,989.40	10
Esophagoscopy flex remove fb CPT 43215	$3,017.40	$5,029.00	$444.00 – $4,526.10	18
Esophagoscopy w/us needle bx CPT 43232	$2,344.20	$3,907.00	$588.60 – $3,516.30	18
Esophagoscopy/flex/diagnostic 43200 CPT 43200	$2,978.40	$4,964.00	$102.82 – $4,467.60	19
Esophagus motility study CPT 91010	$2,978.40	$4,964.00	$30.25 – $4,467.60	19
Establish access to aorta CPT 36160	$4,618.20	$7,697.00	$130.35 – $6,927.30	18
Establish access to artery CPT 36100	not published	not published	$51.70 – $545.49	7
Established Patient Office Visit (level 1) CPT 99211	$100.20	$167.00	$22.00 – $150.30	19
Established Patient Office Visit (level 2) CPT 99212	$117.00	$195.00	$28.60 – $175.50	19
Established Patient Office Visit (level 3) CPT 99213	$141.00	$235.00	$36.08 – $211.50	19
Established Patient Office Visit (level 4) CPT 99214	$168.00	$280.00	$36.08 – $252.00	19
Established Patient Office Visit (level 5) CPT 99215	$201.60	$336.00	$36.08 – $302.40	19
Estradiol total CPT 82670	$459.00	$765.00	$23.29 – $688.50	20
Estradiol valerate 10 mg inj HCPCS J1380	$51.40	$64.25	$1.19 – $57.60	18
Estrogens total-sendout CPT 82672	$227.40	$379.00	$15.31 – $341.10	20
Etanercept injection HCPCS J1438	$1,119.00	$1,865.00	$242.82 – $2,278.11	19
Ethylene glycol -sendout CPT 82693	$197.40	$329.00	$12.42 – $296.10	19
Etoposide 20 mg/ml intravenous solution HCPCS J9181	$415.80	$693.00	$0.28 – $7.75	18
Etoposide 50 mg cap HCPCS J8560	$210.60	$351.00	$48.91 – $315.90	18
Euflexxa inj per dose HCPCS J7323	$1,538.40	$1,923.00	$71.00 – $1,730.70	19
Euglobulin lysis CPT 85360	$70.80	$118.00	$5.50 – $106.20	20
Eval/fit voice prosthesis iii, st CPT 92607	$852.60	$1,421.00	$201.59 – $1,278.90	16
Evaluation of speech fluency 92521 CPT 92521	$228.60	$381.00	$81.43 – $342.90	16
Evasc prlng admn rx agnt 1st CPT 61650	$4,786.20	$7,977.00	$370.66 – $7,179.30	16
Evasc prlng admn rx agnt add CPT 61651	$1,774.20	$2,957.00	$157.42 – $2,661.30	16
Evasc rpr a-biiliac ndgft rptr CPT 34706	$10,363.80	$17,273.00	$1,502.49 – $15,545.70	16
Evasc rpr ilio-iliac ndgft CPT 34707	$7,629.00	$12,715.00	$749.49 – $11,443.50	16
Evok oa screening qual CPT 92558	$263.40	$439.00	$76.42 – $395.10	15
Evoked potential visual not glaucoma CPT 95930	$457.20	$762.00	$81.69 – $685.80	19
Evoked potentials auditory screening automated analysis CPT 92650	$336.60	$561.00	$20.67 – $504.90	17
Evoked potentials upper limbs CPT 95925	$978.60	$1,631.00	$30.25 – $1,467.90	19
Ex palate/uvula lesion without closure 42104 CPT 42104	not published	not published	$95.15 – $3,401.07	9
Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012	not published	not published	$285.76 – $1,699.17	9
Exc abd tum over 10 cm 49205 CPT 49205	not published	not published	$2,803.25 – $2,803.25	1
Exc aurl glomus tum trnscanl CPT 69550	not published	not published	$958.00 – $6,203.86	9
Exc back les sbq <3 cm 21930 CPT 21930	not published	not published	$138.60 – $1,699.17	10
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442	$2,552.40	$4,254.00	$86.35 – $3,828.60	19
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443	not published	not published	$97.90 – $1,699.17	9
Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440	$2,270.40	$3,784.00	$59.95 – $3,405.60	19
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421	$2,377.20	$3,962.00	$46.75 – $3,565.80	19
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423	$3,015.00	$5,025.00	$39.60 – $4,522.50	19
Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426	not published	not published	$133.10 – $3,001.48	10
Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401	not published	not published	$51.15 – $545.04	9
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403	not published	not published	$71.50 – $737.87	9
Exc benign feenlm 3.1-4.0cm 11444 CPT 11444	$2,979.60	$4,966.00	$128.70 – $4,469.40	19
Exc benign feenlm >4.0cm 11446 CPT 11446	not published	not published	$130.35 – $3,001.48	10
Exc benign snhfg 3.1-4.0cm 11424 CPT 11424	not published	not published	$95.15 – $1,699.17	10
Exc benign tal 0.5 < cm 11400 CPT 11400	$1,527.60	$2,546.00	$41.25 – $2,291.40	19
Exc feenl mal+mrg 0.6-1 11641 CPT 11641	not published	not published	$102.30 – $737.87	9
Exc feenl mal+mrg 2.1-3 11643 CPT 11643	not published	not published	$210.28 – $1,699.17	9
Exc hidradenitis ing simpl 11462 CPT 11462	not published	not published	$191.34 – $3,001.48	10
Exc hidradenitis peri/umb comp 11471 CPT 11471	not published	not published	$305.95 – $3,001.48	10
Exc hidradenitis peri/umb int 11470 CPT 11470	not published	not published	$234.28 – $3,001.48	10
Exc les conjunctiva <1 cm CPT 68110	not published	not published	$364.82 – $2,446.62	8
Exc les conjunctiva >1 cm CPT 68115	not published	not published	$427.39 – $2,446.62	9
Exc mal+marg tal 1.1-2 cm 11602 CPT 11602	not published	not published	$89.10 – $545.04	9
Exc malig feenl 1.1-2 11642 CPT 11642	not published	not published	$148.50 – $737.87	9
Exc malig feenl 3.1-4.0 11644 CPT 11644	not published	not published	$243.10 – $1,699.17	10
Exc neck tum deep < 5 cm CPT 21556	not published	not published	$132.00 – $3,001.48	10
Exc rect tum transanal part CPT 45171	not published	not published	$980.49 – $2,875.99	8
Exc skn hdrdnt ax smpl/ntrm CPT 11450	not published	not published	$201.56 – $3,001.48	10
Exc skn hdrdnt ing complex CPT 11463	not published	not published	$283.54 – $3,001.48	10
Exc snhfg mal+mrg 1.1-2 11622 CPT 11622	not published	not published	$123.20 – $737.87	9
Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555	not published	not published	$41.25 – $1,699.17	10
Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552	not published	not published	$741.37 – $3,001.48	8
Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632	not published	not published	$680.13 – $3,001.48	8
Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071	not published	not published	$690.45 – $1,699.17	8
Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337	not published	not published	$691.37 – $3,001.48	8
Exc tendon sheath or cap lesion 26160 CPT 26160	not published	not published	$681.00 – $1,678.38	9
Exc thigh/knee les sc<3cm 27327 CPT 27327	not published	not published	$129.25 – $1,699.17	10
Exc/curtg b1 cst/b9 tum hum CPT 24110	not published	not published	$596.00 – $3,402.68	9
Exc/pilonidal cyst/sinus/simple 11770 CPT 11770	not published	not published	$166.62 – $3,001.48	10
Exchange biliary drg cath CPT 47536	$2,259.00	$3,765.00	$132.20 – $3,532.77	19
Exchange drainage catheter CPT 49423	$3,496.20	$5,827.00	$64.68 – $5,244.30	19
Exchange lens prosthesis CPT 66986	not published	not published	$1,116.00 – $2,496.23	9
Exchange nephrostomy cath CPT 50435	$1,941.60	$3,236.00	$315.62 – $2,912.40	18
Excis partial tal calc CPT 28120	not published	not published	$243.65 – $3,402.68	10
Excise max/zygoma b9 tumor CPT 21030	not published	not published	$384.48 – $6,203.86	9
Excise subq tumor/abd wall <3 cm 22902 CPT 22902	not published	not published	$689.17 – $1,699.17	8
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441	$3,015.00	$5,025.00	$72.05 – $4,522.50	19
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422	$2,427.00	$4,045.00	$41.25 – $3,640.50	19
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402	$2,979.60	$4,966.00	$59.40 – $4,469.40	19
Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406	not published	not published	$129.25 – $1,699.17	10
Excision lesion mouth roof CPT 42106	not published	not published	$174.71 – $3,401.07	9
Excision of anal lesion(s) CPT 46922	not published	not published	$119.17 – $2,875.99	10
Excision of gum flap CPT 41821	not published	not published	$228.55 – $1,553.44	7
Excision of gum lesion CPT 41826	not published	not published	$130.35 – $3,401.07	9
Excision of salivary cyst CPT 42408	not published	not published	$317.77 – $3,401.07	10
Excision olecranon bursa CPT 24105	not published	not published	$206.25 – $3,402.68	10
Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931	not published	not published	$777.47 – $1,699.17	8
Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600	$2,469.60	$4,116.00	$140.40 – $2,735.89	16
Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789	$2,730.60	$4,551.00	$162.00 – $2,778.17	15
Expl lap celiotomy w/wo bx 49000 CPT 49000	$4,482.60	$7,471.00	$1,030.96 – $6,723.90	16
Exploration maxillary sinus CPT 31256	not published	not published	$681.00 – $3,866.57	9
Explore limb vessels 35860 CPT 35860	not published	not published	$694.02 – $3,300.84	8
Explore parathyroid glands CPT 60500	not published	not published	$1,732.94 – $6,203.86	8
Explore penetrating wnd/extremity 20103 CPT 20103	$2,421.60	$4,036.00	$862.13 – $3,632.40	18
Explore wound abdomen 20102 CPT 20102	$4,684.20	$7,807.00	$640.85 – $7,026.30	18
Explore wound neck 20100 CPT 20100	$5,929.80	$9,883.00	$404.72 – $8,894.70	18
Explore woundchest 20101 CPT 20101	$3,537.00	$5,895.00	$523.30 – $5,305.50	18
Explore/biopsy eye socket CPT 67400	not published	not published	$681.00 – $3,954.72	10
Explore/repair chest 32110 CPT 32110	$10,822.80	$18,038.00	$2,488.19 – $16,234.20	16
Explore/treat finger joint CPT 26080	not published	not published	$172.70 – $1,678.38	10
Explore/treat wrist joint CPT 25101	$4,575.00	$7,625.00	$306.35 – $6,862.50	19
Ext ecg>48hr<7d scan a/r CPT 93243	$225.60	$376.00	$40.04 – $338.40	19
Ext ecg>7d<15d scan a/r CPT 93247	$223.80	$373.00	$40.04 – $335.70	19
External chromosome analysis 20-25 cells CPT 88264	$869.40	$1,449.00	$120.55 – $1,304.10	20
External pretreatment of serum for use in antibody identification by dilution CPT 86976	$218.40	$364.00	$9.69 – $327.60	18
External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237	$1,340.40	$2,234.00	$119.83 – $2,010.60	20
Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235	$159.00	$265.00	$14.95 – $238.50	20
Extraction of lens CPT 66930	not published	not published	$724.90 – $4,218.84	10
Extraction of lens CPT 66940	not published	not published	$670.56 – $2,391.84	10
Extraction of lens 66920 CPT 66920	not published	not published	$650.36 – $2,391.84	10
Eye implant band 40 HCPCS C1784	$4,016.80	$5,021.00	$243.74 – $4,518.90	15
Facial bones <3 CPT 70140	$456.60	$761.00	$30.18 – $684.90	19
Factor ix CPT 85250	$150.60	$251.00	$5.50 – $225.90	20
Factor ix alprolix recomb HCPCS J7201	$7.80	$13.00	$2.19 – $11.70	19
Factor ix complex HCPCS J7194	$8.40	$10.50	$0.97 – $9.00	19
Factor ix recombinant nos HCPCS J7195	$15.40	$19.25	$0.71 – $2.28	19
Factor viii CPT 85240	$136.20	$227.00	$14.30 – $204.30	20
Factor viii recomb novoeight HCPCS J7182	$3.40	$4.25	$0.97 – $3.60	19
Factor viii recombinant nos HCPCS J7192	$13.60	$17.00	$1.02 – $15.30	19
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358	$55.20	$92.00	$18.48 – $59.60	19
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308	$0.40	$0.50	$0.01 – $0.45	18
Fat/lipids feces qualitative CPT 82705	$25.20	$42.00	$4.25 – $37.80	20
Fatty acids nonesterified CPT 82725	$109.20	$182.00	$14.50 – $163.80	20
Fem/popl revasc w/stent CPT 37226	$34,849.20	$58,082.00	$468.11 – $52,273.80	19
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010	$291.00	$485.00	$0.53 – $1.89	19
Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439	$4.60	$6.00	$0.70 – $4.50	19
Ferritin CPT 82728	$178.20	$297.00	$11.36 – $267.30	20
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138	not published	$985.43	$0.20 – $886.89	19
Fetal hemoglobin (kleihauer betke) CPT 85460	$325.80	$543.00	$6.44 – $488.70	20
Fetal hemoglobin rosette CPT 85461	$78.60	$131.00	$7.80 – $117.90	20
Fetal non stress test CPT 59025	$366.60	$611.00	$19.25 – $549.90	19
Fibrin degradation d dimer quantitative CPT 85379	$76.20	$127.00	$8.49 – $114.30	20
Fibrin degradation products CPT 85362	$130.20	$217.00	$5.74 – $195.30	20
Fibrin degrade semiquant CPT 85378	$173.40	$289.00	$8.10 – $260.10	20
Fibrinogen activity CPT 85384	$80.40	$134.00	$8.10 – $120.60	20
Fibrinolysins/coagulopathy screen interpretation/report CPT 85390	$180.00	$300.00	$3.30 – $270.00	19
Fibrinolytic antiplasmin CPT 85410	$78.00	$130.00	$6.43 – $117.00	20
Fibrinolytic plasminogen xcpt antgnc asa CPT 85420	$83.40	$139.00	$5.44 – $125.10	20
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442	$1,914.00	$3,190.00	$0.63 – $351.84	20
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110	$1.20	$618.11	$0.19 – $0.90	19
Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101	not published	$776.40	$0.29 – $609.24	20
Filter spider fx 3mmx320cm HCPCS C1884	$40,462.20	$67,437.00	$91.00 – $1,700.71	16
Filter vena cava fem denali HCPCS C1880	$7,182.60	$11,971.00	$911.78 – $5,124.60	16
Finasteride, 5 mg HCPCS S0138	$11.00	$13.75	$3.44 – $12.69	16
Fine needle asp without image guide 10021 CPT 10021	$394.80	$658.00	$68.46 – $592.20	19
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007	$738.00	$1,230.00	$84.41 – $1,107.00	19
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006	$738.00	$1,230.00	$36.86 – $1,107.00	18
Finger joint sz00 swanson w/grommets HCPCS L8630	$3,453.00	$5,755.00	$464.96 – $5,179.50	15
Finger tendon transfer CPT 26497	not published	not published	$681.00 – $3,402.68	9
Fix g/colon tube w/device CPT 49460	$3,659.40	$6,099.00	$39.56 – $5,489.10	19
Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606	not published	not published	$681.00 – $3,402.68	9
Fl exam g/colon tube w contrast CPT 49465	$780.60	$1,301.00	$26.11 – $1,170.90	19
Flecainide (tambocor)-sendout CPT 80181	$129.60	$216.00	$13.92 – $194.40	19
Flexible Sigmoidoscopy CPT 45330	$598.20	$997.00	$58.47 – $912.67	19
Floor of mouth biopsy 41108 CPT 41108	$720.00	$1,200.00	$40.15 – $1,621.93	19
Flow cytometry interp 16 or more CPT 88189	$964.80	$1,608.00	$61.09 – $1,447.20	18
Flow cytometry marker each additional CPT 88185	$165.60	$276.00	$4.20 – $248.40	18
Flow cytometry one marker technical component CPT 88184	$338.40	$564.00	$37.17 – $507.60	20
Flt3 gene CPT 81245	$1,102.80	$1,838.00	$130.57 – $1,654.20	20
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450	$532.80	$888.00	$1.43 – $151.18	18
Fludarabine 50 mg intravenous solution HCPCS J9185	not published	$216.50	$43.06 – $194.85	19
Fluid pressure muscle 20950 CPT 20950	$342.00	$570.00	$82.50 – $704.33	19
Fluidotherapy charges pt CPT 97022	$165.60	$276.00	$15.32 – $248.40	18
Fluocinolone acetonide implt HCPCS J7311	$34,587.60	$57,646.00	$214.87 – $51,881.40	19
Fluorescent antibody titer dna CPT 86256	$186.60	$311.00	$10.02 – $279.90	20
Fluoroguide for spine inject 77003-26 CPT 77003	$373.20	$622.00	$55.32 – $559.80	18
Fluoroguide needle placement CPT 77002	$406.20	$677.00	$60.93 – $609.30	18
Fluoroscopy up to 1 hour CPT 76000	$894.00	$1,490.00	$20.90 – $1,341.00	19
Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190	$31.80	$53.00	$0.89 – $19.24	18
Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680	$467.20	$584.00	$4.61 – $72.00	19
Fna bx w/ct gdn 1st les CPT 10009	$738.00	$1,230.00	$102.33 – $1,107.00	19
Fna bx w/ct gdn ea addl CPT 10010	$738.00	$1,230.00	$74.79 – $1,107.00	18
Fna bx w/mr gdn 1st les CPT 10011	$738.00	$1,230.00	$76.08 – $1,107.00	18
Folic acid CPT 82746	$142.20	$237.00	$12.25 – $213.30	20
Folic acid 5 mg/ml injection solution HCPCS J1808	$1.60	$2.00	$0.04 – $0.23	18
Follow-up angiography CPT 75898	$1,536.60	$2,561.00	$135.34 – $3,240.82	18
Follow-up surgery of eye CPT 66250	not published	not published	$472.57 – $2,446.62	10
Fomepizole 1 gram/ml intravenous solution HCPCS J1451	$6,465.00	$10,775.00	$5.24 – $96.30	18
Fondaparinux sodium HCPCS J1652	$540.60	$901.00	$0.46 – $39.60	19
Foot X-ray CPT 73630	$456.60	$761.00	$31.05 – $684.90	18
Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450	$2,487.00	$4,145.00	$182.29 – $3,730.50	18
Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453	$1,068.60	$1,781.00	$0.06 – $9.90	18
Foscarnet sodium injection HCPCS J1455	$215.20	$269.00	$10.15 – $98.10	19
Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009	$22.40	$28.00	$5.25 – $18.90	16
Frenulotomy of penis CPT 54164	not published	not published	$141.19 – $2,148.31	10
Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017	$463.20	$772.00	$33.00 – $694.80	19
Fresh frozen plasma thawing ea un CPT 86927	$121.20	$202.00	$27.30 – $181.80	18
Fructosamine glycated protein CPT 82985	$100.20	$167.00	$13.97 – $150.30	20
Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240	$4,035.60	$6,726.00	$681.00 – $6,053.40	18
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260	not published	not published	$596.00 – $1,918.35	9
Fundus photography with i&r 92250 CPT 92250	$102.00	$170.00	$24.52 – $153.00	19
Furosemide 10 mg/ml injection solution HCPCS J1938	$0.60	$0.75	$0.01 – $0.68	19
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940	not published	$3.19	$0.15 – $2.04	17
Fusion of big toe joint CPT 28750	not published	not published	$306.35 – $7,491.76	10
Fusion of finger joint CPT 26860	not published	not published	$681.00 – $3,402.68	9
Fusion of foot bones CPT 28730	not published	not published	$366.30 – $13,493.67	10
Fusion of foot bones CPT 28740	not published	not published	$840.00 – $7,491.76	9
Fusion of knuckle joint CPT 26516	not published	not published	$444.00 – $3,402.68	9
Fusion of tibiofibular joint CPT 27871	not published	not published	$840.00 – $13,493.67	9
G-esoph reflx tst w/electrod CPT 91035	$1,306.80	$2,178.00	$278.95 – $1,960.20	19
G-tube reposition CPT 43761	$2,065.20	$3,442.00	$103.87 – $3,097.80	19
Ga-67 gallium 0.1 mci HCPCS A9556	$190.20	$317.00	$59.54 – $285.30	15
Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585	$4.80	$8.00	$0.17 – $7.20	18
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579	$15.00	$25.00	$0.93 – $10.80	18
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581	$62.40	$104.00	$9.30 – $93.60	18
Galectin-3 CPT 82777	$55.80	$93.00	$15.19 – $83.70	20
Gallbladder Removal (Laparoscopic) CPT 47562	not published	not published	$1,578.34 – $6,118.60	8
Gamma glutamyltransferase CPT 82977	$134.40	$224.00	$6.00 – $201.60	20
Gammaglobulin iga CPT 82784	$171.60	$286.00	$7.75 – $257.40	20
Gammaglobulin ige CPT 82785	$124.20	$207.00	$13.72 – $186.30	20
Gamunex-c/gammaked HCPCS J1561	$345.60	$2,896.33	$30.92 – $386.10	19
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570	$264.80	$331.00	$9.74 – $63.68	18
Gardner vag dna quant CPT 87512	$505.20	$842.00	$34.81 – $757.80	19
Gemcitabine 1 gram intravenous solution HCPCS J9201	$5,461.80	$9,103.00	$1.45 – $240.70	19
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203	$74.40	$124.00	$20.65 – $255.55	19
Generator barostim neo2 2014 HCPCS C1767	$69,642.00	$116,070.00	$108.24 – $33,011.47	15
Generator emblem MRI sicd subq HCPCS C1722	$47,875.80	$79,793.00	$0.24 – $54,237.33	15
Genetic tstg severe inh cond CPT 81443	$4,156.20	$6,927.00	$1,495.39 – $5,609.70	19
Geniop sldg osteot 1 CPT 21121	not published	not published	$1,329.00 – $3,401.07	9
Genome sequence analysis CPT 81425	$4,439.40	$7,399.00	$2,064.32 – $6,659.10	19
Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580	$27.00	$33.75	$0.38 – $11.49	19
Gentamicin peak therapeutic drug level CPT 80170	$201.00	$335.00	$13.20 – $301.50	20
Ghs HIV antibody CPT 86703	$93.00	$155.00	$11.43 – $139.50	20
Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245	$1,020.00	$1,700.00	$389.15 – $1,530.00	18
Ghs IV infusion casirivimab/imdevimab HCPCS M0243	$1,020.00	$1,700.00	$277.33 – $1,530.00	18
Ghs IV infusion sotrovimab HCPCS M0247	$1,020.00	$1,700.00	$396.00 – $1,530.00	18
Ghs IV thrombolytics - cerebral CPT 37195	$1,439.40	$2,399.00	$242.23 – $2,159.10	18
Ghs abscess perianal iandd CPT 46050	$1,468.80	$2,448.00	$83.23 – $2,203.20	19
Ghs abscess postoperative iandd complex CPT 10180	$2,065.20	$3,442.00	$169.72 – $3,097.80	19
Ghs alcohol, methyl (methanol)-medtox CPT 84600	$171.60	$286.00	$14.26 – $257.40	19
Ghs antibodies (torch) igm CPT 86694	$153.00	$255.00	$12.00 – $229.50	20
Ghs bladder cath - complex-foley CPT 51703	$961.20	$1,602.00	$82.07 – $1,441.80	19
Ghs block ilioinguinal/gentitofemoral CPT 64425	$1,094.40	$1,824.00	$38.50 – $1,641.60	19
Ghs central line insert < age 5, failed CPT 36555	$2,667.00	$4,445.00	$129.62 – $4,000.50	19
Ghs change cysto/gastrost CPT 43762	$1,550.40	$2,584.00	$34.21 – $2,325.60	19
Ghs chemo IV push, ea addtl CPT 96411	$361.80	$603.00	$56.56 – $542.70	19
Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486	$424.20	$707.00	$29.25 – $636.30	20
Ghs cl tx knee disl; wo anesth CPT 27550	$2,370.60	$3,951.00	$172.70 – $3,555.90	19
Ghs cl tx metacarpophal disloc without anes CPT 26700	$265.80	$443.00	$42.90 – $398.70	19
Ghs closd tx interphalang jt disloc w/ma CPT 26770	$454.20	$757.00	$40.15 – $681.30	19
Ghs closed reduction ankle dislocation CPT 27840	$1,980.60	$3,301.00	$98.45 – $2,970.90	19
Ghs closed tx bimalleolar fracture w/manip CPT 27810	$1,651.80	$2,753.00	$444.00 – $2,477.70	18
Ghs closed tx tibial fracture w/manip CPT 27752	$1,810.80	$3,018.00	$256.85 – $2,716.20	19
Ghs closure surg wound/dehiscence-13160 CPT 13160	$3,040.20	$5,067.00	$268.40 – $4,560.30	19
Ghs clsd red med malleolus fx w manip CPT 27762	$1,810.80	$3,018.00	$444.00 – $2,716.20	18
Ghs clsd tx frac distal tibia w/manipulation CPT 27825	$1,810.80	$3,018.00	$596.00 – $2,716.20	18
Ghs community re-entry 15 minutes CPT 97537	$75.60	$126.00	$25.48 – $113.40	16
Ghs conjunctiva foreign body-embed bil CPT 65210	$628.20	$1,047.00	$129.26 – $942.30	18
Ghs conjunctiva foreign body-superf bil CPT 65205	$361.80	$603.00	$55.76 – $542.70	18
Ghs corneal fb with slit lamp bilat CPT 65222	$2,965.80	$4,943.00	$28.60 – $4,448.70	19
Ghs corneal fb without slit lamp bilat CPT 65220	$378.60	$631.00	$29.15 – $567.90	19
Ghs cricothyroidotomy CPT 31605	$2,097.00	$3,495.00	$184.55 – $3,145.50	19
Ghs cutdown placement age 1 and over CPT 36425	$102.60	$171.00	$15.40 – $399.46	19
Ghs diphtheria toxoid ab igg CPT 86648	$165.60	$276.00	$12.68 – $248.40	20
Ghs dislocation elbow closed treatment CPT 24600	$1,980.60	$3,301.00	$112.75 – $2,970.90	19
Ghs ed peritoneal lavage w guidance if performed CPT 49084	$3,763.20	$6,272.00	$85.38 – $5,644.80	19
Ghs ed rmvl or bivalving cast CPT 29700	$235.20	$392.00	$92.94 – $352.80	17
Ghs ed therapeutic lp, drain csf w fluoro CPT 62329	$1,439.40	$2,399.00	$101.39 – $2,159.10	19
Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700	$586.80	$978.00	$124.35 – $880.20	18
Ghs elect torsion swing CPT 92546	$282.00	$470.00	$22.19 – $423.00	19
Ghs elect vertical elct CPT 92547	$251.40	$419.00	$4.63 – $377.10	18
Ghs electrostagmgraphy CPT 92537	$1,122.00	$1,870.00	$5.59 – $1,683.00	19
Ghs excision ingrown nail CPT 11765	$265.80	$443.00	$55.00 – $399.94	19
Ghs eyelid foreign body-embedded - bil CPT 67938	$1,830.00	$3,050.00	$176.57 – $2,745.00	18
Ghs fb removal - incisional CPT 10121	$3,182.40	$5,304.00	$71.50 – $4,773.60	19
Ghs fb removal - non-incisional CPT 20520	$568.20	$947.00	$68.75 – $1,621.93	19
Ghs fb removal foot - deep - left CPT 28192	$4,115.40	$6,859.00	$71.50 – $6,173.10	19
Ghs fb removal from muscle - complicated CPT 20525	not published	not published	$132.00 – $3,001.48	10
Ghs fish cytogen CPT 88271	$125.40	$209.00	$17.86 – $188.10	19
Ghs fish hybrid in situ 100-300 CPT 88275	$280.20	$467.00	$42.67 – $420.30	19
Ghs gastric intub aspiration lavage CPT 43753	$411.60	$686.00	$18.16 – $617.40	19
Ghs hgb stability-thal CPT 83068	$21.60	$36.00	$1.75 – $32.40	19
Ghs histoplasma antigen CPT 87385	$153.00	$255.00	$11.05 – $229.50	19
Ghs hla-dr/dq, multiple antigens CPT 86817	$656.40	$1,094.00	$88.48 – $984.60	20
Ghs i and d abscess/hematoma scrotum CPT 54700	$2,293.80	$3,823.00	$42.35 – $3,440.70	19
Ghs i and d perirectal abscess 46040 CPT 46040	$2,367.60	$3,946.00	$119.35 – $3,551.40	19
Ghs i and d pilonidal cyst complex CPT 10081	$1,246.80	$2,078.00	$123.75 – $1,870.20	19
Ghs i and d pilonidal cyst simple CPT 10080	$366.60	$611.00	$39.60 – $704.33	19
Ghs incision thrombosed ext hemorrhoid CPT 46083	$342.00	$570.00	$45.10 – $513.00	19
Ghs inf midline insertion CPT 36140	$4,507.20	$7,512.00	$105.24 – $6,760.80	18
Ghs inhibitor screen CPT 85335	$159.00	$265.00	$8.30 – $238.50	20
Ghs init tx 1st degree burn CPT 16000	$268.20	$447.00	$19.80 – $402.30	19
Ghs inj neurolytic other perph nerve CPT 64640	$680.40	$1,134.00	$80.85 – $1,020.60	19
Ghs inj tendon origin/insertion CPT 20551	$441.60	$736.00	$42.64 – $662.40	19
Ghs inj transforaminal cerv ea add bil CPT 64480	$3,243.60	$5,406.00	$77.37 – $4,865.40	18
Ghs inj transforaminal cerv single bil CPT 64479	$1,656.60	$2,761.00	$118.55 – $2,484.90	18
Ghs insertion of needle - bone CPT 36680	$322.20	$537.00	$54.45 – $483.30	19
Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035	$1,829.40	$3,049.00	$101.20 – $2,744.10	19
Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036	$3,520.20	$5,867.00	$101.20 – $5,280.30	19
Ghs intermed repair over 30 cm - 12037 CPT 12037	$4,080.00	$6,800.00	$101.20 – $6,120.00	19
Ghs intro needle/intracath vein - 36000 CPT 36000	$406.80	$678.00	$8.89 – $610.20	18
Ghs irrigate corpora cavernosa for priapism CPT 54220	$2,707.80	$4,513.00	$193.29 – $4,061.70	18
Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250	$1,829.40	$3,049.00	$34.65 – $2,744.10	19
Ghs layer closure 2.5 cm or less - 12031 CPT 12031	$366.60	$611.00	$26.95 – $549.90	19
Ghs layer closure 2.5 cm or less - 12041 CPT 12041	$308.40	$514.00	$26.95 – $462.60	19
Ghs layer closure 2.5cm or less - 12051 CPT 12051	$308.40	$514.00	$34.65 – $462.60	19
Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052	$308.40	$514.00	$52.25 – $462.60	19
Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042	$510.00	$850.00	$39.05 – $765.00	19
Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053	$510.00	$850.00	$52.25 – $765.00	19
Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034	$1,829.40	$3,049.00	$51.15 – $2,744.10	19
Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044	$3,520.20	$5,867.00	$53.35 – $5,280.30	19
Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054	$1,829.40	$3,049.00	$67.65 – $2,744.10	19
Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045	$3,331.80	$5,553.00	$101.20 – $4,997.70	19
Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055	$1,829.40	$3,049.00	$101.20 – $2,744.10	19
Ghs low level laser therapy CPT 97039	$126.60	$211.00	$25.48 – $189.90	16
Ghs mbp CPT 83873	$171.60	$286.00	$14.34 – $257.40	20
Ghs moderate sedation < 5 yr, 30 min CPT 99151	$484.80	$808.00	$20.92 – $727.20	18
Ghs moderate sedation ea addtl 15 min CPT 99153	$639.00	$1,065.00	$9.16 – $958.50	19
Ghs musc test done w/n test comp CPT 95886	$316.80	$528.00	$46.79 – $475.20	18
Ghs musc tst done w/n tst non ext CPT 95887	$243.00	$405.00	$47.59 – $364.50	18
Ghs musc tst done w/nerv tst lim CPT 95885	$316.80	$528.00	$44.43 – $475.20	18
Ghs myocardial strain img spckl track CPT 93356	$838.80	$1,398.00	$21.71 – $1,258.20	16
Ghs nailbed repair/nail removal CPT 11760	$1,366.20	$2,277.00	$25.30 – $2,049.30	19
Ghs nerve blk intercostal, ea addtl level CPT 64421	$1,541.40	$2,569.00	$47.85 – $2,312.10	19
Ghs nerve blk intercostal, single level CPT 64420	$1,541.40	$2,569.00	$47.85 – $2,312.10	19
Ghs nerve block axillary nerve CPT 64417	$1,541.40	$2,569.00	$23.10 – $2,312.10	19
Ghs nerve block brachial plexus CPT 64415	$1,541.40	$2,569.00	$38.50 – $2,312.10	19
Ghs nerve block celiac plexus CPT 64530	$2,979.60	$4,966.00	$59.40 – $4,469.40	19
Ghs nerve block interscaline CPT 64510	$1,541.40	$2,569.00	$59.95 – $2,312.10	19
Ghs nerve block lumbar or thoracic symp CPT 64520	$2,450.40	$4,084.00	$59.40 – $3,675.60	19
Ghs nerve block sciatic nerve CPT 64445	$1,809.60	$3,016.00	$25.85 – $2,714.40	19
Ghs nerve block suprascapular CPT 64418	$1,018.80	$1,698.00	$38.50 – $1,528.20	19
Ghs ng placement w fluoro guidance CPT 43752	$455.40	$759.00	$76.27 – $683.10	17
Ghs o2 saturation CPT 82810	$108.60	$181.00	$8.14 – $162.90	20
Ghs opcc repair cvp w subq port CPT 36576	$3,403.80	$5,673.00	$191.51 – $5,105.70	19
Ghs opcc repair cvp without subq port CPT 36575	$3,413.40	$5,689.00	$41.04 – $5,120.10	19
Ghs optokenetic CPT 92544	$260.40	$434.00	$20.61 – $390.60	19
Ghs oscillating trac CPT 92545	$260.40	$434.00	$18.14 – $390.60	19
Ghs ot group caregiver training CPT 97552	$44.40	$74.00	$7.81 – $66.60	16
Ghs ot prosthetic training/15 min CPT 97761	$96.00	$160.00	$40.00 – $144.00	16
Ghs ot sensory integrative tech/15min CPT 97533	$124.20	$207.00	$32.86 – $186.30	16
Ghs pacing - transcutaneous CPT 92953	$762.60	$1,271.00	$137.99 – $1,143.90	18
Ghs paravert facet/nerve cerv ea add bil CPT 64492	$1,656.60	$2,761.00	$54.56 – $2,484.90	18
Ghs paravert facet/nerve lumb ea add bil CPT 64495	$1,656.60	$2,761.00	$46.65 – $2,484.90	18
Ghs peritonsillar abscess i andd CPT 42700	$1,651.80	$2,753.00	$68.20 – $2,477.70	19
Ghs plngl fx pm cl CPT 26725	$498.00	$830.00	$84.70 – $747.00	19
Ghs plt ct-manual CPT 85032	$43.20	$72.00	$3.30 – $64.80	20
Ghs pos nystagmus CPT 92542	$251.40	$419.00	$27.84 – $377.10	19
Ghs ppd (tb intradermal) CPT 86580	$60.60	$101.00	$6.05 – $90.90	20
Ghs prostatic acid phosphatase (mayo) CPT 84066	$76.80	$128.00	$8.05 – $115.20	20
Ghs refill of implantable pump CPT 95990	$370.80	$618.00	$42.01 – $556.20	19
Ghs removal intranasal foreign body CPT 30300	$727.20	$1,212.00	$24.75 – $1,090.80	19
Ghs repair extensor tendon hand, ea tendon CPT 26410	$4,039.80	$6,733.00	$243.65 – $6,059.70	19
Ghs repair tendon ext forearm/wrist ea CPT 25270	$8,044.80	$13,408.00	$840.00 – $12,067.20	18
Ghs sensitivity (per antimicro) CPT 87184	$76.20	$127.00	$6.24 – $114.30	20
Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005	$1,829.40	$3,049.00	$101.20 – $2,744.10	19
Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016	$1,829.40	$3,049.00	$101.20 – $2,744.10	19
Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006	$1,829.40	$3,049.00	$101.20 – $2,744.10	19
Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017	$2,993.40	$4,989.00	$101.20 – $4,490.10	19
Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014	$510.00	$850.00	$52.25 – $765.00	19
Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004	$510.00	$850.00	$53.35 – $765.00	19
Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015	$510.00	$850.00	$67.65 – $765.00	19
Ghs simple repair over 30 cm - 12007 CPT 12007	$1,829.40	$3,049.00	$101.20 – $2,744.10	19
Ghs sleep study unattended CPT 95800	$90.00	$150.00	$41.85 – $337.65	19
Ghs somatosensory testing lower extremit CPT 95926	$978.60	$1,631.00	$64.27 – $1,467.90	19
Ghs somatosensory testing upper & lower limbs CPT 95938	$764.40	$1,274.00	$240.33 – $1,146.60	19
Ghs sp train/fitting sp device - kx CPT 92609	$442.20	$737.00	$104.87 – $663.30	16
Ghs sphenopalatine ganglion block CPT 64505	$901.80	$1,503.00	$59.95 – $1,352.70	19
Ghs spont nystagmus CPT 92541	$250.80	$418.00	$28.72 – $376.20	19
Ghs st - eval for alt comm CPT 92567	$111.60	$186.00	$13.20 – $167.40	19
Ghs st - re-eval for alt comm CPT 92597	$745.80	$1,243.00	$93.70 – $1,118.70	16
Ghs superficial wnd dehis w packing12021 CPT 12021	$2,377.20	$3,962.00	$129.80 – $3,565.80	19
Ghs superficial wnd dehiscence simp12020 CPT 12020	$2,370.60	$3,951.00	$103.40 – $3,555.90	19
Ghs tx distal phalangeal fx with manipulation CPT 26755	$429.60	$716.00	$80.30 – $644.40	19
Ghs tx sp hip disloc abd splnt/trac wo CPT 27256	$3,010.80	$5,018.00	$190.64 – $4,516.20	19
Ghs urine, hydroxproline total CPT 83505	$270.60	$451.00	$20.26 – $405.90	20
Ghs urine, porphyrins quant CPT 84120	$87.60	$146.00	$8.25 – $131.40	20
Ghs veeg 12-26 hr intmt mont CPT 95715	$2,109.60	$3,516.00	$421.68 – $3,164.40	18
Gi inhouse confirmation CPT 87045	$178.80	$298.00	$7.59 – $268.20	20
Gi tract capsule endoscopy (pillcam) 91110 CPT 91110	$1,516.20	$2,527.00	$645.64 – $2,274.30	19
Gi trc img intral esophagus CPT 91111	$2,724.00	$4,540.00	$288.54 – $4,086.00	18
Giardia lamblia antibody CPT 86674	$74.40	$124.00	$12.27 – $111.60	19
Glaucoma surgery CPT 66170	not published	not published	$663.30 – $2,474.78	10
Glucagon 1 mg solution for injection HCPCS J1610	$475.20	$594.00	$55.56 – $197.05	19
Glucagon plasma - sendout CPT 82943	$153.00	$255.00	$11.91 – $229.50	20
Glucose 1 hr post dose CPT 82950	$39.60	$66.00	$3.96 – $59.40	20
Glucose blood by monitoring device cleared by fda for home use CPT 82962	$12.60	$21.00	$2.20 – $18.90	20
Glucose blood quantitative CPT 82947	$33.60	$56.00	$3.28 – $50.40	20
Glucose body fluid CPT 82945	$100.20	$167.00	$3.28 – $150.30	20
Glucose tolerance test (gtt) 3 specimens CPT 82951	$112.80	$188.00	$10.73 – $169.20	20
Glucose tolerance test (gtt) >3 specimens each additional CPT 82952	$45.60	$76.00	$3.27 – $68.40	20
Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596	$8.40	$10.50	$0.29 – $9.00	20
Gonadotropin follicle stimulating hormone (fsh) CPT 83001	$156.00	$260.00	$15.49 – $234.00	20
Gonadotropin luteinizing hormone (lh) CPT 83002	$156.00	$260.00	$15.44 – $234.00	20
Goniotomy CPT 65820	not published	not published	$432.85 – $4,218.84	10
Goserelin 10.8 mg subcutaneous implant HCPCS J9202	$777.00	$3,815.05	$361.03 – $1,164.60	19
Graft axiofill 1000mg HCPCS J3590	not published	$4,375.00	$17.32 – $62.35	16
Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116	$27,538.20	$45,897.00	$56.47 – $601.20	15
Graft nerve adv 3-4x70mm HCPCS C1762	$30,375.00	$50,625.00	$320.64 – $3,625.20	15
Graft patch felt ptfe 2x2 HCPCS C1768	$7,958.40	$13,264.00	$24.48 – $1,302.01	15
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133	$417.60	$696.00	$85.17 – $626.40	15
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121	$6,241.80	$10,403.00	$17.06 – $364.50	15
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132	$384.00	$640.00	$67.37 – $576.00	15
Graft xenmtrx sft rect 15x20cm HCPCS C1781	$63,334.20	$105,557.00	$49.68 – $2,226.00	16
Graft xenmtrx sft rect 19x28cm HCPCS C2625	$3,076.20	$5,127.00	$51.12 – $960.55	15
Granisetron 1 mg tab HCPCS Q0166	$108.00	$180.00	$45.00 – $162.00	16
Granisetron hcl injection HCPCS J1626	$1,434.00	$2,390.00	$0.12 – $32.98	18
Great toe with reduction 28495 CPT 28495	$3,172.80	$5,288.00	$83.05 – $4,759.20	19
Grfg autol fat lipo 50 cc/< CPT 15771	not published	not published	$322.39 – $3,839.33	8
Grfg autol fat lipo ea addl CPT 15772	not published	not published	$102.20 – $271.73	3
Grfg autol soft tiss dir exc CPT 15769	not published	not published	$271.40 – $3,839.33	9
Guide endoanchr sg-64 aaa 62cm HCPCS L8670	$24,470.40	$40,784.00	$243.12 – $2,595.45	16
Guide wire threaded 1.4x150mm HCPCS C1769	$3,685.20	$6,142.00	$8.50 – $374.10	16
Guide worley csg 9fx50cm std HCPCS C1892	$3,312.00	$5,520.00	$21.25 – $398.55	15
Guided cath fluid drainage 10030 CPT 10030	$1,600.20	$2,667.00	$137.81 – $2,400.30	19
Gw stiffened micro access kit HCPCS C1894	$8,575.20	$14,292.00	$9.25 – $330.63	16
Gynecomastia (males) 19300 CPT 19300	not published	not published	$835.43 – $4,015.84	9
H pylori (c-13) breath CPT 83013	$259.20	$432.00	$56.15 – $388.80	20
Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631	$183.60	$306.00	$2.78 – $51.93	19
Haloperidol lactate 5 mg/ml injection solution HCPCS J1630	$27.20	$34.00	$0.51 – $30.60	19
Hand X-ray CPT 73130	$456.60	$761.00	$26.60 – $684.90	18
Hand-held pefr meter a4614 HCPCS A4614	$24.60	$41.00	$10.25 – $105.07	16
Haptoglobin quantitative CPT 83010	$178.20	$297.00	$10.49 – $267.30	20
Hbot, full body chamber, 30m HCPCS G0277	$944.40	$1,574.00	$29.67 – $1,416.60	18
Hc hearing aid chck monarl CPT 92592	$250.20	$417.00	$9.90 – $375.30	17
Hcg qualitative CPT 84703	$90.60	$151.00	$6.27 – $135.90	20
Hcg quantitative CPT 84702	$178.20	$297.00	$12.55 – $267.30	20
Head CT scan (with and without contrast) CPT 70470	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
Head CT scan (with contrast) CPT 70460	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
Head CT scan (without contrast) CPT 70450	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
Hematocrit CPT 85014	$28.20	$47.00	$1.98 – $42.30	20
Hemodialysis one evaluation CPT 90935	$1,025.40	$1,709.00	$283.77 – $1,538.10	18
Hemoglobin CPT 85018	$61.20	$102.00	$1.98 – $91.80	20
Hemoglobin fetal qualitative CPT 83033	$54.00	$90.00	$6.67 – $81.00	20
Hemoglobin methemoglobin quantitative CPT 83050	$58.80	$98.00	$3.30 – $88.20	20
Hemoglobin plasma CPT 83051	$43.80	$73.00	$3.85 – $65.70	20
Hemolysins and agglutinins incubated CPT 86941	$98.40	$164.00	$10.09 – $147.60	20
Hepagam b im injection HCPCS J1571	not published	$345.53	$42.08 – $310.98	19
Heparin assay CPT 85520	$178.20	$297.00	$7.18 – $267.30	20
Heparin bolus from bag HCPCS J1644	$11.00	$18.77	$0.13 – $4.50	19
Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642	$200.40	$334.00	$0.01 – $1.17	18
Hepatitis a antibody igm CPT 86709	$126.60	$211.00	$9.39 – $189.90	20
Hepatitis b core antibody igm CPT 86705	$134.40	$224.00	$9.81 – $201.60	20
Hepatitis b core antibody total CPT 86704	$121.20	$202.00	$10.04 – $181.80	20
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371	$880.80	$1,468.00	$11.00 – $401.40	20
Hepatitis b surface antibody CPT 86706	$131.40	$219.00	$8.95 – $197.10	20
Hepatitis c antibody CPT 86803	$168.00	$280.00	$11.90 – $252.00	20
Hepatobiliary system imaging CPT 78226	$1,663.20	$2,772.00	$194.16 – $2,494.80	19
Hereditary colon ca dsordrs CPT 81435	$13,708.80	$22,848.00	$556.77 – $5,092.20	20
Hernia Repair (Inguinal) CPT 49505	not published	not published	$349.25 – $3,700.99	10
Herpes simplex 2 ag if CPT 87273	$126.00	$210.00	$9.13 – $189.00	20
Herpes simplex type 1 antibody igg CPT 86695	$99.00	$165.00	$11.00 – $148.50	20
Herpes simplex type 2 antibody igg CPT 86696	$200.40	$334.00	$16.13 – $300.60	20
Herpes simplex virus isolation CPT 87255	$186.60	$311.00	$19.37 – $279.90	20
Heterophile antibodies screening CPT 86308	$38.40	$64.00	$4.32 – $57.60	20
Hhv-6 dna quant CPT 87533	$551.40	$919.00	$34.81 – $827.10	19
Hip X-ray CPT 73502	$456.60	$761.00	$19.54 – $684.90	18
Histamine CPT 83088	$254.40	$424.00	$14.30 – $381.60	20
Histochemical stains add-on CPT 88314	$121.20	$202.00	$17.64 – $181.80	18
Hiv-1 ag ia CPT 87390	$93.00	$155.00	$11.55 – $139.50	20
Hla class i high defin qual CPT 86832	$411.60	$686.00	$141.90 – $617.40	20
Hla class i phenotype qual CPT 86830	$181.20	$302.00	$74.92 – $271.80	20
Hla class ii high defin qual CPT 86833	$411.60	$686.00	$129.00 – $617.40	20
Hla class ii phenotype qual CPT 86831	$288.60	$481.00	$64.23 – $432.90	20
Hla i & ii typing hr CPT 81378	$2,453.40	$4,089.00	$288.07 – $3,680.10	20
Hla i low res one antigen equiv ea CPT 81374	$1,253.40	$2,089.00	$61.96 – $1,185.30	20
Hla i typing high res 1 allele grp ea CPT 81381	$1,253.40	$2,089.00	$113.54 – $705.60	20
Hla i typing low res one locus ea CPT 81373	$1,671.60	$2,786.00	$106.23 – $2,507.40	20
Hla ii typing 1 loc hr CPT 81382	$2,923.20	$4,872.00	$103.10 – $2,575.80	20
Hla typing a b or c CPT 86813	$424.20	$707.00	$48.35 – $636.30	20
Hocm 250-299mg/ml iodine,1ml HCPCS Q9961	$13.80	$23.00	$0.15 – $0.90	18
Hocm 350-399mg/ml iodine,1ml HCPCS Q9963	$0.80	$1.00	$0.14 – $0.54	18
Home sleep test/type 3 porta HCPCS G0399	$1,045.20	$1,742.00	$124.35 – $1,567.80	17
Homocysteine CPT 83090	$168.60	$281.00	$14.94 – $252.90	20
Homogenization tissue CPT 87176	$75.00	$125.00	$4.90 – $112.50	20
Homovanillic acid (hva) CPT 83150	$108.00	$180.00	$8.25 – $162.00	20
Hrdtry perph neurphy panel CPT 81448	$8,089.80	$13,483.00	$457.95 – $12,134.70	19
Htt gene detc abnor alleles CPT 81271	$1,333.80	$2,223.00	$83.66 – $2,000.70	19
Human epididymis protein 4 (he4) CPT 86305	$168.00	$280.00	$17.35 – $252.00	20
Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473	$316.80	$528.00	$0.23 – $61.36	19
Hydralazine 20 mg/ml injection solution HCPCS J0360	$49.80	$62.25	$3.54 – $55.80	18
Hydration IV infusion each additional hour CPT 96361	$214.80	$358.00	$9.90 – $322.20	19
Hydration IV infusion initial 31minutes - 1 hour CPT 96360	$771.00	$1,285.00	$34.79 – $1,156.50	19
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720	$27.00	$253.40	$5.75 – $26.31	19
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171	$7.80	$9.75	$0.02 – $3.73	19
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999	$1,485.60	$1,857.00	$0.25 – $0.90	16
Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410	$24.00	$40.00	$1.86 – $15.30	18
Hysteroscopy ablation CPT 58563	not published	not published	$347.49 – $5,176.94	10
Hysteroscopy biopsy CPT 58558	not published	not published	$639.44 – $3,334.43	9
Hysteroscopy remove fb CPT 58562	not published	not published	$515.26 – $3,334.43	9
Hzv zoster vacc recombinant adjuvanted im inj CPT 90750	$150.00	$250.00	$11.00 – $225.00	18
I&d lacrimal sac CPT 68420	$3,177.00	$5,295.00	$320.93 – $4,765.50	18
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367	$241.20	$402.00	$21.16 – $361.80	19
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368	$159.00	$265.00	$12.57 – $238.50	18
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366	$214.80	$358.00	$13.52 – $322.20	19
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365	$771.00	$1,285.00	$43.23 – $1,156.50	19
Ia infect ag ab qual/semiquant sgl step CPT 86318	$108.60	$181.00	$15.08 – $162.90	20
Iadna legionella pneumophila amplified probe tq CPT 87541	$370.20	$617.00	$29.25 – $555.30	19
Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742	$642.60	$1,071.00	$143.64 – $524.32	18
Icatibant injection HCPCS J1744	$26,993.40	$44,989.00	$108.69 – $1,350.00	18
Icd cobalt xt dr MRI is1 df1 HCPCS C1721	$49,471.80	$82,453.00	$17,072.82 – $74,207.70	15
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882	$60,282.00	$100,470.00	$10,351.20 – $70,752.35	15
Icd crtp serena MRI HCPCS C2621	$30,396.60	$50,661.00	$6,142.48 – $45,594.90	15
Icd reliance df4 ib 64cm HCPCS C1895	$15,159.00	$25,265.00	$4,622.48 – $22,738.50	15
Ifosfamide 1 gram intravenous solution HCPCS J9208	$322.80	$538.00	$13.81 – $195.94	18
Igh@ var region somatic mutation analy CPT 81263	$1,392.00	$2,320.00	$245.51 – $2,088.00	20
Igk rearrangeabn clonal pop CPT 81264	$975.00	$1,625.00	$143.99 – $1,462.50	20
Ihc/icc per specimen each additional single antibody stain CPT 88341	$268.80	$448.00	$28.76 – $403.20	18
Ihc/icc per specimen each multiplex antibody stain CPT 88344	$268.80	$448.00	$48.29 – $403.20	20
Ihc/icc per specimen initial single antibody stain CPT 88342	$268.80	$448.00	$28.52 – $403.20	20
Iliac/fem angio cath insert HCPCS G0278	$6,619.20	$11,032.00	$15.09 – $9,928.80	15
Imatinib 100 mg tab HCPCS S0088	$248.00	$310.00	$34.76 – $279.00	16
Immobilizer shldr cntor adlt HCPCS L3670	$378.00	$630.00	$14.88 – $473.42	15
Immobilizer shldr dlx str 24-36in med HCPCS L1830	$273.00	$455.00	$11.04 – $330.46	15
Immobilizer shldr sling med HCPCS L3660	$115.80	$193.00	$46.32 – $358.23	15
Immune complex assay CPT 86332	$186.00	$310.00	$20.31 – $279.00	20
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569	$609.60	$1,376.98	$28.61 – $253.80	19
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568	not published	$2,250.00	$30.01 – $108.87	19
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566	not published	$1,624.83	$45.33 – $146.23	19
Immunoassay tumor antigen quantitative ca 125 CPT 86304	$210.00	$350.00	$17.35 – $315.00	20
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301	$213.60	$356.00	$17.35 – $320.40	20
Immunodiff gel qual ea antigen/ab CPT 86331	$66.00	$110.00	$8.80 – $99.00	20
Immunodiffusion nes CPT 86329	$175.80	$293.00	$11.71 – $263.70	20
Immunofixation electrophoresis serum CPT 86334	$241.20	$402.00	$18.62 – $361.80	20
Immunofluorescence per specimen each additional single antibody stain CPT 88350	$72.60	$121.00	$21.60 – $108.90	18
Immunofluorescence per specimen initial single antibody stain CPT 88346	$316.20	$527.00	$17.44 – $474.30	20
Impl neurostim electr perc CPT 63650	$6,471.60	$10,786.00	$410.25 – $9,707.40	19
Impl oi implt sk tc esp<100 CPT 69716	not published	not published	$255.88 – $13,493.67	8
Impl oi implt skull perq esp CPT 69714	not published	not published	$1,952.79 – $13,493.67	9
Implant cartilage 10mm synthetic HCPCS L8699	$24,575.40	$40,959.00	$38.40 – $2,669.69	16
Implant cochlear device CPT 69930	not published	not published	$1,329.00 – $33,357.43	9
Implant cochlear osia osi300 HCPCS L8690	$10,466.40	$17,444.00	$1,039.20 – $17,721.34	15
Implant neuroelectrodes CPT 63655	not published	not published	$1,300.34 – $22,489.12	8
Implant neuroelectrodes CPT 64555	$3,015.00	$5,025.00	$545.04 – $6,757.50	18
Implant neurostim arrays CPT 61886	not published	not published	$681.00 – $31,958.20	9
Implant single ventricular device 33975 CPT 33975	$11,435.40	$19,059.00	$2,052.21 – $17,153.10	15
Implant spine infusion pump CPT 62362	not published	not published	$596.00 – $18,535.17	9
Implant ureth bulk agent HCPCS L8606	$1,617.00	$2,695.00	$309.95 – $2,425.50	14
Implnt spinl canal catheter 62350 CPT 62350	not published	not published	$596.00 – $6,716.06	9
Impres&prep oral surg splint CPT 21085	not published	not published	$184.55 – $1,236.92	7
Imuglucerase injection HCPCS J1786	not published	$3,965.00	$27.27 – $3,568.50	19
In situ hybridization per specimen initial single probe stain CPT 88365	$300.00	$500.00	$18.14 – $450.00	20
In-111 oxyquinolin per 0.5 mci HCPCS A9547	$1,127.40	$1,879.00	$524.24 – $1,691.10	17
Incise inner eye adhesions CPT 65865	not published	not published	$411.95 – $2,391.84	10
Incise inner eye adhesions CPT 65875	not published	not published	$840.00 – $2,391.84	9
Incision & drainage hematoma/seroma/fluid collection CPT 10140	$1,386.00	$2,310.00	$25.85 – $2,079.00	19
Incision of breast lesion CPT 19020	$3,989.40	$6,649.00	$80.30 – $5,984.10	19
Incision of eardrum CPT 69420	$3,486.60	$5,811.00	$81.95 – $5,229.90	19
Incision of eye CPT 66172	not published	not published	$840.00 – $2,549.05	9
Incision of eyelid CPT 67710	not published	not published	$197.90 – $1,015.73	8
Incision of foot fascia CPT 28008	not published	not published	$150.15 – $3,402.68	10
Incision of heel bone CPT 28300	not published	not published	$596.00 – $7,491.76	9
Incision of iris CPT 66500	not published	not published	$207.90 – $2,391.84	10
Incision of metatarsal CPT 28306	not published	not published	$338.25 – $7,491.76	10
Incision of metatarsal CPT 28308	not published	not published	$596.00 – $3,402.68	9
Incision of prostate CPT 52450	not published	not published	$681.00 – $3,617.00	9
Incision of spinal nerve 64772 CPT 64772	not published	not published	$596.00 – $2,047.90	9
Incision secondary cataract CPT 66820	not published	not published	$347.56 – $2,391.84	9
Incision tendon sheath CPT 26055	$4,866.00	$8,110.00	$220.00 – $7,299.00	19
Incisn of toe tndn CPT 28010	$1,608.60	$2,681.00	$144.10 – $2,412.90	19
Incisn windpipe CPT 31600	$2,460.00	$4,100.00	$729.80 – $3,690.00	18
Incobotulinumtoxin a HCPCS J0588	$1,317.00	$2,195.00	$3.52 – $19.80	19
Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220	$24.00	$30.00	$8.30 – $27.00	18
Inf lwr xtr fscl pln blk uni w/wo image CPT 64474	$135.00	$225.00	$56.25 – $223.52	16
Inf thrc fascial pln blk bi w/wo image CPT 64469	$147.00	$245.00	$61.25 – $345.51	16
Inf thrc fascial pln blk uni w/wo image CPT 64467	$139.80	$233.00	$58.25 – $226.11	16
Infect ag drug suscept pheno predict CPT 87900	$1,476.00	$2,460.00	$85.58 – $2,214.00	20
Infect ag genotype na cytomegalovirus CPT 87910	$1,300.20	$2,167.00	$214.61 – $1,950.30	20
Infect ag genotype na dna hepatitis b CPT 87912	$606.60	$1,011.00	$214.61 – $909.90	20
Infect ag genotype na hiv-1 other region CPT 87906	$1,533.00	$2,555.00	$89.46 – $2,299.50	20
Infect ag genotype na hiv-1 revr trn/prt CPT 87901	$2,667.00	$4,445.00	$214.61 – $4,000.50	20
Infect ag if hep delta agent CPT 87380	$192.60	$321.00	$15.30 – $288.90	20
Infect ag if pneumocystis carinii CPT 87281	$122.40	$204.00	$9.99 – $183.60	20
Infect ag na herpes simplex quant CPT 87530	$468.00	$780.00	$35.71 – $702.00	19
Infect ag na hpv high-risk types CPT 87624	$355.80	$593.00	$29.25 – $533.70	20
Infect ag na influenza r/amp 1st 2 types CPT 87502	$520.20	$867.00	$79.86 – $780.30	20
Infect ag na resp virus 12-25 targets CPT 87633	$2,801.40	$4,669.00	$347.43 – $4,202.10	20
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324	$94.80	$158.00	$9.99 – $142.20	19
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328	$78.60	$131.00	$11.52 – $117.90	19
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329	$111.60	$186.00	$9.99 – $167.40	20
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338	$130.20	$217.00	$11.99 – $195.30	19
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340	$117.00	$195.00	$8.61 – $175.50	20
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389	$200.40	$334.00	$20.07 – $300.60	20
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449	$236.40	$394.00	$9.99 – $354.60	19
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427	$74.40	$124.00	$9.99 – $111.60	20
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564	$147.00	$245.00	$27.01 – $220.50	19
Infectious agent nucleic acid amplified probe CPT 87798	$355.80	$593.00	$25.51 – $533.70	20
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491	$286.80	$478.00	$25.51 – $430.20	20
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493	$438.00	$730.00	$31.07 – $657.00	20
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483	$1,596.60	$2,661.00	$347.43 – $2,394.90	19
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529	$227.40	$379.00	$29.25 – $341.10	19
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641	$339.60	$566.00	$29.25 – $509.40	20
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556	$223.80	$373.00	$34.74 – $335.70	19
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591	$286.80	$478.00	$25.51 – $430.20	20
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635	$75.00	$125.00	$34.88 – $112.50	20
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637	$210.00	$350.00	$97.65 – $315.00	20
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661	$213.00	$355.00	$29.25 – $218.70	20
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507	$454.20	$757.00	$211.20 – $681.30	19
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506	$742.20	$1,237.00	$196.33 – $1,113.30	19
Infectious agent nucleic acid quantification bk virus CPT 87799	$300.00	$500.00	$35.71 – $450.00	19
Infectious agent nucleic acid quantification hepatitis b CPT 87517	$443.40	$739.00	$35.71 – $665.10	20
Infectious agent nucleic acid quantification hepatitis c CPT 87522	$443.40	$739.00	$35.71 – $665.10	20
Infectious agent nucleic acid quantification hiv-1 CPT 87536	$882.60	$1,471.00	$70.94 – $1,323.90	20
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631	$615.60	$1,026.00	$118.90 – $923.40	20
Infliximab 100 mg intravenous solution HCPCS J1745	$467.20	$1,127.33	$19.63 – $1,306.36	20
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121	$1,062.00	$1,770.00	$12.88 – $104.70	19
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103	$203.20	$254.00	$12.62 – $71.89	19
Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673	$40.00	$50.00	$11.00 – $98.16	19
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642	$425.40	$709.00	$34.32 – $638.10	19
Initiation & management bipap/cpap initial day CPT 94660	$510.00	$850.00	$140.03 – $765.00	18
Inj andexxa, 10 mg HCPCS J7169	$13,381.20	$22,302.00	$109.52 – $709.20	18
Inj brixadi, more than 7 day HCPCS J0578	$4,344.80	$5,431.00	$685.14 – $4,887.90	19
Inj calcitriol per 0.1 mcg HCPCS J0636	$9.60	$12.00	$2.30 – $10.80	16
Inj ceftolozane tazobactam HCPCS J0695	$285.60	$476.00	$3.31 – $20.70	19
Inj cntr knee arthro incl ct/mri CPT 27369	$1,513.80	$2,523.00	$84.91 – $2,270.70	17
Inj cyclophosphamd (ingenus) HCPCS J9073	$4.60	$5.75	$0.50 – $2.70	19
Inj dx for sinogram CPT 20501	$594.60	$991.00	$38.50 – $891.90	18
Inj epidural sgl cerv-thor without img CPT 62320	$1,656.60	$2,761.00	$90.97 – $2,484.90	19
Inj epidural sgl lumb-sacral without img CPT 62322	$1,541.40	$2,569.00	$78.27 – $2,312.10	19
Inj for ext venography CPT 36005	$403.20	$672.00	$48.02 – $604.80	18
Inj hrt cath w/s&i nonsel p-art angrp CPT 93568	$1,530.60	$2,551.00	$251.99 – $2,295.90	16
Inj hrt cath w/s&i sel hrt ang CPT 93563	$3,480.00	$5,800.00	$91.56 – $5,220.00	16
Inj imip 4 cilas 4 releb 2mg HCPCS J0742	$7.40	$9.25	$1.65 – $8.10	19
Inj ivig privigen 500 mg HCPCS J1459	$5,149.20	$10,283.48	$32.04 – $204.30	19
Inj levocarnitine per 1 gm HCPCS J1955	$220.00	$275.00	$8.71 – $63.57	18
Inj lwr xtr fscl pln blk uni w/wo image CPT 64473	$108.00	$180.00	$38.03 – $162.00	16
Inj melpha hydroch nos 50 mg HCPCS J9245	not published	$2,408.98	$60.55 – $2,168.08	19
Inj mepivacaine hcl/10 ml HCPCS J0670	$13.80	$17.25	$0.54 – $9.90	18
Inj mogamulizumab-kpkc, 1 mg HCPCS J9204	$691.20	$864.00	$120.93 – $777.60	19
Inj multihance HCPCS A9577	$160.80	$268.00	$1.10 – $47.70	18
Inj nephrosto/ureterogram w/img exstng access CPT 50431	$2,092.80	$3,488.00	$109.24 – $3,139.20	18
Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120	$1,168.80	$1,948.00	$19.15 – $1,753.20	19
Inj proc ankle arthr CPT 27648	$1,020.60	$1,701.00	$27.50 – $1,530.90	18
Inj proc elbow arthro CPT 24220	$1,070.40	$1,784.00	$130.12 – $1,605.60	16
Inj proc for lymphang CPT 38790	$2,552.40	$4,254.00	$80.92 – $3,828.60	18
Inj proc myelogram lumbar CPT 62284	$2,250.60	$3,751.00	$87.49 – $3,375.90	18
Inj progesterone per 50 mg HCPCS J2675	$12.60	$15.75	$0.44 – $13.50	19
Inj prohance multipack HCPCS A9576	$34.80	$58.00	$0.89 – $52.20	18
Inj retro urethrocysto CPT 51610	$2,236.20	$3,727.00	$37.95 – $3,354.30	18
Inj scleros sol mult veins CPT 36471	$1,119.00	$1,865.00	$100.23 – $1,678.50	19
Inj scleros sol sgl vein CPT 36470	$1,193.40	$1,989.00	$10.29 – $1,790.10	18
Inj secretin synthetic human HCPCS J2850	$43.80	$1,312.50	$20.37 – $65.70	18
Inj secukinumab intrav 1mg HCPCS J3247	$42.80	$53.50	$6.86 – $47.70	19
Inj sulf hexa lipid microsph HCPCS Q9950	$397.80	$663.00	$11.74 – $596.70	18
Inj tedizolid phosphate HCPCS J3090	$765.00	$1,275.00	$0.07 – $5.40	19
Inj testostero enanthate 1mg HCPCS J3121	$0.60	$1.00	$0.03 – $0.90	18
Inj testosterone cypionate HCPCS J1071	$68.40	$114.00	$0.02 – $16.26	19
Inj thrc fascial pln blk bi w/wo image CPT 64468	$135.00	$225.00	$46.54 – $202.50	16
Inj thrc fascial pln blk uni w/wo image CPT 64466	$120.00	$200.00	$40.39 – $180.00	16
Inj w/fluor eval cv device CPT 36598	$543.00	$905.00	$167.45 – $814.50	18
Inj zanidatamab-hrii, 2 mg HCPCS J9276	$44.40	$74.00	$15.81 – $66.60	19
Inj, abilify maintena, 1 mg HCPCS J0401	$2,848.80	$4,748.00	$3.05 – $3,194.59	20
Inj, aponvie, 1 mg HCPCS C9145	$3.00	$5.00	$1.40 – $4.50	18
Inj, bezlotoxumab, 10 mg HCPCS J0565	$11,010.60	$18,351.00	$25.15 – $164.70	19
Inj, brixadi, 7 days or less HCPCS J0577	$1,086.40	$1,358.00	$171.29 – $1,222.20	19
Inj, bupivacaine liposome HCPCS J0666	$7.20	$9.00	$0.82 – $4.50	19
Inj, cefepime hcl (b braun) HCPCS J0703	$51.00	$63.75	$3.13 – $56.70	18
Inj, cefiderocol, 10 mg HCPCS J0699	$447.60	$746.00	$0.91 – $6.30	19
Inj, cimerli, 0.1 mg HCPCS Q5128	$519.00	$865.00	$54.40 – $778.50	19
Inj, clevidipine butyrate HCPCS C9248	$456.00	$760.00	$2.86 – $13.50	16
Inj, donanemab-azbt, 2 mg HCPCS J0175	$7.20	$12.00	$2.61 – $10.80	19
Inj, durolane 1 mg HCPCS J7318	$106.40	$172.00	$4.28 – $119.70	19
Inj, factor x, (human), 1iu HCPCS J7175	$40.20	$67.00	$5.73 – $60.30	19
Inj, faricimab-svoa, 0.1mg HCPCS J2777	$100.00	$125.00	$16.58 – $112.50	19
Inj, focinvez, 1mg HCPCS J1434	$5.40	$9.00	$1.23 – $8.10	19
Inj, lanreotide, (cipla) 1mg HCPCS J1932	not published	$17,682.58	$18.84 – $15,914.32	19
Inj, moxifloxacin 100 mg HCPCS J2280	$85.80	$143.00	$5.69 – $34.20	18
Inj, nithiodote, 3mg / 125mg HCPCS J0211	$3.60	$6.00	$0.78 – $5.40	18
Inj, susvimo 0.1 mg HCPCS J2779	$242.40	$404.00	$36.36 – $363.60	19
Inj, sutimlimab-jome, 10 mg HCPCS J1302	not published	$4,700.00	$7.44 – $4,230.00	19
Inj, tislelizumab-jsgr HCPCS J9329	$103.20	$172.00	$21.92 – $154.80	19
Inj, tyenne, 1 mg HCPCS Q5135	$12.80	$16.00	$1.97 – $14.40	19
Inj. inebilizumab-cdon, 1 mg HCPCS J1823	$871.80	$1,453.00	$211.07 – $1,307.70	19
Inj. pemetrexed, 10 mg HCPCS J9304	$156.60	$261.00	$29.25 – $234.90	19
Inj. tagraxofusp-erzs 10 mcg HCPCS J9269	$560.40	$934.00	$162.92 – $840.60	19
Inj. teprotumumab-trbw 10 mg HCPCS J3241	$768.00	$1,280.00	$226.79 – $1,152.00	19
Inj., emicizumab-kxwh 0.5 mg HCPCS J7170	$98.40	$164.00	$34.54 – $147.60	19
Inj., lumoxiti, 0.01 mg HCPCS J9313	not published	$66.21	$13.29 – $59.59	18
Inj., meropenem, vaborbactam HCPCS J2186	$2,716.80	$4,528.00	$1.82 – $40.50	18
Inj., plazomicin, 5 mg HCPCS J0291	$85.80	$143.00	$2.01 – $128.70	19
Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282	$2,487.00	$4,145.00	$129.34 – $3,730.50	19
Inject/treat eye socket CPT 67500	$571.80	$953.00	$45.52 – $857.70	19
Inject/treat eye socket CPT 67515	not published	not published	$40.72 – $313.49	9
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454	$657.60	$1,096.00	$116.53 – $986.40	18
Injection arthrography hip without anesthesia (both sides) CPT 27093	$1,348.20	$2,247.00	$130.12 – $2,022.30	16
Injection carpal tunnel therapeutic (both sides) CPT 20526	$741.00	$1,235.00	$54.76 – $1,111.50	19
Injection during cath supravalvular aortography CPT 93567	$3,505.20	$5,842.00	$229.73 – $5,257.80	16
Injection epidural blood patch or clot CPT 62273	$2,056.80	$3,428.00	$52.80 – $3,085.20	19
Injection eye drug CPT 67028	$1,959.60	$3,266.00	$116.47 – $2,939.40	19
Injection for arthrography wrist (both sides) CPT 25246	$1,188.60	$1,981.00	$130.12 – $1,782.90	16
Injection for bladder x-ray CPT 51600	$2,370.60	$3,951.00	$35.20 – $3,555.90	18
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350	$780.60	$1,301.00	$130.12 – $1,170.90	16
Injection for ureter x-ray CPT 50690	$2,236.20	$3,727.00	$47.30 – $3,354.30	18
Injection glatiramer acetate HCPCS J1595	$1,279.20	$2,132.00	$55.77 – $361.80	19
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260	$1,656.60	$2,761.00	$444.00 – $2,484.90	17
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374	$203.40	$339.00	$34.12 – $305.10	19
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375	$203.40	$339.00	$14.31 – $305.10	19
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376	$203.40	$339.00	$7.92 – $305.10	15
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372	$154.80	$258.00	$13.97 – $232.20	19
Injection treatment of eye CPT 66030	$2,851.20	$4,752.00	$88.00 – $4,276.80	19
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447	$1,914.60	$3,191.00	$67.10 – $2,871.90	19
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450	$576.00	$960.00	$23.10 – $864.00	19
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483	$1,656.60	$2,761.00	$104.54 – $2,484.90	19
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491	$1,656.60	$2,761.00	$53.64 – $2,484.90	18
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490	$1,656.60	$2,761.00	$94.12 – $2,484.90	19
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494	$1,656.60	$2,761.00	$45.74 – $2,484.90	18
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493	$1,656.60	$2,761.00	$79.21 – $2,484.90	19
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321	$2,164.80	$3,608.00	$98.12 – $3,247.20	19
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323	$2,047.80	$3,413.00	$89.45 – $3,071.70	19
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550	$1,018.80	$1,698.00	$35.20 – $1,528.20	19
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552	$403.20	$672.00	$34.17 – $604.80	19
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553	$502.20	$837.00	$37.92 – $753.30	19
Injection, cangrelor HCPCS C9460	$1,943.40	$3,239.00	$11.10 – $57.60	18
Injection, daratumumab 10 mg HCPCS J9145	$147.60	$6,656.53	$34.20 – $221.40	19
Injection, fulvestrant HCPCS J9395	$3,940.80	$6,568.00	$4.25 – $166.75	19
Injection, inclisiran, 1 mg HCPCS J1306	$22.80	$38.00	$5.20 – $34.20	19
Injection, isavuconazonium HCPCS J1833	$830.40	$1,384.00	$0.41 – $3.60	18
Injection, peramivir HCPCS J2547	$7.40	$9.25	$1.26 – $8.10	18
Injection, renflexis HCPCS Q5104	$228.80	$1,663.70	$17.05 – $257.40	19
Injection, siltuximab HCPCS J2860	$404.40	$674.00	$68.35 – $606.60	19
Injection,onabotulinumtoxina HCPCS J0585	$2,876.40	$4,794.00	$4.10 – $43.20	19
Ins cath ren art 1st bi CPT 36252	$2,866.20	$4,777.00	$322.01 – $4,299.30	19
Ins cath ren art 1st uni CPT 36251	$2,866.20	$4,777.00	$247.21 – $4,299.30	19
Ins cath ren art 2nd+ bi CPT 36254	$15,122.40	$25,204.00	$371.55 – $22,683.60	19
Ins cath ren art 2nd+ uni CPT 36253	$10,903.20	$18,172.00	$344.41 – $16,354.80	19
Ins icd gen exist sgl lead CPT 33240	$33,033.60	$55,056.00	$1,332.29 – $49,550.40	18
Ins lv lead exist pm/icd CPT 33224	$28,245.60	$47,076.00	$927.28 – $42,368.40	18
Ins picad w subq port 5yr> CPT 36571	$5,418.00	$9,030.00	$681.00 – $8,127.00	18
Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572	$2,070.60	$3,451.00	$82.85 – $3,105.90	19
Ins pq tunnld ip cath w/img CPT 49418	$11,944.80	$19,908.00	$2,515.16 – $17,917.20	18
Ins tun cv cath wo subq prt/pm CPT 36558	$2,618.40	$4,364.00	$596.00 – $3,927.60	18
Ins tun cvad 2 cath w/subq port(s) CPT 36566	$2,997.00	$4,995.00	$681.00 – $5,565.99	18
Ins/rpl ldless pm right vent w img & eval CPT 33274	$16,670.40	$27,784.00	$307.59 – $25,005.60	18
Ins/rpl pm gen exist dual lead CPT 33213	$10,852.20	$18,087.00	$681.00 – $16,278.30	18
Ins/rplc spi npg/rcvr pocket CPT 63685	not published	not published	$331.10 – $31,958.20	10
Insert and remove bone pin CPT 20650	$3,639.60	$6,066.00	$152.49 – $5,459.40	19
Insert ant drainage device CPT 66183	not published	not published	$1,647.28 – $4,218.84	8
Insert cath pleura with image CPT 32557	$2,703.60	$4,506.00	$766.66 – $4,055.40	18
Insert cath pleura without image CPT 32556	$697.20	$1,162.00	$324.20 – $1,953.23	18
Insert drug delivery implant CPT 11981	not published	not published	$83.30 – $246.23	9
Insert hepatic shunt (tips) CPT 37182	$7,146.60	$11,911.00	$1,643.23 – $10,719.90	16
Insert intrauterine device iud CPT 58300	not published	not published	$18.98 – $92.94	6
Insert lens prosthesis CPT 66985	not published	not published	$642.32 – $2,391.84	10
Insert multi-comp penis pros CPT 54405	not published	not published	$681.00 – $21,109.19	9
Insert pm/icd lead dual CPT 33217	$6,057.00	$10,095.00	$700.58 – $9,085.50	18
Insert self-contd prosthesis CPT 54401	not published	not published	$681.00 – $21,109.19	9
Insert semi-rigid prosthesis CPT 54400	not published	not published	$681.00 – $13,625.38	9
Insert sq defib electrode CPT 33271	$14,554.20	$24,257.00	$329.97 – $21,831.30	18
Insert swan-ganz cath CPT 93503	$2,271.60	$3,786.00	$227.18 – $3,407.40	18
Insert tissue expander(s) CPT 11960	not published	not published	$596.00 – $3,839.33	10
Insert tunneled cv cath CPT 36563	not published	not published	$272.32 – $5,669.06	10
Insert uro/ves nck sphincter CPT 53445	not published	not published	$444.00 – $21,109.19	9
Insert/repl sq defib w/eltrd CPT 33270	$30,741.60	$51,236.00	$401.56 – $46,112.40	18
Insertion catheter bladder non indwelling CPT 51701	$544.20	$907.00	$28.00 – $816.30	19
Insertion catheter bladder temporary simple CPT 51702	$663.60	$1,106.00	$30.26 – $995.40	19
Insertion catheter pleural indwelling tunneled with cuff CPT 32550	$6,840.00	$11,400.00	$1,086.84 – $10,260.00	18
Insertion intra aortic balloon assist device percutaneous CPT 33967	$1,380.00	$2,300.00	$479.55 – $2,070.00	16
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191	$5,160.00	$8,600.00	$2,399.40 – $7,740.00	18
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556	$2,618.40	$4,364.00	$124.53 – $3,927.60	19
Insertion of catheter vein CPT 36500	$3,172.80	$5,288.00	$38.50 – $4,759.20	18
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208	$14,596.20	$24,327.00	$509.38 – $21,894.30	19
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207	$12,188.40	$20,314.00	$507.30 – $18,282.60	19
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225	$28,245.60	$47,076.00	$823.76 – $42,368.40	16
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569	$2,618.40	$4,364.00	$96.13 – $3,927.60	19
Insertion picc without port or pump with imaging guidance=>5y CPT 36573	$2,618.40	$4,364.00	$76.74 – $3,927.60	19
Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216	$7,267.20	$12,112.00	$392.35 – $10,900.80	19
Insertion subcutaneous cardiac rhythm monitor CPT 33285	$8,470.20	$14,117.00	$3,012.17 – $12,705.30	18
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561	$5,847.60	$9,746.00	$681.00 – $8,771.40	18
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249	$41,292.60	$68,821.00	$1,587.58 – $61,938.90	18
Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210	$4,897.20	$8,162.00	$181.39 – $8,284.66	19
Insitu hybridization auto CPT 88367	$717.60	$1,196.00	$134.43 – $1,076.40	20
Insitu hybridization manual CPT 88368	$720.00	$1,200.00	$88.95 – $1,080.00	20
Insj rx elut implt lac canal CPT 68841	not published	not published	$15.71 – $2,446.62	8
Insrt/redo neurostim 1 array CPT 61885	not published	not published	$596.00 – $22,489.12	9
Instill, bupivac and meloxic HCPCS C9088	$1.80	$3.00	$0.28 – $2.70	16
Instillation anticarcinogenic agent bladder CPT 51720	not published	not published	$73.63 – $699.99	9
Insulin total CPT 83525	$85.20	$142.00	$9.53 – $127.80	20
Interdental fixation CPT 21110	$3,520.20	$5,867.00	$729.80 – $5,280.30	18
Interdiscal perq aspir dx CPT 62267	$1,753.80	$2,923.00	$402.55 – $2,630.70	18
Interferon alfa-2b inj HCPCS J9214	not published	$3,303.48	$20.39 – $594.32	16
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027	$2,752.20	$4,587.00	$31.84 – $137.70	18
Internal nerve revision 64727 CPT 64727	not published	not published	$444.00 – $1,258.69	4
Interrog dev eval scrms ip CPT 93291	$133.20	$222.00	$19.46 – $199.80	19
Interrog device eval heart CPT 93289	$220.20	$367.00	$29.63 – $330.30	19
Intracran angioplsty w/stent CPT 61635	$4,426.20	$7,377.00	$1,844.25 – $6,639.30	15
Intracranial angioplasty CPT 61630	$10,237.80	$17,063.00	$2,122.49 – $15,356.70	15
Intraoral i+d tongue/floor lingual 41000 CPT 41000	$2,236.20	$3,727.00	$42.35 – $3,354.30	19
Intrinsic factor antibody CPT 86340	$150.00	$250.00	$12.57 – $225.00	20
Intro cath dialysis circuit CPT 36901	$3,652.20	$6,087.00	$131.16 – $5,478.30	19
Intro cath dialysis circuit w/pta CPT 36902	$5,757.00	$9,595.00	$195.43 – $8,635.50	19
Intro cath dialysis circuit w/stent plcmnt CPT 36903	$3,652.20	$6,087.00	$267.53 – $11,352.46	19
Intro cath svc/ivc CPT 36010	$4,867.80	$8,113.00	$125.95 – $7,301.70	18
Intro catheter aorta CPT 36200	$2,500.80	$4,168.00	$122.10 – $3,751.20	18
Intro long gi tube CPT 44500	$634.20	$1,057.00	$21.64 – $951.30	19
Intro long gi tube w/mult fluo CPT 74340	$721.20	$1,202.00	$146.21 – $1,081.80	16
Intrvasc Ultrasound noncoronary 1st vessel CPT 37252	$4,101.00	$6,835.00	$929.34 – $6,151.50	16
Intrvasc Ultrasound noncoronary addl vessel CPT 37253	$3,632.40	$6,054.00	$56.49 – $5,448.60	16
Intubation endotracheal emergency procedure CPT 31500	$961.80	$1,603.00	$79.20 – $1,442.70	19
Ionm in operatng room 15 min CPT 95940	$191.40	$319.00	$34.93 – $287.10	16
Ionm remote/>1 pt or per hr CPT 95941	$415.80	$693.00	$139.73 – $623.70	15
Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966	$147.60	$246.00	$0.28 – $1.80	18
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967	$41.40	$69.00	$0.10 – $2.12	18
Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228	$369.00	$615.00	$102.74 – $331.43	19
Ipratropium bromide non-comp HCPCS J7644	$14.40	$18.00	$0.11 – $16.20	19
Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206	$1,591.20	$1,989.00	$1.11 – $284.17	18
Iron CPT 83540	$80.40	$134.00	$5.39 – $120.60	20
Iron binding capacity CPT 83550	$104.40	$174.00	$5.50 – $156.60	20
Iron dextran 50 mg/ml injection solution HCPCS J1750	$92.80	$116.00	$11.43 – $72.21	20
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756	$255.60	$426.00	$0.14 – $14.04	19
Irradiation of blood product each unit reference CPT 86945	$142.20	$237.00	$28.06 – $213.30	18
Irrigation implantable venous access device for drug delivery systems CPT 96523	$150.60	$251.00	$21.43 – $225.90	19
Ivc venogram s&i CPT 75825	$2,866.20	$4,777.00	$41.25 – $4,299.30	19
Ixabepilone 15 mg intravenous solution HCPCS J9207	$272.40	$3,438.95	$87.90 – $408.60	19
Jak2 targeted sequence analysis CPT 81279	$1,227.60	$2,046.00	$138.26 – $769.50	20
Jejunstmy tube plcmt CPT 44372	$5,083.20	$8,472.00	$228.25 – $7,624.80	19
John cunningham antibody CPT 86711	$68.40	$114.00	$14.08 – $102.60	20
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010	$55.80	$93.00	$5.50 – $83.70	20
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885	$34.80	$43.50	$0.19 – $15.32	20
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770	$706.20	$1,177.00	$84.51 – $1,059.30	19
Kidney endoscopy CPT 50553	$3,015.00	$5,025.00	$249.70 – $5,088.95	19
Kidney img w/bldflw sgl without rx CPT 78707	$1,858.80	$3,098.00	$124.75 – $2,788.20	19
Kit cath f 8f w/glv + wipe ster HCPCS A4353	$24.00	$40.00	$10.00 – $36.00	16
Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761	$10,076.40	$16,794.00	$4,198.50 – $15,114.60	14
Kit gene analys d816 variant CPT 81273	$1,229.40	$2,049.00	$87.25 – $1,683.00	20
Kit hfx iq ipg bundle HCPCS C1822	$56,811.60	$94,686.00	$22,724.64 – $85,217.40	15
Kit lead specify 5-6-5 HCPCS C1778	$41,212.80	$68,688.00	$216.24 – $10,400.32	16
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878	$2,083.80	$3,473.00	$778.32 – $2,948.40	15
Kit sound processor cochlear osia 2 HCPCS L8691	$27,822.00	$46,370.00	$2,610.96 – $9,933.36	15
Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615	$3,480.00	$5,800.00	$176.62 – $2,578.50	15
Knee Arthroscopy (Meniscus Repair) CPT 29881	not published	not published	$597.85 – $3,402.68	10
Knee MRI (with and without contrast) CPT 73723	$6,512.40	$10,854.00	$283.82 – $9,768.60	19
Knee MRI (with contrast) CPT 73722	$5,313.60	$8,856.00	$352.75 – $7,970.40	19
Knee MRI (without contrast) CPT 73721	$4,125.00	$6,875.00	$192.10 – $6,187.50	19
Knee X-ray CPT 73564	$456.60	$761.00	$37.31 – $684.90	18
Knee arthroscopy/surgery CPT 29875	not published	not published	$840.00 – $3,402.68	9
Knee arthroscopy/surgery CPT 29888	not published	not published	$681.00 – $7,491.76	9
Knee arthroscopy/surgery CPT 29889	not published	not published	$681.00 – $13,493.67	9
Kras gene addl variants CPT 81276	$454.20	$757.00	$137.79 – $681.30	20
Kras gene variants exon 2 CPT 81275	$361.80	$603.00	$130.34 – $542.70	20
Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254	$171.00	$285.00	$0.25 – $0.90	16
Lactate dehydrogenase (ldh) CPT 83615	$71.40	$119.00	$5.03 – $107.10	20
Lactated ringers intravenous solution HCPCS J7120	$70.00	$87.50	$0.00 – $18.46	19
Lactic acid CPT 83605	$129.60	$216.00	$8.80 – $194.40	20
Lactoferrin fecal qualitative CPT 83630	$236.40	$394.00	$13.54 – $354.60	20
Lactoferrin fecal quant CPT 83631	$253.20	$422.00	$16.36 – $379.80	20
Lam facetec & foramot lumbar CPT 63047	not published	not published	$1,844.80 – $7,491.76	8
Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930	$195.20	$23,905.00	$21.50 – $219.60	19
Lap enterolysis CPT 44180	not published	not published	$1,517.97 – $6,118.60	8
Lap ing hernia repair init CPT 49650	not published	not published	$840.00 – $6,118.60	9
Lap jejunostomy 44186 CPT 44186	not published	not published	$1,065.33 – $6,118.60	8
Lap paraesophag hern repair CPT 43281	not published	not published	$2,146.95 – $10,918.43	8
Laparo ablate renal cyst CPT 50541	not published	not published	$1,609.13 – $10,918.43	8
Laparo cholecystectomy/graph CPT 47563	not published	not published	$1,631.43 – $6,118.60	8
Laparo ligate spermatic vein CPT 55550	not published	not published	$913.38 – $6,118.60	9
Laparo partial nephrectomy CPT 50543	not published	not published	$2,555.50 – $10,918.43	8
Laparo proc abdm/per/oment 49329 CPT 49329	not published	not published	$1,631.43 – $6,118.60	7
Laparo urethral suspension CPT 51990	not published	not published	$1,354.82 – $6,118.60	8
Laparoscopic myomectomy CPT 58545	not published	not published	$501.29 – $6,118.60	9
Laparoscopy excise lesions CPT 58662	not published	not published	$958.00 – $6,118.60	9
Laparoscopy fundoplasty CPT 43280	not published	not published	$1,809.89 – $10,918.43	8
Laparoscopy lymph node biop CPT 38570	not published	not published	$1,310.06 – $6,118.60	9
Laparoscopy lymphadenectomy CPT 38571	not published	not published	$1,694.51 – $10,918.43	9
Laparoscopy remove adnexa CPT 58661	not published	not published	$958.00 – $6,118.60	9
Laparoscopye procstom 43659 CPT 43659	not published	not published	$1,631.43 – $6,118.60	7
Laps surg prst8ect rpbic rad CPT 55866	not published	not published	$3,038.95 – $10,918.43	8
Laps surg prst8ect smpl stot CPT 55867	not published	not published	$406.09 – $10,918.43	8
Largsc w/laser dstrj les CPT 31572	not published	not published	$312.72 – $3,866.57	8
Largsc w/njx augmentation CPT 31574	not published	not published	$637.61 – $1,808.49	8
Largsc w/removal lesion CPT 31578	not published	not published	$168.17 – $3,866.57	10
Largsc w/rmvl foreign bdy(s) CPT 31577	$2,993.40	$4,989.00	$308.61 – $4,490.10	18
Largsc w/ther injection CPT 31573	not published	not published	$167.92 – $1,808.49	8
Laryngoplasty laryngeal sten CPT 31552	not published	not published	$931.31 – $6,203.86	8
Laryngoplasty medialization CPT 31591	not published	not published	$672.64 – $6,203.86	8
Laryngoscop w/vc inj + scope CPT 31571	not published	not published	$207.90 – $3,866.57	10
Laryngoscope w/vc inj CPT 31570	not published	not published	$207.90 – $3,866.57	10
Laryngoscopy and dilation CPT 31528	not published	not published	$596.00 – $3,866.57	9
Laryngoscopy and dilation CPT 31529	not published	not published	$528.13 – $3,866.57	9
Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525	$2,131.80	$3,553.00	$129.80 – $3,197.70	19
Laryngoscopy w/biopsy CPT 31535	not published	not published	$596.00 – $3,866.57	9
Laryngoscopy w/bx & op scope CPT 31536	not published	not published	$215.67 – $3,866.57	10
Laryngoscopy w/exc of tumor CPT 31540	not published	not published	$247.38 – $3,866.57	10
Larynscop w/tumr exc + scope CPT 31541	not published	not published	$270.89 – $3,866.57	10
Laser surgery eye strands CPT 67031	not published	not published	$295.87 – $1,649.94	10
Laser surgery of prostate CPT 52648	not published	not published	$2,274.00 – $5,331.28	9
Laser treatment of retina CPT 67039	not published	not published	$1,329.00 – $4,218.84	9
Laser treatment of retina CPT 67040	not published	not published	$1,329.00 – $6,109.43	9
Lb with mastopexy 15839 CPT 15839	not published	not published	$681.00 – $3,001.48	8
Lead acuity x4 spiral l 86cm HCPCS C1900	$7,381.80	$12,303.00	$2,322.35 – $11,072.70	15
Lead capillary CPT 83655	$90.60	$151.00	$10.09 – $127.80	20
Lead ingevity 45cm pfret MRI HCPCS C1898	$4,238.40	$7,064.00	$724.08 – $3,870.40	15
Lefort i-1 piece without graft CPT 21141	not published	not published	$2,286.01 – $6,203.86	8
Leg Vein Ultrasound (DVT study, both legs) CPT 93970	$1,214.40	$2,024.00	$157.96 – $1,821.60	19
Leishmania antibody CPT 86717	$130.20	$217.00	$10.21 – $195.30	19
Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787	$609.00	$1,015.00	$112.50 – $552.75	13
Lens iol ant bicnvx 24.0 multi HCPCS V2632	$1,898.40	$3,164.00	$39.75 – $701.20	14
Lens iol ant chamb 10.5 HCPCS V2630	$961.20	$1,602.00	$71.50 – $701.11	14
Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640	$45.20	$57.00	$1.88 – $20.67	18
Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950	$2,249.40	$10,160.35	$828.43 – $2,672.37	20
Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217	$4,878.00	$12,937.45	$76.27 – $2,376.55	20
Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953	$300.00	$500.00	$0.03 – $2.70	18
Levetiracetam therapeutic drug level CPT 80177	$129.60	$216.00	$11.05 – $194.40	20
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956	$356.40	$594.00	$0.87 – $36.80	18
Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650	$21.00	$35.00	$4.24 – $31.50	18
Liberta rc ipg HCPCS C1820	$59,552.40	$99,254.00	$4,022.88 – $43,255.56	15
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002	$0.20	$0.25	$0.00 – $0.19	16
Lidocaine therapeutic drug level CPT 80176	$203.40	$339.00	$12.25 – $305.10	20
Ligation major artery neck CPT 37615	$3,231.00	$5,385.00	$707.89 – $4,846.50	18
Ligation/biopsy of temporal artery 37609 CPT 37609	not published	not published	$136.40 – $1,699.17	10
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020	$240.80	$301.00	$2.25 – $71.51	18
Lip surgery procedure CPT 40799	$71.40	$119.00	$18.59 – $239.10	17
Lipase CPT 83690	$130.20	$217.00	$5.50 – $195.30	20
Lipoprotein blood quant CPT 83704	$214.80	$358.00	$28.50 – $322.20	19
Lipoprotein direct measurement hdl CPT 83718	$70.20	$117.00	$6.83 – $105.30	20
Lipoprotein direct measurement ldl CPT 83721	$49.80	$83.00	$8.75 – $74.70	20
Lithium therapeutic drug level CPT 80178	$168.00	$280.00	$5.51 – $252.00	20
Lithotripsy transluminal coronary percutaneous CPT 92972	$11,088.60	$18,481.00	$51.15 – $16,632.90	16
Liver Function Test CPT 80076	$190.20	$317.00	$6.81 – $285.30	20
Liver ds alys 3 bmrk srm alg CPT 81517	$972.60	$1,621.00	$65.78 – $1,458.90	20
Lmtd oph exam general anes CPT 92019	not published	not published	$163.47 – $2,446.62	8
Lngth/shrt tendon leg/ankle 1 tendon CPT 27685	$4,630.80	$7,718.00	$358.05 – $6,946.20	19
Locm 100-199mg/ml iodine,1ml HCPCS Q9965	$7.80	$9.75	$0.25 – $1.45	18
Loop ostmy bridg ster HCPCS A4421	$74.40	$124.00	$31.00 – $111.60	15
Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060	$1,560.60	$2,601.00	$0.29 – $16.45	19
Low back disk surgery CPT 63030	not published	not published	$1,631.43 – $7,491.76	8
Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132	$3,054.00	$5,090.00	$165.60 – $4,581.00	19
Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149	$5,313.60	$8,856.00	$283.82 – $7,970.40	20
Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
Lower Back (Lumbar Spine) X-ray CPT 72100	$456.60	$761.00	$34.08 – $684.90	19
Lower jaw bone graft CPT 21215	not published	not published	$1,329.00 – $6,203.86	9
Lumbar Spinal Fusion (single level) CPT 22612	not published	not published	$890.42 – $19,285.98	8
Lung Function Test (Spirometry) CPT 94010	$379.20	$632.00	$16.50 – $568.80	19
Lung function test (mbc/mvv) CPT 94200	$79.80	$133.00	$9.90 – $119.70	19
Lung perfusion imaging CPT 78580	$1,087.20	$1,812.00	$86.90 – $1,630.80	19
Lurbinectedin 4 mg intravenous solution HCPCS J9223	$400.20	$667.00	$83.37 – $440.44	19
Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896	$87.60	$146.00	$25.98 – $83.82	19
Lymph vessel x-ray trunk CPT 75805	$1,389.60	$2,316.00	$96.25 – $3,150.80	19
Lymph vessel x-ray trunk CPT 75807	$1,551.00	$2,585.00	$103.40 – $3,150.80	19
Lymphocyte transformation mitogen CPT 86353	$350.40	$584.00	$40.87 – $525.60	20
Lymphocytotoxicity assay CPT 86805	$325.20	$542.00	$48.48 – $487.80	20
Lysis penil circumic lesion CPT 54162	not published	not published	$170.22 – $2,148.31	10
M.avium-intra dna amp prob CPT 87561	$336.00	$560.00	$29.25 – $504.00	19
M/phmtrc alys ishquant/semiq CPT 88373	$91.80	$153.00	$24.70 – $137.70	18
M/phmtrc alys ishquant/semiq CPT 88377	$507.60	$846.00	$93.18 – $761.40	20
M/phmtrc alysishquant/semiq CPT 88369	$507.60	$846.00	$30.54 – $761.40	18
MRA chest wo IV cont HCPCS C8910	$4,193.40	$6,989.00	$192.10 – $6,290.10	17
MRA chest wwo IV cont HCPCS C8911	$5,152.80	$8,588.00	$283.82 – $7,729.20	17
MRA without cont, abd HCPCS C8901	$2,731.80	$4,553.00	$192.10 – $4,097.70	17
MRA without fol w/cont, abd HCPCS C8902	$6,512.40	$10,854.00	$283.82 – $9,768.60	17
MRA without fol w/cont, pelvis HCPCS C8920	$6,512.40	$10,854.00	$283.82 – $9,768.60	17
MRI cardiac morph & func wwo IV cont CPT 75561	$1,648.80	$2,748.00	$283.82 – $2,473.20	20
MRI chest w IV cont CPT 71551	$5,313.60	$8,856.00	$431.72 – $7,970.40	20
MRI chest without & w/contrast CPT 71552	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
MRI chest without contrast CPT 71550	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
MRI loex nonjt w IV cont CPT 73719	$5,313.60	$8,856.00	$283.82 – $7,970.40	19
MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720	$6,512.40	$10,854.00	$283.82 – $9,768.60	19
MRI lower extremity other than joint without contrast (both sides) CPT 73718	$4,125.00	$6,875.00	$192.10 – $6,187.50	19
MRI orbit fac&nck w IV cont CPT 70542	$5,313.60	$8,856.00	$283.82 – $7,970.40	20
MRI orbit/face/neck without & w/contrast CPT 70543	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
MRI orbit/face/neck without contrast CPT 70540	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
MRI tmj CPT 70336	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220	$6,512.40	$10,854.00	$283.82 – $9,768.60	19
MRI upper extremity other than joint without contrast (both sides) CPT 73218	$4,125.00	$6,875.00	$192.10 – $6,187.50	19
MRI upper extremity w/dye CPT 73219	$5,313.60	$8,856.00	$283.82 – $7,970.40	19
Macroscopic exam arthropod CPT 87168	$42.60	$71.00	$3.56 – $63.90	19
Macroscopic exam parasite CPT 87169	$42.00	$70.00	$3.59 – $63.00	19
Magnesium CPT 83735	$57.00	$95.00	$5.59 – $85.50	20
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475	$85.80	$143.00	$0.15 – $0.58	18
Male sling procedure CPT 53440	not published	not published	$596.00 – $13,625.38	9
Manipulation chest wall demonstration/evaluation subsequent CPT 94668	$449.40	$749.00	$30.78 – $674.10	18
Manipulation chest wall initial demonstration/evaluation CPT 94667	$357.60	$596.00	$41.58 – $536.40	18
Mannitol 12.5 gm/50 ml inj HCPCS J2150	$66.00	$110.00	$3.01 – $11.70	16
Manual diff wbc count b-coat CPT 85009	$82.80	$138.00	$4.23 – $124.20	20
Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353	$94.80	$158.00	$20.08 – $142.20	19
Marker biop eviva buckle ss HCPCS A4648	$149.40	$249.00	$0.25 – $153.49	15
Mastoids complete CPT 70130	$456.60	$761.00	$44.87 – $684.90	18
Mastopexy CPT 19316	not published	not published	$729.80 – $6,839.17	8
Mayo a1app alpha 1 antitrypsin phenotype CPT 82104	$165.00	$275.00	$12.05 – $247.50	20
Mayo aathr protein s free CPT 85306	$159.60	$266.00	$12.77 – $239.40	20
Mayo activated protein c resistance assay CPT 85307	$158.40	$264.00	$12.77 – $237.60	20
Mayo adalimumab (humira) therapeutic drug level CPT 80145	$129.60	$216.00	$21.60 – $194.40	19
Mayo alkaline phosphatase isoenzyme CPT 84080	$116.40	$194.00	$12.32 – $174.60	19
Mayo alpha 1 antitrypsin CPT 82103	$130.20	$217.00	$11.20 – $195.30	20
Mayo amikacin trough therapeutic drug level CPT 80150	$153.00	$255.00	$12.10 – $229.50	20
Mayo analysis gene calr common variants exon 9 CPT 81219	$1,227.60	$2,046.00	$101.39 – $341.10	19
Mayo analysis gene jak2 p.val617phe variant CPT 81270	$1,702.80	$2,838.00	$45.10 – $402.30	20
Mayo analysis gene smn1 dosage/deletion CPT 81329	$730.20	$1,217.00	$83.66 – $556.20	20
Mayo androstenedione CPT 82157	$223.20	$372.00	$24.41 – $334.80	20
Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164	$198.60	$331.00	$12.17 – $297.90	20
Mayo antithrombin iii antigen CPT 85301	$74.40	$124.00	$9.01 – $111.60	20
Mayo aspergillus fumigatus antibody CPT 86606	$159.00	$265.00	$12.55 – $238.50	20
Mayo avwpr vw factor activity CPT 85397	$317.40	$529.00	$25.72 – $476.10	20
Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469	$355.80	$593.00	$13.98 – $533.70	20
Mayo bart bartonella henselae antibody igg CPT 86611	$105.00	$175.00	$8.49 – $148.50	20
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207	$1,051.20	$1,752.00	$103.21 – $1,576.80	19
Mayo blastomyces antibody immunodiffusion CPT 86612	$178.20	$297.00	$10.75 – $267.30	20
Mayo bordetella pertussis antibody igg CPT 86615	$63.60	$106.00	$11.00 – $95.40	20
Mayo brcmg brucella antibody igm CPT 86622	$173.40	$289.00	$7.44 – $260.10	20
Mayo c1 esterase inhibitor CPT 83883	$133.20	$222.00	$11.34 – $199.80	19
Mayo carnitine total and free quantitative each specimen plasma CPT 82379	$271.20	$452.00	$14.06 – $406.80	19
Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356	$176.40	$294.00	$19.79 – $264.60	20
Mayo cdcom hla class ii typing low resolution one locus each CPT 81376	$465.00	$775.00	$101.88 – $697.50	20
Mayo ceruloplasmin CPT 82390	$100.20	$167.00	$8.95 – $142.20	20
Mayo chemiluminescent parathyroid related peptide CPT 82397	$181.80	$303.00	$11.77 – $272.70	19
Mayo chikv chikungunya antibodies igg CPT 86790	$128.40	$214.00	$10.74 – $192.60	19
Mayo chlap chlamydia pneumoniae antibody igg CPT 86631	$58.20	$97.00	$9.85 – $87.30	20
Mayo chlap chlamydia pneumoniae antibody igm CPT 86632	$133.20	$222.00	$10.57 – $199.80	20
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230	$879.00	$1,465.00	$97.11 – $1,318.50	20
Mayo chromium CPT 82495	$70.20	$117.00	$6.60 – $105.30	20
Mayo coccidioides antibody CPT 86635	$124.20	$207.00	$9.56 – $186.30	20
Mayo cocou cortisone urine CPT 82542	$168.00	$280.00	$20.08 – $252.00	20
Mayo cortisol free CPT 82530	$126.60	$211.00	$13.93 – $189.90	20
Mayo covid-19 antibody nucleocapsid total CPT 86769	$123.00	$205.00	$12.28 – $184.50	20
Mayo coxiella brunetii (q fever) igg antibody CPT 86638	$90.60	$151.00	$10.10 – $135.90	20
Mayo cyanide CPT 82600	$205.20	$342.00	$16.17 – $307.80	20
Mayo deoxyribonuclease antibody titer CPT 86215	$90.60	$151.00	$11.05 – $135.90	20
Mayo dhea (dehydroepiandrosterone) CPT 82626	$189.60	$316.00	$21.07 – $284.40	20
Mayo efpo chloride stool CPT 82438	$67.80	$113.00	$3.30 – $101.70	20
Mayo estriol CPT 82677	$186.00	$310.00	$19.25 – $279.00	20
Mayo estrone CPT 82679	$241.20	$402.00	$14.30 – $361.80	20
Mayo ethosuximide therapeutic drug level CPT 80168	$118.20	$197.00	$13.62 – $177.30	20
Mayo everolimus therapeutic drug level CPT 80169	$129.60	$216.00	$11.45 – $194.40	20
Mayo factor ii CPT 85210	$122.40	$204.00	$4.40 – $183.60	20
Mayo factor v CPT 85220	$150.60	$251.00	$5.50 – $225.90	20
Mayo factor vii CPT 85230	$150.60	$251.00	$5.50 – $225.90	20
Mayo factor viii vw factor antigen CPT 85246	$176.40	$294.00	$19.12 – $264.60	20
Mayo factor viii vw factor multimetric analysis CPT 85247	$243.60	$406.00	$19.12 – $364.50	20
Mayo factor viii vw factor ristocetin cofactor CPT 85245	$243.60	$406.00	$19.12 – $364.50	20
Mayo factor x CPT 85260	$150.60	$251.00	$13.20 – $225.90	20
Mayo factor xi CPT 85270	$150.60	$251.00	$13.20 – $225.90	20
Mayo fat/lipids feces quantitative CPT 82710	$126.60	$211.00	$4.42 – $189.90	20
Mayo fbl culture fungi blood CPT 87103	$153.00	$255.00	$13.71 – $229.50	20
Mayo ffspg allergen clam igg CPT 86001	$47.40	$79.00	$6.36 – $71.10	20
Mayo fibrinogen antigen CPT 85385	$109.80	$183.00	$10.90 – $164.70	20
Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171	$129.60	$216.00	$13.35 – $194.40	20
Mayo gamma-globin full gene sequencing CPT 81479	$8,992.20	$14,987.00	$65.25 – $234.90	15
Mayo hemosiderin qualitative urine CPT 83070	$60.60	$101.00	$3.30 – $90.90	20
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535	$626.40	$1,044.00	$29.25 – $939.60	19
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538	$388.80	$648.00	$29.25 – $583.20	19
Mayo hiser histoplasma antibodies immunodiffusion CPT 86698	$100.20	$167.00	$11.50 – $150.30	20
Mayo hla typing a/b/c single antigen CPT 86812	$194.40	$324.00	$13.20 – $291.60	20
Mayo hvdip HIV 1 antibody CPT 86701	$80.40	$134.00	$7.41 – $120.60	20
Mayo hvdip HIV 2 antibody CPT 86702	$67.20	$112.00	$11.27 – $100.80	20
Mayo hydroxyprogesterone 17-d CPT 83498	$205.80	$343.00	$22.55 – $308.70	20
Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520	$100.20	$167.00	$14.40 – $119.70	19
Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317	$76.20	$127.00	$12.50 – $114.30	20
Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300	$213.60	$356.00	$17.35 – $320.40	20
Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316	$176.40	$294.00	$17.35 – $264.60	20
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513	$987.60	$1,646.00	$12.34 – $1,481.40	19
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899	$122.40	$204.00	$13.40 – $183.60	19
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305	$75.00	$125.00	$9.99 – $112.50	20
Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498	$428.40	$714.00	$29.25 – $642.60	20
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563	$355.80	$593.00	$19.65 – $533.70	20
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581	$476.40	$794.00	$29.25 – $714.60	19
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594	$355.80	$593.00	$12.34 – $533.70	19
Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497	$271.20	$452.00	$35.71 – $406.80	20
Mayo infliximab therapeutic drug level CPT 80230	$523.20	$872.00	$21.60 – $784.80	19
Mayo inhab inhibin a CPT 86336	$990.00	$1,650.00	$13.00 – $1,485.00	19
Mayo insft insulin free CPT 83527	$93.60	$156.00	$10.80 – $140.40	20
Mayo insulin antibodies CPT 86337	$97.20	$162.00	$12.10 – $145.80	20
Mayo iodine CPT 83789	$200.40	$334.00	$20.10 – $300.60	19
Mayo itraconazole therapeutic drug level CPT 80189	$129.60	$216.00	$20.24 – $194.40	20
Mayo lacosamide therapeutic drug level CPT 80235	$129.60	$216.00	$15.17 – $194.40	19
Mayo lamotrigine therapeutic drug level CPT 80175	$129.60	$216.00	$11.05 – $194.40	20
Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625	$131.40	$219.00	$10.66 – $197.10	20
Mayo legionella antibody CPT 86713	$114.60	$191.00	$12.75 – $171.00	20
Mayo lipoprotein electrophoresis CPT 83700	$106.20	$177.00	$9.39 – $159.30	20
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617	$128.40	$214.00	$12.91 – $192.60	20
Mayo manganese CPT 83785	$43.20	$72.00	$15.76 – $64.80	19
Mayo metanephrines plasma CPT 83835	$202.80	$338.00	$14.12 – $304.20	20
Mayo mgle voltage-gated calcium channel antibody each CPT 86596	$168.60	$281.00	$7.81 – $252.90	20
Mayo mgrm acetylcholine receptor binding antibody CPT 86041	$168.60	$281.00	$6.88 – $252.90	20
Mayo microsomal antibody liver-kidney CPT 86376	$136.20	$227.00	$8.70 – $204.30	20
Mayo mitotane (lysodren) therapeutic drug level CPT 80299	$129.60	$216.00	$15.54 – $80.10	20
Mayo molecular pathology procedure level 2 apoe genotype CPT 81401	$4,014.60	$6,691.00	$104.09 – $484.20	19
Mayo mpl sequence analysis exon 10 CPT 81339	$752.40	$1,254.00	$138.26 – $769.50	19
Mayo muramidase CPT 85549	$141.00	$235.00	$15.63 – $211.50	20
Mayo muscle-specific kinase (musk) antibody CPT 86366	$168.60	$281.00	$6.88 – $252.90	19
Mayo mycophenolic acid therapeutic drug level CPT 80180	$200.40	$334.00	$15.05 – $211.50	20
Mayo myoglobin CPT 83874	$97.20	$162.00	$10.77 – $145.80	20
Mayo nickel CPT 83885	$189.60	$316.00	$12.10 – $284.40	20
Mayo organic acid methylmalonic single quantitative CPT 83921	$168.00	$280.00	$17.68 – $252.00	20
Mayo oxalate 24 hour urine CPT 83945	$97.20	$162.00	$12.05 – $145.80	20
Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656	$137.40	$229.00	$9.61 – $206.10	20
Mayo parvs parvovirus b19 antibody igg CPT 86747	$114.60	$191.00	$12.53 – $171.90	20
Mayo paval fluorescent antibody screen agna type 1 CPT 86255	$213.00	$355.00	$10.04 – $319.50	20
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476	$237.00	$395.00	$29.25 – $355.50	20
Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598	$175.80	$293.00	$14.99 – $263.70	20
Mayo pntft phenytoin free therapeutic drug level CPT 80186	$105.00	$175.00	$11.47 – $157.50	20
Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110	$64.20	$107.00	$2.20 – $96.30	20
Mayo pregnenolone CPT 84140	$222.00	$370.00	$17.23 – $333.00	20
Mayo prmb primidone therapeutic drug level CPT 80188	$165.00	$275.00	$13.83 – $247.50	20
Mayo proinsulin CPT 84206	$273.00	$455.00	$8.80 – $409.50	20
Mayo psaft prostate specific antigen free CPT 84154	$265.80	$443.00	$15.33 – $398.70	20
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519	$168.60	$281.00	$15.34 – $252.90	19
Mayo rbcme osmotic fragility rbc incubated CPT 85557	$135.00	$225.00	$11.14 – $202.50	20
Mayo receptor assay transferrin soluble CPT 84238	$355.80	$593.00	$24.20 – $533.70	20
Mayo renin CPT 84244	$165.60	$276.00	$13.20 – $248.40	20
Mayo repu protein electrophoresis urine CPT 84166	$181.20	$302.00	$14.86 – $271.80	20
Mayo selenium CPT 84255	$168.00	$280.00	$21.28 – $252.00	19
Mayo serotonin CPT 84260	$235.20	$392.00	$25.82 – $352.80	20
Mayo sfgp rickettsia rickettsii antibody igg CPT 86757	$198.60	$331.00	$16.13 – $297.90	20
Mayo sirolimus therapeutic drug level CPT 80195	$94.80	$158.00	$11.45 – $142.20	20
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581	$76.20	$127.00	$31.75 – $114.30	15
Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592	$36.60	$61.00	$3.56 – $54.90	20
Mayo tau phosphorylated 217 each CPT 84393	$100.20	$167.00	$41.75 – $150.30	15
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340	$859.80	$1,433.00	$174.16 – $1,289.70	19
Mayo tgrp testosterone free CPT 84402	$322.80	$538.00	$21.23 – $484.20	20
Mayo tgrp testosterone total CPT 84403	$249.60	$416.00	$21.52 – $374.40	20
Mayo thyroglobulin CPT 84432	$124.20	$207.00	$13.39 – $186.30	20
Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666	$133.20	$222.00	$8.49 – $199.80	20
Mayo ticks babesia microti antibody igg CPT 86753	$134.40	$224.00	$10.33 – $201.60	19
Mayo valpg valproic acid free therapeutic drug level CPT 80165	$189.00	$315.00	$11.29 – $283.50	20
Mayo vasoactive intestinal peptide CPT 84586	$378.00	$630.00	$29.45 – $567.00	20
Mayo vitamin b-2 (riboflavin) CPT 84252	$138.60	$231.00	$8.80 – $207.90	20
Mayo vitamin b3 (niacin) CPT 84591	$78.60	$131.00	$14.22 – $117.90	19
Mayo vitamin k CPT 84597	$282.60	$471.00	$11.44 – $423.90	19
Mayo zonisamide therapeutic drug level CPT 80203	$129.60	$216.00	$11.05 – $194.40	20
Mcp joint arthroscopy surg CPT 29901	not published	not published	$407.01 – $3,402.68	10
Measure kidney pressure CPT 50396	$2,979.60	$4,966.00	$83.05 – $4,469.40	19
Measurement post void urine by ultrasound CPT 51798	$176.40	$294.00	$11.60 – $264.60	19
Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050	$152.40	$254.00	$0.25 – $0.90	16
Megestrol 20 mg tabs 100 each bottle HCPCS S0179	$7.60	$9.50	$0.88 – $3.49	16
Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175	$16.40	$20.50	$1.50 – $15.69	18
Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182	$6,447.60	$10,746.00	$19.03 – $121.50	19
Meropenem 1 gram intravenous solution HCPCS J2185	$27.80	$34.75	$0.27 – $9.70	19
Mesna 100 mg/ml intravenous solution HCPCS J9209	$908.40	$1,514.00	$1.00 – $116.12	18
Metabolic Blood Panel (Basic) CPT 80048	$198.60	$331.00	$7.05 – $297.90	20
Metabolic Blood Panel (Comprehensive) CPT 80053	$289.20	$482.00	$8.80 – $433.80	20
Metabolic panel ionized ca CPT 80047	$198.60	$331.00	$11.45 – $297.90	20
Methadone injection HCPCS J1230	$56.00	$70.00	$3.51 – $34.20	18
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800	$45.00	$56.25	$3.02 – $50.40	18
Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260	$177.60	$222.00	$1.17 – $11.02	19
Methotrexate sodium 2.5 mg tablet HCPCS J8610	$17.20	$21.50	$0.12 – $7.16	19
Methotrexate therapeutic drug level CPT 80204	$129.60	$216.00	$28.79 – $194.40	19
Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968	$4.00	$5.00	$0.54 – $9.43	18
Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210	$38.40	$48.00	$4.00 – $43.20	18
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212	$204.00	$340.00	$0.50 – $2.70	16
Methylprednisolone 4 mg tablet HCPCS J7509	$10.80	$16.00	$0.07 – $3.60	19
Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010	$1.20	$1.50	$0.07 – $9.43	20
Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919	$2.20	$94.95	$0.04 – $7.16	20
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765	$16.40	$20.50	$0.66 – $18.00	19
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616	$2.40	$4.00	$0.08 – $3.60	18
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836	$2.80	$3.50	$0.02 – $2.70	18
Mgmt promoter methylation analysis CPT 81287	$227.40	$379.00	$58.07 – $341.10	20
Micafungin 100 mg intravenous solution HCPCS J2248	$7.00	$109.23	$0.16 – $7.20	18
Microdissection laser CPT 88380	$649.80	$1,083.00	$148.95 – $974.70	15
Microdissection manual CPT 88381	$715.80	$1,193.00	$65.83 – $1,073.70	16
Microsatellite instability CPT 81301	$1,154.40	$1,924.00	$264.17 – $1,731.60	20
Microsurg tehniq require use oper micro (add-on)69990 CPT 69990	$5,445.60	$9,076.00	$406.37 – $8,168.40	16
Midazolam 1 mg/ml injection solution HCPCS J2250	$22.40	$69.92	$0.10 – $2.77	19
Middle cerebral artery echo CPT 76821	$745.20	$1,242.00	$68.65 – $1,117.80	19
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260	$281.60	$352.00	$0.92 – $96.23	18
Minocycline hydrochloride HCPCS J2265	$104.40	$451.45	$0.28 – $2.88	18
Mitomycin 40 mg intravenous solution HCPCS J9280	$596.00	$3,159.90	$12.85 – $310.36	19
Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293	not published	$302.75	$15.08 – $539.89	19
Mlh1 gene CPT 81288	$1,123.80	$1,873.00	$19.53 – $207.71	19
Mlh1 gene dup/delete variant CPT 81294	$1,523.40	$2,539.00	$167.79 – $2,285.10	20
Mnpj elbow under anes CPT 24300	not published	not published	$298.64 – $1,678.38	9
Mog-igg1 antb flo cytmtry ea CPT 86363	$213.00	$355.00	$5.11 – $319.50	20
Monitor reveal linq ii cardiac HCPCS C1764	$12,370.80	$20,618.00	$2,358.91 – $12,316.42	15
Mopath procedure level 1 CPT 81400	$1,253.40	$2,089.00	$53.32 – $457.20	19
Mopath procedure level 3 CPT 81402	$2,046.60	$3,411.00	$100.52 – $624.60	19
Mopath procedure level 5 CPT 81404	$2,734.80	$4,558.00	$175.65 – $863.10	19
Mopath procedure level 6 CPT 81405	$5,299.80	$8,833.00	$133.36 – $891.57	19
Mopath procedure level 7 CPT 81406	$8,476.80	$14,128.00	$46.03 – $1,069.89	19
Mopath procedure level 8 CPT 81407	$1,687.80	$2,813.00	$280.95 – $1,897.78	19
Mopath procedure level 9 CPT 81408	$1,947.00	$3,245.00	$171.86 – $2,547.36	19
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274	$14.40	$630.00	$3.62 – $13.05	18
Morphine 4 mg/ml injection (wrapper) HCPCS J2270	$29.80	$37.25	$0.38 – $2.18	19
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374	$372.60	$621.00	$100.15 – $558.90	20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361	$718.80	$1,198.00	$105.09 – $1,078.20	20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360	$241.20	$402.00	$82.44 – $361.80	20
Mpl gene analysis common variants CPT 81338	$1,227.60	$2,046.00	$112.22 – $1,841.40	19
Mr elastography CPT 76391	$945.00	$1,575.00	$104.67 – $1,417.50	18
Mr safety determination physician/other qhp CPT 76016	$161.40	$269.00	$14.35 – $242.10	18
Mr safety implant elec prepj CPT 76018	$168.60	$281.00	$25.32 – $252.90	18
Mr sfty implt&/fb asmt stf 1 CPT 76014	$45.00	$75.00	$3.48 – $67.50	18
Mr sfty med physics xm cstmz CPT 76017	$444.00	$740.00	$60.36 – $666.00	18
Mra, w/dye, spinal canal HCPCS C8931	$1,013.40	$1,689.00	$268.84 – $1,520.10	17
Msh2 gene dup/delete variant CPT 81297	$1,523.40	$2,539.00	$133.51 – $2,285.10	20
Msh2 gene full seq CPT 81295	$1,523.40	$2,539.00	$133.51 – $2,285.10	20
Msh6 gene dup/delete variant CPT 81300	$1,523.40	$2,539.00	$142.27 – $2,285.10	20
Msh6 gene full seq CPT 81298	$1,523.40	$2,539.00	$253.29 – $2,285.10	20
Mthfr gene analy common variants CPT 81291	$357.60	$596.00	$51.49 – $536.40	19
Mucopolysaccharides CPT 83864	$236.40	$394.00	$19.80 – $354.60	20
Multiple sleep latency test CPT 95805	$3,010.20	$5,017.00	$260.54 – $4,515.30	19
Mumps antibody igg CPT 86735	$96.00	$160.00	$10.88 – $135.90	19
Muscle test cran nerv unilat CPT 95867	$283.20	$472.00	$27.50 – $424.80	19
Muscle test hemidiaphragm CPT 95866	$251.40	$419.00	$14.41 – $377.10	18
Muscle test larynx CPT 95865	$1,132.80	$1,888.00	$44.91 – $1,699.20	19
Muscle-skin graft trunk CPT 15734	not published	not published	$681.00 – $5,160.46	9
Mycobacteria dna amp probe CPT 87551	$393.00	$655.00	$40.21 – $589.50	19
Mycophenolate mofetil 250 mg capsule HCPCS J7517	$18.60	$31.00	$0.10 – $13.50	19
Mycophenolic acid HCPCS J7518	$32.00	$40.00	$0.21 – $26.10	19
Mycoplasma antibody igm CPT 86738	$99.00	$165.00	$11.04 – $148.50	20
Myd88 gene p.leu265pro vrnt CPT 81305	$1,379.40	$2,299.00	$107.12 – $556.20	19
Myelography via inj w/s&i 2+ regions CPT 62305	$2,250.60	$3,751.00	$114.50 – $3,375.90	19
Myelography via inj w/s&i cervical CPT 62302	$2,250.60	$3,751.00	$111.12 – $3,375.90	19
Myelography via inj w/s&i lumbosacral CPT 62304	$2,250.60	$3,751.00	$109.28 – $3,375.90	19
Myelography via inj w/s&i thoracic CPT 62303	$2,250.60	$3,751.00	$112.58 – $3,375.90	19
Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516	$108.60	$181.00	$9.61 – $162.90	19
N block inj hypogas plxs CPT 64517	$1,464.00	$2,440.00	$115.47 – $2,196.00	19
Nalbuphine 10 mg/ml injection solution HCPCS J2300	$16.20	$27.00	$2.01 – $10.80	18
Naltrexone, depot form HCPCS J2315	$18.00	$22.50	$2.68 – $1,865.57	20
Nasal endoscopy dx uni/bi separate proc CPT 31231	$2,450.40	$4,084.00	$64.75 – $3,675.60	19
Nasal endoscopy with removal of nasal foreign body CPT 30999	$90.60	$151.00	$18.59 – $239.10	17
Nasal/sinus endo spendt remove tiss 31288 CPT 31288	not published	not published	$681.00 – $7,259.71	9
Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240	not published	not published	$596.00 – $1,808.49	9
Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254	not published	not published	$681.00 – $7,259.71	9
Nasal/sinus endoscopy surg w/bx 31237 CPT 31237	$4,080.00	$6,800.00	$452.44 – $6,120.00	18
Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323	not published	$17,129.68	$15.15 – $15,416.71	19
Natriuretic peptide CPT 83880	$342.00	$570.00	$32.73 – $513.00	20
Natural killer cells total count CPT 86357	$320.40	$534.00	$31.45 – $480.60	20
Navigational bronchoscopy 31627 CPT 31627	not published	not published	$824.70 – $2,013.66	3
Ndl emg musc 1 xtr/non-limb CPT 95870	$236.40	$394.00	$24.68 – $354.60	19
Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
Neck (Cervical Spine) CT scan (with contrast) CPT 72126	$3,054.00	$5,090.00	$165.60 – $4,581.00	19
Neck (Cervical Spine) CT scan (without contrast) CPT 72125	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
Neck (Cervical Spine) MRI (with and without contrast) CPT 72156	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
Neck (Cervical Spine) MRI (with contrast) CPT 72142	$5,313.60	$8,856.00	$283.82 – $7,970.40	20
Neck (Cervical Spine) MRI (without contrast) CPT 72141	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
Neck MRA (blood vessel MRI, with and without contrast) CPT 70549	$6,512.40	$10,854.00	$283.82 – $9,768.60	19
Neck MRA (blood vessel MRI, with contrast) CPT 70548	$5,313.60	$8,856.00	$283.82 – $7,970.40	19
Neck MRA (blood vessel MRI, without contrast) CPT 70547	$4,125.00	$6,875.00	$192.10 – $6,187.50	19
Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710	$21.40	$26.75	$0.75 – $2.70	16
Nerve conduction 7-8 studies CPT 95910	$1,462.20	$2,437.00	$62.88 – $2,193.30	19
Nerve conduction studies 1-2 CPT 95907	$210.00	$350.00	$33.55 – $315.00	19
Nerve conduction studies 11-12 CPT 95912	$2,166.00	$3,610.00	$82.66 – $3,249.00	19
Nerve conduction studies 13+ CPT 95913	$403.20	$672.00	$92.57 – $604.80	19
Nerve conduction studies 3-4 CPT 95908	$627.00	$1,045.00	$40.45 – $940.50	19
Nerve conduction studies 5-6 CPT 95909	$508.20	$847.00	$48.77 – $762.30	19
Nerve conduction studies 9-10 CPT 95911	$897.00	$1,495.00	$73.05 – $1,345.50	19
Nerve repair w/allograft CPT 64910	not published	not published	$1,111.39 – $6,716.06	8
Nerve teasing preparations CPT 88362	$356.40	$594.00	$52.53 – $817.76	19
Neurolysis celiac plexus CPT 64680	$3,417.00	$5,695.00	$80.85 – $5,125.50	19
Neuromuscular junction testing ea nerve any 1 method CPT 95937	$357.60	$596.00	$21.70 – $536.40	19
New Patient Office Visit (level 2) CPT 99202	$149.40	$249.00	$36.08 – $224.10	19
New Patient Office Visit (level 3) CPT 99203	$225.60	$376.00	$36.08 – $338.40	19
New Patient Office Visit (level 4) CPT 99204	$300.00	$500.00	$36.08 – $450.00	19
New Patient Office Visit (level 5) CPT 99205	$377.40	$629.00	$36.08 – $566.10	19
Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404	$3.80	$4.75	$0.04 – $3.60	18
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305	$4.00	$55.45	$0.67 – $4.50	18
Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299	$82.80	$18,345.45	$19.39 – $124.20	19
Njx aa&/strd lmbr plex nfs CPT 64449	$1,656.60	$2,761.00	$282.37 – $2,484.90	18
Njx aa&/strd nrv nrvtg si jt CPT 64451	$631.20	$1,052.00	$115.39 – $946.80	18
Njx aa&/strd sc nrv nfs img CPT 64446	$2,070.60	$3,451.00	$90.60 – $3,105.90	19
Njx interlaminar crv/thrc CPT 62324	$2,239.20	$3,732.00	$83.56 – $3,358.80	19
Njx interlaminar lmbr/sac CPT 62326	$2,406.00	$4,010.00	$81.77 – $3,609.00	19
Njx interlaminar lmbr/sac CPT 62327	$2,883.00	$4,805.00	$87.09 – $4,324.50	19
Njx px nfrosgrm &/urtrgrm CPT 50430	$2,703.60	$4,506.00	$350.48 – $4,055.40	18
Nm imaging bone/joint 3 phase study CPT 78315	$2,672.40	$4,454.00	$183.01 – $4,008.60	19
Nm imaging bone/joint whole body CPT 78306	$2,464.80	$4,108.00	$111.63 – $3,697.20	19
Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472	$2,369.40	$3,949.00	$112.20 – $3,554.10	19
Nm imaging gastric emptying study CPT 78264	$1,543.20	$2,572.00	$148.49 – $2,314.80	19
Nm imaging gastrointestinal acute blood loss CPT 78278	$1,108.20	$1,847.00	$70.40 – $1,662.30	19
Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227	$1,663.20	$2,772.00	$208.17 – $2,494.80	19
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708	$1,385.40	$2,309.00	$125.40 – $2,078.10	19
Nm imaging pulmonary ventilation/perfusion CPT 78582	$1,443.00	$2,405.00	$262.00 – $2,164.50	19
Nras gene variants exon 2&3 CPT 81311	$369.60	$616.00	$171.86 – $554.40	20
Nsl/sins ndsc tot w/sphendt CPT 31257	not published	not published	$285.92 – $7,259.71	8
Ntsty modul rad tx dlvr cplx CPT 77386	$3,039.00	$5,065.00	$281.18 – $4,558.50	18
Nuclear Stress Test (Heart) CPT 78452	$4,388.40	$7,314.00	$374.88 – $6,582.60	19
Nudt15 gene common variants CPT 81306	$477.00	$795.00	$177.94 – $715.50	19
Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301	$189.00	$17,121.88	$39.76 – $283.50	19
Observation direct referral from physician office for admission HCPCS G0379	$85.20	$142.00	$26.56 – $631.28	16
Observation per hour HCPCS G0378	$925.80	$1,543.00	$26.56 – $1,123.02	15
Obstetrics panel CPT 80055	$320.40	$534.00	$13.20 – $480.60	20
Obtaining screen pap smear HCPCS Q0091	$48.00	$80.00	$10.00 – $72.00	17
Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350	$208.80	$40,625.00	$37.51 – $234.90	19
Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354	$558.60	$931.00	$0.39 – $9.03	19
Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353	$8,451.00	$15,486.40	$128.54 – $5,110.28	20
Ocular reconst transplant CPT 65782	not published	not published	$958.00 – $3,954.72	9
Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302	$168.60	$12,292.25	$51.87 – $225.00	18
Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814	$2,355.20	$2,944.00	$287.89 – $1,901.70	16
Olanzapine 10 mg intramuscular solution HCPCS J2359	$8.20	$10.25	$0.55 – $27.38	19
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357	$175.20	$3,052.88	$28.16 – $145.80	19
Ondansetron 4 mg s0119 HCPCS S0119	$107.20	$134.00	$0.11 – $76.05	17
Ondansetron 8 mg disintegrating tablet HCPCS Q0162	$19.80	$33.00	$0.01 – $29.70	18
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405	$30.20	$37.75	$0.06 – $11.32	19
Open periprosthetic breast capsule 19370 CPT 19370	not published	not published	$840.00 – $4,015.84	9
Ophthalmic mitomycin HCPCS J7315	$1,869.60	$2,337.00	$348.95 – $2,103.30	16
Opn impltj crnl nrv nea&pg CPT 64568	not published	not published	$1,064.13 – $31,958.20	8
Opn mpltj hpglsl nstm ary pg CPT 64582	not published	not published	$363.80 – $31,958.20	8
Opn tx orbit periorbtl implt CPT 21390	not published	not published	$727.60 – $6,203.86	9
Optx carpl scphd fx int fixj CPT 25628	not published	not published	$681.00 – $7,491.76	9
Optx clavicular fx w/int fix CPT 23515	not published	not published	$681.00 – $7,491.76	9
Optx complicated mndblr fx CPT 21470	not published	not published	$595.10 – $6,203.86	9
Optx gr hmrl tbrs fx int fix CPT 23630	not published	not published	$440.00 – $7,491.76	10
Optx medial ankle fx CPT 27766	not published	not published	$681.00 – $7,491.76	9
Optx mndblr cndylr fx CPT 21465	not published	not published	$840.00 – $6,203.86	9
Optx mndblr fx wo ntrdntl CPT 21461	not published	not published	$611.60 – $6,203.86	10
Optx post ankle fx CPT 27769	not published	not published	$1,100.70 – $7,491.76	8
Optx prox humrl fx w/int fix CPT 23615	not published	not published	$520.30 – $13,493.67	10
Optx rdl&uln shft fx rds&uln CPT 25575	$6,405.00	$10,675.00	$474.10 – $9,607.50	19
Oral aprepitant HCPCS J8501	$187.20	$312.00	$1.72 – $53.41	19
Oral everolimus HCPCS J7527	$1,208.40	$2,014.00	$0.87 – $29.70	18
Orchiopexy ingun/scrot appr CPT 54640	not published	not published	$840.00 – $3,700.99	9
Organic acids total quant ea spec CPT 83918	$171.00	$285.00	$19.67 – $256.50	20
Oritavancin 400 mg intravenous solution HCPCS J2407	$99.20	$124.00	$16.20 – $52.24	19
Oropharyngeal biopsy 42800 CPT 42800	$720.00	$1,200.00	$59.95 – $1,482.83	19
Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360	$74.40	$93.00	$3.09 – $83.70	18
Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917	$698.40	$1,164.00	$140.41 – $1,047.60	16
Orthopantogram CPT 70355	$325.20	$542.00	$22.93 – $487.80	18
Oscillation chest wall mechanical per session CPT 94669	$449.40	$749.00	$24.13 – $674.10	18
Osmolality blood CPT 83930	$63.60	$106.00	$3.30 – $95.40	20
Osmolality urine CPT 83935	$57.00	$95.00	$3.30 – $85.50	20
Ot evaluation high complexity patient/family CPT 97167	$338.40	$564.00	$50.04 – $507.60	16
Ot evaluation low complexity patient/family CPT 97165	$338.40	$564.00	$50.04 – $507.60	16
Ot evaluation moderate complexity patient/family CPT 97166	$338.40	$564.00	$50.04 – $507.60	16
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763	$85.80	$143.00	$29.91 – $128.70	16
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760	$104.40	$174.00	$43.50 – $156.60	16
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140	$223.80	$373.00	$23.13 – $335.70	18
Ot re-evaluation patient/family CPT 97168	$227.40	$379.00	$32.98 – $341.10	18
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530	$126.60	$211.00	$14.30 – $189.90	18
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130	$251.40	$419.00	$12.92 – $377.10	18
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129	$251.40	$419.00	$13.51 – $377.10	18
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110	$176.40	$294.00	$9.22 – $264.60	18
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112	$159.00	$265.00	$18.43 – $238.50	18
Ot training self care/home management direct contact each 15 minutes CPT 97535	$126.60	$211.00	$25.48 – $189.90	16
Oth resp proc, group HCPCS G0239	$38.40	$64.00	$9.42 – $57.60	15
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700	$494.40	$618.00	$0.50 – $13.50	18
Oxaliplatin 5 mg/ml desensitization HCPCS J9263	$59.40	$74.25	$0.05 – $17.55	18
Oxytocin 10 unit/ml injection solution HCPCS J2590	$15.40	$19.25	$1.86 – $13.29	16
PSA (Prostate) Test CPT 84153	$183.60	$306.00	$15.33 – $275.40	20
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267	$29.40	$49.00	$0.09 – $0.54	18
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264	$28.20	$3,450.25	$6.66 – $41.40	19
Paliperidone 117 mg/0.75 ml inj HCPCS J2426	$84.00	$105.00	$9.54 – $2,625.72	20
Palivizumab 50 mg/0.5 ml inj CPT 90378	not published	$6,571.58	$11.00 – $3,132.16	19
Palonosetron hcl HCPCS J2469	$989.40	$1,649.00	$0.22 – $60.08	18
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430	$2,828.80	$3,536.00	$5.06 – $396.39	18
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303	$652.80	$12,671.13	$109.25 – $979.20	19
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470	$34.20	$42.75	$1.82 – $37.80	16
Papaverin hcl injection HCPCS J2440	$11.00	$13.75	$2.68 – $10.80	16
Parathormone (pth) intact CPT 83970	$385.80	$643.00	$34.41 – $578.70	20
Paricalcitol HCPCS J2501	$137.40	$229.00	$0.60 – $9.33	18
Paring/cutting benign hyperkeratotic lesion single CPT 11055	$197.40	$329.00	$22.00 – $296.10	19
Part hymenectomy/revi hymenal ring 56700 CPT 56700	not published	not published	$130.35 – $3,334.43	10
Part removal of metatarsal CPT 28113	not published	not published	$251.90 – $3,402.68	10
Part removal of metatarsal 28112 CPT 28112	not published	not published	$251.90 – $3,402.68	10
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122	not published	not published	$288.75 – $3,402.68	10
Partial removal finger bone CPT 26236	$3,486.60	$5,811.00	$302.50 – $5,229.90	19
Partial removal of eye fluid CPT 67005	not published	not published	$404.58 – $2,710.58	10
Partial removal of eye fluid CPT 67010	not published	not published	$468.85 – $2,391.84	10
Partial removal of penis CPT 54120	not published	not published	$596.00 – $3,617.00	9
Partial removal of thyroid CPT 60220	not published	not published	$729.80 – $6,118.60	8
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118	$7,136.40	$11,894.00	$1.61 – $8,919.90	15
Passy muir valve metal trach HCPCS L8501	$241.20	$402.00	$96.48 – $378.08	15
Path clin consltj mod 21-40 CPT 80504	$447.60	$746.00	$21.99 – $671.40	19
Path clin consltj sf 5-20 CPT 80503	$198.60	$331.00	$10.99 – $297.90	19
Pdgfra gene CPT 81314	$1,680.60	$2,801.00	$230.27 – $2,520.90	20
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506	$901.20	$12,753.10	$56.41 – $1,351.80	19
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111	$10,699.80	$17,833.00	$67.14 – $1,337.40	19
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127	$645.60	$1,076.00	$116.75 – $968.40	19
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108	$2,112.00	$3,520.00	$62.59 – $3,168.00	19
Pegloticase 8 mg/ml intravenous solution HCPCS J2507	$6,349.20	$10,582.00	$417.45 – $9,523.80	19
Pelvic CT scan (with and without contrast) CPT 72194	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
Pelvic CT scan (with contrast) CPT 72193	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
Pelvic CT scan (without contrast) CPT 72192	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
Pelvic MRI (with and without contrast) CPT 72197	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
Pelvic MRI (with contrast) CPT 72196	$2,502.00	$4,170.00	$283.82 – $3,753.00	20
Pelvic MRI (without contrast) CPT 72195	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
Pelvic Ultrasound (complete) CPT 76856	$576.00	$960.00	$84.15 – $864.00	19
Pelvic Ultrasound (limited) CPT 76857	$400.80	$668.00	$35.20 – $601.20	19
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271	$199.20	$13,893.68	$30.93 – $224.10	19
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305	$205.60	$261.15	$2.75 – $86.08	19
Peng benzathine/procaine inj HCPCS J0558	$251.40	$419.00	$6.77 – $377.10	19
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561	$204.00	$340.00	$7.81 – $32.41	19
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540	$192.60	$321.00	$0.50 – $7.20	18
Penile injection CPT 54235	$619.20	$1,032.00	$142.71 – $928.80	18
Penile rear tip xtnd 0.5cm HCPCS C2622	$27,688.80	$46,148.00	$1,897.82 – $41,533.20	15
Penile vascular study CPT 93981	$526.80	$878.00	$84.51 – $790.20	19
Penis plastic surgery CPT 54360	not published	not published	$681.00 – $3,617.00	9
Pentobarbital sodium inj HCPCS J2515	$63.60	$79.50	$3.33 – $71.10	16
Pentostatin 10 mg intravenous solution HCPCS J9268	not published	$4,962.63	$1,384.57 – $4,466.37	19
Perc cryo ablate renal tum CPT 50593	$44,842.80	$74,738.00	$8,021.67 – $67,264.20	18
Perc d-e cor revasc chro sin HCPCS C9607	$11,088.60	$18,481.00	$2,142.86 – $16,632.90	15
Perc d-e cor revasc t cabg b HCPCS C9605	$11,088.60	$18,481.00	$2,142.86 – $16,632.90	15
Perc d-e cor revasc t cabg s HCPCS C9604	$11,088.60	$18,481.00	$2,142.86 – $16,632.90	15
Perc d-e cor stent ather br HCPCS C9603	$10,454.40	$17,424.00	$2,142.86 – $15,681.60	15
Perc d-e cor stent ather s HCPCS C9602	$11,088.60	$18,481.00	$2,142.86 – $16,632.90	15
Perc drug-el cor stent bran HCPCS C9601	$11,088.60	$18,481.00	$2,142.86 – $16,632.90	15
Perc drug-el cor stent sing HCPCS C9600	$11,088.60	$18,481.00	$2,142.86 – $16,632.90	15
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957	$793.80	$1,323.00	$25.67 – $1,190.70	18
Peri-implt capslc brst compl CPT 19371	not published	not published	$840.00 – $4,015.84	9
Pericardiocentesis wwo imaging CPT 33016	$2,440.80	$4,068.00	$135.69 – $3,661.20	19
Pericardiotomy/clot/for bod remove 33020 CPT 33020	$8,025.60	$13,376.00	$1,423.17 – $12,038.40	16
Peripheral vascular rehab CPT 93668	$224.40	$374.00	$47.21 – $336.60	17
Peritoneogram rs&i CPT 74190	$338.40	$564.00	$59.06 – $548.88	19
Perq art m-thrombect &/nfs CPT 61645	$12,590.40	$20,984.00	$556.13 – $18,885.60	16
Perq nl/pl lithotrp cplx>2cm CPT 50081	not published	not published	$2,185.61 – $9,697.66	8
Perq plmt bile duct stent CPT 47538	$7,821.60	$13,036.00	$295.36 – $11,732.40	19
Perq rplcmt g-tube req revsn gstrst trk CPT 43763	$1,550.40	$2,584.00	$75.02 – $2,325.60	19
Pertuzumab 30 mg/ml desensitization HCPCS J9306	$28.80	$15,841.70	$8.16 – $43.20	19
Pfc sigma fem post aug sz3 8mm HCPCS C1776	$52,519.80	$87,533.00	$50.16 – $3,247.34	15
Ph body fluid CPT 83986	$87.60	$146.00	$2.20 – $131.40	20
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560	$42.00	$70.00	$3.44 – $30.17	18
Phenobarbital therapeutic drug level CPT 80184	$322.80	$538.00	$12.75 – $484.20	20
Phentolaine mesylate inj HCPCS J2760	$397.60	$497.00	$47.90 – $466.58	19
Phenylephrine 10 mg/ml injection solution HCPCS J2371	$0.03	$11.00	$0.00 – $0.01	17
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165	$417.00	$695.00	$0.29 – $30.60	18
Phenytoin total therapeutic drug level CPT 80185	$142.20	$237.00	$11.05 – $213.30	20
Phleb veins 1 extrm 10-20 stab CPT 37765	not published	not published	$842.43 – $3,300.84	8
Phlebotomy therapeutic CPT 99195	$597.60	$996.00	$11.00 – $896.40	19
Phosphorus CPT 84100	$39.60	$66.00	$3.95 – $59.40	20
Phosphorus 24 hour urine CPT 84105	$47.40	$79.00	$4.82 – $71.10	20
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430	$21.00	$110.79	$1.72 – $23.40	18
Piflu f-18, dia 1 millicurie HCPCS A9595	not published	$13,056.70	$221.05 – $11,751.03	18
Pin caspar distraction 12mm HCPCS C1821	$18,651.00	$31,085.00	$381.60 – $1,431.00	15
Pin finger dislocation CPT 26776	not published	not published	$138.60 – $3,402.68	10
Pin finger fracture each CPT 26756	$4,115.40	$6,859.00	$156.20 – $6,173.10	19
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543	$80.00	$170.55	$0.68 – $9.68	18
Place cath intracranial art CPT 36228	$5,670.60	$9,451.00	$194.60 – $8,505.90	18
Place cath xtrnl carotid CPT 36227	$10,440.00	$17,400.00	$95.55 – $15,660.00	18
Place duod/jej tube perc CPT 49441	$9,297.00	$15,495.00	$211.46 – $13,945.50	19
Place gastrostomy tube perc CPT 49440	$3,587.40	$5,979.00	$194.19 – $5,381.10	19
Place non-slctv cath thoracic arta CPT 36221	$19,641.00	$32,735.00	$190.76 – $29,461.50	19
Place right device/marker pros CPT 55876	not published	not published	$255.42 – $1,434.92	8
Place slctv cath carotd art uni CPT 36224	$18,765.00	$31,275.00	$301.85 – $28,147.50	19
Place slctv cath carotid/inom art excrn uni CPT 36222	$14,010.60	$23,351.00	$256.75 – $21,015.90	19
Place slctv cath carotid/inom art intcrn uni CPT 36223	$17,748.60	$29,581.00	$277.61 – $26,622.90	19
Place slctv cath subclavian art CPT 36225	$13,620.60	$22,701.00	$276.45 – $20,430.90	19
Place slctv cath vertebral art uni CPT 36226	$14,634.60	$24,391.00	$302.39 – $21,951.90	19
Placement nephrostomy catheter (both sides) CPT 50432	$1,696.20	$2,827.00	$182.30 – $2,544.30	18
Placement occlusive device venous/arterial access site post procedure HCPCS G0269	$335.40	$559.00	$139.75 – $1,551.15	14
Placement stent(s) intravascular transcatheter artery initial CPT 37236	$13,400.40	$22,334.00	$420.05 – $20,100.60	19
Platelet aggregation each agent teg CPT 85576	$227.40	$379.00	$20.76 – $341.10	20
Platelet automated CPT 85049	$44.40	$74.00	$3.30 – $66.60	20
Platelets each unit HCPCS P9019	$521.40	$869.00	$33.00 – $782.10	19
Platelets irradiated ea unit HCPCS P9032	$320.40	$534.00	$107.91 – $480.60	17
Platelets leukocytes reduced each unit HCPCS P9031	$241.20	$402.00	$99.96 – $361.80	17
Platelets leukocytes reduced irradiated each unit HCPCS P9033	$360.00	$600.00	$163.23 – $540.00	17
Platelets pheresis leukocytes reduced each unit HCPCS P9035	$3,168.60	$5,281.00	$387.12 – $4,752.90	17
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037	$3,168.60	$5,281.00	$536.97 – $4,752.90	17
Platelets pheresis pathogen-reduced each unit HCPCS P9073	$1,474.20	$2,457.00	$6.65 – $2,211.30	17
Plcmnt biliary drainage cath w/img ext CPT 47533	$4,144.20	$6,907.00	$274.65 – $6,216.30	19
Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908	not published	not published	$168.81 – $3,868.78	7
Plcmnt ureteral stent pq w/img exstng trct CPT 50693	$4,913.40	$8,189.00	$707.65 – $7,370.10	18
Plcmnt ureteral stent pq w/img new w/cath CPT 50695	$13,408.20	$22,347.00	$952.93 – $20,112.30	18
Plethysmography lung volumes/airway resistance CPT 94726	$630.00	$1,050.00	$34.35 – $945.00	19
Plmt biliary drainage cath CPT 47534	$4,144.20	$6,907.00	$364.49 – $6,216.30	19
Plmt nephroureteral catheter CPT 50433	$4,763.40	$7,939.00	$753.69 – $7,145.10	18
Plmt ureteral stent prq CPT 50694	$8,248.80	$13,748.00	$781.01 – $12,373.20	18
Pm device progr eval dual CPT 93280	$253.80	$423.00	$29.63 – $380.70	19
Pm device progr eval multi CPT 93281	$253.80	$423.00	$29.63 – $380.70	19
Pm phone r-strip device eval CPT 93293	$151.80	$253.00	$29.63 – $227.70	19
Pml/raralpha 1 breakpoint CPT 81316	$1,114.20	$1,857.00	$172.81 – $1,671.30	20
Pms2 gene dup/delet variants CPT 81319	$1,523.40	$2,539.00	$169.64 – $2,285.10	20
Pms2 gene full seq analysis CPT 81317	$1,523.40	$2,539.00	$563.93 – $2,285.10	20
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803	$228.60	$381.00	$21.73 – $342.90	20
Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309	$368.80	$41,375.10	$51.79 – $265.99	19
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811	$6,685.80	$11,143.00	$567.18 – $10,028.70	19
Porfimer sodium injection HCPCS J9600	$90,741.60	$113,427.00	$4,783.49 – $102,084.30	18
Positioner proc acufex leg acs HCPCS E0190	$203.40	$339.00	$12.25 – $90.83	15
Post non-seg/spine instrumentation 22840 CPT 22840	not published	not published	$1,454.60 – $4,236.69	2
Potassium 24 hour urine CPT 84133	$31.80	$53.00	$3.94 – $47.70	20
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480	$56.40	$94.00	$0.07 – $0.90	18
Potassium serum/plasma/whole blood CPT 84132	$39.60	$66.00	$3.97 – $59.40	20
Pq biliary strict dil s&i CPT 74363	$1,547.40	$2,579.00	$147.90 – $2,321.10	18
Pq dr cath chg w cont s&i CPT 75984	$400.80	$668.00	$19.25 – $601.20	18
Pq kyphplsty 1 bdy lumb w/img CPT 22514	not published	not published	$4,675.40 – $11,007.14	8
Pq thr inj ext pse CPT 36002	$1,815.60	$3,026.00	$113.66 – $2,723.40	19
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951	$3,800.40	$6,334.00	$200.75 – $5,700.60	19
Pr application of long arm splint CPT 29105	$519.60	$866.00	$36.85 – $779.40	19
Pr application splint static short arm CPT 29125	$265.80	$443.00	$28.60 – $398.70	19
Pr biopsy skin punch single lesion CPT 11104	$639.00	$1,065.00	$44.47 – $958.50	19
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406	$30.00	$50.00	$13.95 – $45.00	18
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332	$3,520.20	$5,867.00	$158.09 – $5,280.30	19
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597	$231.60	$386.00	$34.69 – $347.40	19
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246	$1,843.20	$3,072.00	$596.00 – $2,764.80	18
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420	$1,896.00	$3,160.00	$44.00 – $2,844.00	19
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404	$2,952.60	$4,921.00	$88.55 – $4,428.90	19
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750	$945.60	$1,576.00	$317.52 – $1,418.40	18
Pr incision & drainage abscess complicated/multiple CPT 10061	$1,237.20	$2,062.00	$57.75 – $1,855.80	19
Pr incision & drainage abscess simple/single CPT 10060	$484.20	$807.00	$25.85 – $726.30	19
Pr incision & drainage abscess vulva/perineal CPT 56405	$1,237.20	$2,062.00	$103.19 – $1,855.80	19
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120	$366.60	$611.00	$33.55 – $549.90	19
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152	$484.20	$807.00	$10.89 – $726.30	19
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718	not published	not published	$596.00 – $2,047.90	9
Pr removal drug delivery implant CPT 11982	$1,440.00	$2,400.00	$101.56 – $2,160.00	19
Pr removal foreign body external auditory canal without anesthesia CPT 69200	$265.80	$443.00	$33.00 – $398.70	19
Pr removal intrauterine device CPT 58301	$752.40	$1,254.00	$18.98 – $1,128.60	18
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032	$576.00	$960.00	$36.30 – $864.00	19
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013	$476.40	$794.00	$52.25 – $714.60	19
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011	$366.60	$611.00	$34.65 – $549.90	19
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001	$285.60	$476.00	$26.95 – $428.40	19
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002	$903.60	$1,506.00	$39.05 – $1,355.40	19
Pr robotic surgical system HCPCS S2900	not published	not published	$5,438.84 – $5,438.84	1
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100	not published	not published	$596.00 – $1,918.35	9
Pr tube thoracostomy w/connection to drainage open CPT 32551	$1,070.40	$1,784.00	$300.65 – $1,605.60	18
Pralatrexate injection HCPCS J9307	not published	$11,697.50	$247.91 – $10,527.75	19
Pralidoxime 1 gram solution for injection HCPCS J2730	not published	$204.87	$49.20 – $184.38	16
Prcrd drg 0-5yr or w/anomly CPT 33018	$2,783.40	$4,639.00	$160.45 – $4,175.10	16
Prcrd drg 6+yr without anomly CPT 33017	$2,783.40	$4,639.00	$140.69 – $4,175.10	16
Prealbumin CPT 84134	$142.20	$237.00	$12.16 – $213.30	20
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510	$10.80	$18.00	$0.15 – $3.60	18
Prednisone 1 mg tablet HCPCS J7512	$10.80	$13.50	$0.00 – $0.90	19
Pregnancy Ultrasound (complete, after first trimester) CPT 76805	$1,057.80	$1,763.00	$84.51 – $1,586.70	19
Pregnancy Ultrasound (first trimester) CPT 76801	$824.40	$1,374.00	$84.51 – $1,236.60	19
Pregnancy associated plasma protein-a CPT 84163	$181.80	$303.00	$12.55 – $272.70	20
Prep skin to 100cm2 other CPT 15004	not published	not published	$486.48 – $782.70	9
Prep skin to 100cm2 trk/ext CPT 15002	not published	not published	$517.55 – $1,918.35	9
Prep skn trk/ext adl 100cm2 CPT 15003	not published	not published	$114.85 – $1,709.58	4
Pressure max expiratory/inspiratory CPT 94799	$2,547.00	$4,245.00	$7.04 – $161.10	17
Pressure velocity wire add ves CPT 93572	$797.40	$1,329.00	$174.67 – $1,196.10	16
Pretreat rbc absorption reference CPT 86978	$210.00	$350.00	$14.68 – $315.00	18
Pretreat rbc w chem/drugs reference CPT 86970	$183.60	$306.00	$36.38 – $275.40	18
Pretreat rbc w enzyme reference CPT 86971	$222.60	$371.00	$44.60 – $333.90	18
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977	$139.20	$232.00	$15.20 – $208.80	18
Prgr stim/pace a/iv drug CPT 93623	$1,093.80	$1,823.00	$279.75 – $1,640.70	15
Prgrmg dev eval pm/ldls pm CPT 93279	$298.20	$497.00	$29.63 – $447.30	19
Prgrmg eval implantable dfb CPT 93282	$108.60	$181.00	$29.63 – $162.90	19
Prgrmg eval implantable dfb CPT 93283	$183.60	$306.00	$29.63 – $275.40	19
Prgrmg eval implantable dfb CPT 93284	$183.60	$306.00	$29.63 – $275.40	19
Prim art mech thrmbc non-intracranial CPT 37184	$12,590.40	$20,984.00	$3,637.71 – $18,885.60	18
Prim art mech thrmbc non-intracranial add-on CPT 37185	$4,117.20	$6,862.00	$1,701.23 – $6,175.80	16
Probe cryo 1150mm endo flex ster disp HCPCS C2618	$19,032.60	$31,721.00	$859.47 – $5,977.80	15
Probe nasolacrimal duct CPT 68811	not published	not published	$376.05 – $2,446.62	9
Probe nasolacrimal duct CPT 68815	not published	not published	$492.78 – $2,446.62	9
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690	$222.40	$278.00	$20.37 – $318.27	19
Procalcitonin CPT 84145	$231.60	$386.00	$17.30 – $347.40	20
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780	$16.40	$20.50	$1.14 – $18.00	18
Prochlorperazine maleate 5 mg tablet HCPCS Q0164	$8.40	$14.00	$1.02 – $12.60	16
Proctosigmoidoscopy w/fb remove 45307 CPT 45307	$3,015.00	$5,025.00	$57.54 – $4,522.50	19
Progesterone CPT 84144	$260.40	$434.00	$17.39 – $390.60	20
Prolactin CPT 84146	$139.20	$232.00	$16.16 – $208.80	20
Prolonged IV inf, req pump HCPCS C8957	$760.80	$1,268.00	$130.62 – $1,141.20	17
Promethazine hcl injection HCPCS J2550	$16.40	$20.50	$1.86 – $18.00	19
Proph rta dtchmnt crtx dthrm CPT 67141	not published	not published	$237.57 – $1,492.05	10
Proph rta dtchmnt pc CPT 67145	not published	not published	$204.47 – $1,501.53	9
Propofol infusion 10 mg/ml HCPCS J2704	$0.80	$24.93	$0.06 – $0.90	18
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800	$120.80	$151.00	$11.62 – $135.90	16
Prostate biopsy, any mthd HCPCS G0416	$308.40	$514.00	$128.33 – $774.58	17
Prostate laser enucleation CPT 52649	not published	not published	$1,685.42 – $5,331.28	8
Prostatectomy (turp) CPT 52601	not published	not published	$840.00 – $5,331.28	9
Protamine 10 mg/ml intravenous solution HCPCS J2720	$25.20	$42.00	$1.00 – $3.60	18
Protector nerve neurawrap 4cm HCPCS C9353	$5,400.00	$9,000.00	$1,344.00 – $5,040.00	15
Protein c activity CPT 85303	$149.40	$249.00	$11.54 – $224.10	20
Protein electrophoretic fractionation & quantitation serum CPT 84165	$119.40	$199.00	$8.95 – $179.10	20
Protein s total CPT 85305	$108.60	$181.00	$9.68 – $162.90	20
Protein total 24 hour urine CPT 84156	$39.60	$66.00	$3.06 – $59.40	20
Protein total body fluid CPT 84157	$39.60	$66.00	$3.33 – $59.40	20
Protein total serum plasma whole blood CPT 84155	$30.60	$51.00	$3.06 – $45.90	20
Prothrombin complex kcentra HCPCS J7168	$7.80	$9.75	$1.19 – $3.83	18
Prothrombin time substitution plasma fractions each CPT 85611	$41.40	$69.00	$3.28 – $62.10	20
Prp i/hern init block >5 yr CPT 49507	$8,917.80	$14,863.00	$1,348.02 – $13,376.70	18
Prq av fstl crt uxtr sep acs CPT 36837	$33,250.80	$55,418.00	$3,777.06 – $49,876.20	18
Prq card revasc chronic addl CPT 92944	$23,616.60	$39,361.00	$282.22 – $35,424.90	15
Prq card revasc mi 1 vsl CPT 92941	$23,616.60	$39,361.00	$575.52 – $35,424.90	16
Prq card revasc mi 1 vsl drug-eluting HCPCS C9606	$11,088.60	$18,481.00	$2,142.86 – $16,632.90	15
Prq card stent w/angio addl CPT 92929	$23,616.60	$39,361.00	$1,315.10 – $35,424.90	15
Prq cardiac angio addl art CPT 92921	$15,547.80	$25,913.00	$121.90 – $23,321.70	15
Prq revasc byp graft 1 art and/or branches CPT 92937	$23,616.60	$39,361.00	$513.05 – $35,424.90	16
Prq tcat plmt ntrac st 1 les CPT 92928	$23,616.60	$39,361.00	$956.01 – $35,424.90	16
Prq trlml c athrc st angiop1 CPT 92933	$23,616.60	$39,361.00	$1,069.04 – $35,424.90	16
Prq trluml c angiop 1art&/br CPT 92920	$15,547.80	$25,913.00	$860.28 – $23,321.70	16
Prq trluml revsc ch occ ant CPT 92943	$23,616.60	$39,361.00	$575.52 – $35,424.90	16
Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136	$225.60	$376.00	$21.96 – $338.40	19
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032	$81.00	$135.00	$25.48 – $121.50	16
Pt application of modality >=1 area hot/cold packs CPT 97010	$125.40	$209.00	$20.39 – $188.10	16
Pt application of modality traction mechanical CPT 97012	$130.20	$217.00	$21.56 – $195.30	16
Pt evaluation high complexity patient/family CPT 97163	$382.20	$637.00	$51.56 – $573.30	16
Pt evaluation low complexity patient/family CPT 97161	$382.20	$637.00	$51.56 – $573.30	16
Pt evaluation moderate complexity patient/family CPT 97162	$382.20	$637.00	$51.56 – $573.30	16
Pt re-evaluation patient/family CPT 97164	$165.00	$275.00	$34.95 – $247.50	18
Pt repositioning canalith procedure(s) per day CPT 95992	$367.80	$613.00	$74.05 – $551.70	15
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283	$119.40	$199.00	$20.24 – $179.10	15
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116	$153.00	$255.00	$9.22 – $229.50	18
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124	$125.40	$209.00	$18.43 – $188.10	18
Pt wheelchair management each 15 minutes CPT 97542	$72.00	$120.00	$25.48 – $108.00	16
Pten gene dup/delet variant CPT 81323	$575.40	$959.00	$51.14 – $504.90	19
Pten gene full sequence CPT 81321	$575.40	$959.00	$267.56 – $863.10	19
Pten gene known fam variant CPT 81322	$43.80	$73.00	$20.37 – $65.70	19
Pulmonary vent imaging CPT 78579	$705.60	$1,176.00	$141.88 – $1,058.40	19
Pulse ox continuous overnight monitoring CPT 94762	$1,032.00	$1,720.00	$31.60 – $1,548.00	18
Pulse ox multiple CPT 94761	$251.40	$419.00	$4.25 – $377.10	18
Pulse ox single CPT 94760	$91.20	$152.00	$2.18 – $136.80	18
Punc of shunt for asp or inj CPT 61070	$2,098.80	$3,498.00	$71.50 – $3,148.20	19
Puncture arterial withdrawal blood for diagnosis CPT 36600	$55.80	$93.00	$14.30 – $129.03	19
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160	$496.20	$827.00	$26.40 – $744.30	19
Puncture spinal lumbar diagnostic CPT 62270	$2,132.40	$3,554.00	$46.20 – $3,198.60	19
Pvb thoracic 2nd+ inj site CPT 64462	$2,406.00	$4,010.00	$48.60 – $3,609.00	18
Pvb thoracic cont infusion CPT 64463	$2,406.00	$4,010.00	$110.12 – $3,609.00	18
Pvb thoracic single inj site CPT 64461	$2,406.00	$4,010.00	$77.09 – $3,609.00	19
Pyridoxine hcl 100 mg HCPCS J3415	$19.20	$24.00	$0.91 – $21.60	18
Pyruvate CPT 84210	$114.00	$190.00	$8.80 – $171.00	20
Pyruvate kinase CPT 84220	$96.00	$160.00	$7.87 – $144.00	20
Quant diff pulm perf w/imaging CPT 78597	$1,830.00	$3,050.00	$160.27 – $2,745.00	19
Quest t3 uptake CPT 84479	$49.80	$83.00	$5.39 – $74.70	20
Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375	$880.00	$1,100.00	$11.00 – $990.00	20
Rad rescj tum shoulder<5 cm CPT 23077	not published	not published	$681.00 – $3,001.48	9
Radiation handling CPT 77790	$1,174.80	$1,958.00	$59.62 – $1,762.20	18
Radiation physics consult CPT 77336	$1,122.00	$1,870.00	$53.90 – $1,683.00	19
Radiation therapy dose plan CPT 77300	$790.80	$1,318.00	$40.15 – $1,186.20	19
Radiation treatment aid(s) CPT 77332	$526.80	$878.00	$60.50 – $790.20	19
Radiation treatment aid(s) CPT 77334	$1,696.20	$2,827.00	$100.65 – $2,544.30	19
Radphm lcl tmr plnr bdy sgl day img CPT 78802	$3,076.80	$5,128.00	$120.98 – $4,615.20	19
Radphm lcl tmr plnr bdy two day img CPT 78804	$3,076.80	$5,128.00	$232.80 – $4,615.20	19
Radphm lcl tomogr sgl area sgl day CPT 78803	$3,382.20	$5,637.00	$300.49 – $5,073.30	19
Radphm lcl tumor plr sgl day CPT 78800	$1,151.40	$1,919.00	$94.34 – $1,727.10	19
Ramucirumab 10 mg/ml intravenous solution HCPCS J9308	$147.60	$17,332.88	$36.49 – $221.40	19
Ranibizumab injection HCPCS J2778	$7,078.80	$11,798.00	$54.54 – $1,905.30	19
Rapid Strep Test CPT 87880	$34.20	$57.00	$6.93 – $51.30	20
Rasburicase 1.5 mg intravenous solution HCPCS J2783	$9,544.20	$15,907.00	$238.37 – $4,772.70	19
Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303	$692.80	$866.00	$136.23 – $779.40	19
Rbc count only automated CPT 85041	$27.60	$46.00	$2.33 – $41.40	20
Rbc deglycerolized each unit HCPCS P9039	$1,664.40	$2,774.00	$519.55 – $2,496.60	17
Rebuild eardrum structures CPT 69633	not published	not published	$958.00 – $6,203.86	9
Reconst lwr jaw w/fixation CPT 21196	not published	not published	$2,459.36 – $6,203.86	8
Reconstr lwr jaw segment CPT 21198	not published	not published	$1,897.33 – $6,203.86	8
Reconstruct cleft palate CPT 42210	not published	not published	$958.00 – $6,203.86	9
Reconstruct elbow joint CPT 24361	not published	not published	$958.00 – $19,285.98	9
Reconstruct head of radius CPT 24365	not published	not published	$958.00 – $13,493.67	9
Reconstruct shoulder joint CPT 23472	not published	not published	$2,617.92 – $19,285.98	8
Reconstruction knee CPT 27427	not published	not published	$681.00 – $7,491.76	10
Reconstruction of jaw joint CPT 21243	not published	not published	$958.00 – $19,285.98	9
Reconstruction of mouth CPT 40840	not published	not published	$352.00 – $6,203.86	9
Reconstruction of mouth CPT 40845	not published	not published	$784.85 – $6,203.86	9
Reconstruction of throat CPT 42950	not published	not published	$411.95 – $6,203.86	10
Reconstruction of urethra CPT 53410	not published	not published	$596.00 – $5,331.28	9
Reconstruction of urethra CPT 53415	not published	not published	$1,916.53 – $3,073.37	2
Red blood cells each unit HCPCS P9021	$630.00	$1,050.00	$33.00 – $945.00	19
Red blood cells leukocytes reduced each unit HCPCS P9016	$961.20	$1,602.00	$100.64 – $1,441.80	18
Red blood cells leukocytes reduced irradiated each unit HCPCS P9040	$797.40	$1,329.00	$203.29 – $1,196.10	17
Red blood cells washed each unit HCPCS P9022	$660.00	$1,100.00	$154.43 – $990.00	18
Reduction of procidentia 45900 CPT 45900	$2,236.20	$3,727.00	$232.60 – $3,354.30	18
Refill maint impl spine pump CPT 95991	$496.20	$827.00	$62.55 – $744.30	18
Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785	$897.00	$1,495.00	$1.91 – $336.60	18
Reinforce eye wall CPT 67250	not published	not published	$681.00 – $2,446.62	10
Release encircling material CPT 67115	not published	not published	$407.40 – $4,218.84	10
Release muscles of hand CPT 26593	not published	not published	$681.00 – $3,402.68	9
Release of eye fluid CPT 67015	not published	not published	$172.70 – $2,391.84	10
Release palm contracture CPT 26123	not published	not published	$840.00 – $3,402.68	9
Relocation skin pocket aicd CPT 33223	$4,389.00	$7,315.00	$596.00 – $6,583.50	18
Relocation skin pocket pm CPT 33222	$2,218.20	$3,697.00	$364.32 – $3,327.30	19
Rem endovas vena cava filter CPT 37193	$3,339.60	$5,566.00	$1,552.91 – $5,009.40	18
Rem mntr physiol 1st dev supply ea 30 days CPT 99454	$253.80	$423.00	$29.63 – $380.70	18
Rem mntr physiol 1st set up pt educaj eqp CPT 99453	$76.80	$128.00	$11.15 – $132.69	18
Rem/biv cast full arm/leg CPT 29705	$265.80	$443.00	$92.94 – $398.70	17
Remdesivir 100 mg intravenous powder for solution HCPCS J0248	$17.00	$1,428.70	$2.36 – $18.90	19
Removal abdomen lymph nodes 38564 CPT 38564	not published	not published	$1,174.56 – $1,779.43	2
Removal biliary drg cath CPT 47537	$1,082.40	$1,804.00	$89.12 – $1,623.60	19
Removal central venous catheter tunneled without port/pump CPT 36589	$1,671.00	$2,785.00	$359.76 – $2,506.50	18
Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590	$1,704.60	$2,841.00	$202.50 – $2,556.90	19
Removal cerumen impacted (both sides) CPT 69210	$168.00	$280.00	$18.59 – $252.00	18
Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602	$129.60	$216.00	$21.23 – $198.91	18
Removal duct glbldr calculi CPT 47544	$2,987.40	$4,979.00	$193.54 – $4,481.10	18
Removal foreign body foot subcutaneous right CPT 28190	$774.00	$1,290.00	$33.55 – $1,161.00	19
Removal implant superficial separate procedure CPT 20670	$2,236.20	$3,727.00	$102.85 – $3,354.30	19
Removal mamma implant mat 19330 CPT 19330	$3,046.80	$5,078.00	$444.00 – $4,570.20	18
Removal of ankle implant CPT 27704	not published	not published	$596.00 – $3,402.68	9
Removal of arm artery clot 34111 CPT 34111	not published	not published	$1,125.60 – $5,669.06	8
Removal of bone for graft CPT 20902	not published	not published	$348.72 – $7,491.76	10
Removal of eye lesion CPT 65400	not published	not published	$218.35 – $1,015.73	10
Removal of eye lesion CPT 65426	not published	not published	$958.00 – $2,446.62	9
Removal of heel bone CPT 28118	not published	not published	$840.00 – $3,402.68	9
Removal of hip foreign body 27087 CPT 27087	$4,678.80	$7,798.00	$71.50 – $7,018.20	19
Removal of hydrocele CPT 55040	not published	not published	$681.00 – $3,700.99	9
Removal of implant deep CPT 20680	not published	not published	$188.65 – $3,001.48	10
Removal of inner eye fluid CPT 67036	not published	not published	$834.78 – $4,789.68	10
Removal of kneecap CPT 27350	not published	not published	$551.10 – $7,491.76	10
Removal of lens material CPT 66850	not published	not published	$679.97 – $2,391.84	10
Removal of lens material CPT 66852	not published	not published	$840.00 – $4,218.84	9
Removal of ocular implant CPT 65175	not published	not published	$444.00 – $3,954.72	9
Removal of testis CPT 54530	not published	not published	$840.00 – $3,700.99	9
Removal of wrist bones CPT 25215	not published	not published	$840.00 – $3,402.68	9
Removal of wrist lesion CPT 25130	not published	not published	$390.50 – $3,402.68	10
Removal prosth radial head CPT 24164	not published	not published	$286.00 – $3,402.68	10
Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200	$706.20	$1,177.00	$34.10 – $1,059.30	19
Removal sutr and stapl no anes CPT 15854	$35.40	$59.00	$6.04 – $53.10	16
Removal sutr or stapl no anes CPT 15853	$24.60	$41.00	$4.28 – $36.90	16
Removal sutr/staple req anes CPT 15851	not published	not published	$1,030.96 – $1,918.35	7
Removal tunnled intprtnl cath CPT 49422	$3,093.00	$5,155.00	$355.00 – $4,639.50	19
Removal/replacement ppm generator dual lead system CPT 33228	$29,639.40	$49,399.00	$447.93 – $44,459.10	18
Remove anal fist subq CPT 46270	not published	not published	$233.75 – $2,875.99	10
Remove bladder stone CPT 52317	not published	not published	$281.60 – $3,617.00	10
Remove bladder stone CPT 52318	not published	not published	$299.20 – $3,617.00	10
Remove blood clot from eye CPT 65930	not published	not published	$958.00 – $2,391.84	9
Remove coronoid process CPT 21070	not published	not published	$681.00 – $6,203.86	9
Remove ear canal lesion(s) CPT 69145	not published	not published	$95.15 – $3,001.48	10
Remove epididymis lesion CPT 54840	not published	not published	$840.00 – $2,148.31	9
Remove eye implant material CPT 67120	not published	not published	$348.70 – $2,391.84	10
Remove eye implant material CPT 67121	not published	not published	$596.00 – $2,391.84	9
Remove eye/attach implant CPT 65105	not published	not published	$840.00 – $3,954.72	9
Remove eyelid lesion CPT 67800	not published	not published	$226.79 – $836.96	8
Remove eyelid lesion(s) CPT 67808	not published	not published	$537.64 – $2,446.62	9
Remove foreign body from eye CPT 65235	$3,093.60	$5,156.00	$596.00 – $4,640.40	18
Remove implant of eye CPT 65920	not published	not published	$1,329.00 – $2,391.84	9
Remove intact mammary implant CPT 19328	not published	not published	$444.00 – $4,015.84	9
Remove mandible cyst complex CPT 21046	not published	not published	$596.00 – $6,203.86	10
Remove pilonidal cyst compl CPT 11772	not published	not published	$256.30 – $3,001.48	10
Remove pilonidal cyst exten CPT 11771	not published	not published	$256.30 – $3,001.48	10
Remove prostate regrowth CPT 52630	not published	not published	$596.00 – $5,331.28	9
Remove renal tube w/fluoro CPT 50389	$2,155.20	$3,592.00	$530.46 – $3,232.80	18
Remove spine eltrd perq aray CPT 63661	not published	not published	$885.92 – $2,047.90	8
Remove spine eltrd plate CPT 63662	not published	not published	$1,148.63 – $3,606.55	8
Remove spine infusion device CPT 62365	not published	not published	$596.00 – $6,716.06	9
Remove spine lamieieiotina >2 crvcl 63015 CPT 63015	not published	not published	$2,390.36 – $7,491.76	8
Remove tonsils and adenoids CPT 42821	not published	not published	$836.30 – $3,401.07	9
Remove ureter stent percut CPT 50384	$10,887.60	$18,146.00	$1,628.03 – $16,331.40	18
Remove vagus n eltrd CPT 64570	not published	not published	$980.97 – $6,716.06	8
Remove vc lesion w/scope 31545 CPT 31545	not published	not published	$326.05 – $3,866.57	10
Remove ventricular device 33977 CPT 33977	$10,170.00	$16,950.00	$2,228.33 – $15,255.00	15
Remove wrist tendon lesion CPT 25111	not published	not published	$681.00 – $1,678.38	9
Remove/replace penis prosth CPT 54410	not published	not published	$681.00 – $21,109.19	9
Remove/replace ur sphincter CPT 53447	not published	not published	$444.00 – $21,109.19	9
Renal function panel CPT 80069	$202.80	$338.00	$7.24 – $304.20	20
Repair blood vessel dir lower extr CPT 35226	$7,636.20	$12,727.00	$245.94 – $11,454.30	18
Repair blood vessel dir upper extr CPT 35206	not published	not published	$836.96 – $3,300.84	8
Repair blood vessel direct hand finger CPT 35207	$5,349.60	$8,916.00	$726.32 – $8,024.40	19
Repair brow defect CPT 67900	not published	not published	$824.60 – $2,446.62	9
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121	$2,097.00	$3,495.00	$486.48 – $3,145.50	18
Repair dental ellis ii fx CPT 41899	$114.60	$191.00	$18.59 – $239.10	17
Repair detached retina CPT 67107	not published	not published	$958.00 – $4,218.84	10
Repair detached retina CPT 67108	not published	not published	$1,100.00 – $5,611.12	10
Repair detached retina CPT 67110	not published	not published	$371.80 – $2,405.86	9
Repair detached retina crtx CPT 67101	$4,294.20	$7,157.00	$371.80 – $6,441.30	19
Repair detached retina pc CPT 67105	not published	not published	$268.40 – $2,894.06	9
Repair eardrum structures CPT 69631	not published	not published	$958.00 – $6,203.86	9
Repair extns tendon finger without grft ea CPT 26418	$8,098.20	$13,497.00	$254.65 – $12,147.30	19
Repair eyelid defect CPT 67904	not published	not published	$840.00 – $2,446.62	9
Repair eyelid defect CPT 67908	not published	not published	$840.00 – $2,446.62	9
Repair eyelid defect CPT 67917	not published	not published	$840.00 – $2,446.62	9
Repair eyelid defect CPT 67923	not published	not published	$840.00 – $2,446.62	9
Repair eyelid defect CPT 67924	not published	not published	$840.00 – $2,446.62	9
Repair eyelid wound CPT 67935	$3,849.60	$6,416.00	$596.00 – $5,774.40	18
Repair fibula nonunion CPT 27726	not published	not published	$1,439.43 – $7,491.76	8
Repair finger/hand tendon CPT 26350	$3,763.20	$6,272.00	$404.25 – $5,644.80	19
Repair ing hernia sliding CPT 49525	not published	not published	$349.25 – $3,700.99	10
Repair iris & ciliary body CPT 66680	not published	not published	$411.95 – $2,391.84	10
Repair iris & ciliary body CPT 66682	not published	not published	$518.18 – $2,391.84	10
Repair lip full thkns =<one-half vert height CPT 40652	$3,639.60	$6,066.00	$338.01 – $5,459.40	19
Repair lip full thkns >one-half vert height/cmplx CPT 40654	$3,486.60	$5,811.00	$405.09 – $5,229.90	19
Repair of achilles tendon CPT 27654	not published	not published	$524.70 – $7,491.76	10
Repair of ankle ligament CPT 27695	not published	not published	$596.00 – $7,491.76	9
Repair of ankle ligaments CPT 27696	not published	not published	$596.00 – $7,491.76	9
Repair of digit nerve hand/foot 1 nerve CPT 64831	$4,974.60	$8,291.00	$453.20 – $7,461.90	19
Repair of eye wound CPT 65270	$4,080.00	$6,800.00	$42.35 – $6,120.00	19
Repair of eye wound CPT 65275	$6,308.40	$10,514.00	$364.10 – $9,462.60	19
Repair of eye wound CPT 65280	$4,706.40	$7,844.00	$566.69 – $7,059.60	19
Repair of eye wound CPT 65285	not published	not published	$693.00 – $5,411.08	10
Repair of eye wound CPT 65286	$5,442.60	$9,071.00	$218.35 – $8,163.90	19
Repair of foot tendon CPT 28200	not published	not published	$260.70 – $3,402.68	10
Repair of hydrocele 55060 CPT 55060	not published	not published	$840.00 – $3,617.00	9
Repair of knee cartilage CPT 27403	not published	not published	$596.20 – $7,491.76	10
Repair of nasal septum CPT 30520	not published	not published	$840.00 – $3,401.07	9
Repair of ruptured tendon CPT 24342	not published	not published	$572.00 – $7,491.76	10
Repair of sperm duct CPT 55400	not published	not published	$444.00 – $3,617.00	9
Repair of thigh muscle CPT 27385	not published	not published	$535.15 – $7,491.76	10
Repair oronasal fistula 30600 CPT 30600	not published	not published	$401.50 – $6,203.86	10
Repair palate pharynx/uvula CPT 42145	not published	not published	$958.00 – $6,203.86	9
Repair retinal detach cplx CPT 67113	not published	not published	$2,422.68 – $5,411.08	8
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252	$2,260.20	$3,767.00	$95.15 – $3,390.30	19
Repair rpr lip full thickness vermilion only CPT 40650	$2,097.00	$3,495.00	$273.82 – $3,145.50	19
Repair tear ducts CPT 68700	not published	not published	$596.00 – $2,446.62	9
Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260	$7,207.20	$12,012.00	$399.30 – $10,810.80	19
Repair testis injury CPT 54670	not published	not published	$256.85 – $3,617.00	10
Repair upper arm/elbow tendon/muscle ea CPT 24341	$4,990.20	$8,317.00	$681.00 – $7,485.30	18
Repair/graft achilles tendon CPT 27652	not published	not published	$681.00 – $7,491.76	9
Repair/graft wrist bone CPT 25440	not published	not published	$677.60 – $7,491.76	10
Replace duod/jej tube perc CPT 49451	$2,618.40	$4,364.00	$77.36 – $3,927.60	19
Replace eye fluid CPT 67025	not published	not published	$444.00 – $2,391.84	10
Replace g-j tube perc CPT 49452	$3,246.60	$5,411.00	$120.76 – $4,869.90	19
Replace g/c tube perc CPT 49450	$2,467.80	$4,113.00	$56.21 – $3,701.70	19
Replace picvad cath CPT 36585	$3,903.00	$6,505.00	$283.90 – $5,854.50	19
Replace/revise brain shunt CPT 62230	$3,989.40	$6,649.00	$596.00 – $6,593.95	18
Replantation thumb complete CPT 20827	not published	not published	$4,416.99 – $5,667.23	2
Reposition intraocular lens CPT 66825	not published	not published	$840.00 – $2,391.84	9
Reposition pm/icd lead CPT 33215	$6,606.00	$11,010.00	$560.82 – $9,909.00	18
Reposition vad w/image rt/lt sep session CPT 33993	$3,622.80	$6,038.00	$156.64 – $5,434.20	16
Repr elbow lat ligmnt w/tiss CPT 24343	not published	not published	$542.52 – $3,402.68	9
Reptilase test CPT 85635	$110.40	$184.00	$6.60 – $125.10	20
Rerepair ing hernia reduce CPT 49520	not published	not published	$475.20 – $3,700.99	10
Resect inferior turbinate CPT 30140	not published	not published	$284.90 – $3,401.07	10
Resect leg/ankle tum 5 cm/> CPT 27616	not published	not published	$2,120.32 – $3,001.48	8
Reslizumab 10 mg/ml intravenous solution HCPCS J2786	$34.40	$43.00	$6.17 – $38.70	19
Resp virus 6-11 targets CPT 87632	$918.00	$1,530.00	$181.77 – $1,377.00	20
Resuscitation cardiopulmonary CPT 92950	$5,636.40	$9,394.00	$141.79 – $8,454.60	17
Reticulocyte automated CPT 85045	$55.80	$93.00	$3.33 – $83.70	20
Rev-rem impl neurostim gen-rec CPT 63688	not published	not published	$444.00 – $3,606.55	9
Rev/rplct hpglsl nstm ary pg CPT 64583	not published	not published	$333.52 – $13,077.83	8
Revasc intra lithotrip-ather HCPCS C9766	$23,640.60	$39,401.00	$4,253.12 – $35,460.90	17
Revasc intra lithotrip-stent HCPCS C9765	$23,640.60	$39,401.00	$4,253.12 – $35,460.90	17
Revasc intravasc lithotripsy HCPCS C9764	$13,885.80	$23,143.00	$2,498.08 – $20,828.70	17
Revasc lithotrip tibi/perone HCPCS C9772	$23,640.60	$39,401.00	$4,253.12 – $35,460.90	17
Revis reconst shoulder joint CPT 23473	not published	not published	$1,371.31 – $13,493.67	8
Revise aqueous shunt eye CPT 66185	not published	not published	$596.00 – $2,391.84	9
Revise arm/leg nerve CPT 64708	not published	not published	$596.00 – $2,047.90	9
Revise eye muscle CPT 67311	not published	not published	$514.97 – $2,446.62	10
Revise eye muscle CPT 67314	not published	not published	$531.85 – $2,446.62	10
Revise eye muscle(s) CPT 67318	not published	not published	$719.94 – $2,446.62	10
Revise eyelashes CPT 67825	not published	not published	$237.57 – $729.80	8
Revise eyelid defect CPT 67911	not published	not published	$681.00 – $2,446.62	9
Revise middle ear & mastoid CPT 69641	not published	not published	$1,329.00 – $6,203.86	9
Revise middle ear & mastoid CPT 69643	not published	not published	$1,329.00 – $6,203.86	9
Revise middle ear bone CPT 69660	not published	not published	$958.00 – $6,203.86	9
Revise spermatic cord veins CPT 55535	not published	not published	$840.00 – $6,543.73	9
Revise spine eltrd perq aray CPT 63663	not published	not published	$1,333.06 – $6,882.63	8
Revise spine eltrd plate CPT 63664	not published	not published	$1,196.45 – $13,077.83	8
Revise two eye muscles CPT 67312	not published	not published	$694.36 – $3,954.72	10
Revise urethra stage 1 CPT 53400	not published	not published	$681.00 – $5,331.28	9
Revise urethra stage 2 CPT 53405	not published	not published	$596.00 – $5,331.28	9
Revise/graft eyelid lining CPT 68320	not published	not published	$840.00 – $2,446.62	9
Revise/graft eyelid lining CPT 68325	not published	not published	$840.00 – $3,954.72	9
Revise/implant finger joint CPT 26536	not published	not published	$958.00 – $7,491.76	9
Revise/remove neuroreceiver CPT 61888	not published	not published	$444.00 – $13,077.83	9
Revise/repl vagus n eltrd CPT 64569	not published	not published	$1,096.45 – $13,077.83	8
Revision of aqueous shunt CPT 66184	not published	not published	$515.63 – $2,391.84	8
Revision of calf tendon CPT 27687	not published	not published	$358.05 – $3,402.68	10
Revision of eyelid CPT 67880	$3,819.60	$6,366.00	$681.00 – $5,729.40	18
Revision of eyelid CPT 67961	not published	not published	$681.00 – $2,446.62	9
Revision of eyelid CPT 67966	not published	not published	$681.00 – $2,446.62	9
Revision of iris CPT 66761	$3,015.00	$5,025.00	$198.55 – $4,522.50	19
Revision of iris CPT 66762	not published	not published	$198.55 – $1,368.75	9
Revision of knee joint CPT 27440	not published	not published	$626.45 – $13,493.67	9
Revision of nose CPT 30430	not published	not published	$681.00 – $6,203.86	9
Revision of penis CPT 54435	$4,524.60	$7,541.00	$840.00 – $6,786.90	18
Revision of scrotum CPT 55180	not published	not published	$596.00 – $5,331.28	9
Revision of urethra CPT 53450	not published	not published	$152.35 – $3,617.00	10
Revision open av fistula without thromb CPT 36832	not published	not published	$840.00 – $5,669.06	9
Revision tips CPT 37183	$7,783.80	$12,973.00	$784.32 – $11,675.70	18
Rf abltj nrv nrvtg si jt CPT 64625	$3,989.40	$6,649.00	$272.13 – $5,984.10	18
Rheumatoid factor qualitative CPT 86430	$78.60	$131.00	$5.12 – $117.90	20
Rheumatoid factor quantitative CPT 86431	$57.60	$96.00	$4.73 – $86.40	20
Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400	not published	not published	$840.00 – $6,203.86	9
Rho d immune globulin inj HCPCS J2790	$574.80	$958.00	$52.14 – $191.77	18
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791	$203.20	$254.00	$3.07 – $228.60	18
Rho(d) immune globulin h, sd HCPCS J2792	not published	$2,872.40	$16.07 – $2,585.16	19
Rib cartilage graft CPT 21230	not published	not published	$1,329.00 – $6,203.86	9
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804	$0.60	$0.75	$0.09 – $0.68	18
Ring fx reform 11-13x17mm HCPCS L8610	$1,800.00	$3,000.00	$120.48 – $955.64	15
Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794	$1,216.20	$2,027.00	$6.93 – $38.70	19
Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312	$475.20	$12,419.00	$47.49 – $287.10	19
Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115	$372.60	$8,286.40	$18.55 – $558.90	19
Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123	$244.80	$408.00	$16.74 – $367.20	19
Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119	$7,826.40	$13,044.00	$17.58 – $234.90	19
Rmvl ext fixj sys under anes CPT 20694	$3,046.80	$5,078.00	$444.00 – $4,570.20	18
Rmvl hpglsl nstim ary pg CPT 64584	not published	not published	$280.86 – $6,716.06	8
Rmvl icd by tv extr CPT 33244	$4,519.80	$7,533.00	$1,598.33 – $6,779.70	18
Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263	$36,067.20	$60,112.00	$485.56 – $54,100.80	18
Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264	$36,067.20	$60,112.00	$504.14 – $54,100.80	18
Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262	$36,067.20	$60,112.00	$466.99 – $54,100.80	18
Rmvl icd pulse gen only CPT 33241	$3,033.60	$5,056.00	$431.17 – $4,550.40	18
Rmvl ndwellg tun pleural cath CPT 32552	$1,826.40	$3,044.00	$307.93 – $2,739.60	18
Rmvl perm pm pulse gen CPT 33233	$3,033.60	$5,056.00	$190.13 – $8,521.36	18
Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229	$29,639.40	$49,399.00	$466.50 – $44,459.10	18
Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227	$27,025.20	$45,042.00	$429.35 – $40,537.80	18
Rmvl sq defib electrode CPT 33272	$6,136.20	$10,227.00	$675.61 – $9,204.30	18
Rmvl subq card rhythm mntr CPT 33286	$1,912.80	$3,188.00	$81.16 – $2,869.20	18
Rmvl tiss expndr without implant insrtn CPT 11971	not published	not published	$276.89 – $3,001.48	10
Rmvl tv pm lead dual CPT 33235	$3,231.00	$5,385.00	$972.26 – $4,846.50	18
Rmvl tv pm lead sgl CPT 33234	$2,862.00	$4,770.00	$899.92 – $4,293.00	18
Romiplostim 125 mcg subcutaneous solution HCPCS J2802	$34.60	$43.25	$4.20 – $35.10	19
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111	$8,032.20	$13,387.00	$5.54 – $12,048.30	19
Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795	$268.80	$448.00	$0.03 – $0.90	18
Rpl non-tun cvc wo sbq prt/pmp CPT 36580	$2,587.20	$4,312.00	$444.00 – $3,880.80	18
Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584	$2,587.20	$4,312.00	$71.65 – $3,880.80	19
Rpl tun cvc wo subq port CPT 36581	$2,587.20	$4,312.00	$204.48 – $3,880.80	19
Rpl tun-cvad w subq port CPT 36582	$5,743.20	$9,572.00	$301.63 – $8,614.80	19
Rpr aa hrn 1st 3-10 ncr/strn CPT 49594	not published	not published	$291.37 – $6,118.60	8
Rpr aa hrn 1st 3-10 rdc CPT 49593	not published	not published	$223.74 – $6,543.73	8
Rpr aa hrn 1st < 3 cm rdc CPT 49591	not published	not published	$133.41 – $3,700.99	8
Rpr aa hrn rcr 3-10 rdc CPT 49615	not published	not published	$249.67 – $6,543.73	8
Rpr diaphragm lac/any approach 39501 CPT 39501	not published	not published	$1,442.17 – $2,608.90	2
Rpr rem hernia init reduce CPT 49550	not published	not published	$337.15 – $3,700.99	10
Rubella antibody igg CPT 86762	$115.80	$193.00	$12.00 – $173.70	20
Rubeola antibody igg CPT 86765	$104.40	$174.00	$10.74 – $156.60	20
Russell viper venom diluted CPT 85613	$105.00	$175.00	$7.99 – $157.50	20
Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317	$5,043.00	$8,405.00	$20.68 – $66.72	19
Sarscov coronavirus ag ia CPT 87426	$34.80	$58.00	$16.18 – $84.07	20
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975	$1,025.40	$1,709.00	$192.10 – $1,538.10	19
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976	$598.20	$997.00	$84.51 – $897.30	19
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978	$1,109.40	$1,849.00	$134.15 – $1,664.10	19
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979	$859.80	$1,433.00	$84.51 – $1,289.70	19
Scan duplex extracranial arteries unilateral/limited study CPT 93882	$754.80	$1,258.00	$84.51 – $1,132.20	19
Scan duplex extremity veins unilateral/limited study CPT 93971	$807.00	$1,345.00	$84.51 – $1,210.50	19
Scan duplex lower extremity arteries complete bilateral CPT 93925	$985.80	$1,643.00	$142.33 – $1,478.70	19
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926	$966.00	$1,610.00	$84.51 – $1,449.00	19
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931	$356.40	$594.00	$84.51 – $534.60	19
Scan proc cranial extra CPT 61782	not published	not published	$341.55 – $2,401.81	3
Sclerotherapy fluid collection pq w/img CPT 49185	$2,754.60	$4,591.00	$661.62 – $4,131.90	18
Scr c/v cyto,thinlayer,rescr HCPCS G0145	$78.00	$130.00	$22.08 – $117.00	17
Screen cerv/vag thin layer HCPCS G0123	$61.20	$102.00	$16.89 – $91.80	17
Screening Colonoscopy (average risk) HCPCS G0121	not published	not published	$596.00 – $956.13	8
Screening Colonoscopy (high risk) HCPCS G0105	not published	not published	$596.00 – $956.13	8
Screening hepatitis b non-obstetric high risk HCPCS G0499	$42.60	$71.00	$11.28 – $63.90	18
Screening hepatitis c antibody high risk HCPCS G0472	$40.20	$67.00	$9.22 – $60.30	18
Screening prostate cancer PSA HCPCS G0103	$96.00	$160.00	$16.10 – $135.00	17
Screw cortex 2.0 x 10mm HCPCS C1713	$35,891.40	$59,819.00	$0.48 – $675.68	16
Sec abd wall suture evisceration/dehsn 49900 CPT 49900	$9,201.00	$15,335.00	$963.29 – $13,801.50	16
Sec art mech thrmbc non-intracranial add-on CPT 37186	$8,416.80	$14,028.00	$3,507.00 – $12,625.20	16
Sedimentation rate erythrocyte automated CPT 85652	$69.60	$116.00	$2.25 – $104.40	20
Serpina1 gene CPT 81332	$345.60	$576.00	$36.39 – $518.40	20
Set radiation therapy field CPT 77290	$1,696.20	$2,827.00	$133.65 – $2,544.30	19
Sgmdsc w/band ligation CPT 45350	$2,564.40	$4,274.00	$111.86 – $3,846.60	17
Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305	$542.40	$904.00	$30.80 – $813.60	19
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306	$535.80	$893.00	$38.50 – $803.70	19
Sho arthrs srg bicp tenodsis CPT 29828	not published	not published	$1,475.75 – $7,491.76	8
Sho arthrs srg lmtd dbrdmt CPT 29822	not published	not published	$561.93 – $3,402.68	10
Shorten radius or ulna CPT 25390	not published	not published	$411.95 – $7,491.76	10
Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827	not published	not published	$958.00 – $7,491.76	9
Shoulder MRI (with and without contrast) CPT 73223	$6,512.40	$10,854.00	$283.82 – $9,768.60	19
Shoulder MRI (with contrast) CPT 73222	$5,313.60	$8,856.00	$439.03 – $7,970.40	19
Shoulder MRI (without contrast) CPT 73221	$4,125.00	$6,875.00	$192.10 – $6,187.50	19
Shoulder X-ray CPT 73030	$456.60	$761.00	$28.41 – $684.90	18
Shunt glaucoma baerveldt 350mm HCPCS C1783	$5,882.40	$9,804.00	$484.55 – $4,567.35	15
Shuntogram nonvascular supervision & interpretation CPT 75809	$257.40	$429.00	$51.56 – $386.10	19
Sialidase enzyme assay CPT 87905	$143.40	$239.00	$10.19 – $215.10	20
Sickling rbc CPT 85660	$50.40	$84.00	$3.30 – $75.60	20
Sig w/tndsc balloon dilation CPT 45340	$2,736.60	$4,561.00	$109.36 – $4,104.90	19
Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333	$1,356.00	$2,260.00	$104.10 – $2,034.00	19
Sigmoidoscopy and biopsy CPT 45331	$1,550.40	$2,584.00	$70.04 – $2,325.60	19
Sigmoidoscopy for bleeding CPT 45334	$1,366.20	$2,277.00	$123.20 – $2,049.30	19
Sigmoidoscopy w/fb removal 45332 CPT 45332	$3,073.80	$5,123.00	$55.00 – $4,610.70	19
Sigmoidoscopy w/plcmt stent CPT 45347	$2,592.60	$4,321.00	$111.86 – $6,129.31	17
Sigmoidoscopy w/resection CPT 45349	$2,564.40	$4,274.00	$111.86 – $3,846.60	17
Sigmoidoscopy w/tumr remove CPT 45338	$1,366.20	$2,277.00	$134.15 – $2,049.30	19
Sigmoidoscopy w/ultrasound CPT 45341	$1,233.60	$2,056.00	$147.92 – $1,850.40	19
Sigmoidoscopy w/us guide bx CPT 45342	$1,805.40	$3,009.00	$219.74 – $2,708.10	19
Sigmoidoscopy/submucosal injection 45335 CPT 45335	$1,374.60	$2,291.00	$86.52 – $2,061.90	19
Sincalide 5 mcg solution for injection HCPCS J2805	$228.80	$286.00	$71.50 – $257.40	18
Sinus CT scan (with and without contrast) CPT 70488	$3,394.80	$5,658.00	$141.48 – $5,092.20	19
Sinus CT scan (with contrast) CPT 70487	$3,054.00	$5,090.00	$141.48 – $4,581.00	19
Sinus CT scan (without contrast) CPT 70486	$1,950.00	$3,250.00	$84.51 – $2,925.00	19
Sinus/juglr venogram s&i CPT 75860	$2,226.60	$3,711.00	$27.50 – $3,339.90	19
Sirolimus, oral HCPCS J7520	$63.00	$79.00	$0.55 – $20.70	19
Skin Biopsy CPT 11102	$639.00	$1,065.00	$35.45 – $958.50	19
Skin full graft add-on 15241 CPT 15241	not published	not published	$681.00 – $1,667.64	4
Skin split graft addl 100sq cm 15101 CPT 15101	not published	not published	$681.00 – $1,657.54	4
Sleep Study (Polysomnography) CPT 95810	$5,773.80	$9,623.00	$381.22 – $8,660.70	19
Sleep study unattended CPT 95806	$919.80	$1,533.00	$124.35 – $1,379.70	18
Sling arm deluxe w/pad xs HCPCS A4565	$210.00	$350.00	$12.50 – $45.00	15
Sling suprapubic suburetheral HCPCS C1771	$19,302.00	$32,170.00	$885.46 – $22,882.50	15
Sm-153 lexidron ther HCPCS A9604	not published	$8,937.50	$2,493.56 – $10,621.85	17
Small bowel endoscopy CPT 44360	$1,843.20	$3,072.00	$149.01 – $2,764.80	19
Small bowel endoscopy CPT 44364	$2,133.00	$3,555.00	$210.00 – $3,199.50	19
Small bowel endoscopy CPT 44366	$1,843.20	$3,072.00	$228.25 – $2,764.80	19
Small bowel endoscopy CPT 44369	$1,843.20	$3,072.00	$228.25 – $2,764.80	19
Small bowel endoscopy CPT 44382	$1,294.80	$2,158.00	$76.74 – $1,942.20	19
Small bowel endoscopy >2nd w/remove 44363 CPT 44363	$2,403.60	$4,006.00	$197.48 – $3,605.40	19
Small bowel endoscopy br/wa CPT 44380	$1,372.20	$2,287.00	$64.44 – $2,058.30	19
Small bowel endoscopy br/wa CPT 44381	$1,474.80	$2,458.00	$108.07 – $2,212.20	17
Small bowel endoscopy/biopsy CPT 44361	$1,843.20	$3,072.00	$164.24 – $2,764.80	19
Small bowel endoscopy/stent 44370 CPT 44370	$10,842.00	$18,070.00	$503.64 – $16,263.00	18
Smear fluorescent and/or acid fast stain CPT 87206	$84.60	$141.00	$3.30 – $126.90	20
Smear gram stain CPT 87205	$55.80	$93.00	$3.56 – $83.70	20
Smear wet mount CPT 87210	$43.20	$72.00	$4.85 – $64.80	20
Sodium 24 hour urine CPT 84300	$39.60	$66.00	$4.22 – $59.40	20
Sodium chloride 0.9 % IV bolus HCPCS J7040	$31.20	$39.00	$0.80 – $13.16	18
Sodium chloride 0.9 % IV bolus HCPCS J7050	$29.80	$37.25	$0.03 – $32.40	19
Sodium chloride 0.9 % intravenous solution HCPCS J7030	$57.20	$71.50	$0.00 – $15.09	19
Sodium chloride 3 % ivpb HCPCS J7131	$21.60	$36.00	$0.02 – $0.23	16
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916	$43.20	$54.00	$1.28 – $18.89	18
Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321	$2,100.80	$2,626.00	$45.16 – $2,363.40	18
Sodium serum/plasma/whole blood CPT 84295	$40.20	$67.00	$4.01 – $60.30	20
Somatosensory testing CPT 95927	$812.40	$1,354.00	$65.43 – $1,218.60	19
Sp bone algrft morsel add-on CPT 20930	not published	not published	$303.73 – $1,315.63	2
Special physics consult CPT 77370	$1,215.00	$2,025.00	$105.52 – $1,822.50	19
Special radiation treatment CPT 77470	$2,509.80	$4,183.00	$40.15 – $3,764.70	19
Specific gravity body fluid CPT 84315	$24.60	$41.00	$2.73 – $36.90	19
Spinal bone allograftstructural 20931 CPT 20931	not published	not published	$211.36 – $953.51	3
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328	$1,439.40	$2,399.00	$80.72 – $2,159.10	19
Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060	$456.60	$761.00	$20.90 – $684.90	19
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906	$4,073.40	$6,789.00	$143.45 – $6,110.10	16
Splint finger 4 prong foam sm HCPCS A4570	$214.80	$358.00	$20.73 – $322.20	15
Splint func pos polyflex ii med HCPCS L3999	$149.40	$249.00	$60.54 – $224.10	15
Splint rstrc wrst/cmc right med HCPCS L3923	$129.60	$216.00	$48.31 – $326.56	14
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120	not published	not published	$596.00 – $3,839.33	9
Split blood or products CPT 86985	$384.00	$640.00	$79.57 – $576.00	18
St analysis behavior qualitative voice/resonance CPT 92524	$228.60	$381.00	$69.13 – $342.90	16
St evaluate speech sound production CPT 92522	$228.60	$381.00	$66.27 – $342.90	16
St evaluate speech sound production comprehensive/expressive CPT 92523	$228.60	$381.00	$95.25 – $351.06	16
St evaluation motion fluoroscopic swallow function cine/video CPT 92611	$543.00	$905.00	$46.55 – $814.50	18
St evaluation swallow function CPT 92610	$416.40	$694.00	$42.79 – $624.60	18
St treatment speech individual CPT 92507	$190.20	$317.00	$23.87 – $285.30	18
St treatment swallow dysfunction/oral CPT 92526	$146.40	$244.00	$61.00 – $219.60	16
Stent axios caut enh 15x10mm electrocaut HCPCS C1874	$44,044.80	$73,408.00	$568.08 – $8,414.05	16
Stent bili dbl pgtl 10fx5cm HCPCS C2617	$720.00	$1,200.00	$29.04 – $680.10	15
Stent bili rx wallflx 10x80 uncvr HCPCS C1876	$35,011.80	$58,353.00	$221.52 – $4,426.11	16
Stent bronch dumon sil 10x40mm HCPCS C1875	$13,557.00	$22,595.00	$953.60 – $7,631.10	15
Stent iliac/open or perc/uni/init 37221 CPT 37221	$21,521.40	$35,869.00	$468.05 – $32,282.10	18
Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223	$16,416.00	$27,360.00	$198.55 – $24,624.00	18
Stent/athrectomy/fem/pop/unilat 37227 CPT 37227	$60,352.80	$100,588.00	$690.34 – $90,529.20	18
Str markers spec anal addl CPT 81266	$1,683.00	$2,805.00	$192.66 – $2,524.50	19
Str markers specimen anal CPT 81265	$2,521.20	$4,202.00	$116.34 – $384.07	19
Strapping of ankle and/or ft 29540 CPT 29540	not published	not published	$22.00 – $165.47	9
Strapping of elbow or wrist 29260 CPT 29260	$516.60	$861.00	$34.52 – $774.90	19
Strapping of toes 29550 CPT 29550	$720.00	$1,200.00	$22.00 – $1,080.00	19
Strep b dna amp probe CPT 87653	$241.80	$403.00	$29.25 – $362.70	20
Streptozocin injection HCPCS J9320	not published	$783.53	$132.46 – $705.18	16
Stress test pulmonary CPT 94618	$281.40	$469.00	$6.86 – $422.10	19
Stress tte complete CPT 93351	$2,034.00	$3,390.00	$204.09 – $3,051.00	19
Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330	$4.20	$5.25	$1.25 – $4.50	16
Sugars single quant CPT 84378	$128.40	$214.00	$9.61 – $192.60	20
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865	$0.20	$0.25	$0.03 – $0.23	18
Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030	$321.60	$402.00	$2.97 – $127.00	17
Support clav 29.6-40.5in med HCPCS L3650	$129.60	$216.00	$51.84 – $236.84	15
Surgical pathology level 1 gross examination only CPT 88300	$131.40	$219.00	$6.03 – $197.10	20
Surgical pathology level 2 gross & microscopic examination CPT 88302	$282.00	$470.00	$9.67 – $423.00	20
Surgical pathology level 3 gross & microscopic examination CPT 88304	$383.40	$639.00	$13.46 – $575.10	20
Surgical pathology level 4 gross & microscopic examination CPT 88305	$415.80	$693.00	$27.62 – $623.70	20
Surgical pathology level 5 gross & microscopic examination CPT 88307	$505.20	$842.00	$36.03 – $757.80	20
Surgical pathology level 6 gross & microscopic examination CPT 88309	$669.60	$1,116.00	$54.35 – $1,004.40	20
Suscept studies macrobroth dilution ea CPT 87188	$72.60	$121.00	$5.54 – $108.90	20
Susceptibility agar dilution per agent CPT 87181	$34.80	$58.00	$3.96 – $52.20	20
Susceptibility enzyme detection per enzyme CPT 87185	$47.40	$79.00	$3.96 – $71.10	20
Susceptibility mic per plate CPT 87186	$96.00	$160.00	$7.21 – $144.00	20
Suspension of testis CPT 54620	not published	not published	$681.00 – $3,617.00	9
Svc venogram s&i CPT 75827	$2,331.00	$3,885.00	$41.25 – $3,496.50	19
Synvisc or synvisc-one HCPCS J7325	$50.40	$84.00	$5.02 – $75.60	19
Syphilis test non-treponemal antibody quantitative rpr CPT 86593	$104.40	$174.00	$3.67 – $156.60	20
System pacing micra av HCPCS C1786	$28,759.80	$47,933.00	$3,392.57 – $17,916.30	15
System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785	$12,878.40	$21,464.00	$4,381.08 – $19,317.60	15
System sealant biosentry tract HCPCS C2613	$888.00	$1,480.00	$370.00 – $1,332.00	15
T cells absolute cd 4 count CPT 86361	$298.20	$497.00	$22.32 – $447.30	20
T cells absolute cd4/cd8 including ratio CPT 86360	$727.20	$1,212.00	$39.16 – $1,090.80	20
T cells total count CPT 86359	$320.40	$534.00	$31.45 – $480.60	20
T3 (triiodothyronine) free CPT 84481	$149.40	$249.00	$14.12 – $224.10	20
T3 (triiodothyronine) total CPT 84480	$190.20	$317.00	$8.80 – $285.30	20
T4 (thyroxine) free CPT 84439	$176.40	$294.00	$7.52 – $264.60	20
T4 (thyroxine) total CPT 84436	$80.40	$134.00	$5.73 – $120.60	20
Tacrol astagraf ex rel oral HCPCS J7508	$1.60	$2.00	$0.33 – $6.33	19
Tacrol envarsus ex rel oral HCPCS J7503	$3.40	$4.25	$0.78 – $3.60	18
Tacrolimus 1 mg capsule, immediate-release HCPCS J7507	$29.40	$36.75	$0.11 – $17.10	19
Tacrolimus therapeutic drug level CPT 80197	$187.20	$312.00	$11.45 – $280.80	20
Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349	$28.80	$48.00	$5.89 – $43.20	19
Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187	$10.40	$13.00	$0.22 – $15.03	16
Tap block bilat cont infusion 64489 CPT 64489	$1,381.20	$2,302.00	$138.69 – $2,071.80	16
Tap block uni by cont infusion 64487 CPT 64487	$1,381.20	$2,302.00	$99.46 – $2,071.80	16
Target gsa panel hmtlmph neop CPT 81450	$1,353.00	$2,255.00	$279.00 – $900.00	20
Target gsa panel organ neop CPT 81445	$3,223.20	$5,372.00	$417.82 – $4,834.80	20
Target gsa panel organ/hmtlmph neop CPT 81455	$5,739.00	$9,565.00	$1,851.57 – $8,608.50	20
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481	$697.80	$1,163.00	$76.76 – $1,046.70	20
Tb test cell mediated immunity antigen response gamma interferon CPT 86480	$415.80	$693.00	$51.67 – $623.70	20
Tc-99m bicisate HCPCS A9557	$1,984.80	$3,308.00	$570.02 – $2,977.20	17
Tc-99m labeled rbc HCPCS A9560	$282.00	$470.00	$117.50 – $529.67	15
Tc-99m maa HCPCS A9540	$128.40	$214.00	$40.80 – $224.59	15
Tc-99m mebrofenin HCPCS A9537	$282.00	$470.00	$100.11 – $423.00	15
Tc-99m medronate HCPCS A9503	$235.80	$393.00	$82.77 – $353.70	15
Tc-99m mertiatide HCPCS A9562	$2,074.20	$3,457.00	$828.11 – $3,111.30	15
Tc-99m non-heu per study dose HCPCS Q9969	$15.00	$25.00	$6.25 – $22.50	17
Tc-99m pentetate dtpa HCPCS A9539	$96.00	$160.00	$30.21 – $155.39	15
Tc-99m pertechnetate per mci HCPCS A9512	$46.20	$77.00	$1.02 – $19.19	15
Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538	$244.80	$408.00	$61.04 – $367.20	15
Tc-99m sestamibi p study dose HCPCS A9500	$640.80	$1,068.00	$226.22 – $961.20	15
Tc-99m sulfur colloid HCPCS A9541	$286.80	$478.00	$119.48 – $430.20	15
Tc-99m tetrofosmin p study dose HCPCS A9502	$507.00	$845.00	$119.33 – $760.50	15
Telavancin injection HCPCS J3095	$8.40	$14.00	$3.91 – $12.60	19
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330	not published	$162.30	$16.87 – $146.07	19
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101	$7,483.20	$17,512.30	$69.75 – $225.00	19
Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105	$136.00	$170.00	$3.20 – $153.00	18
Test stress cardiovascular tracing only CPT 93017	$2,233.80	$3,723.00	$48.89 – $3,350.70	19
Tetanus immune globulin inj HCPCS J1670	$1,368.00	$1,710.00	$185.88 – $1,269.77	19
Tgsap so/hl 51/< rna alys CPT 81456	$2,157.60	$3,596.00	$1,003.28 – $3,236.40	20
Theophylline therapeutic drug level CPT 80198	$201.00	$335.00	$11.79 – $301.50	20
Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411	$36.40	$45.50	$0.50 – $8.97	19
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555	$2,577.00	$4,295.00	$403.71 – $3,865.50	18
Thoracotomy w/expl CPT 32100	$7,731.60	$12,886.00	$1,699.39 – $11,597.40	16
Thoracotomy with cardiac massage CPT 32160	$2,671.20	$4,452.00	$1,064.81 – $4,006.80	16
Thrombectmy crnry perq mechanical CPT 92973	$8,606.40	$14,344.00	$184.10 – $12,909.60	18
Thrombectomy/inf pq dialysis circuit CPT 36904	$4,405.80	$7,343.00	$308.07 – $6,608.70	19
Thrombectomy/inf pq dialysis circuit w/pta CPT 36905	$5,811.60	$9,686.00	$386.68 – $11,352.46	19
Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906	$4,405.80	$7,343.00	$451.26 – $17,975.56	19
Thrombin time CPT 85670	$155.40	$259.00	$4.81 – $233.10	20
Thromboplastin time partial (ptt) substitution fractions each CPT 85732	$62.40	$104.00	$5.39 – $93.60	20
Thyroglobulin antibody CPT 86800	$138.60	$231.00	$13.26 – $207.90	20
Thyroid (TSH) Test CPT 84443	$142.20	$237.00	$14.00 – $213.30	20
Thyroid Ultrasound CPT 76536	$585.00	$975.00	$83.98 – $877.50	19
Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240	not published	$4,581.80	$294.40 – $4,123.62	19
Thyroxine binding globulin (tbg) CPT 84442	$129.60	$216.00	$11.00 – $194.40	20
Tigecycline injection HCPCS J3243	$7.40	$122.17	$0.24 – $8.10	18
Tilt table study CPT 93660	$1,439.40	$2,399.00	$368.54 – $2,159.10	17
Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273	not published	$397.00	$69.44 – $357.30	19
Tissue culture placenta CPT 88235	$1,024.20	$1,707.00	$125.29 – $1,536.30	20
Tissue culture skin/biopsy CPT 88233	$1,441.80	$2,403.00	$117.31 – $2,162.70	20
Tissue exam koh skin/hair/nails CPT 87220	$32.40	$54.00	$3.56 – $48.60	20
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122	$3,150.60	$5,251.00	$64.56 – $3,828.60	16
Tissue transglutaminase iga CPT 86364	$108.60	$181.00	$4.89 – $162.90	19
Tl-201 thallium diag per mci HCPCS A9505	$213.00	$355.00	$75.24 – $319.50	15
Tlh w/t/o 250 g or less CPT 58571	not published	not published	$1,610.58 – $10,918.43	8
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260	$72.00	$90.00	$0.93 – $12.53	19
Tobramycin peak therapeutic drug level CPT 80200	$189.00	$315.00	$13.45 – $283.50	20
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262	$5,861.40	$9,769.00	$3.60 – $12.58	19
Tonsillectomy (age 12+) CPT 42826	not published	not published	$736.81 – $3,401.07	9
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351	$136.80	$171.00	$0.59 – $55.71	18
Total Knee Replacement CPT 27447	not published	not published	$2,665.46 – $13,493.67	8
Total tau CPT 84394	$100.20	$167.00	$41.75 – $150.30	15
Toxoplasma antibody igg CPT 86777	$108.60	$181.00	$12.00 – $162.90	20
Toxoplasma antibody igm CPT 86778	$112.80	$188.00	$12.01 – $169.20	20
Tpmt gene com vrnts CPT 81335	$477.00	$795.00	$110.86 – $715.50	19
Tprnl plmt biodegrdabl matrl CPT 55874	not published	not published	$2,258.63 – $5,331.28	8
Trabectedin 1 mg intravenous solution HCPCS J9352	not published	$805.60	$199.62 – $725.04	19
Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108	$121.20	$202.00	$23.55 – $181.80	17
Transcath biopsy CPT 37200	$2,978.40	$4,964.00	$125.40 – $5,411.37	19
Transcath occlusion cns CPT 61624	$5,636.40	$9,394.00	$1,970.94 – $8,454.60	16
Transcath occlusion non-cns CPT 61626	$9,294.60	$15,491.00	$1,595.32 – $13,941.90	18
Transcatheter bx s&i CPT 75970	$2,360.40	$3,934.00	$19.25 – $3,540.60	18
Transferrin CPT 84466	$99.00	$165.00	$10.64 – $148.50	20
Transfusion blood/blood component(s) CPT 36430	$610.80	$1,018.00	$30.62 – $916.20	19
Transperi needle place pros CPT 55875	not published	not published	$1,235.67 – $5,331.28	9
Transplant hand tendon CPT 26480	not published	not published	$681.00 – $3,402.68	9
Transplt autol hct/donor CPT 38241	$3,260.40	$5,434.00	$232.85 – $4,890.60	18
Trastuzumab 150 mg intravenous solution HCPCS J9355	$122.40	$204.00	$47.37 – $183.60	19
Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117	not published	$2,937.75	$15.61 – $180.13	19
Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116	$205.20	$3,633.30	$17.67 – $221.40	19
Trauma partial team response w/critical care services level 4 HCPCS G0390	$8,257.80	$13,763.00	$1,051.57 – $8,675.10	17
Treat ankle dislocation CPT 27842	$1,980.00	$3,300.00	$130.35 – $2,970.00	19
Treat ankle fracture CPT 28445	not published	not published	$295.90 – $7,491.76	10
Treat clavicle dislocation 23545 CPT 23545	$3,015.00	$5,025.00	$129.80 – $4,522.50	19
Treat elbow dislocation CPT 24605	$1,980.60	$3,301.00	$173.25 – $2,970.90	19
Treat elbow fracture CPT 24620	$3,520.20	$5,867.00	$154.55 – $5,280.30	19
Treat elbow fracture CPT 24635	not published	not published	$492.80 – $7,491.76	10
Treat eyelid by injection CPT 68200	not published	not published	$161.27 – $1,348.75	8
Treat finger fracture each CPT 26727	not published	not published	$246.40 – $3,402.68	10
Treat finger fracture each CPT 26742	$1,651.80	$2,753.00	$80.85 – $2,477.70	19
Treat foot dislocation CPT 28570	$1,969.20	$3,282.00	$123.20 – $2,953.80	19
Treat foot dislocation CPT 28600	$568.20	$947.00	$59.95 – $852.30	19
Treat foot dislocation CPT 28606	not published	not published	$309.10 – $3,402.68	10
Treat fracture of radius CPT 25505	$2,554.80	$4,258.00	$159.50 – $3,832.20	19
Treat fracture of radius CPT 25520	$2,377.20	$3,962.00	$444.00 – $3,565.80	18
Treat fracture of ulna CPT 25535	$2,236.20	$3,727.00	$176.55 – $3,354.30	19
Treat heel fracture CPT 28415	not published	not published	$331.65 – $7,491.76	10
Treat hip dislocation CPT 27252	$1,980.60	$3,301.00	$309.65 – $2,970.90	19
Treat hip dislocation CPT 27257	$4,357.80	$7,263.00	$260.70 – $6,536.70	19
Treat hip socket fracture CPT 27222	$7,751.40	$12,919.00	$1,655.80 – $11,627.10	16
Treat humerus fracture CPT 24515	not published	not published	$431.20 – $13,493.67	10
Treat humerus fracture CPT 24535	$2,552.40	$4,254.00	$226.60 – $3,828.60	19
Treat humerus fracture CPT 24546	not published	not published	$958.00 – $13,493.67	9
Treat knee dislocation CPT 27552	$2,630.40	$4,384.00	$172.70 – $3,945.60	19
Treat knee fracture CPT 27536	not published	not published	$1,030.96 – $2,781.33	3
Treat knee fracture 27530 CPT 27530	$3,073.80	$5,123.00	$141.35 – $4,610.70	19
Treat kneecap dislocation CPT 27562	$2,554.80	$4,258.00	$147.95 – $3,832.20	19
Treat kneecap fracture CPT 27524	not published	not published	$446.60 – $7,491.76	9
Treat knuckle dislocation CPT 26705	$2,824.20	$4,707.00	$80.85 – $4,236.30	19
Treat knuckle dislocation CPT 26715	not published	not published	$246.40 – $3,402.68	10
Treat lower jaw fracture 21462 CPT 21462	not published	not published	$611.60 – $6,203.86	10
Treat lower leg fracture CPT 27827	not published	not published	$681.00 – $13,493.67	9
Treat lower leg joint CPT 27829	not published	not published	$596.00 – $7,491.76	9
Treat metatarsal fracture CPT 28476	not published	not published	$304.70 – $3,402.68	10
Treat metatarsal fracture CPT 28485	not published	not published	$168.85 – $7,491.76	10
Treat midfoot fracture each CPT 28455	not published	not published	$139.70 – $1,678.38	9
Treat penis lesion graft CPT 54112	not published	not published	$596.00 – $9,697.66	9
Treat radius fracture CPT 24666	not published	not published	$536.80 – $13,493.67	10
Treat thigh fracture CPT 27245	not published	not published	$2,512.22 – $3,886.12	2
Treat toe dislocation CPT 28665	$3,029.40	$5,049.00	$211.07 – $4,544.10	18
Treat ulnar fracture CPT 24675	$2,979.60	$4,966.00	$200.75 – $4,469.40	19
Treat ulnar fracture CPT 24685	not published	not published	$460.90 – $7,491.76	10
Treat wrist dislocation CPT 25675	$3,046.80	$5,078.00	$114.40 – $4,570.20	19
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608	not published	not published	$958.00 – $7,491.76	9
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609	not published	not published	$958.00 – $7,491.76	9
Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607	not published	not published	$958.00 – $7,491.76	9
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644	$272.40	$454.00	$28.27 – $408.60	19
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645	$272.40	$454.00	$10.78 – $408.60	18
Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640	$272.40	$454.00	$24.67 – $408.60	18
Treatment of ankle fracture CPT 27792	not published	not published	$681.00 – $7,491.76	9
Treatment of ankle fracture CPT 27814	not published	not published	$495.00 – $7,491.76	10
Treatment of ankle fracture CPT 27822	not published	not published	$681.00 – $7,491.76	9
Treatment of ankle fracture CPT 27823	not published	not published	$547.25 – $7,491.76	10
Treatment of choroid lesion CPT 67220	not published	not published	$435.99 – $1,632.79	9
Treatment of retinal lesion CPT 67208	not published	not published	$237.57 – $2,172.51	9
Treatment of retinal lesion CPT 67218	not published	not published	$958.00 – $3,954.72	9
Treatment of thigh fracture CPT 27503	$4,719.60	$7,866.00	$681.00 – $7,079.40	18
Treatment of thigh fracture CPT 27510	$2,479.80	$4,133.00	$348.70 – $3,719.70	19
Treatment of tibia fracture CPT 27758	not published	not published	$556.05 – $13,493.67	10
Treatment of tibia fracture CPT 27759	not published	not published	$840.00 – $13,493.67	9
Treatment x10sv retinopathy CPT 67228	not published	not published	$334.58 – $2,472.33	9
Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347	$265.80	$6,500.00	$55.34 – $398.70	19
Treponema pallidum antibody CPT 86780	$194.40	$324.00	$11.04 – $291.60	20
Trg gene rearrangement anal CPT 81342	$1,114.80	$1,858.00	$167.97 – $1,671.30	19
Triamcinolone a inj prs-free HCPCS J3300	$580.80	$968.00	$6.56 – $26.46	19
Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301	$45.00	$75.00	$0.53 – $17.10	19
Trichinella antibody CPT 86784	$134.40	$224.00	$10.47 – $201.60	20
Trichomonas assay w/optic CPT 87808	$123.60	$206.00	$12.75 – $185.40	20
Triglycerides CPT 84478	$48.60	$81.00	$4.78 – $72.90	20
Trim nail(s) HCPCS G0127	$105.60	$176.00	$19.16 – $158.40	17
Trim nondyst nails CPT 11719	$83.40	$139.00	$29.24 – $125.10	18
Trimethobenzamide hcl inj HCPCS J3250	$99.20	$124.00	$4.20 – $111.60	18
Trluml dil aq o/f can w/st CPT 66175	not published	not published	$1,928.68 – $5,411.08	8
Trluml dil aq o/f can without st CPT 66174	not published	not published	$1,641.75 – $4,218.84	8
Trnscath plc stent crv crtd w/prtct CPT 37215	$9,821.40	$16,369.00	$1,966.44 – $14,732.10	16
Trnscath plc stent crv crtd without prtct CPT 37216	$9,821.40	$16,369.00	$1,894.12 – $14,732.10	16
Trnscath plc vas stent w/s&i ea addl vein CPT 37239	$13,400.40	$22,334.00	$137.21 – $20,100.60	18
Trnscath plc vas stent w/s&i ini vein CPT 37238	$13,400.40	$22,334.00	$294.23 – $20,100.60	19
Trnscath retrv pq vasc fb w/guide CPT 37197	$9,246.00	$15,410.00	$266.53 – $13,869.00	19
Trnscath tx thromblytc art/ven sbsq day CPT 37213	$6,261.60	$10,436.00	$213.13 – $9,392.40	18
Trnscath tx thromblytc artery non-intracrn ini day CPT 37211	$6,690.00	$11,150.00	$345.16 – $10,035.00	19
Trnscath tx thromblytc cath rmv sbsq day CPT 37214	$1,869.60	$3,116.00	$124.52 – $3,240.82	18
Trnscath tx thromblytc vein ini day CPT 37212	$6,690.00	$11,150.00	$304.73 – $10,035.00	19
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301	not published	not published	$1,733.97 – $3,839.33	8
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302	not published	not published	$379.98 – $1,340.23	3
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060	not published	not published	$268.40 – $1,918.35	10
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000	$4,080.00	$6,800.00	$128.70 – $6,120.00	19
Troponin quantitative CPT 84484	$176.40	$294.00	$10.39 – $264.60	20
Tte w or without contr, cont ecg HCPCS C8930	$1,973.40	$3,289.00	$432.45 – $2,960.10	17
Tube trach disp innr can 5 xlt HCPCS A7521	$394.80	$658.00	$22.75 – $207.79	16
Tube trach disp innr can 6 xlt HCPCS A4623	$76.80	$128.00	$10.71 – $115.20	16
Tube trach fen sz 6 uncuffed HCPCS A7520	$1,047.60	$1,746.00	$45.25 – $209.74	17
Tx closed distal humerus fx CPT 24999	$75.60	$126.00	$18.59 – $247.00	17
Tx closed hip disl traumatic without anes CPT 27250	$1,980.60	$3,301.00	$190.64 – $2,970.90	19
Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532	$3,015.00	$5,025.00	$250.25 – $4,522.50	19
Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746	$5,134.20	$8,557.00	$246.40 – $7,701.30	19
Tx open dstl phlngl fx f/t internal fixation ea CPT 26765	$4,558.80	$7,598.00	$195.80 – $6,838.20	19
Tx open iphlngl jt disl internal fixation sngl CPT 26785	$3,601.80	$6,003.00	$130.35 – $5,402.70	19
Tx phalangeal shaft fx open prox/middle ea CPT 26735	$4,706.40	$7,844.00	$246.40 – $7,059.60	19
Tx tarsal bone fx without manip 28450 CPT 28450	not published	not published	$125.40 – $394.03	9
Tympanometry & reflex thresh CPT 92550	$312.00	$520.00	$17.88 – $468.00	19
Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635	not published	not published	$1,329.00 – $6,203.86	9
Ua w/micro/comp poc CPT 81000	$25.80	$43.00	$2.24 – $38.70	20
Ultrasound breast complete CPT 76641	$597.60	$996.00	$45.15 – $896.40	18
Ultrasound breast unilateral limited (both sides) CPT 76642	$370.80	$618.00	$34.59 – $556.20	18
Ultrasound chest CPT 76604	$711.60	$1,186.00	$81.43 – $1,067.40	19
Ultrasound doppler velocimetry fetal umbilical artery CPT 76820	$745.20	$1,242.00	$50.30 – $1,117.80	19
Ultrasound dx ophth b-scan CPT 76512	$438.00	$730.00	$84.51 – $657.00	18
Ultrasound elastography ea l target les CPT 76983	$945.00	$1,575.00	$19.57 – $1,417.50	16
Ultrasound encephalogram CPT 76506	$520.80	$868.00	$84.51 – $781.20	19
Ultrasound exam k transpl w/doppler CPT 76776	$1,408.20	$2,347.00	$84.51 – $2,112.30	19
Ultrasound fetal biophysical profile without non-stress testing CPT 76819	$615.60	$1,026.00	$66.04 – $923.40	19
Ultrasound guidance for vascular access CPT 76937	$168.60	$281.00	$28.08 – $252.90	18
Ultrasound guide intraoperative CPT 76998	$536.40	$894.00	$174.73 – $804.60	15
Ultrasound guided needle placement supervision & interpretation CPT 76942	$1,018.80	$1,698.00	$79.20 – $1,528.20	18
Ultrasound joint complete left CPT 76881	$785.40	$1,309.00	$84.51 – $1,178.10	18
Ultrasound joint/nonvascular extremity limited left CPT 76882	$640.80	$1,068.00	$18.23 – $961.20	18
Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802	$824.40	$1,374.00	$42.64 – $1,236.60	18
Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811	$1,279.20	$2,132.00	$187.52 – $1,918.80	19
Ultrasound pregnant uterus follow up per fetus CPT 76816	$1,057.80	$1,763.00	$79.51 – $1,586.70	19
Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815	$630.00	$1,050.00	$70.40 – $945.00	19
Ultrasound pregnant uterus transvaginal CPT 76817	$1,408.20	$2,347.00	$84.51 – $2,112.30	19
Ultrasound prostate/transrectal CPT 76872	$829.20	$1,382.00	$84.51 – $1,243.80	19
Ultrasound retroperitoneal limited CPT 76775	$677.40	$1,129.00	$83.73 – $1,016.10	19
Ultrasound scrotum and contents CPT 76870	$741.60	$1,236.00	$81.40 – $1,112.40	19
Ultrasound spinal canal and contents CPT 76800	$797.40	$1,329.00	$84.51 – $1,196.10	19
Ultrasound transabd ea addl gest CPT 76812	$1,279.20	$2,132.00	$75.10 – $1,918.80	18
Ultrasound transvaginal non obstetric CPT 76830	$1,408.20	$2,347.00	$84.15 – $2,112.30	19
Unlisted CT procedure CPT 76497	$624.00	$1,040.00	$22.23 – $936.00	17
Unlisted cranfcl&maxlfcl px CPT 21299	not published	not published	$18.59 – $243.53	7
Unlisted dx gi procedure CPT 91299	$158.40	$264.00	$18.59 – $237.60	17
Unlisted laparoscopic reduction intestine 44238 CPT 44238	not published	not published	$4,636.78 – $6,118.60	6
Unlisted laps px esoph CPT 43289	not published	not published	$1,631.43 – $6,118.60	7
Unlisted mr procedure CPT 76498	$4,125.00	$6,875.00	$65.62 – $6,187.50	17
Unlisted orl service/px CPT 92700	$111.60	$186.00	$19.46 – $167.40	17
Unlisted procedure colon CPT 45399	$2,449.20	$4,082.00	$724.57 – $3,673.80	16
Unlisted procedure esophagus CPT 43499	$152.40	$254.00	$18.59 – $965.36	17
Unlisted procedure eyelids CPT 67999	not published	not published	$18.59 – $313.49	7
Unlisted procedure larynx CPT 31599	not published	not published	$18.59 – $243.53	7
Unlisted procedure microbiology CPT 87999	$243.00	$405.00	$69.97 – $364.50	15
Unlisted procedure orbit CPT 67599	not published	not published	$18.59 – $313.49	7
Unlisted procedure pancreas CPT 48999	$152.40	$254.00	$18.59 – $724.45	17
Unlisted procedure rectum CPT 45999	$532.20	$887.00	$18.59 – $938.75	17
Unlisted px abdomen muscskel CPT 22999	not published	not published	$18.59 – $251.57	7
Unlisted px ant segment eye CPT 66999	$3,823.80	$6,373.00	$18.59 – $5,735.70	17
Unlisted px casting/strpg CPT 29799	$75.60	$126.00	$18.59 – $162.46	17
Unlisted px external ear CPT 69399	$75.60	$126.00	$18.59 – $239.10	17
Unlisted px forearm/wrist CPT 25999	$102.60	$171.00	$18.59 – $247.00	17
Unlisted px hands/fingers CPT 26989	$3,639.60	$6,066.00	$190.64 – $5,459.40	17
Unlisted px inner ear CPT 69949	not published	not published	$18.59 – $243.53	7
Unlisted px leg/ankle CPT 27899	$348.60	$581.00	$18.59 – $522.90	17
Unlisted px male genital sys CPT 55899	$75.60	$126.00	$18.59 – $250.42	17
Unlisted px posterior segmnt CPT 67299	$4,036.20	$6,727.00	$623.27 – $6,054.30	16
Unlisted px small intestine CPT 44799	$2,511.60	$4,186.00	$18.59 – $3,767.40	17
Unlisted px tongue flr mouth CPT 41599	$86.40	$144.00	$18.59 – $239.10	17
Unlisted transfusion med px CPT 86999	$39.60	$66.00	$6.72 – $59.40	18
Unsched dialysis esrd pt hos HCPCS G0257	$1,025.40	$1,709.00	$120.82 – $1,538.10	17
Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157	$6,512.40	$10,854.00	$283.82 – $9,768.60	20
Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147	$5,313.60	$8,856.00	$283.82 – $7,970.40	20
Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146	$4,125.00	$6,875.00	$192.10 – $6,187.50	20
Upper Endoscopy (EGD, diagnostic) CPT 43235	$2,978.40	$4,964.00	$137.74 – $4,467.60	19
Upper Endoscopy (EGD, with biopsy) CPT 43239	$2,978.40	$4,964.00	$163.44 – $4,467.60	19
Uppr gi scope w/submuc inj CPT 43236	$2,978.40	$4,964.00	$166.71 – $4,467.60	19
Urea nitrogen CPT 84520	$33.60	$56.00	$3.29 – $50.40	20
Urea nitrogen 24 hour urine CPT 84540	$47.40	$79.00	$4.63 – $71.10	19
Urea nitrogen clearance CPT 84545	$60.60	$101.00	$5.50 – $90.90	20
Urethrcystgrphy rtrgrde s&i CPT 74450	$1,868.40	$3,114.00	$41.25 – $2,802.60	19
Urethrocystography void s&i CPT 74455	$437.40	$729.00	$46.75 – $656.10	19
Uric acid blood CPT 84550	$63.60	$106.00	$3.77 – $95.40	20
Uric acid urine CPT 84560	$39.60	$66.00	$2.22 – $59.40	20
Urinalysis (with microscopy) CPT 81001	$52.80	$88.00	$2.64 – $79.20	20
Urinalysis (without microscopy) CPT 81003	$34.80	$58.00	$1.88 – $52.20	20
Urine Culture Test CPT 87086	$80.40	$134.00	$6.73 – $120.60	20
Urine pregnancy test CPT 81025	$83.40	$139.00	$4.40 – $125.10	20
Urography, antegrade CPT 74425	$1,868.40	$3,114.00	$41.25 – $2,802.60	19
Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357	not published	$514.02	$124.54 – $32,629.58	19
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322	$340.00	$425.00	$44.00 – $307.06	19
Vaccine dtap < 7 years im CPT 90700	$43.20	$54.00	$11.00 – $48.60	18
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648	$31.20	$52.00	$11.00 – $46.80	18
Vaccine hepatitis a (hepa) adult im CPT 90632	$108.00	$135.00	$11.00 – $121.50	19
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633	$86.40	$108.00	$11.00 – $97.20	18
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746	$86.40	$108.00	$11.00 – $104.11	19
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739	$168.80	$211.00	$11.00 – $189.90	19
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651	$186.00	$310.00	$11.00 – $279.00	18
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686	$12.00	$20.00	$5.00 – $18.00	18
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682	not published	$149.23	$11.00 – $134.31	18
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661	$24.00	$30.00	$7.50 – $49.49	19
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620	$109.60	$137.00	$11.00 – $127.96	18
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734	$108.80	$136.00	$11.00 – $173.76	18
Vaccine mmr live subcutaneous CPT 90707	$64.80	$81.00	$11.00 – $72.90	18
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732	$75.00	$125.00	$11.00 – $133.47	19
Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670	$144.00	$240.00	$11.00 – $257.99	19
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677	$192.00	$329.27	$11.00 – $312.90	19
Vaccine polio (ipv) subcutaneous/im CPT 90713	$51.20	$64.00	$9.44 – $57.60	18
Vaccine rabies im CPT 90675	$800.00	$1,000.00	$11.00 – $900.00	20
Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678	not published	$681.75	$11.00 – $723.82	18
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380	$1,196.00	$1,495.00	$11.00 – $1,345.50	18
Vaccine td preservative free >= 7 years im CPT 90714	$74.40	$93.00	$11.00 – $83.70	19
Vaccine tdap >=7 years im CPT 90715	$42.40	$53.00	$11.00 – $73.91	19
Valproic acid total therapeutic drug level CPT 80164	$189.00	$315.00	$11.29 – $283.50	20
Vancomycin 1,000 mg intravenous injection HCPCS J3373	$2.40	$4.00	$0.02 – $0.90	18
Vancomycin hcl injection HCPCS J3370	$25.80	$70.95	$1.13 – $14.50	16
Vancomycin peak therapeutic drug level CPT 80202	$159.00	$265.00	$11.29 – $238.50	20
Varicella zoster antibody igg CPT 86787	$128.40	$214.00	$10.74 – $192.60	20
Vasopressin 20 unit/ml intravenous solution HCPCS J2598	$8.00	$10.00	$0.58 – $9.00	18
Vedolizumab 300 mg intravenous solution HCPCS J3380	$74.20	$92.75	$11.51 – $82.80	19
Veeg cont 2-12 hrs CPT 95713	$1,126.20	$1,877.00	$367.16 – $1,689.30	18
Veeg ea 12-26hr cont mntr CPT 95716	$2,109.60	$3,516.00	$808.56 – $3,164.40	18
Veeg intrmnt 2-12 hrs CPT 95712	$586.80	$978.00	$247.48 – $880.20	18
Veeg unmon 2-12 hrs CPT 95711	$586.80	$978.00	$96.81 – $880.20	18
Vein x-ray adrenal glands CPT 75842	$2,934.00	$4,890.00	$41.25 – $5,411.37	19
Vein x-ray kidney CPT 75831	$2,587.20	$4,312.00	$41.25 – $3,880.80	19
Vein x-ray liver w/hemodynam CPT 75889	$2,636.40	$4,394.00	$202.81 – $3,954.60	19
Vein x-ray skull CPT 75870	$2,280.00	$3,800.00	$41.25 – $3,420.00	19
Vein x-ray spleen/liver CPT 75810	$1,590.60	$2,651.00	$71.50 – $3,150.80	19
Vemp test i&r cervical CPT 92517	$336.60	$561.00	$62.36 – $504.90	18
Vemp test i&r ocular CPT 92518	$336.60	$561.00	$58.20 – $504.90	18
Vemp tst i&r cervical&ocular CPT 92519	$636.60	$1,061.00	$96.73 – $954.90	18
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410	$90.60	$151.00	$18.59 – $135.90	16
Venogram ext bil s&i CPT 75822	$1,486.20	$2,477.00	$41.25 – $2,229.30	19
Venogram extremity supervision & interpretation unilateral CPT 75820	$1,261.20	$2,102.00	$41.25 – $1,891.80	19
Venous m-thrombectomy add-on CPT 37188	$10,537.20	$17,562.00	$2,501.43 – $15,805.80	18
Venous mech thrombectomy CPT 37187	$12,268.80	$20,448.00	$4,626.06 – $18,403.20	18
Venous sampling s&i CPT 75893	$3,174.00	$5,290.00	$492.72 – $5,565.99	18
Ventilator each subsequent day CPT 94003	$1,417.20	$2,362.00	$102.58 – $2,125.80	18
Ventilator initial day CPT 94002	$1,650.60	$2,751.00	$140.11 – $2,475.90	18
Very long chain fatty acids CPT 82726	$383.40	$639.00	$16.46 – $575.10	20
Vinblastine 1 mg/ml intravenous solution HCPCS J9360	$91.20	$152.00	$2.08 – $28.79	18
Vincristine 1 mg/ml intravenous solution HCPCS J9370	$253.80	$423.00	$3.25 – $55.50	18
Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390	$723.00	$1,205.00	$4.85 – $184.54	18
Vit for macular hole CPT 67042	not published	not published	$2,098.00 – $4,218.84	8
Vit for macular pucker CPT 67041	not published	not published	$1,835.58 – $4,218.84	8
Vit for membrane dissect CPT 67043	not published	not published	$2,204.83 – $4,218.84	8
Vitamin D Test CPT 82306	$223.80	$373.00	$24.67 – $335.70	20
Vitamin b-12 CPT 82607	$158.40	$264.00	$12.57 – $237.60	20
Voiding pressure study/intra-abd 51797 CPT 51797	$483.00	$805.00	$38.50 – $724.50	18
Vonvendi inj 1 iu vwf:rco HCPCS J7179	$11.00	$16.00	$1.17 – $12.38	19
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465	$547.20	$912.00	$0.49 – $40.50	18
Warde 1003990 aldosterone CPT 82088	$306.60	$511.00	$28.60 – $459.90	20
Warde 1005020 citrate 24 hour urine CPT 82507	$210.60	$351.00	$23.17 – $315.90	19
Warde 1005055 5-hiaa 24 hour urine CPT 83497	$138.00	$230.00	$10.75 – $207.00	20
Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384	$265.80	$443.00	$21.05 – $398.70	20
Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585	$165.60	$276.00	$12.92 – $248.40	20
Warde 1015200 kappa light chain free CPT 83521	$133.20	$222.00	$7.32 – $199.80	20
Warde 3004000 immunoglobulin subclass 1 CPT 82787	$250.80	$418.00	$6.69 – $376.20	20
Warde 3008005 oligoclonal bands CPT 83916	$213.00	$355.00	$16.50 – $319.50	20
Warde 3016000 west nile virus antibody CPT 86788	$97.20	$162.00	$14.05 – $145.80	20
Warde 3016000 west nile virus antibody igg CPT 86789	$97.20	$162.00	$12.00 – $145.80	20
Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671	$111.60	$186.00	$10.21 – $167.40	19
Warde 3400652 ova & parasites direct smear concentration and id CPT 87177	$96.00	$160.00	$7.42 – $144.00	20
Warde 3400652 smear complex special stain ova/parasites CPT 87209	$118.20	$197.00	$14.99 – $177.30	20
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513	$403.20	$672.00	$106.47 – $604.80	19
Warde 3400852 arsenic CPT 82175	$142.20	$237.00	$15.81 – $201.60	19
Warde 3708165 mercury urine CPT 83825	$122.40	$204.00	$13.20 – $183.60	20
Warde acetylcholine receptor blocking antibody CPT 86042	$355.80	$593.00	$6.88 – $533.70	20
Warde actin (smooth muscle) antibody each CPT 86015	$108.60	$181.00	$4.89 – $162.90	20
Warde adenosine deaminase pleural fluid CPT 84311	$142.20	$237.00	$6.75 – $213.30	19
Warde adrenocorticotropic hormone (acth) CPT 82024	$289.20	$482.00	$32.19 – $433.80	20
Warde aldolase CPT 82085	$142.20	$237.00	$8.09 – $213.30	20
Warde amino acids 6 or more quantitative each specimen CPT 82139	$378.00	$630.00	$14.06 – $567.00	20
Warde amiodarone therapeutic drug level CPT 80151	$129.60	$216.00	$13.92 – $194.40	19
Warde analysis gene hfe common variants CPT 81256	$1,590.60	$2,651.00	$54.48 – $2,250.90	20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206	$1,051.20	$1,752.00	$77.11 – $1,118.70	19
Warde anti-mullerian hormone CPT 82166	$181.80	$303.00	$14.42 – $272.70	19
Warde apolipoprotein b CPT 82172	$117.00	$195.00	$17.58 – $175.50	20
Warde cadmium blood CPT 82300	$111.60	$186.00	$19.71 – $167.40	20
Warde calcitonin CPT 82308	$202.80	$338.00	$22.33 – $304.20	20
Warde calculus (stone) infrared CPT 82365	$97.20	$162.00	$10.75 – $145.80	20
Warde clozapine therapeutic drug level CPT 80159	$129.60	$216.00	$16.80 – $194.40	20
Warde cobalt heavy metal quantitative each nes CPT 83018	$235.20	$392.00	$18.31 – $352.80	20
Warde collagen cross links c-telopeptide CPT 82523	$72.60	$121.00	$15.57 – $108.90	19
Warde complement total hemolytic CPT 86162	$178.20	$297.00	$16.94 – $267.30	20
Warde copper CPT 82525	$94.80	$158.00	$10.34 – $142.20	20
Warde cryoglobulin CPT 82595	$60.00	$100.00	$5.39 – $90.00	20
Warde erythropoietin CPT 82668	$189.60	$316.00	$15.66 – $284.40	20
Warde estrogen fractionated CPT 82671	$345.60	$576.00	$24.20 – $518.40	20
Warde fluorescent antibody screen endomysial iga CPT 86231	$213.00	$355.00	$5.13 – $319.50	20
Warde folic acid rbc CPT 82747	$175.20	$292.00	$14.71 – $262.80	20
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955	$72.00	$120.00	$8.09 – $108.00	20
Warde gastrin CPT 82941	$285.60	$476.00	$14.70 – $428.40	20
Warde growth hormone (hgh) CPT 83003	$142.20	$237.00	$8.80 – $213.30	20
Warde helminth antibody strongyloides igg CPT 86682	$94.80	$158.00	$10.85 – $142.20	19
Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020	$85.20	$142.00	$10.73 – $127.80	20
Warde hepatitis a antibody CPT 86708	$124.20	$207.00	$10.33 – $186.30	20
Warde hepatitis be antibody CPT 86707	$115.20	$192.00	$9.64 – $172.80	20
Warde hepatitis delta agent antibody CPT 86692	$129.60	$216.00	$14.30 – $194.40	20
Warde immunofixation electrophoresis urine CPT 86335	$241.20	$402.00	$10.98 – $361.80	20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350	$115.20	$192.00	$9.61 – $172.80	20
Warde infectious agent nucleic acid genotype hepatitis c CPT 87902	$2,667.00	$4,445.00	$204.16 – $4,000.50	19
Warde islet cell antibody zinc transporter 8 CPT 86341	$250.20	$417.00	$19.65 – $375.30	20
Warde lipoprotein (a) CPT 83695	$88.20	$147.00	$11.94 – $132.30	20
Warde lipoprotein-associated phospholipase a2 CPT 83698	$200.40	$334.00	$38.60 – $300.60	20
Warde mitochondrial antibody each CPT 86381	$100.20	$167.00	$10.80 – $150.30	19
Warde oxcarbazepine therapeutic drug level CPT 80183	$129.60	$216.00	$11.05 – $194.40	20
Warde pancreatic elastase fecal quantitative CPT 82653	$145.80	$243.00	$9.74 – $218.70	20
Warde protein c antigen CPT 85302	$90.60	$151.00	$10.01 – $135.90	20
Warde sex hormone binding globulin CPT 84270	$137.40	$229.00	$18.11 – $206.10	20
Warde somatomedin CPT 84305	$137.40	$229.00	$17.72 – $206.10	20
Warde t3 (triiodothyronine) reverse CPT 84482	$176.40	$294.00	$13.14 – $264.60	20
Warde thyroid stimulating immunoglobulins CPT 84445	$388.20	$647.00	$22.00 – $582.30	20
Warde topiramate therapeutic drug level CPT 80201	$124.20	$207.00	$9.94 – $186.30	20
Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252	$292.80	$488.00	$21.73 – $439.20	20
Warde viscosity CPT 85810	$119.40	$199.00	$4.40 – $179.10	20
Warde vitamin a CPT 84590	$97.20	$162.00	$9.68 – $145.80	20
Warde vitamin b-1 (thiamine) CPT 84425	$225.00	$375.00	$7.70 – $337.50	20
Warde vitamin b6 (pyridoxine) CPT 84207	$298.80	$498.00	$23.42 – $448.20	20
Warde vitamin c (ascorbic acid) CPT 82180	$104.40	$174.00	$7.70 – $156.60	20
Warde vitamin d (1 25 dihydroxy) CPT 82652	$426.00	$710.00	$32.09 – $639.00	20
Warde vitamin e (alpha-tocopherol) CPT 84446	$137.40	$229.00	$11.00 – $206.10	20
Warde zinc CPT 84630	$114.60	$191.00	$9.49 – $171.90	20
Wbc automated CPT 85048	$36.60	$61.00	$1.38 – $54.90	20
Western blot test CPT 84181	$178.80	$298.00	$14.20 – $268.20	20
Whole blood for transfusion HCPCS P9010	$568.20	$947.00	$8.45 – $852.30	19
Wilate injection HCPCS J7183	$9.60	$16.00	$0.81 – $14.40	19
Wound therapy negative pressure per session <= 50 sq cm CPT 97607	$123.60	$206.00	$29.80 – $411.37	17
Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605	$159.00	$265.00	$61.49 – $238.50	17
Wound therapy negative pressure per session > 50 sq cm CPT 97608	$154.80	$258.00	$35.28 – $411.37	17
Wound therapy negative pressure per session > 50 sq cm dme CPT 97606	$348.60	$581.00	$66.21 – $522.90	17
Wrist X-ray CPT 73110	$456.60	$761.00	$30.73 – $684.90	18
Wrist endoscopy/surgery CPT 29848	not published	not published	$845.26 – $2,274.00	9
X-ray abdomen 1 view CPT 74018	$456.60	$761.00	$10.93 – $684.90	19
X-ray abdomen 2 views CPT 74019	$456.60	$761.00	$13.05 – $684.90	19
X-ray abdomen >=3 views CPT 74021	$456.60	$761.00	$15.19 – $684.90	19
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022	$765.60	$1,276.00	$42.59 – $1,148.40	19
X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050	$456.60	$761.00	$31.37 – $684.90	19
X-ray ankle 2 views (both sides) CPT 73600	$456.60	$761.00	$24.66 – $684.90	18
X-ray bone age studies CPT 77072	$456.60	$761.00	$18.23 – $684.90	19
X-ray bone length studies CPT 77073	$456.60	$761.00	$34.01 – $684.90	19
X-ray bone survey complete CPT 77075	$765.60	$1,276.00	$72.04 – $1,148.40	19
X-ray bone survey infant CPT 77076	$292.80	$488.00	$56.50 – $439.20	19
X-ray cervical spine 2-3 views CPT 72040	$456.60	$761.00	$29.15 – $684.90	19
X-ray cervical spine 4-5 views CPT 72050	$765.60	$1,276.00	$44.68 – $1,148.40	19
X-ray cervical spine >= 6 views CPT 72052	$765.60	$1,276.00	$54.27 – $1,148.40	19
X-ray clavicle complete (both sides) CPT 73000	$456.60	$761.00	$30.16 – $684.90	18
X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270	$873.00	$1,455.00	$41.25 – $1,309.50	19
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280	$1,444.80	$2,408.00	$71.50 – $2,167.20	19
X-ray elbow 2 views (both sides) CPT 73070	$456.60	$761.00	$25.42 – $684.90	18
X-ray elbow >= 3 views (both sides) CPT 73080	$456.60	$761.00	$27.78 – $684.90	18
X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220	$873.00	$1,455.00	$41.25 – $1,309.50	19
X-ray exam entire spi 4/5 vw CPT 72083	$765.60	$1,276.00	$32.57 – $1,148.40	19
X-ray exam entire spi 6/> vw CPT 72084	$765.60	$1,276.00	$39.30 – $1,148.40	19
X-ray exam of eye sockets CPT 70200	$456.60	$761.00	$37.25 – $684.90	19
X-ray exam of femur 1 CPT 73551	$456.60	$761.00	$12.57 – $684.90	18
X-ray exam of sinuses CPT 70210	$456.60	$761.00	$26.74 – $684.90	19
X-ray exam si joints CPT 72200	$456.60	$761.00	$25.46 – $684.90	18
X-ray exam thorac spine4/>vw CPT 72074	$456.60	$761.00	$34.68 – $684.90	18
X-ray eye detection foreign body (both sides) CPT 70030	$456.60	$761.00	$27.13 – $684.90	18
X-ray facial bones complete > 3 views CPT 70150	$456.60	$761.00	$37.69 – $684.90	19
X-ray femur >=2 views (both sides) CPT 73552	$456.60	$761.00	$14.89 – $684.90	18
X-ray finger(s) >= 2 views (both sides) CPT 73140	$456.60	$761.00	$25.21 – $684.90	18
X-ray foot 2 views (both sides) CPT 73620	$456.60	$761.00	$28.57 – $684.90	18
X-ray forearm 2 views (both sides) CPT 73090	$456.60	$761.00	$30.68 – $684.90	18
X-ray hand 2 views (both sides) CPT 73120	$456.60	$761.00	$29.59 – $684.90	18
X-ray heel/calcaneus > 2 views (both sides) CPT 73650	$456.60	$761.00	$28.47 – $684.90	18
X-ray hip uni w/wo pelvis min 4 views CPT 73503	$456.60	$761.00	$24.18 – $684.90	18
X-ray hip with pelvis when performed bilateral 2 views CPT 73521	$456.60	$761.00	$18.14 – $684.90	19
X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522	$456.60	$761.00	$21.86 – $684.90	19
X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523	$456.60	$761.00	$26.28 – $684.90	19
X-ray hip with pelvis when performed unilateral 1 view left CPT 73501	$456.60	$761.00	$13.03 – $684.90	18
X-ray humerus >= 2 views left CPT 73060	$456.60	$761.00	$27.84 – $684.90	18
X-ray knee 1-2 views (both sides) CPT 73560	$456.60	$761.00	$29.99 – $684.90	18
X-ray knee 3 views (both sides) CPT 73562	$456.60	$761.00	$33.56 – $684.90	18
X-ray knee ap standing bilateral CPT 73565	$456.60	$761.00	$24.52 – $684.90	19
X-ray l/s-spine bend vw only 2-3 vw CPT 72120	$456.60	$761.00	$34.13 – $684.90	19
X-ray lower extremities infant > 2 views (both sides) CPT 73592	$456.60	$761.00	$29.25 – $684.90	18
X-ray lumbosacral spine >= 4 views CPT 72110	$765.60	$1,276.00	$40.28 – $1,148.40	19
X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114	$765.60	$1,276.00	$38.50 – $1,148.40	19
X-ray mandible complete > 4 views CPT 70110	$456.60	$761.00	$30.25 – $684.90	19
X-ray mandible ltd <4 views CPT 70100	$456.60	$761.00	$27.33 – $684.90	19
X-ray nasal bones complete > 3 views CPT 70160	$456.60	$761.00	$20.90 – $684.90	19
X-ray neck soft tissue CPT 70360	$456.60	$761.00	$19.25 – $684.90	19
X-ray nose to rectum for foreign body child CPT 76010	$456.60	$761.00	$15.95 – $684.90	19
X-ray pelvis 1-2 views CPT 72170	$456.60	$761.00	$19.25 – $684.90	19
X-ray pelvis complete > 3 views CPT 72190	$456.60	$761.00	$33.72 – $684.90	19
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420	$1,868.40	$3,114.00	$41.25 – $2,802.60	19
X-ray ribs 2 views left CPT 71100	$456.60	$761.00	$29.15 – $684.90	19
X-ray ribs 3 views bilateral CPT 71110	$456.60	$761.00	$30.25 – $684.90	19
X-ray ribs w/posterior anterior chest 3 views left CPT 71101	$456.60	$761.00	$29.15 – $684.90	19
X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111	$765.60	$1,276.00	$30.25 – $1,148.40	19
X-ray sacroiliac joints >= 3 views CPT 72202	$456.60	$761.00	$27.83 – $684.90	19
X-ray sacrum/coccyx >= 2 views CPT 72220	$456.60	$761.00	$26.99 – $684.90	19
X-ray scapula complete (both sides) CPT 73010	$456.60	$761.00	$31.78 – $684.90	18
X-ray shoulder 1 view (both sides) CPT 73020	$456.60	$761.00	$28.20 – $684.90	18
X-ray sinus tract/fistula/abscess CPT 76080	$2,403.00	$4,005.00	$30.25 – $3,604.50	19
X-ray sinuses paranasal complete > 3 views CPT 70220	$456.60	$761.00	$37.27 – $684.90	19
X-ray skull < 4 views CPT 70250	$456.60	$761.00	$34.97 – $684.90	19
X-ray skull > 4 views complete CPT 70260	$765.60	$1,276.00	$47.82 – $1,148.40	19
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250	$873.00	$1,455.00	$41.25 – $1,309.50	19
X-ray small intestine follow-through study CPT 74248	$419.40	$699.00	$25.19 – $629.10	18
X-ray spine single view CPT 72020	$456.60	$761.00	$23.54 – $684.90	19
X-ray sternoclavicular joint(s) > 3 views CPT 71130	$456.60	$761.00	$20.90 – $684.90	19
X-ray sternum > 2 views CPT 71120	$456.60	$761.00	$20.90 – $684.90	19
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230	$873.00	$1,455.00	$50.60 – $1,309.50	19
X-ray temporomandibular joint open/closed mouth bilateral CPT 70330	$456.60	$761.00	$30.25 – $684.90	19
X-ray thoracic spine 2 views CPT 72070	$456.60	$761.00	$34.03 – $684.90	19
X-ray thoracic spine 3 views CPT 72072	$456.60	$761.00	$34.68 – $684.90	19
X-ray thoracolumbar spine >=2 views CPT 72080	$456.60	$761.00	$29.15 – $684.90	19
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081	$765.60	$1,276.00	$16.52 – $1,148.40	19
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082	$765.60	$1,276.00	$30.00 – $1,148.40	19
X-ray tibia/fibula 2 views (both sides) CPT 73590	$456.60	$761.00	$26.33 – $684.90	18
X-ray toe(s) > 2 views (both sides) CPT 73660	$456.60	$761.00	$20.01 – $684.90	18
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246	$939.00	$1,565.00	$73.15 – $1,408.50	19
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240	$939.00	$1,565.00	$71.50 – $1,408.50	19
X-ray wrist 2 views (both sides) CPT 73100	$456.60	$761.00	$29.52 – $684.90	18
Xcapsl ctrc rmvl cplx w/ecp CPT 66987	not published	not published	$515.46 – $4,218.84	7
Xcapsl ctrc rmvl cplx wo ecp CPT 66982	not published	not published	$1,312.00 – $2,391.84	9
Xcapsl ctrc rmvl insj 1+ CPT 66991	not published	not published	$279.86 – $5,411.08	8
Xcapsl ctrc rmvl w/ecp CPT 66988	not published	not published	$515.46 – $4,218.84	7
Xcpsl ctrc rmvl cplx insj 1+ CPT 66989	not published	not published	$351.16 – $5,411.08	8
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040	$3,321.00	$5,535.00	$195.25 – $4,981.50	19
Ziconotide injection HCPCS J2278	$5,752.20	$9,587.00	$2.51 – $12.90	19
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485	not published	$67.84	$0.96 – $61.06	18
Zika virus igm antibody CPT 86794	$108.00	$180.00	$13.20 – $162.00	20
Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486	$245.40	$409.00	$4.31 – $184.50	18
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400	not published	$4,000.00	$4.98 – $1,800.00	19
Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326	$46.20	$77.00	$21.28 – $69.30	19
Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489	$3,207.00	$5,345.00	$0.77 – $157.22	19
_afb id by dna probe rflx ast CPT 87149	$139.20	$232.00	$16.71 – $208.80	20
_afb org id by sequencing rflx ast-sendout CPT 87153	$1,062.00	$1,770.00	$51.03 – $1,593.00	20

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.