healthcosts.net
UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
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 | $282.60 | $471.00 | $11.16 – $400.35 | 17 |
| #acylcarnitineprfl CPT 82017 | $169.20 | $282.00 | $15.68 – $239.70 | 16 |
| #aptt mix-1:1 incubated CPT 87532 | $391.80 | $653.00 | $32.61 – $555.05 | 16 |
| #bac vag cand-c. albicans naa CPT 87481 | $316.20 | $527.00 | $32.61 – $447.95 | 17 |
| #cbg+cort-cbg CPT 84449 | $186.00 | $310.00 | $16.73 – $263.50 | 17 |
| #celiac hla-dq8 CPT 81383 | $1,607.40 | $2,679.00 | $101.41 – $2,277.15 | 17 |
| #cf-97variants CPT 81220 | $3,357.60 | $5,596.00 | $257.67 – $1,096.50 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $55.20 | $92.00 | $5.95 – $78.20 | 17 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $110.40 | $184.00 | $12.11 – $139.40 | 16 |
| #creutz-prot.,western blot CPT 84182 | $571.20 | $952.00 | $27.00 – $808.35 | 17 |
| #fecal-sodium CPT 84302 | $96.00 | $160.00 | $4.52 – $136.00 | 17 |
| #flow interp 9 - 15 markers CPT 88188 | $627.60 | $1,046.00 | $46.27 – $333.20 | 15 |
| #pnh-flow cytometry interp CPT 88187 | $281.40 | $469.00 | $45.36 – $398.65 | 15 |
| #resp virpnl dfa-adenovirus CPT 87260 | $136.80 | $228.00 | $13.41 – $193.80 | 16 |
| 11-desoxycortisol - sendout CPT 82634 | $175.20 | $292.00 | $19.25 – $248.20 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $168.60 | $281.00 | $21.20 – $238.85 | 17 |
| 17-ketosteroids CPT 83586 | $249.60 | $416.00 | $11.90 – $353.60 | 17 |
| 24 hr ambulatory b/p monitor CPT 93786 | $162.60 | $271.00 | $25.15 – $230.35 | 15 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $4,258.80 | $7,098.00 | $436.57 – $6,033.30 | 15 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,004.60 | $3,341.00 | $318.29 – $2,839.85 | 15 |
| 2nd order venous cath CPT 36012 | $8,350.20 | $13,917.00 | $125.95 – $11,829.45 | 15 |
| 3-d radiotherapy plan CPT 77295 | $9,234.00 | $15,390.00 | $603.72 – $13,081.50 | 17 |
| 3d recon without postprocess indpndt CPT 76376 | $4,528.20 | $7,547.00 | $197.72 – $1,742.50 | 13 |
| 5' nucleotidase - sendout CPT 83915 | $58.80 | $98.00 | $10.36 – $83.30 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $85.80 | $143.00 | $19.63 – $121.55 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $213.00 | $355.00 | $27.85 – $113.05 | 16 |
| Abd aorta w/runoff s&i CPT 75630 | $3,546.00 | $5,910.00 | $268.71 – $5,023.50 | 17 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $3,928.80 | $6,548.00 | $50.12 – $5,565.80 | 17 |
| Abd/low ext cath 1st CPT 36245 | $4,540.80 | $7,568.00 | $763.10 – $6,432.80 | 13 |
| Abd/low ext cath 2nd CPT 36246 | $6,016.80 | $10,028.00 | $795.09 – $8,523.80 | 13 |
| Abd/low ext cath 3rd CPT 36247 | $6,311.40 | $10,519.00 | $947.07 – $8,941.15 | 13 |
| Abd/low ext cath addl CPT 36248 | $988.80 | $1,648.00 | $53.44 – $1,400.80 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,953.20 | $4,922.00 | $157.72 – $4,183.70 | 17 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,654.40 | $4,424.00 | $157.72 – $3,760.40 | 17 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $4,621.20 | $7,702.00 | $316.41 – $6,546.70 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,085.60 | $3,476.00 | $94.21 – $2,954.60 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,039.80 | $1,733.00 | $68.75 – $1,473.05 | 17 |
| Abdominal paracentesis w/image guidance CPT 49083 | $4,788.00 | $7,980.00 | $92.76 – $6,783.00 | 17 |
| Abl1 gene CPT 81170 | $3,373.80 | $5,623.00 | $232.46 – $2,408.05 | 17 |
| Ablate arrhythmia add on CPT 93655 | $48,183.60 | $80,306.00 | $352.41 – $68,260.10 | 13 |
| Ablate heart dysrhythm focus CPT 93650 | $7,078.20 | $11,797.00 | $445.69 – $10,027.45 | 16 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $265.80 | $443.00 | $50.63 – $376.55 | 15 |
| Ablation cryo abd perit om CPT 49999 | $96.00 | $160.00 | $18.77 – $983.24 | 15 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,976.60 | $4,961.00 | $18.77 – $309.57 | 15 |
| Abobotulinumtoxina HCPCS J0586 | $2,911.20 | $4,852.00 | $5.53 – $68.00 | 16 |
| Abscess drain retroperitoneal surg code CPT 49406 | $7,719.00 | $12,865.00 | $190.99 – $10,935.25 | 17 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $24.60 | $41.00 | $0.04 – $0.85 | 14 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $1,307.40 | $2,179.00 | $12.53 – $230.35 | 14 |
| Acetylcholine receptor modulating antibody CPT 86043 | $83.40 | $139.00 | $4.54 – $110.50 | 17 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $1,142.40 | $1,904.00 | $0.24 – $24.65 | 15 |
| Acetylcysteine non-comp unit HCPCS J7608 | $438.00 | $730.00 | $0.56 – $18.37 | 15 |
| Acne surgery 10040 CPT 10040 | $103.80 | $173.00 | $18.77 – $208.38 | 16 |
| Actigraphy testing CPT 95803 | $728.40 | $1,214.00 | $52.63 – $1,031.90 | 15 |
| Acute hepatitis panel CPT 80074 | $573.60 | $956.00 | $44.26 – $812.60 | 17 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $427.20 | $712.00 | $0.02 – $5.10 | 14 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,448.40 | $2,414.00 | $220.88 – $7,272.39 | 13 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $2,780.40 | $4,634.00 | $0.35 – $62.90 | 14 |
| Adenovirus antibody,serum - quest CPT 86603 | $235.80 | $393.00 | $11.96 – $334.05 | 17 |
| Adh-sendout CPT 84588 | $361.80 | $603.00 | $31.54 – $512.55 | 17 |
| Adj gastric band via subq port CPT 43999 | $2,977.20 | $4,962.00 | $18.77 – $4,217.70 | 15 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $4,326.00 | $7,210.00 | $305.25 – $6,128.50 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $3,000.00 | $5,000.00 | $0.50 – $4.48 | 14 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $298.20 | $497.00 | $31.11 – $422.45 | 17 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $322.20 | $537.00 | $63.05 – $456.45 | 17 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $735.00 | $1,225.00 | $137.28 – $1,041.25 | 17 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $464.40 | $774.00 | $101.42 – $657.90 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $254.40 | $424.00 | $34.94 – $360.40 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $254.40 | $424.00 | $55.25 – $360.40 | 17 |
| Administration immunization 1 vaccine CPT 90471 | $12.00 | $20.00 | $1.71 – $74.64 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $20.00 | $0.81 – $17.00 | 12 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $20.00 | $3.96 – $48.39 | 15 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $6.80 – $48.39 | 16 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $6.80 – $48.39 | 16 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $106.80 | $178.00 | $23.55 – $151.30 | 16 |
| Aep neurodiagnostic i&r CPT 92653 | $407.40 | $679.00 | $63.59 – $577.15 | 17 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $140,689.80 | $234,483.00 | $1,377.80 – $9,804.75 | 16 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $955.20 | $1,592.00 | $145.32 – $885.70 | 16 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,577.40 | $2,629.00 | $33.51 – $600.10 | 14 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $810.00 | $1,350.00 | $33.51 – $814.30 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $280.20 | $467.00 | $5.37 – $396.95 | 17 |
| Albumin body fluid quantitative each specimen CPT 82042 | $16.80 | $28.00 | $0.67 – $23.80 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $89.40 | $149.00 | $4.01 – $126.65 | 17 |
| Albuterol ipratrop non-comp HCPCS J7620 | $38.25 | $63.75 | $0.09 – $8.29 | 15 |
| Albuterol non-comp con HCPCS J7611 | $13.20 | $22.00 | $0.11 – $5.10 | 15 |
| Albuterol non-comp unit HCPCS J7613 | $18.00 | $30.00 | $0.05 – $3.40 | 15 |
| Aldesleukin injection HCPCS J9015 | $8,184.00 | $13,640.00 | $552.16 – $5,831.39 | 16 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $55.50 | $92.50 | $31.45 – $2,672.88 | 16 |
| Alkaline phosphatase CPT 84075 | $154.80 | $258.00 | $4.81 – $219.30 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $42.00 | $70.00 | $14.17 – $56.10 | 17 |
| Allergen egg white ige CPT 86003 | $42.00 | $70.00 | $4.85 – $41.65 | 17 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $6,838.20 | $11,397.00 | $319.22 – $5,230.33 | 13 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $12,411.00 | $20,685.00 | $821.48 – $3,173.90 | 13 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $28,764.00 | $47,940.00 | $12.35 – $8,722.70 | 13 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $8,304.60 | $13,841.00 | $98.57 – $793.05 | 13 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $825.60 | $1,376.00 | $302.72 – $3,514.54 | 13 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $8,445.00 | $14,075.00 | $182.25 – $11,963.75 | 13 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $59.40 | $99.00 | $3.45 – $42.50 | 16 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $619.20 | $1,032.00 | $59.86 – $877.20 | 17 |
| Alpha-fetoprotein amniotic CPT 82106 | $141.60 | $236.00 | $15.80 – $200.60 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $264.60 | $441.00 | $15.58 – $374.85 | 17 |
| Alt/sgpt CPT 84460 | $144.60 | $241.00 | $4.93 – $204.85 | 17 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $39,117.00 | $65,195.00 | $49.03 – $255.85 | 17 |
| Aluminum - quest CPT 82108 | $110.40 | $184.00 | $23.68 – $156.40 | 17 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $999.00 | $1,665.00 | $71.24 – $1,415.25 | 17 |
| Ambl bp mntr w/sw a/r CPT 93788 | $91.20 | $152.00 | $14.19 – $135.18 | 15 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $46.80 | $78.00 | $0.40 – $12.75 | 15 |
| Amino acids quant 2-5 CPT 82136 | $170.40 | $284.00 | $18.22 – $241.40 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $9.15 | $15.25 | $1.08 – $10.20 | 14 |
| Aminolevulinic acid delta CPT 82135 | $250.80 | $418.00 | $13.20 – $166.60 | 17 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $11.40 | $19.00 | $2.00 – $10.34 | 14 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $1,201.80 | $2,003.00 | $0.27 – $30.98 | 14 |
| Amitriptyline (elavil) -sendout CPT 80335 | $348.60 | $581.00 | $9.21 – $493.85 | 14 |
| Ammonia CPT 82140 | $235.20 | $392.00 | $5.50 – $333.20 | 17 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $175.20 | $292.00 | $27.41 – $248.20 | 14 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $592.80 | $988.00 | $13.56 – $551.65 | 16 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $316.80 | $528.00 | $0.34 – $100.30 | 14 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $246.60 | $411.00 | $0.88 – $58.65 | 14 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $247.20 | $412.00 | $140.08 – $350.20 | 16 |
| Amputation toe interphalangeal joint CPT 28825 | $3,607.80 | $6,013.00 | $591.83 – $5,111.05 | 16 |
| Amylase CPT 82150 | $163.80 | $273.00 | $5.50 – $232.05 | 17 |
| An cholangiogram percutaneous compl CPT 47531 | $3,542.40 | $5,904.00 | $85.71 – $5,018.40 | 17 |
| An fluoro guide for cvp CPT 77001 | $559.80 | $933.00 | $66.41 – $793.05 | 15 |
| Ana ds-dna CPT 86226 | $240.00 | $400.00 | $11.25 – $340.00 | 17 |
| Anal pressure record CPT 91122 | $633.00 | $1,055.00 | $75.35 – $896.75 | 17 |
| Anal/urinary muscle study CPT 51785 | $2,500.80 | $4,168.00 | $215.48 – $3,542.80 | 16 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $384.60 | $641.00 | $4.77 – $544.85 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $1,697.40 | $2,829.00 | $29.08 – $396.95 | 17 |
| Analysis gene f5 leiden variant CPT 81241 | $1,191.60 | $1,986.00 | $29.08 – $1,688.10 | 17 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $573.00 | $955.00 | $39.13 – $811.75 | 17 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $331.20 | $552.00 | $14.11 – $469.20 | 17 |
| Anca screen with reflex to titer -quest CPT 86021 | $58.80 | $98.00 | $5.50 – $83.30 | 17 |
| Androstanediol CPT 82154 | $337.80 | $563.00 | $26.79 – $478.55 | 17 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $9,243.60 | $15,406.00 | $112.62 – $13,095.10 | 15 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $59,645.40 | $99,409.00 | $7,969.78 – $84,497.65 | 16 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $8,205.00 | $13,675.00 | $159.14 – $11,623.75 | 15 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $7,740.60 | $12,901.00 | $320.94 – $10,965.85 | 17 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $9,243.60 | $15,406.00 | $135.41 – $13,095.10 | 15 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $10,386.00 | $17,310.00 | $275.98 – $14,713.50 | 17 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $30,797.40 | $51,329.00 | $5,051.41 – $43,629.65 | 16 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $41,503.80 | $69,173.00 | $1,795.89 – $58,797.05 | 13 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $31,723.80 | $52,873.00 | $4,666.70 – $44,942.05 | 16 |
| Angiotensin ii CPT 82163 | $158.40 | $264.00 | $15.95 – $224.40 | 17 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $26,215.20 | $43,692.00 | $0.17 – $1.93 | 14 |
| Ankle X-ray CPT 73610 | $419.40 | $699.00 | $26.25 – $594.15 | 16 |
| Anoscopy and biopsy CPT 46606 | $3,726.60 | $6,211.00 | $22.00 – $5,279.35 | 17 |
| Anoscopy control bleeding 46614 CPT 46614 | $2,655.60 | $4,426.00 | $70.63 – $3,762.10 | 17 |
| Ans parasymp & symp w/tilt CPT 95924 | $312.00 | $520.00 | $47.93 – $442.00 | 17 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $822.27 – $3,810.68 | 4 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,458.66 – $2,057.10 | 3 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,646.97 – $5,176.94 | 11 |
| Anti mog serum - sendout CPT 86362 | $159.00 | $265.00 | $5.16 – $225.25 | 17 |
| Anti-inhibitor HCPCS J7198 | $8.70 | $14.50 | $1.52 – $12.32 | 16 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $3,726.60 | $6,211.00 | $544.77 – $5,648.60 | 16 |
| Antibody CPT 86744 | $134.40 | $224.00 | $14.86 – $190.40 | 17 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $76.80 | $128.00 | $11.97 – $108.80 | 16 |
| Antibody elution rbc reference CPT 86860 | $98.40 | $164.00 | $9.29 – $179.71 | 17 |
| Antibody htlv-i CPT 86687 | $88.20 | $147.00 | $8.45 – $124.95 | 17 |
| Antibody htlv/hiv confirm test CPT 86689 | $175.20 | $292.00 | $17.98 – $248.20 | 17 |
| Antibody id rbc panel CPT 86870 | $112.80 | $188.00 | $9.29 – $377.25 | 17 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $638.40 | $1,064.00 | $5.50 – $75.65 | 17 |
| Antibody influenza virus CPT 86710 | $264.60 | $441.00 | $12.59 – $374.85 | 16 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $91.20 | $152.00 | $11.96 – $129.20 | 17 |
| Antibody screen rbc CPT 86850 | $115.80 | $193.00 | $9.08 – $154.70 | 17 |
| Antibody tetanus CPT 86774 | $111.60 | $186.00 | $13.75 – $158.10 | 16 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $30.60 | $51.00 | $0.94 – $15.30 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $58.80 | $98.00 | $5.16 – $83.30 | 17 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $58.80 | $98.00 | $5.16 – $83.30 | 17 |
| Antinuclear antibodies CPT 86038 | $298.20 | $497.00 | $11.24 – $398.65 | 17 |
| Antinuclear antibodies titer CPT 86039 | $123.00 | $205.00 | $10.37 – $164.05 | 17 |
| Antiphosphatidylserine antibody CPT 86148 | $513.00 | $855.00 | $14.93 – $726.75 | 16 |
| Antistreptolysin o screen CPT 86063 | $67.80 | $113.00 | $5.36 – $96.05 | 17 |
| Antistreptolysin o titer CPT 86060 | $150.60 | $251.00 | $6.78 – $213.35 | 17 |
| Antithrombin iii activity CPT 85300 | $125.40 | $209.00 | $10.15 – $177.65 | 17 |
| Antithrombin iii injection HCPCS J7197 | $70.20 | $117.00 | $1.54 – $15.30 | 16 |
| Antithymocyte globuln rabbit HCPCS J7511 | $4,183.80 | $6,973.00 | $472.41 – $5,927.05 | 16 |
| Aortic dysfunction/dilation CPT 81410 | $9,101.40 | $15,169.00 | $322.66 – $12,893.65 | 16 |
| Aortic dysfunction/dilation CPT 81411 | $9,243.00 | $15,405.00 | $864.43 – $13,094.25 | 16 |
| Apc gene dup/delet variants CPT 81203 | $2,299.20 | $3,832.00 | $185.86 – $3,257.20 | 17 |
| Apc gene known fam variants CPT 81202 | $40.80 | $68.00 | $23.12 – $308.00 | 17 |
| Apheresis plasma CPT 36514 | $3,486.60 | $5,811.00 | $82.50 – $4,939.35 | 17 |
| Apheresis wbc CPT 36511 | $976.20 | $1,627.00 | $55.00 – $1,719.15 | 17 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,812.60 | $3,021.00 | $192.65 – $964.75 | 17 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $345.60 | $576.00 | $48.19 – $489.60 | 13 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $345.60 | $576.00 | $38.50 – $489.60 | 13 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,154.80 | $5,258.00 | $420.87 – $4,469.30 | 16 |
| Appendectomy CPT 44950 | not published | not published | $1,210.25 – $6,543.73 | 11 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,067.82 – $6,118.60 | 11 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $91.20 | $152.00 | $6.60 – $129.20 | 15 |
| Appl multlay comprs arm/hand CPT 29584 | $456.00 | $760.00 | $83.34 – $646.00 | 16 |
| Application finger splntstatic 29130 CPT 29130 | $166.20 | $277.00 | $56.30 – $235.45 | 16 |
| Application long leg splint 29505 CPT 29505 | $1,000.80 | $1,668.00 | $40.70 – $1,417.80 | 17 |
| Application lower leg splint 29515 CPT 29515 | $411.60 | $686.00 | $38.50 – $583.10 | 17 |
| Application multi layer compression below knee (both sides) CPT 29581 | $765.00 | $1,275.00 | $126.88 – $1,083.75 | 16 |
| Application of cylinder cast 29365 CPT 29365 | $718.80 | $1,198.00 | $66.00 – $1,018.30 | 17 |
| Application of forearm cast 29075 CPT 29075 | $463.20 | $772.00 | $50.05 – $656.20 | 17 |
| Application of paste boot 29580 CPT 29580 | $618.60 | $1,031.00 | $99.42 – $876.35 | 16 |
| Application short leg cast 29405 CPT 29405 | $699.60 | $1,166.00 | $55.55 – $991.10 | 17 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,561.40 | $4,269.00 | $219.71 – $3,628.65 | 16 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,561.40 | $4,269.00 | $203.45 – $3,628.65 | 16 |
| Apply forearm splintdynamic 29126 CPT 29126 | $516.00 | $860.00 | $28.60 – $731.00 | 17 |
| Apply hand/wrist cast 29085 CPT 29085 | $672.00 | $1,120.00 | $30.25 – $952.00 | 17 |
| Apply interstit radiat compl CPT 77778 | $10,167.00 | $16,945.00 | $361.85 – $14,403.25 | 17 |
| Apply of finger splint 29131 CPT 29131 | $460.20 | $767.00 | $30.48 – $651.95 | 17 |
| Apply rigid leg cast 29445 CPT 29445 | $1,215.60 | $2,026.00 | $111.62 – $1,722.10 | 17 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $10.20 | $17.00 | $1.04 – $6.80 | 16 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $281.40 | $469.00 | $5.16 – $398.65 | 17 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $146.40 | $244.00 | $10.56 – $207.40 | 15 |
| Aquaporin-4 antibody cba each CPT 86052 | $159.00 | $265.00 | $5.16 – $144.50 | 17 |
| Aquatic exercise - group charge CPT 97150 | $95.40 | $159.00 | $25.73 – $124.90 | 13 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $11,470.20 | $19,117.00 | $0.50 – $10.20 | 16 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $9.60 | $16.00 | $1.90 – $989.01 | 17 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $268.80 | $448.00 | $5.15 – $380.80 | 16 |
| Arterial blood draw/perc 36620 CPT 36620 | $186.60 | $311.00 | $52.34 – $264.35 | 15 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $6,746.40 | $11,244.00 | $41.25 – $9,557.40 | 17 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $9,456.60 | $15,761.00 | $41.25 – $13,396.85 | 17 |
| Artery x-rays chest CPT 75756 | $3,898.20 | $6,497.00 | $41.25 – $5,522.45 | 17 |
| Artery x-rays lung CPT 75741 | $9,433.20 | $15,722.00 | $41.25 – $13,363.70 | 17 |
| Artery x-rays lung CPT 75746 | $2,919.00 | $4,865.00 | $27.50 – $4,135.25 | 17 |
| Artery x-rays lungs CPT 75743 | $11,433.00 | $19,055.00 | $41.25 – $16,196.75 | 17 |
| Artery xray each vessel 7577426 CPT 75774 | $5,510.40 | $9,184.00 | $41.25 – $7,806.40 | 15 |
| Artery xray of abdomen 75726-26 CPT 75726 | $7,779.00 | $12,965.00 | $41.25 – $11,020.25 | 17 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $7,438.80 | $12,398.00 | $41.25 – $10,538.30 | 17 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $844.93 – $2,862.98 | 4 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,328.70 – $13,493.67 | 11 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,625.32 – $13,493.67 | 11 |
| 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 | 12 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $227.40 | $379.00 | $40.76 – $322.15 | 17 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $361.80 | $603.00 | $18.77 – $512.55 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $268.80 | $448.00 | $46.59 – $726.25 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $316.80 | $528.00 | $18.77 – $448.80 | 17 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $723.60 | $1,206.00 | $54.80 – $1,025.10 | 17 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $286.80 | $478.00 | $19.80 – $406.30 | 17 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $619.41 – $2,350.20 | 4 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $803.41 – $13,493.67 | 12 |
| Arthrodesis triple CPT 28715 | not published | not published | $669.90 – $13,493.67 | 12 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $484.00 – $3,402.68 | 12 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $98.40 | $164.00 | $18.77 – $648.38 | 15 |
| Asp core fat pad CPT 17999 | $162.60 | $271.00 | $18.77 – $230.35 | 15 |
| Aspa gene CPT 81200 | $1,108.20 | $1,847.00 | $43.91 – $1,569.95 | 17 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,024.00 | $5,040.00 | $169.77 – $4,284.00 | 17 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,215.00 | $2,025.00 | $298.91 – $1,721.25 | 16 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $609.00 | $1,015.00 | $65.76 – $862.75 | 17 |
| Aspiration peritonsillar abscess CPT 42999 | $423.60 | $706.00 | $18.77 – $600.10 | 15 |
| Assay dir meas fr estradiol CPT 82681 | $89.40 | $149.00 | $21.05 – $126.65 | 16 |
| Assay myeloperoxidase CPT 83876 | $133.80 | $223.00 | $14.28 – $189.55 | 16 |
| Assay neurflmnt light chain CPT 83884 | $1,615.20 | $2,692.00 | $673.00 – $2,288.20 | 12 |
| Assay of feces porphyrins CPT 84126 | $165.60 | $276.00 | $36.34 – $234.60 | 16 |
| Assay of fluoride CPT 82735 | $216.60 | $361.00 | $8.80 – $306.85 | 17 |
| Assay of glutathione CPT 82978 | $68.40 | $114.00 | $7.42 – $96.90 | 17 |
| Assay of interleukin-6 (il-6) CPT 83529 | $56.40 | $94.00 | $7.39 – $56.95 | 16 |
| Assay of osteocalcin CPT 83937 | $223.20 | $372.00 | $27.74 – $316.20 | 17 |
| Assay of prostaglandin CPT 84150 | $618.60 | $1,031.00 | $12.10 – $232.05 | 17 |
| Assay of sialic acid CPT 84275 | $158.40 | $264.00 | $12.49 – $224.40 | 17 |
| Assay of silica CPT 84285 | $194.40 | $324.00 | $15.40 – $275.40 | 17 |
| Assay of somatostatin CPT 84307 | $156.00 | $260.00 | $16.99 – $221.00 | 17 |
| Assay of tyrosine CPT 84510 | $123.00 | $205.00 | $2.20 – $174.25 | 17 |
| Assay of urine sulfate CPT 84392 | $66.00 | $110.00 | $5.10 – $93.50 | 16 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $811.20 | $1,352.00 | $55.00 – $1,149.20 | 15 |
| Assess cyst contrast inject CPT 49424 | $1,569.00 | $2,615.00 | $34.32 – $2,222.75 | 15 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $49.80 | $83.00 | $3.97 – $70.55 | 17 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $371.72 – $1,972.81 | 4 |
| Ast/sgot CPT 84450 | $138.60 | $231.00 | $4.81 – $196.35 | 17 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $273.60 | $456.00 | $49.56 – $327.25 | 16 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $34,695.00 | $57,825.00 | $11,399.11 – $49,151.25 | 16 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $56.40 | $94.00 | $0.06 – $0.85 | 14 |
| Audiometry air + bone CPT 92553 | $138.00 | $230.00 | $15.40 – $195.50 | 17 |
| Augment injectable kit 3.0cc HCPCS C1734 | $1,686.00 | $2,810.00 | $618.20 – $5,810.39 | 13 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $9,601.80 | $16,003.00 | $4,746.19 – $13,602.55 | 16 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,666.80 | $2,778.00 | $386.65 – $2,361.30 | 16 |
| Autologous blood op salvage CPT 86891 | $240.00 | $400.00 | $44.85 – $856.70 | 15 |
| Autologous blood process CPT 86890 | $199.20 | $332.00 | $73.56 – $282.20 | 15 |
| Autonomic nrv syst funj test CPT 95923 | $188.40 | $314.00 | $28.95 – $266.90 | 16 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $4,358.40 | $7,264.00 | $55.71 – $288.15 | 16 |
| Avul nail plate addl CPT 11732 | $357.00 | $595.00 | $28.32 – $505.75 | 15 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $398.40 | $664.00 | $28.32 – $564.40 | 17 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $100.20 | $167.00 | $35.14 – $141.95 | 16 |
| Azacitidine injection HCPCS J9025 | $1,784.40 | $2,974.00 | $0.36 – $22.10 | 14 |
| Azathioprine 50 mg tablet HCPCS J7500 | $29.25 | $48.75 | $0.04 – $21.25 | 14 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $1,063.80 | $1,773.00 | $1.29 – $171.70 | 15 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $34.20 | $57.00 | $1.28 – $17.00 | 14 |
| B cells total count CPT 86355 | $631.80 | $1,053.00 | $35.06 – $844.05 | 17 |
| B-hexosaminidase ea assay CPT 83080 | $197.40 | $329.00 | $15.68 – $279.65 | 16 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,320.00 | $2,200.00 | $114.42 – $1,870.00 | 16 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $420.00 | $700.00 | $31.54 – $595.00 | 14 |
| Baclofen eval charges CPT 97750 | $110.40 | $184.00 | $18.43 – $156.40 | 15 |
| Bacterial meningitis antigen CPT 86403 | $201.60 | $336.00 | $10.72 – $285.60 | 17 |
| Bacterial vaginosis pcr CPT 87801 | $334.20 | $557.00 | $42.68 – $431.80 | 17 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $24.60 | $41.00 | $10.25 – $53.80 | 13 |
| Balloon dilate urtrl strix CPT 50706 | $8,620.20 | $14,367.00 | $517.46 – $12,211.95 | 13 |
| Bartonella dna pcr-sendout CPT 87471 | $355.80 | $593.00 | $32.61 – $504.05 | 17 |
| Basiliximab HCPCS J0480 | $7,420.80 | $12,368.00 | $2,959.28 – $10,512.80 | 16 |
| Bausch health Ultrasound surg HCPCS V2788 | $17,911.20 | $29,852.00 | $248.75 – $1,015.79 | 11 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $20.25 | $33.75 | $2.45 – $28.05 | 16 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $162.00 | $270.00 | $35.40 – $229.50 | 16 |
| Belt ostomy lg 34-65in HCPCS A4367 | $52.80 | $88.00 | $12.12 – $74.80 | 13 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $53.40 | $89.00 | $1.19 – $75.65 | 16 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $87.00 | $145.00 | $8.52 – $95.20 | 16 |
| Benign lesion paring 2-4 CPT 11056 | $417.00 | $695.00 | $32.65 – $590.75 | 17 |
| Benign lesion paring 4+ CPT 11057 | $602.40 | $1,004.00 | $42.83 – $853.40 | 17 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $126.60 | $211.00 | $9.68 – $50.15 | 14 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $183.60 | $306.00 | $23.65 – $260.10 | 17 |
| Beta-2 microglobulin CPT 82232 | $110.40 | $184.00 | $15.04 – $147.90 | 17 |
| Beta-amyloid 1-40 CPT 82233 | $1,226.40 | $2,044.00 | $511.00 – $1,737.40 | 12 |
| Beta-amyloid 1-42 CPT 82234 | $1,226.40 | $2,044.00 | $511.00 – $1,737.40 | 12 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $267.00 | $445.00 | $4.39 – $75.65 | 14 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $3,730.20 | $6,217.00 | $46.22 – $527.85 | 16 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $6,409.80 | $10,683.00 | $17.59 – $350.20 | 16 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $7,163.40 | $11,939.00 | $16.27 – $238.85 | 16 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $3,009.60 | $5,016.00 | $38.50 – $4,263.60 | 17 |
| Bilateral n block inj occipital 64405 CPT 64405 | $951.00 | $1,585.00 | $38.50 – $1,347.25 | 17 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,008.00 | $1,680.00 | $14.30 – $1,428.00 | 17 |
| Bilirubin direct CPT 82248 | $126.60 | $211.00 | $4.67 – $169.15 | 17 |
| Bilirubin total CPT 82247 | $126.60 | $211.00 | $4.67 – $179.35 | 17 |
| Biofeedback, pt CPT 90901 | $464.40 | $774.00 | $54.14 – $657.90 | 13 |
| Biopsy abdominal mass CPT 49180 | $1,215.00 | $2,025.00 | $89.07 – $1,721.25 | 17 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,959.80 | $4,933.00 | $69.30 – $4,193.05 | 17 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $8,772.60 | $14,621.00 | $72.73 – $12,427.85 | 17 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,757.60 | $4,596.00 | $62.03 – $3,906.60 | 17 |
| Biopsy needle liver percutaneous CPT 47000 | $1,215.00 | $2,025.00 | $98.61 – $1,721.25 | 17 |
| Biopsy needle lymph node superficial CPT 38505 | $1,215.00 | $2,025.00 | $74.17 – $1,721.25 | 17 |
| Biopsy of heart lining CPT 93505 | $1,461.60 | $2,436.00 | $206.25 – $3,300.84 | 17 |
| Biopsy of lip 40490 CPT 40490 | $672.00 | $1,120.00 | $40.15 – $952.00 | 17 |
| Biopsy of tear sac CPT 68525 | $3,316.20 | $5,527.00 | $550.23 – $4,697.95 | 16 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,215.00 | $2,025.00 | $150.82 – $1,721.25 | 17 |
| Biopsy skin incisional single lesion CPT 11106 | $873.60 | $1,456.00 | $54.13 – $1,237.60 | 17 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,745.40 | $2,909.00 | $69.65 – $3,001.48 | 17 |
| Biopsy, bone open deep CPT 20245 | $4,321.20 | $7,202.00 | $248.05 – $6,121.70 | 17 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $171.60 – $4,015.84 | 12 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,959.80 | $4,933.00 | $37.95 – $4,193.05 | 17 |
| Biospy of bladder CPT 53899 | $106.80 | $178.00 | $18.77 – $255.06 | 15 |
| Biotinidase - quest CPT 82261 | $194.40 | $324.00 | $15.68 – $275.40 | 16 |
| Bivalirudin HCPCS J0583 | $4,904.40 | $8,174.00 | $0.11 – $18.27 | 14 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $495.00 | $825.00 | $31.57 – $701.25 | 17 |
| Bld prd mix CPT 86965 | $106.80 | $178.00 | $36.19 – $179.71 | 15 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $2,601.60 | $4,336.00 | $13.59 – $2,553.40 | 15 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $417.00 | $695.00 | $73.03 – $590.75 | 16 |
| Blm gene CPT 81209 | $703.20 | $1,172.00 | $36.53 – $996.20 | 16 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,111.60 | $15,186.00 | $51.75 – $1,849.30 | 13 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $1,429.80 | $2,383.00 | $65.25 – $1,841.66 | 13 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,610.00 | $4,350.00 | $110.25 – $2,897.43 | 12 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,965.60 | $8,276.00 | $1,170.40 – $4,504.15 | 13 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $5,142.60 | $8,571.00 | $650.96 – $5,643.15 | 13 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $58.80 | $98.00 | $2.25 – $85.81 | 13 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,657.20 | $2,762.00 | $89.17 – $2,347.70 | 17 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,384.20 | $2,307.00 | $80.54 – $1,960.95 | 17 |
| Block paracervical nrv CPT 64435 | $1,508.40 | $2,514.00 | $35.20 – $2,136.90 | 17 |
| Block plantar digital nerve CPT 64455 | $491.40 | $819.00 | $75.03 – $696.15 | 16 |
| Block tap inj(s) w/wo img bi CPT 64488 | $699.00 | $1,165.00 | $101.31 – $990.25 | 13 |
| Block tap inj(s) w/wo img uni CPT 64486 | $699.00 | $1,165.00 | $82.34 – $990.25 | 13 |
| Blood Clotting (PT/INR) Test CPT 85610 | $96.00 | $160.00 | $3.61 – $90.10 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $131.40 | $219.00 | $5.59 – $186.15 | 17 |
| Blood Count (CBC) Test CPT 85025 | $235.20 | $392.00 | $6.60 – $333.20 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $147.00 | $245.00 | $6.01 – $208.25 | 17 |
| Blood Culture Test CPT 87040 | $322.20 | $537.00 | $9.59 – $456.45 | 17 |
| Blood draw capillary 36416 CPT 36416 | $12.60 | $21.00 | $0.02 – $17.85 | 12 |
| Blood gases o2 saturation direct measurement CPT 82805 | $432.60 | $721.00 | $42.75 – $612.00 | 17 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $32.40 | $54.00 | $3.08 – $45.90 | 17 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $24.00 | $40.00 | $3.93 – $28.90 | 17 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $25.80 | $43.00 | $1.26 – $28.90 | 17 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $54.00 | $90.00 | $3.99 – $68.00 | 17 |
| Blood smear interpretation CPT 85060 | $92.40 | $154.00 | $2.35 – $130.90 | 12 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $21.00 | $35.00 | $2.74 – $29.75 | 17 |
| Blood split unit HCPCS P9011 | $349.80 | $583.00 | $50.67 – $439.45 | 16 |
| Blood typing abo CPT 86900 | $57.00 | $95.00 | $2.78 – $76.50 | 17 |
| Blood typing ag donor ea ag CPT 86902 | $123.00 | $205.00 | $3.10 – $174.25 | 17 |
| Blood typing patient serum CPT 86904 | $112.80 | $188.00 | $14.44 – $159.80 | 17 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $84.60 | $141.00 | $2.24 – $119.85 | 17 |
| Blood typing rh (d) CPT 86901 | $57.00 | $95.00 | $2.78 – $80.75 | 17 |
| Bone Density Scan (DEXA) CPT 77080 | $240.00 | $400.00 | $66.12 – $340.00 | 17 |
| Bone biopsy open superficial CPT 20240 | $5,396.40 | $8,994.00 | $104.50 – $7,644.90 | 17 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,180.80 | $1,968.00 | $76.80 – $1,699.17 | 17 |
| Bone marrow imaging ltd CPT 78102 | $571.20 | $952.00 | $70.77 – $809.20 | 17 |
| Bone marrow imaging mult CPT 78103 | $1,090.80 | $1,818.00 | $117.00 – $1,545.30 | 17 |
| Bone marrow interpretation CPT 85097 | $2,572.80 | $4,288.00 | $1.71 – $856.70 | 16 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,315.20 | $2,192.00 | $60.15 – $1,863.20 | 17 |
| Bone tendon board add on HCPCS C9356 | $8,052.00 | $13,420.00 | $1,945.90 – $7,518.25 | 13 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,186.00 | $5,310.00 | $1,168.20 – $4,513.50 | 13 |
| Bone/joint imaging ltd area CPT 78300 | $749.40 | $1,249.00 | $75.90 – $1,061.65 | 17 |
| Boot j walker l HCPCS L4386 | $1,537.20 | $2,562.00 | $233.77 – $1,923.55 | 13 |
| Boot mlti podous univ xlg HCPCS L4396 | $370.20 | $617.00 | $135.74 – $1,146.46 | 13 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $936.00 | $1,560.00 | $37.84 – $809.54 | 13 |
| Borrelia antibody CPT 86619 | $163.80 | $273.00 | $12.43 – $232.05 | 16 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $325.20 | $542.00 | $15.83 – $460.70 | 17 |
| Borrelia miyamotoi amp prb CPT 87478 | $376.80 | $628.00 | $14.11 – $527.00 | 17 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $5,860.80 | $9,768.00 | $1.76 – $238.00 | 14 |
| Bowel imaging CPT 78290 | $1,291.20 | $2,152.00 | $82.50 – $1,829.20 | 17 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $55.20 | $92.00 | $20.24 – $254.60 | 13 |
| Brace afo lg left 6607 HCPCS L1930 | $609.00 | $1,015.00 | $214.00 – $1,548.47 | 13 |
| Brace ank air stirrup univ HCPCS L4350 | $321.00 | $535.00 | $104.94 – $405.45 | 13 |
| Brace ankle stablizing lg HCPCS L1902 | $321.00 | $535.00 | $114.00 – $610.20 | 13 |
| Brace knee extender plus 22-30in HCPCS L1832 | $316.20 | $527.00 | $115.94 – $4,629.23 | 13 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $201.00 | $335.00 | $73.70 – $1,554.89 | 12 |
| Brace wrist classic lft sm HCPCS L3908 | $237.00 | $395.00 | $10.56 – $430.94 | 13 |
| Brach/thor cath 1st CPT 36215 | $7,318.20 | $12,197.00 | $189.20 – $10,367.45 | 15 |
| Brach/thor cath 2nd CPT 36216 | $8,350.20 | $13,917.00 | $125.95 – $11,829.45 | 15 |
| Brach/thor cath 3rd CPT 36217 | $8,350.20 | $13,917.00 | $332.28 – $11,829.45 | 15 |
| Brach/thor cath addl CPT 36218 | $1,046.40 | $1,744.00 | $53.06 – $1,482.40 | 15 |
| Brachy source yttrium-90 HCPCS C2616 | $34,334.40 | $57,224.00 | $8,749.82 – $48,640.40 | 15 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $2,066.40 | $3,444.00 | $204.95 – $2,927.40 | 15 |
| Brachytx isodose complex CPT 77318 | $2,930.40 | $4,884.00 | $128.35 – $4,151.40 | 17 |
| Brachytx isodose intermed CPT 77317 | $1,820.40 | $3,034.00 | $94.58 – $2,578.90 | 17 |
| Brachytx isodose plan simple CPT 77316 | $1,288.20 | $2,147.00 | $72.56 – $1,824.95 | 17 |
| Braf gene CPT 81210 | $1,392.00 | $2,320.00 | $150.42 – $523.60 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,800.60 | $8,001.00 | $316.41 – $6,800.85 | 17 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,530.80 | $4,218.00 | $316.41 – $3,585.30 | 17 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 17 |
| Brain MRI (with and without contrast) CPT 70553 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| Brain MRI (with contrast) CPT 70552 | $4,621.20 | $7,702.00 | $316.41 – $6,546.70 | 18 |
| Brain MRI (without contrast) CPT 70551 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| Brain image w/flow 4 + views CPT 78606 | $1,138.20 | $1,897.00 | $97.58 – $1,612.45 | 17 |
| Brca1 dna gene analy known fam var CPT 81215 | $235.80 | $393.00 | $55.17 – $412.77 | 17 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $2,287.20 | $3,812.00 | $360.19 – $3,240.20 | 17 |
| Brca2 dna gene analy known fam var CPT 81217 | $235.80 | $393.00 | $68.77 – $412.77 | 17 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,287.20 | $3,812.00 | $1,088.00 – $2,720.00 | 17 |
| Breath hydrogen test 91065 CPT 91065 | $222.00 | $370.00 | $18.70 – $314.50 | 17 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $513.60 | $856.00 | $91.42 – $727.60 | 16 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $4,429.20 | $7,382.00 | $60.45 – $6,274.70 | 15 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,354.40 | $3,924.00 | $208.90 – $3,866.57 | 17 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $81.00 | $135.00 | $18.77 – $203.60 | 15 |
| Bronchial challenge CPT 94070 | $777.60 | $1,296.00 | $20.90 – $1,101.60 | 17 |
| Bronchoscopy clear airways 31645 CPT 31645 | $2,653.80 | $4,423.00 | $162.58 – $3,759.55 | 17 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $210.40 – $3,866.57 | 12 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $246.40 – $3,866.57 | 12 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $3,846.60 | $6,411.00 | $173.59 – $5,449.35 | 17 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $3,828.00 | $6,380.00 | $193.76 – $5,423.00 | 17 |
| Bronchoscopy w/markers CPT 31626 | $3,643.20 | $6,072.00 | $623.10 – $7,259.71 | 16 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $4,162.20 | $6,937.00 | $193.38 – $5,896.45 | 17 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $3,846.60 | $6,411.00 | $206.13 – $5,449.35 | 17 |
| Budesonide non-comp unit HCPCS J7626 | $1,843.20 | $3,072.00 | $0.79 – $674.05 | 15 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $58.80 | $98.00 | $0.23 – $10.20 | 16 |
| Bundle his recording CPT 93600 | $6,244.80 | $10,408.00 | $133.65 – $8,846.80 | 17 |
| Bundled special stain group 1 microorganisms CPT 88312 | $145.80 | $243.00 | $8.01 – $88.40 | 17 |
| Bundled special stain group 2 CPT 88313 | $229.80 | $383.00 | $6.31 – $135.18 | 17 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $1.95 | $3.25 | $0.01 – $0.14 | 13 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $7,972.20 | $13,287.00 | $1,110.51 – $11,293.95 | 16 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $20.25 | $33.75 | $3.62 – $14.45 | 14 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $36.60 | $61.00 | $6.49 – $39.95 | 14 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $11,436.60 | $19,061.00 | $1,110.51 – $11,293.95 | 16 |
| Buprenorphine hydrochloride HCPCS J0592 | $29.85 | $49.75 | $1.80 – $42.29 | 14 |
| Bur rotalink 2.15mm HCPCS C1724 | $11,618.40 | $19,364.00 | $531.35 – $11,104.51 | 13 |
| Busulfan injection HCPCS J0594 | $40.80 | $68.00 | $0.56 – $57.80 | 16 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $90.60 | $151.00 | $4.06 – $128.35 | 14 |
| Bx bone trocar/ndl deep CPT 20225 | $1,929.00 | $3,215.00 | $107.80 – $2,732.75 | 17 |
| Bx breast 1st lesion mr imag CPT 19085 | $6,352.80 | $10,588.00 | $178.31 – $8,999.80 | 17 |
| Bx breast add lesion mr imag CPT 19086 | $6,352.80 | $10,588.00 | $78.83 – $8,999.80 | 15 |
| Bx breast perq without image 19100 CPT 19100 | $2,813.40 | $4,689.00 | $67.38 – $3,985.65 | 17 |
| Bx pancreas pq ndl CPT 48102 | $1,368.00 | $2,280.00 | $550.23 – $1,938.00 | 16 |
| Bx perianal mass CPT 46999 | $578.40 | $964.00 | $18.77 – $956.13 | 15 |
| Bx pleura pq ndl CPT 32400 | $1,672.80 | $2,788.00 | $89.14 – $2,369.80 | 17 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $666.00 | $1,110.00 | $28.92 – $943.50 | 15 |
| Bx skin punch ea sep/ addl les CPT 11105 | $748.20 | $1,247.00 | $24.25 – $1,059.95 | 15 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $666.00 | $1,110.00 | $20.52 – $943.50 | 15 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $3,009.60 | $5,016.00 | $37.95 – $4,263.60 | 17 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $483.00 | $805.00 | $72.05 – $737.87 | 17 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $3,544.20 | $5,907.00 | $61.06 – $5,020.95 | 17 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $492.33 – $4,015.84 | 11 |
| Bypass temp external fem-fem CPT 37799 | $2,428.80 | $4,048.00 | $18.77 – $3,440.80 | 15 |
| C motor evoked lwr limbs CPT 95929 | $457.80 | $763.00 | $70.76 – $648.55 | 17 |
| C motor evoked uppr limbs CPT 95928 | $424.20 | $707.00 | $65.56 – $1,066.96 | 17 |
| C motor evoked upr&lwr limbs CPT 95939 | $369.60 | $616.00 | $209.44 – $1,066.96 | 17 |
| C-1 esterase, berinert HCPCS J0597 | $168.60 | $281.00 | $47.90 – $238.85 | 16 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $4,055.40 | $6,759.00 | $232.46 – $5,745.15 | 17 |
| C-peptide CPT 84681 | $249.60 | $416.00 | $19.34 – $353.60 | 17 |
| C-reactive protein CPT 86140 | $126.60 | $211.00 | $3.30 – $179.35 | 17 |
| C-reactive protein high sensitivity CPT 86141 | $126.60 | $211.00 | $11.58 – $179.35 | 17 |
| C-reactive protein, quantitative CPT 86406 | $99.00 | $165.00 | $9.89 – $140.25 | 17 |
| C-section delivery incl p/p care 59515 CPT 59515 | $3,904.20 | $6,507.00 | $1,626.75 – $5,530.95 | 13 |
| C1 esterase inhibitor func - sendout CPT 86161 | $202.80 | $338.00 | $11.15 – $287.30 | 17 |
| CT 3d report other modality w/workstation CPT 76377 | $2,146.80 | $3,578.00 | $237.79 – $1,846.20 | 13 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,436.60 | $9,061.00 | $316.41 – $7,701.85 | 17 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,170.40 | $5,284.00 | $157.72 – $4,491.40 | 17 |
| CT Angiogram of the Head CPT 70496 | $3,170.40 | $5,284.00 | $157.72 – $4,491.40 | 17 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,436.60 | $9,061.00 | $316.41 – $7,701.85 | 17 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,436.60 | $9,061.00 | $289.48 – $7,701.85 | 17 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,795.60 | $6,326.00 | $185.12 – $5,377.10 | 17 |
| CT angio hrt w/3d image CPT 75574 | $2,976.60 | $4,961.00 | $316.41 – $4,216.85 | 17 |
| CT angio pelvis CPT 72191 | $3,170.40 | $5,284.00 | $157.72 – $4,491.40 | 17 |
| CT colonography dx CPT 74261 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 16 |
| CT colonography dx w/dye CPT 74262 | $4,663.20 | $7,772.00 | $157.72 – $6,606.20 | 16 |
| CT guidance for needle placement CPT 77012 | $2,179.20 | $3,632.00 | $174.66 – $3,087.20 | 15 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,680.20 | $4,467.00 | $19.25 – $3,796.95 | 15 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $120.00 | $200.00 | $62.52 – $170.00 | 17 |
| CT hrt w/3d image CPT 75572 | $2,312.40 | $3,854.00 | $260.00 – $3,275.90 | 17 |
| CT limited or localized follow-up study CPT 76380 | $1,101.60 | $1,836.00 | $78.01 – $1,560.60 | 16 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,654.40 | $4,424.00 | $157.72 – $3,760.40 | 16 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 16 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,785.80 | $4,643.00 | $157.72 – $3,946.55 | 16 |
| CT neck soft tissue w/contrast CPT 70491 | $2,654.40 | $4,424.00 | $151.25 – $3,760.40 | 17 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,953.20 | $4,922.00 | $157.72 – $4,183.70 | 17 |
| CT neck soft tissue without contrast CPT 70490 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,654.40 | $4,424.00 | $157.72 – $3,760.40 | 17 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,953.20 | $4,922.00 | $157.72 – $4,183.70 | 17 |
| CT scan for therapy guide CPT 77014 | $823.20 | $1,372.00 | $109.50 – $1,166.20 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $2,785.80 | $4,643.00 | $157.72 – $3,946.55 | 17 |
| CT thoracic spine w/contrast CPT 72129 | $2,654.40 | $4,424.00 | $157.72 – $3,760.40 | 17 |
| CT thoracic spine without contrast CPT 72128 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $645.60 | $1,076.00 | $69.13 – $914.60 | 17 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,654.40 | $4,424.00 | $280.61 – $3,760.40 | 16 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 16 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,785.80 | $4,643.00 | $157.72 – $3,946.55 | 16 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $598.20 | $997.00 | $89.79 – $956.13 | 15 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $386.40 | $644.00 | $143.50 – $547.40 | 16 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $181.80 | $303.00 | $1.60 – $100.30 | 14 |
| Cable cath 22-pin diag HCPCS C1730 | $4,353.60 | $7,256.00 | $32.25 – $3,142.03 | 13 |
| Cad breast MRI w/r&i HCPCS C8937 | $358.20 | $597.00 | $149.25 – $507.45 | 12 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $28.80 | $48.00 | $1.00 – $5.74 | 13 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $279.00 | $465.00 | $41.23 – $395.25 | 16 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $9,436.20 | $15,727.00 | $83.64 – $901.85 | 16 |
| Calcium 24 hour urine CPT 82340 | $131.40 | $219.00 | $5.60 – $186.15 | 17 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.60 | $1.00 | $0.02 – $0.85 | 14 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.60 | $1.00 | $0.05 – $0.85 | 14 |
| Calcium ionized CPT 82330 | $235.80 | $393.00 | $9.73 – $334.05 | 17 |
| Calcium total CPT 82310 | $102.60 | $171.00 | $4.80 – $145.35 | 17 |
| Calprotectin fecal CPT 83993 | $198.60 | $331.00 | $18.24 – $281.35 | 17 |
| Campylobacter antibody CPT 86625 | $131.40 | $219.00 | $12.19 – $186.15 | 17 |
| Candida dna CPT 87480 | $209.40 | $349.00 | $18.63 – $296.65 | 17 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $8,298.60 | $13,831.00 | $5.06 – $19.55 | 13 |
| Cap nerve 2x15mm HCPCS C1763 | $8,136.00 | $13,560.00 | $73.92 – $5,376.04 | 13 |
| Cap trach decann 15mm HCPCS C1750 | $1,708.20 | $2,847.00 | $131.25 – $5,330.61 | 13 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $7.80 | $13.00 | $0.02 – $4.25 | 16 |
| Capsaicin 8% patch HCPCS J7336 | $9.75 | $16.25 | $2.16 – $562.46 | 16 |
| Car-t admn autologous CPT 38228 | $828.60 | $1,381.00 | $145.28 – $1,173.85 | 17 |
| Carbamazepine free CPT 80157 | $100.20 | $167.00 | $12.09 – $141.95 | 17 |
| Carbamazepine free -sendout CPT 80161 | $349.80 | $583.00 | $14.05 – $495.55 | 16 |
| Carbamazepine total therapeutic drug level CPT 80156 | $349.80 | $583.00 | $13.54 – $495.55 | 17 |
| Carbohydrate deficient transf - sendout CPT 82373 | $72.60 | $121.00 | $8.76 – $102.85 | 17 |
| Carbohydrate urine - sendout CPT 84377 | $63.00 | $105.00 | $5.11 – $89.25 | 17 |
| Carbon dioxide CPT 82374 | $126.60 | $211.00 | $4.53 – $179.35 | 17 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $1,600.20 | $2,667.00 | $1.56 – $1,780.75 | 14 |
| Carboxyhemoglobin quantitative CPT 82375 | $235.20 | $392.00 | $6.16 – $314.50 | 17 |
| Carcinoembryonic ag (cea) CPT 82378 | $386.40 | $644.00 | $17.62 – $515.95 | 17 |
| Card MRI veloc flow mapping CPT 75565 | $660.60 | $1,101.00 | $123.18 – $935.85 | 14 |
| Cardiac MRI w/stress img CPT 75559 | $1,190.40 | $1,984.00 | $405.89 – $1,686.40 | 18 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,260.60 | $7,101.00 | $267.23 – $6,035.85 | 17 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $236.40 | $394.00 | $38.60 – $316.20 | 16 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $96.60 | $161.00 | $11.92 – $136.85 | 16 |
| Cardiolipin antibody iga CPT 86147 | $186.60 | $311.00 | $23.65 – $264.35 | 17 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,095.60 | $1,826.00 | $95.70 – $1,552.10 | 17 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $105.00 | $175.00 | $19.08 – $148.75 | 13 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $52.20 | $87.00 | $9.53 – $73.95 | 13 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $149.40 | $249.00 | $23.46 – $144.50 | 16 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $2,713.80 | $4,523.00 | $150.56 – $723.35 | 16 |
| Carotene CPT 82380 | $163.80 | $273.00 | $8.57 – $232.05 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $2,764.20 | $4,607.00 | $162.09 – $3,915.95 | 17 |
| Carpal Tunnel Release Surgery CPT 64721 | $3,958.20 | $6,597.00 | $330.00 – $5,607.45 | 17 |
| Caspofungin acetate HCPCS J0637 | $4,123.80 | $6,873.00 | $2.24 – $220.15 | 14 |
| Catecholamines,fractionated, urine CPT 82382 | $293.40 | $489.00 | $21.45 – $415.65 | 17 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,062.60 | $1,771.00 | $52.25 – $1,405.69 | 13 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $5,457.00 | $9,095.00 | $638.00 – $5,947.96 | 12 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $5,926.20 | $9,877.00 | $2,469.25 – $8,395.45 | 12 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $6,454.80 | $10,758.00 | $7.04 – $344.64 | 13 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $11,246.40 | $18,744.00 | $1,131.55 – $7,858.25 | 12 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $21,679.20 | $36,132.00 | $44.75 – $1,538.88 | 13 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $8,935.20 | $14,892.00 | $207.25 – $4,618.01 | 13 |
| Cath bi-dir df smarttouch HCPCS C1732 | $13,549.80 | $22,583.00 | $483.34 – $13,184.27 | 13 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $5,446.80 | $9,078.00 | $1,115.71 – $5,446.41 | 12 |
| Cath council tip 16fr 5cc HCPCS A4344 | $71.40 | $119.00 | $2.25 – $110.52 | 13 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $1,887.00 | $3,145.00 | $1.00 – $1,142.48 | 13 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,204.20 | $2,007.00 | $73.15 – $2,495.99 | 12 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $24.00 | $40.00 | $0.75 – $120.43 | 12 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $276.60 | $461.00 | $115.25 – $1,325.32 | 12 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $3,418.80 | $5,698.00 | $244.86 – $3,172.26 | 13 |
| Cath hawkone s directional HCPCS C1714 | $5,620.20 | $9,367.00 | $436.10 – $11,105.48 | 12 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,895.00 | $9,825.00 | $20.50 – $5,535.07 | 12 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $360.00 | $600.00 | $0.25 – $14.14 | 13 |
| Cath left heart transseptal punc CPT 93462 | $10,599.00 | $17,665.00 | $312.08 – $15,015.25 | 13 |
| Cath left heart/lv gram CPT 93452 | $13,842.00 | $23,070.00 | $1,056.32 – $19,609.50 | 16 |
| Cath lt/rt pulm art CPT 36014 | $2,959.80 | $4,933.00 | $125.95 – $4,193.05 | 15 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,687.20 | $2,812.00 | $2.50 – $416.47 | 13 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $21,427.20 | $35,712.00 | $3,641.80 – $28,439.37 | 13 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $209.40 | $349.00 | $8.25 – $257.77 | 13 |
| Cath place 1st order venous 36011 CPT 36011 | $7,861.80 | $13,103.00 | $125.95 – $11,137.55 | 15 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $21,694.80 | $36,158.00 | $1,772.97 – $30,734.30 | 16 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $15,848.40 | $26,414.00 | $1,363.65 – $22,451.90 | 16 |
| Cath plc art/grft/angio right hrt CPT 93457 | $17,427.60 | $29,046.00 | $1,552.37 – $24,689.10 | 16 |
| Cath right heart w/o2 sat & card CPT 93451 | $6,457.80 | $10,763.00 | $1,105.80 – $9,148.55 | 16 |
| Cath right hrt mnpul art CPT 36013 | $2,655.60 | $4,426.00 | $125.95 – $3,762.10 | 15 |
| Cath segmntl pulm art CPT 36015 | $2,792.40 | $4,654.00 | $125.95 – $3,955.90 | 15 |
| Cath steerable flex adv 12f HCPCS C1766 | $5,500.80 | $9,168.00 | $60.44 – $1,105.00 | 12 |
| Cath stripping venous s&i CPT 75901 | $600.60 | $1,001.00 | $70.50 – $850.85 | 13 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $379.20 | $632.00 | $2.64 – $265.81 | 13 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $411.60 | $686.00 | $57.20 – $583.10 | 15 |
| Catheter stripping venous CPT 36595 | $8,393.40 | $13,989.00 | $193.97 – $11,890.65 | 17 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $18.60 | $31.00 | $5.63 – $26.35 | 16 |
| Cauterization chemical granulation tissue CPT 17250 | $441.00 | $735.00 | $28.40 – $624.75 | 17 |
| Cdna analysis for variants CPT 81403 | $5,118.00 | $8,530.00 | $141.78 – $462.90 | 16 |
| Cebpa gene full sequence CPT 81218 | $2,182.20 | $3,637.00 | $224.80 – $3,091.45 | 17 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $189.60 | $316.00 | $0.50 – $12.75 | 15 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $124.20 | $207.00 | $0.77 – $28.90 | 15 |
| Cefotaxime sodium injection HCPCS J0698 | $186.60 | $311.00 | $34.72 – $129.20 | 13 |
| Cefotetan 1 gm vial HCPCS S0074 | $53.40 | $89.00 | $10.45 – $163.74 | 13 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $324.60 | $541.00 | $3.02 – $100.30 | 14 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $495.00 | $825.00 | $1.26 – $4.65 | 16 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $422.40 | $704.00 | $0.99 – $38.25 | 15 |
| Ceftazidime and avibactam HCPCS J0714 | $991.80 | $1,653.00 | $52.02 – $330.65 | 16 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $1,013.40 | $1,689.00 | $0.27 – $118.15 | 15 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $93.60 | $156.00 | $1.17 – $46.75 | 14 |
| Cell count body fluid CPT 89050 | $39.60 | $66.00 | $4.39 – $56.10 | 17 |
| Cell count w differential body fluid CPT 89051 | $144.60 | $241.00 | $5.20 – $204.85 | 17 |
| Cell cryopreserve/storage CPT 88240 | $117.60 | $196.00 | $12.15 – $166.60 | 16 |
| Cell function assay w/stim CPT 86352 | $760.80 | $1,268.00 | $67.43 – $1,077.80 | 17 |
| Cell marker study CPT 88182 | $181.80 | $303.00 | $40.98 – $257.55 | 17 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $527.40 | $879.00 | $16.76 – $100.30 | 16 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $5,262.00 | $8,770.00 | $2.47 – $6,112.81 | 17 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $277.80 | $463.00 | $49.48 – $393.55 | 16 |
| Cftr gene dup/delet variants CPT 81222 | $4,592.40 | $7,654.00 | $382.87 – $6,505.90 | 17 |
| Cftr gene known fam variants CPT 81221 | $321.00 | $535.00 | $85.56 – $454.75 | 17 |
| Change cystostomy tube simple CPT 51705 | $477.60 | $796.00 | $30.80 – $676.60 | 17 |
| Change cystostomy tube; complex 51710 CPT 51710 | $2,813.40 | $4,689.00 | $30.80 – $3,985.65 | 17 |
| Change g-tube to g-j perc CPT 49446 | $3,979.80 | $6,633.00 | $138.42 – $5,638.05 | 17 |
| Change nephroureteral cath CPT 50387 | $7,040.40 | $11,734.00 | $1,180.85 – $9,973.90 | 16 |
| Change of windpipe airway 31502 CPT 31502 | $319.80 | $533.00 | $93.83 – $453.05 | 16 |
| Chemo extend IV infus w/pump HCPCS G0498 | $801.00 | $1,335.00 | $95.12 – $1,134.75 | 15 |
| Chemo ia infuse each addl hr CPT 96423 | $228.60 | $381.00 | $38.54 – $323.85 | 17 |
| Chemo ia infusion up to 1 hr CPT 96422 | $359.40 | $599.00 | $91.55 – $509.15 | 17 |
| Chemotx admn pertl cav impl CPT 96446 | $2,377.80 | $3,963.00 | $18.81 – $3,368.55 | 17 |
| Chest 2 vws w oblique CPT 71048 | $419.40 | $699.00 | $15.56 – $594.15 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,953.20 | $4,922.00 | $157.72 – $4,183.70 | 17 |
| Chest CT scan (with contrast) CPT 71260 | $2,654.40 | $4,424.00 | $157.72 – $3,760.40 | 17 |
| Chest CT scan (without contrast) CPT 71250 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| Chest X-ray CPT 71046 | $419.40 | $699.00 | $11.90 – $594.15 | 17 |
| Chest X-ray (single view) CPT 71045 | $419.40 | $699.00 | $6.49 – $594.15 | 17 |
| Chest apical lordotic proj CPT 71047 | $419.40 | $699.00 | $15.12 – $594.15 | 17 |
| Chg pr pul rehab for copd patients CPT 94626 | $186.00 | $310.00 | $30.66 – $263.50 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $804.00 | $1,340.00 | $39.56 – $1,139.00 | 17 |
| Chlamydia culture CPT 87110 | $142.20 | $237.00 | $18.21 – $201.45 | 17 |
| Chlamydia type CPT 87140 | $42.60 | $71.00 | $3.30 – $60.35 | 17 |
| Chloride CPT 82435 | $91.20 | $152.00 | $4.27 – $129.20 | 17 |
| Chloride 24 hour urine CPT 82436 | $126.60 | $211.00 | $5.34 – $179.35 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $1.80 | $3.00 | $0.02 – $0.85 | 14 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $2,846.40 | $4,744.00 | $15.11 – $1,195.10 | 14 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $213.00 | $355.00 | $3.83 – $28.90 | 14 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $2.40 | $4.00 | $0.25 – $0.85 | 13 |
| Cholangiogram percutaneous compl CPT 47532 | $3,542.40 | $5,904.00 | $193.84 – $5,018.40 | 17 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $306.00 | $510.00 | $56.43 – $433.50 | 13 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,387.00 | $5,645.00 | $834.64 – $4,798.25 | 16 |
| Cholesterol CPT 82465 | $138.60 | $231.00 | $4.04 – $196.35 | 17 |
| Cholesterol (Lipid) Test CPT 80061 | $302.40 | $504.00 | $12.44 – $428.40 | 17 |
| Cholesterol body fluid CPT 84999 | $9,563.40 | $15,939.00 | $0.78 – $14.45 | 12 |
| Cholinesterase CPT 82480 | $209.40 | $349.00 | $6.60 – $296.65 | 17 |
| Chromatography CPT 83021 | $495.00 | $825.00 | $16.78 – $280.50 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $1,067.40 | $1,779.00 | $50.19 – $895.90 | 17 |
| Chromosome analysis 100 CPT 88249 | $1,227.60 | $2,046.00 | $160.93 – $1,739.10 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,020.00 | $1,700.00 | $116.62 – $718.25 | 17 |
| Chromosome analysis 5 CPT 88261 | $2,224.80 | $3,708.00 | $245.65 – $3,151.80 | 17 |
| Chronic urticaria - sendout CPT 86343 | $131.40 | $219.00 | $11.58 – $186.15 | 16 |
| Chylomicron screen, bf - sendout CPT 82664 | $370.20 | $617.00 | $57.15 – $524.45 | 16 |
| Cidofovir injection HCPCS J0740 | $27,738.00 | $46,230.00 | $344.93 – $39,295.50 | 16 |
| Cilastatin sodium injection HCPCS J0743 | $626.40 | $1,044.00 | $6.47 – $182.75 | 14 |
| Ciliary transsleral therapy CPT 66710 | $4,288.80 | $7,148.00 | $736.75 – $6,075.80 | 16 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $513.00 | $855.00 | $1.83 – $111.35 | 14 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $876.00 | $1,460.00 | $7.64 – $211.37 | 14 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $8,095.80 | $13,493.00 | $1.45 – $810.90 | 14 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $576.60 | $961.00 | $6.74 – $816.85 | 16 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $19,246.20 | $32,077.00 | $564.00 – $6,067.10 | 12 |
| Claviculectomy partial CPT 23120 | not published | not published | $302.50 – $3,402.68 | 12 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $58.80 | $98.00 | $0.51 – $7.65 | 15 |
| Clip ligating vesolock lg HCPCS C1760 | $1,459.80 | $2,433.00 | $174.00 – $2,013.78 | 13 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $348.60 | $581.00 | $11.47 – $389.30 | 14 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,928.80 | $6,548.00 | $131.45 – $5,565.80 | 17 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $1,373.40 | $2,289.00 | $34.65 – $1,945.65 | 17 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $2,895.00 | $4,825.00 | $42.35 – $4,101.25 | 17 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,982.60 | $4,971.00 | $179.30 – $4,225.35 | 17 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,854.40 | $6,424.00 | $203.50 – $5,460.40 | 17 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $643.20 | $1,072.00 | $59.95 – $911.20 | 17 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,139.60 | $3,566.00 | $260.70 – $3,031.10 | 17 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $2,769.00 | $4,615.00 | $52.25 – $3,922.75 | 17 |
| Closure paravalvlr leak pq CPT 33999 | $93.00 | $155.00 | $18.77 – $648.38 | 15 |
| Clot factor fletcher fact CPT 85292 | $230.40 | $384.00 | $17.59 – $326.40 | 17 |
| Clot factor wght kininogen CPT 85293 | $230.40 | $384.00 | $17.59 – $326.40 | 17 |
| Clot factor xii hageman CPT 85280 | $213.60 | $356.00 | $14.30 – $302.60 | 17 |
| Clot factor xiii fibrin scrn CPT 85291 | $73.20 | $122.00 | $8.47 – $103.70 | 17 |
| Clot factor xiii fibrin stab CPT 85290 | $91.80 | $153.00 | $8.80 – $130.05 | 17 |
| Clozapine, 25 mg HCPCS S0136 | $18.60 | $31.00 | $0.28 – $8.05 | 14 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $2,655.60 | $4,426.00 | $212.53 – $3,762.10 | 16 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $163.80 | $273.00 | $18.77 – $417.84 | 17 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,726.80 | $2,878.00 | $174.90 – $2,446.30 | 17 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $478.20 | $797.00 | $58.30 – $677.45 | 17 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,520.00 | $4,200.00 | $182.60 – $3,570.00 | 17 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $865.80 | $1,443.00 | $125.95 – $1,226.55 | 17 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,928.80 | $6,548.00 | $220.55 – $5,565.80 | 17 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,547.40 | $2,579.00 | $212.53 – $2,192.15 | 17 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $2,813.40 | $4,689.00 | $135.85 – $3,985.65 | 17 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $4,171.80 | $6,953.00 | $235.30 – $5,910.05 | 16 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $3,960.00 | $6,600.00 | $159.50 – $5,610.00 | 17 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,547.40 | $2,579.00 | $112.20 – $2,192.15 | 17 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,813.40 | $4,689.00 | $216.70 – $3,985.65 | 17 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,025.80 | $5,043.00 | $130.35 – $4,286.55 | 17 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,928.80 | $6,548.00 | $172.70 – $5,565.80 | 17 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,073.00 | $3,455.00 | $165.55 – $2,936.75 | 17 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $1,547.40 | $2,579.00 | $31.88 – $2,192.15 | 17 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $400.20 | $667.00 | $53.35 – $566.95 | 17 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,140.80 | $3,568.00 | $262.90 – $3,032.80 | 17 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $2,716.80 | $4,528.00 | $212.53 – $3,848.80 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $672.00 | $1,120.00 | $131.35 – $952.00 | 17 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $592.80 | $988.00 | $52.80 – $839.80 | 17 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $478.20 | $797.00 | $73.15 – $677.45 | 17 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $3,928.80 | $6,548.00 | $116.60 – $5,565.80 | 17 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $453.00 | $755.00 | $93.83 – $641.75 | 17 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,139.60 | $3,566.00 | $152.90 – $3,031.10 | 17 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,547.40 | $2,579.00 | $108.90 – $2,192.15 | 17 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $3,769.20 | $6,282.00 | $170.50 – $5,339.70 | 17 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $4,288.80 | $7,148.00 | $172.70 – $6,075.80 | 17 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $3,237.00 | $5,395.00 | $122.10 – $4,585.75 | 17 |
| Cltx mndblr fx w/mnpj CPT 21451 | $5,322.00 | $8,870.00 | $439.45 – $7,539.50 | 17 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,710.20 | $4,517.00 | $123.20 – $3,839.45 | 17 |
| Cmv pcr-sendout CPT 87496 | $245.40 | $409.00 | $32.61 – $328.10 | 17 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $34,168.20 | $56,947.00 | $1.68 – $6.80 | 16 |
| Coagulation time activated teg CPT 85347 | $142.20 | $237.00 | $3.98 – $201.45 | 17 |
| Coagulation time otr method CPT 85348 | $37.20 | $62.00 | $4.17 – $52.70 | 17 |
| Cold agglutinin screen (arc) CPT 86156 | $70.80 | $118.00 | $5.50 – $100.30 | 17 |
| Cold agglutinin titer CPT 86157 | $37.20 | $62.00 | $7.49 – $52.70 | 17 |
| Colistimethate sodium inj HCPCS J0770 | $1,284.60 | $2,141.00 | $8.25 – $249.90 | 14 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $83.40 | $139.00 | $2.64 – $183.09 | 13 |
| Collar cerv ascend 172 reg HCPCS L0172 | $388.20 | $647.00 | $84.92 – $915.27 | 13 |
| Collar cerv patriot adlt HCPCS L0150 | $321.00 | $535.00 | $82.94 – $784.84 | 13 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $243.00 | $405.00 | $31.08 – $344.25 | 16 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $243.00 | $405.00 | $38.42 – $325.55 | 16 |
| Collection of venous blood by venipuncture CPT 36415 | $32.40 | $54.00 | $0.02 – $45.90 | 16 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $1,486.80 | $2,478.00 | $212.64 – $2,106.30 | 17 |
| Colonoscopy (diagnostic) CPT 45378 | $1,685.40 | $2,809.00 | $198.55 – $2,125.00 | 17 |
| Colonoscopy (with biopsy) CPT 45380 | $2,214.00 | $3,690.00 | $247.96 – $3,136.50 | 17 |
| Colonoscopy (with polyp removal) CPT 45385 | $4,705.20 | $7,842.00 | $294.89 – $6,665.70 | 17 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,320.80 | $3,868.00 | $261.22 – $3,287.80 | 17 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,722.00 | $2,870.00 | $241.94 – $2,439.50 | 17 |
| Colonoscopy for foreign body CPT 44390 | $1,507.20 | $2,512.00 | $213.15 – $2,135.20 | 17 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $2,873.40 | $4,789.00 | $550.23 – $4,070.65 | 16 |
| Colonoscopy submucous njx CPT 45381 | $4,137.60 | $6,896.00 | $112.59 – $5,861.60 | 17 |
| Colonoscopy thru stoma spx CPT 44388 | $1,895.40 | $3,159.00 | $160.08 – $2,685.15 | 17 |
| Colonoscopy w/ablation CPT 45388 | $2,320.80 | $3,868.00 | $363.38 – $3,287.80 | 15 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,876.80 | $3,128.00 | $255.45 – $2,658.80 | 17 |
| Colonoscopy w/band ligation CPT 45398 | $3,264.00 | $5,440.00 | $223.89 – $4,624.00 | 15 |
| Colonoscopy w/control bleed CPT 45382 | $2,240.40 | $3,734.00 | $279.40 – $3,173.90 | 17 |
| Colonoscopy w/decompression CPT 44408 | $2,595.60 | $4,326.00 | $177.89 – $3,677.10 | 15 |
| Colonoscopy w/dilation CPT 44405 | $2,310.00 | $3,850.00 | $177.89 – $3,272.50 | 15 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $3,750.60 | $6,251.00 | $241.22 – $5,313.35 | 17 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $30,601.80 | $51,003.00 | $305.16 – $43,352.55 | 17 |
| Colonoscopy w/fb removal CPT 45379 | $2,346.60 | $3,911.00 | $260.75 – $3,324.35 | 17 |
| Colonoscopy w/injection CPT 44404 | $2,310.60 | $3,851.00 | $177.89 – $3,273.35 | 15 |
| Colonoscopy w/resection CPT 45390 | $2,449.20 | $4,082.00 | $223.89 – $3,469.70 | 15 |
| Colonoscopy with ablation CPT 44401 | $1,488.60 | $2,481.00 | $327.47 – $2,108.85 | 15 |
| Colonoscopy with biopsy CPT 44389 | $1,788.60 | $2,981.00 | $177.36 – $2,533.85 | 17 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $2,310.60 | $3,851.00 | $223.89 – $6,242.82 | 15 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $875.76 – $5,176.94 | 11 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $1,183.70 – $7,755.07 | 11 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,077.40 | $5,129.00 | $144.65 – $4,359.65 | 17 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $154.80 | $258.00 | $23.10 – $219.30 | 17 |
| Compatibility test each unit electronic CPT 86923 | $181.20 | $302.00 | $23.10 – $256.70 | 16 |
| Compatibility test each unit immediate spin technique CPT 86920 | $81.00 | $135.00 | $23.10 – $179.71 | 17 |
| Complement antigen each component c3 CPT 86160 | $235.20 | $392.00 | $11.15 – $314.50 | 17 |
| Complement fixation each CPT 86171 | $84.00 | $140.00 | $7.70 – $119.00 | 17 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $2,062.80 | $3,438.00 | $66.00 – $2,922.30 | 17 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,253.00 | $3,755.00 | $511.97 – $3,191.75 | 16 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $4,557.60 | $7,596.00 | $194.70 – $6,456.60 | 17 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $3,469.80 | $5,783.00 | $542.33 – $4,915.55 | 16 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $1,606.80 | $2,678.00 | $287.80 – $2,276.30 | 13 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $2,199.00 | $3,665.00 | $78.10 – $3,115.25 | 17 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $2,520.00 | $4,200.00 | $542.33 – $3,570.00 | 16 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,206.00 | $2,010.00 | $262.09 – $1,708.50 | 13 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $478.20 | $797.00 | $176.83 – $677.45 | 13 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $3,769.20 | $6,282.00 | $66.00 – $5,339.70 | 17 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $976.80 | $1,628.00 | $152.06 – $1,383.80 | 13 |
| Concentration infection agents any type CPT 87015 | $42.00 | $70.00 | $6.21 – $59.50 | 17 |
| Condylomata destruction 56420 CPT 56420 | $1,546.80 | $2,578.00 | $55.55 – $2,191.30 | 17 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,431.00 | $2,385.00 | $60.25 – $431.27 | 16 |
| Connect omega .5mm HCPCS L8613 | $1,882.20 | $3,137.00 | $157.08 – $3,094.90 | 13 |
| Connector tis 2x10mm HCPCS C9352 | $7,037.40 | $11,729.00 | $1,220.56 – $4,715.80 | 13 |
| Consult comp w/report rfrd material CPT 88325 | $324.60 | $541.00 | $50.91 – $459.85 | 16 |
| Consultation pathology during surgery CPT 88329 | $144.60 | $241.00 | $2.75 – $204.85 | 16 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $144.60 | $241.00 | $23.17 – $856.70 | 17 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $213.60 | $356.00 | $13.24 – $302.60 | 15 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $322.20 | $537.00 | $28.36 – $456.45 | 17 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $1,373.40 | $2,289.00 | $10.91 – $289.00 | 17 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $220.20 | $367.00 | $34.77 – $311.95 | 16 |
| Contrast baths charges CPT 97034 | $76.20 | $127.00 | $25.73 – $107.95 | 13 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $7,103.40 | $11,839.00 | $42.90 – $10,063.15 | 17 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $6,583.20 | $10,972.00 | $42.90 – $9,326.20 | 17 |
| Contrast x-ray of elbow CPT 73085 | $598.20 | $997.00 | $110.78 – $847.45 | 16 |
| Contrast x-ray of knee joint CPT 73580 | $811.80 | $1,353.00 | $130.20 – $1,150.05 | 16 |
| Control nosebleed pack+caut 30905 CPT 30905 | $1,547.40 | $2,579.00 | $87.45 – $2,192.15 | 17 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,547.40 | $2,579.00 | $44.55 – $2,192.15 | 17 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $478.20 | $797.00 | $29.70 – $677.45 | 17 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $1,546.80 | $2,578.00 | $87.45 – $2,191.30 | 17 |
| Control throat bleeding CPT 42961 | not published | not published | $683.69 – $2,880.44 | 4 |
| Control throat bleeding CPT 42962 | not published | not published | $87.45 – $3,401.07 | 12 |
| Controller infinity pt dbs HCPCS C1787 | $5,451.00 | $9,085.00 | $69.96 – $7,106.53 | 13 |
| Conv gtube to jtube CPT 44373 | $4,371.60 | $7,286.00 | $196.35 – $6,193.10 | 17 |
| Conversion ext bil drg cath CPT 47535 | $8,884.20 | $14,807.00 | $209.58 – $12,585.95 | 17 |
| Convert nephrostomy catheter CPT 50434 | $8,884.20 | $14,807.00 | $608.17 – $12,585.95 | 16 |
| Coombs direct CPT 86880 | $67.80 | $113.00 | $5.01 – $96.05 | 17 |
| Coombs indirect titer reference CPT 86886 | $227.40 | $379.00 | $4.81 – $164.05 | 17 |
| Copper intrauterine device HCPCS J7300 | $2,011.20 | $3,352.00 | $643.34 – $2,849.20 | 13 |
| Core ndl bx lng/med perq CPT 32408 | $3,235.80 | $5,393.00 | $133.56 – $4,584.05 | 17 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $12,602.40 | $21,004.00 | $5,251.00 – $17,853.40 | 12 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $19,176.00 | $31,960.00 | $1,447.33 – $27,166.00 | 16 |
| Coronary angio/lv gram/lt heart CPT 93458 | $18,751.20 | $31,252.00 | $1,321.51 – $26,564.20 | 16 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $20,118.00 | $33,530.00 | $1,520.62 – $28,500.50 | 16 |
| Coronary art/grft angio s&i CPT 93455 | $10,348.80 | $17,248.00 | $1,289.74 – $14,660.80 | 16 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $8,860.20 | $14,767.00 | $1,100.30 – $12,551.95 | 16 |
| Cortisol total am CPT 82533 | $303.00 | $505.00 | $13.20 – $429.25 | 17 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $891.00 | $1,485.00 | $16.02 – $680.00 | 14 |
| Counseling smoke cess interm >10mins CPT 99407 | $48.00 | $80.00 | $21.26 – $68.00 | 17 |
| Cover eye w/membrane CPT 65778 | $11,560.20 | $19,267.00 | $858.11 – $16,376.95 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,619.00 | $14,365.00 | $428.56 – $5,176.29 | 13 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $1,020.00 | $1,700.00 | $399.13 – $1,445.00 | 16 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $1,020.00 | $1,700.00 | $399.13 – $1,445.00 | 16 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $24.00 | $40.00 | $13.60 – $84.97 | 15 |
| Creatine - sendout CPT 82540 | $49.20 | $82.00 | $4.31 – $69.70 | 16 |
| Creatine kinase CPT 82550 | $138.60 | $231.00 | $6.05 – $196.35 | 17 |
| Creatine kinase isoenzymes CPT 82552 | $292.80 | $488.00 | $12.44 – $414.80 | 17 |
| Creatine kinase mb CPT 82553 | $131.40 | $219.00 | $10.73 – $186.15 | 17 |
| Creatinine CPT 82565 | $102.60 | $171.00 | $4.76 – $59.50 | 17 |
| Creatinine 24 hour urine CPT 82570 | $102.60 | $171.00 | $4.81 – $89.25 | 17 |
| Creatinine clearance urine CPT 82575 | $236.40 | $394.00 | $8.79 – $334.90 | 17 |
| Critical care 30-74 minutes CPT 99291 | $1,918.20 | $3,197.00 | $166.79 – $2,717.45 | 17 |
| Critical care each additional 30 minutes CPT 99292 | $570.60 | $951.00 | $72.34 – $808.35 | 15 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $436.20 | $727.00 | $81.75 – $379.95 | 16 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $15.00 | $25.00 | $0.44 – $21.25 | 14 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $81.60 | $136.00 | $5.50 – $115.60 | 17 |
| Cryoprecipitate each unit HCPCS P9012 | $225.00 | $375.00 | $56.32 – $318.75 | 16 |
| Cryptococcus abs qn - sendout CPT 86641 | $138.60 | $231.00 | $13.39 – $196.35 | 17 |
| Cryptosporidium antigen CPT 87272 | $112.20 | $187.00 | $11.13 – $158.95 | 16 |
| Crystal identification light microscopy CPT 89060 | $115.80 | $193.00 | $6.81 – $164.05 | 17 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,170.40 | $5,284.00 | $157.72 – $4,491.40 | 17 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $7,887.60 | $13,146.00 | $157.72 – $11,174.10 | 17 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,170.40 | $5,284.00 | $157.72 – $4,491.40 | 16 |
| Cta neck without &/or w/contrast CPT 70498 | $3,170.40 | $5,284.00 | $157.72 – $4,491.40 | 17 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,170.40 | $5,284.00 | $157.72 – $4,491.40 | 16 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $2,857.80 | $4,763.00 | $87.45 – $4,048.55 | 17 |
| Culture aerobic additional method definitive id each CPT 87077 | $115.80 | $193.00 | $7.51 – $154.70 | 17 |
| Culture afb any source CPT 87116 | $68.40 | $114.00 | $8.25 – $96.90 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | $108.60 | $181.00 | $7.51 – $145.35 | 17 |
| Culture anaerobic except blood CPT 87075 | $259.20 | $432.00 | $8.80 – $367.20 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | $67.80 | $113.00 | $2.87 – $96.05 | 17 |
| Culture body fluid CPT 87070 | $235.20 | $392.00 | $7.59 – $333.20 | 17 |
| Culture fungi definitive id mold CPT 87107 | $102.60 | $171.00 | $8.75 – $145.35 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $110.40 | $184.00 | $9.59 – $156.40 | 17 |
| Culture fungi other (except blood) CPT 87102 | $268.20 | $447.00 | $7.82 – $199.75 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $253.20 | $422.00 | $7.16 – $358.70 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $114.60 | $191.00 | $13.58 – $162.35 | 17 |
| Culture mycoplasma any source CPT 87109 | $272.40 | $454.00 | $14.30 – $385.90 | 17 |
| Culture quantitative aerobic other source CPT 87071 | $204.00 | $340.00 | $5.74 – $289.00 | 17 |
| Culture screening strep group a CPT 87081 | $126.60 | $211.00 | $5.72 – $126.65 | 17 |
| Culture typing immunologic CPT 87147 | $54.00 | $90.00 | $3.30 – $76.50 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $403.80 | $673.00 | $18.74 – $572.05 | 17 |
| Culture urine each isolate CPT 87088 | $76.80 | $128.00 | $7.52 – $108.80 | 17 |
| Cutter lead HCPCS C1773 | $9,055.20 | $15,092.00 | $21.75 – $1,578.70 | 12 |
| Cv line/pic reposition CPT 36597 | $1,252.20 | $2,087.00 | $63.95 – $1,773.95 | 17 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $15.00 | $25.00 | $0.63 – $15.30 | 15 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $210.00 | $350.00 | $13.31 – $297.50 | 17 |
| Cyclic citrullinated peptide antibody CPT 86200 | $91.20 | $152.00 | $12.03 – $129.20 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $3.75 | $6.25 | $0.30 – $4.25 | 16 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $67.20 | $112.00 | $0.69 – $11.90 | 15 |
| Cyclosporine 2 hour CPT 80158 | $76.80 | $128.00 | $16.77 – $108.80 | 17 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $268.20 | $447.00 | $45.83 – $264.35 | 14 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $51.45 | $85.75 | $0.36 – $4.25 | 15 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,606.80 | $2,678.00 | $1.29 – $47.60 | 15 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $25,255.20 | $42,092.00 | $1,591.26 – $24,118.78 | 13 |
| Cyp2c19 gene com variants CPT 81225 | $1,341.60 | $2,236.00 | $89.69 – $1,528.30 | 16 |
| Cyp2d6 gene com variants CPT 81226 | $269.40 | $449.00 | $152.66 – $496.00 | 16 |
| Cyp3a4 gene common variants CPT 81230 | $438.60 | $731.00 | $111.91 – $621.35 | 16 |
| Cyp3a5 gene common variants CPT 81231 | $438.60 | $731.00 | $111.91 – $621.35 | 16 |
| Cystatin c CPT 82610 | $138.00 | $230.00 | $16.72 – $195.50 | 17 |
| Cystic fibrosis cftr CPT 81223 | $6,408.00 | $10,680.00 | $439.12 – $9,076.30 | 17 |
| Cystine urine quantitative CPT 82131 | $464.40 | $774.00 | $21.36 – $657.90 | 17 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $629.48 – $3,617.00 | 11 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $838.81 – $3,617.00 | 11 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $310.15 – $5,331.28 | 11 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $893.97 – $3,617.00 | 11 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,722.00 | $2,870.00 | $40.15 – $2,439.50 | 17 |
| Cystoscopy & ureter catheter CPT 52005 | $3,706.20 | $6,177.00 | $127.60 – $5,250.45 | 17 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,580.60 | $4,301.00 | $82.50 – $3,655.85 | 17 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $297.01 – $3,617.00 | 12 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $495.55 – $5,331.28 | 12 |
| Cystoscopy and treatment CPT 52310 | $3,771.00 | $6,285.00 | $141.90 – $5,342.25 | 17 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $254.29 – $3,617.00 | 12 |
| Cystoscopy and treatment CPT 52330 | $3,769.20 | $6,282.00 | $233.20 – $5,339.70 | 17 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $888.36 – $3,617.00 | 11 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $250.91 – $3,617.00 | 12 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $667.07 – $3,617.00 | 11 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $954.79 – $5,331.28 | 11 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $621.76 – $3,617.00 | 11 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,442.20 | $5,737.00 | $118.25 – $4,876.45 | 17 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $135.85 – $2,148.31 | 12 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $112.20 | $187.00 | $0.52 – $70.55 | 14 |
| Cyto/molecular report CPT 88291 | $76.20 | $127.00 | $6.05 – $101.15 | 13 |
| Cytogenetics 25-99 CPT 88274 | $401.40 | $669.00 | $39.38 – $506.60 | 16 |
| Cytogenomic neo microra alys CPT 81277 | $1,416.00 | $2,360.00 | $655.54 – $1,889.55 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $325.20 | $542.00 | $13.37 – $460.70 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $134.40 | $224.00 | $15.66 – $190.40 | 17 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $5,413.80 | $9,023.00 | $1,141.98 – $7,669.55 | 16 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $268.20 | $447.00 | $39.61 – $379.95 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $78.00 | $130.00 | $24.73 – $110.50 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $61.20 | $102.00 | $17.60 – $86.70 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $201.00 | $335.00 | $8.61 – $284.75 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $213.60 | $356.00 | $6.74 – $302.60 | 17 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $40.80 | $68.00 | $5.35 – $57.80 | 13 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $68.40 | $114.00 | $13.61 – $179.71 | 16 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $386.40 | $644.00 | $22.16 – $547.40 | 16 |
| Cytotoxic antibody screening CPT 86808 | $288.60 | $481.00 | $27.58 – $408.85 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $963.00 | $1,605.00 | $151.82 – $1,364.25 | 17 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $198.60 | $331.00 | $2.18 – $139.40 | 14 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $166.20 | $277.00 | $25.60 – $361.17 | 16 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $68.40 | $114.00 | $9.86 – $63.75 | 16 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,359.00 | $2,265.00 | $0.02 – $25.49 | 15 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $134.40 | $224.00 | $33.05 – $154.70 | 16 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,910.20 | $16,517.00 | $1.85 – $468.63 | 17 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $681.00 | $1,135.00 | $119.53 – $723.35 | 16 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $808.20 | $1,347.00 | $13.70 – $1,144.95 | 16 |
| Dch glucoscan CPT 82948 | $38.40 | $64.00 | $2.20 – $54.40 | 17 |
| Dch pulmonary stress test CPT 94621 | $432.60 | $721.00 | $70.26 – $612.85 | 17 |
| Dch validity tests CPT 81002 | $27.00 | $45.00 | $3.23 – $38.25 | 17 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,481.03 – $2,379.50 | 11 |
| Deamidated gliadin antibody iga CPT 86258 | $100.20 | $167.00 | $4.94 – $141.95 | 16 |
| Debr g/per/abd wall 11006 CPT 11006 | $6,204.00 | $10,340.00 | $1,253.62 – $8,789.00 | 13 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,199.00 | $3,665.00 | $36.30 – $3,115.25 | 17 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $487.80 | $813.00 | $32.23 – $691.05 | 17 |
| Debride nail1-5 11720 CPT 11720 | $183.60 | $306.00 | $17.13 – $260.10 | 17 |
| Debride nail6 or more 11721 CPT 11721 | $374.40 | $624.00 | $22.00 – $530.40 | 17 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $912.60 | $1,521.00 | $46.42 – $1,292.85 | 13 |
| Debridement (>20 cm) charge pt CPT 97598 | $289.20 | $482.00 | $12.72 – $409.70 | 15 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,199.00 | $3,665.00 | $36.30 – $3,115.25 | 17 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $2,199.00 | $3,665.00 | $36.30 – $3,115.25 | 17 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $2,680.20 | $4,467.00 | $80.89 – $3,796.95 | 13 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,680.20 | $4,467.00 | $133.38 – $3,796.95 | 13 |
| Decalcification CPT 88311 | $334.20 | $557.00 | $18.39 – $204.85 | 15 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $292.80 | $488.00 | $0.77 – $219.30 | 14 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $249.60 | $416.00 | $27.57 – $353.60 | 17 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $612.30 – $978.31 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,525.88 – $7,491.76 | 11 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $112.80 | $188.00 | $5.69 – $74.80 | 14 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $20.40 | $34.00 | $2.81 – $28.90 | 16 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $90.60 | $151.00 | $13.00 – $213.30 | 17 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $6,370.80 | $10,618.00 | $18.55 – $1,899.65 | 17 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $2,716.80 | $4,528.00 | $25.85 – $3,848.80 | 16 |
| Dermagraft HCPCS Q4106 | $87.60 | $146.00 | $32.12 – $124.10 | 13 |
| Design mlc device for imrt CPT 77338 | $1,772.40 | $2,954.00 | $324.33 – $2,510.90 | 16 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $765.60 | $1,276.00 | $2.23 – $79.69 | 16 |
| Desoxycorticosterone CPT 82633 | $324.00 | $540.00 | $28.79 – $459.00 | 17 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $1,523.40 | $2,539.00 | $102.30 – $2,158.15 | 17 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $1,306.20 | $2,177.00 | $93.50 – $1,850.45 | 17 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $1,451.40 | $2,419.00 | $108.90 – $2,056.15 | 17 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,192.80 | $6,988.00 | $629.15 – $5,939.80 | 16 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,438.20 | $7,397.00 | $60.74 – $6,287.45 | 15 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $3,971.40 | $6,619.00 | $90.63 – $5,626.15 | 17 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $652.80 | $1,088.00 | $22.00 – $924.80 | 17 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,848.00 | $3,080.00 | $53.90 – $2,618.00 | 17 |
| Destruction benign lesions < 14 lesions CPT 17110 | $612.60 | $1,021.00 | $53.90 – $867.85 | 17 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $3,918.60 | $6,531.00 | $80.85 – $5,551.35 | 17 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,192.80 | $6,988.00 | $618.25 – $5,939.80 | 16 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,192.80 | $6,988.00 | $52.82 – $5,939.80 | 15 |
| Device ablt adv novasure HCPCS C1886 | $6,511.20 | $10,852.00 | $1,295.50 – $6,661.45 | 12 |
| Device intraute mirena HCPCS J7298 | $2,427.00 | $4,045.00 | $651.82 – $3,126.30 | 13 |
| Device sut capio slim opn HCPCS C2631 | $1,096.20 | $1,827.00 | $456.75 – $2,633.16 | 12 |
| Device tiss remov myosure reach HCPCS C1782 | $3,260.40 | $5,434.00 | $321.05 – $2,366.40 | 12 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $121.20 | $202.00 | $6.80 – $92.34 | 17 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $1,430.40 | $2,384.00 | $64.99 – $568.65 | 16 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $1,738.20 | $2,897.00 | $0.99 – $2,462.45 | 13 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $18.00 | $30.00 | $0.01 – $0.85 | 15 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $114.60 | $191.00 | $0.06 – $7.65 | 15 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,170.80 | $3,618.00 | $39.82 – $3,075.30 | 16 |
| Dextrose 5 % IV bolus HCPCS J7070 | $67.80 | $113.00 | $1.97 – $85.85 | 14 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $96.60 | $161.00 | $0.89 – $28.90 | 14 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $118.20 | $197.00 | $1.69 – $124.95 | 13 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $119.40 | $199.00 | $1.14 – $20.59 | 14 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $496.20 | $827.00 | $20.66 – $702.95 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $679.20 | $1,132.00 | $13.28 – $131.75 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $236.40 | $394.00 | $7.70 – $334.90 | 17 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $701.79 – $6,118.60 | 11 |
| Diagnostic Mammogram (one breast) CPT 77065 | $427.20 | $712.00 | $58.27 – $605.20 | 14 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $477.60 | $796.00 | $22.00 – $676.60 | 17 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $615.00 | $1,025.00 | $75.90 – $871.25 | 17 |
| Dialysis one evaluation CPT 90945 | $1,560.60 | $2,601.00 | $226.76 – $2,210.85 | 16 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.60 | $1.00 | $0.05 – $0.85 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $33.45 | $55.75 | $1.99 – $17.00 | 14 |
| Dicyclomine injection HCPCS J0500 | $691.20 | $1,152.00 | $3.38 – $256.70 | 14 |
| Diffusing capacity CPT 94729 | $599.40 | $999.00 | $36.59 – $849.15 | 15 |
| Digital analysis of eeg CPT 95957 | $760.80 | $1,268.00 | $124.92 – $1,077.80 | 15 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $29.85 | $49.75 | $3.15 – $21.25 | 14 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,176.20 | $18,627.00 | $1,297.62 – $5,685.05 | 16 |
| Digoxin total therapeutic drug level CPT 80162 | $298.20 | $497.00 | $12.10 – $422.45 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $1,414.20 | $2,357.00 | $15.71 – $575.45 | 14 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,437.60 | $7,396.00 | $95.42 – $6,286.60 | 16 |
| Dilat xst trc new access rcs CPT 50437 | $4,437.60 | $7,396.00 | $159.48 – $6,286.60 | 16 |
| Dilate biliary duct/ampulla CPT 47542 | $21,297.00 | $35,495.00 | $120.24 – $30,170.75 | 15 |
| Dilate esophagus CPT 43453 | not published | not published | $64.90 – $1,989.40 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,547.40 | $2,579.00 | $64.90 – $2,192.15 | 17 |
| Dilate urethra stricture CPT 53600 | $840.00 | $1,400.00 | $22.00 – $1,190.00 | 17 |
| Dilate urethra stricture CPT 53605 | not published | not published | $22.00 – $3,617.00 | 12 |
| Dilation of rectal stricture 45910 CPT 45910 | $2,641.20 | $4,402.00 | $48.40 – $3,741.70 | 17 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,472.40 | $2,454.00 | $29.75 – $575.59 | 12 |
| Dimenhydrinate injection HCPCS J1240 | $33.90 | $56.50 | $1.33 – $11.90 | 14 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $10.20 | $17.00 | $0.24 – $0.85 | 13 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $15.00 | $25.00 | $0.48 – $19.55 | 15 |
| Disability dlco CPT 94727 | $210.00 | $350.00 | $34.68 – $297.50 | 17 |
| Disaccharidases CPT 82657 | $186.00 | $310.00 | $20.60 – $263.50 | 16 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,964.40 | $3,274.00 | $197.16 – $2,782.90 | 13 |
| Dna antibody native/double stranded CPT 86225 | $273.00 | $455.00 | $12.77 – $386.75 | 17 |
| Dna gardnerella CPT 87510 | $236.40 | $394.00 | $17.64 – $334.90 | 17 |
| Dna trichomonas CPT 87660 | $215.40 | $359.00 | $13.96 – $305.15 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $204.00 | $340.00 | $4.47 – $50.36 | 14 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $6,111.60 | $10,186.00 | $0.40 – $53.55 | 14 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $51.00 | $85.00 | $0.53 – $2.55 | 14 |
| Doppler echo complete CPT 93320 | $1,434.00 | $2,390.00 | $66.58 – $2,031.50 | 15 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,804.80 | $8,008.00 | $191.48 – $6,806.80 | 13 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $626.40 | $1,044.00 | $100.70 – $887.40 | 17 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $464.40 | $774.00 | $53.67 – $657.90 | 17 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $162.00 | $270.00 | $1.25 – $4.25 | 13 |
| Dornase alfa non-comp unit HCPCS J7639 | $571.80 | $953.00 | $11.35 – $102.00 | 15 |
| Dornhoffer fixed part w/window HCPCS L8614 | $29,415.60 | $49,026.00 | $10,785.72 – $99,248.70 | 12 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $566.40 | $944.00 | $31.28 – $268.08 | 16 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $9,320.40 | $15,534.00 | $1.91 – $158.95 | 14 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,264.40 | $3,774.00 | $68.49 – $1,415.25 | 16 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.65 | $2.75 | $0.07 – $0.85 | 14 |
| Dpyd gene common variants CPT 81232 | $2,524.20 | $4,207.00 | $111.91 – $1,516.40 | 16 |
| Drain blood from under nail 11740 CPT 11740 | $266.40 | $444.00 | $26.40 – $377.40 | 17 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,371.40 | $5,619.00 | $203.36 – $4,776.15 | 17 |
| Drain cath image guided visceral pq CPT 49405 | $7,719.00 | $12,865.00 | $190.71 – $10,935.25 | 17 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,756.80 | $2,928.00 | $40.70 – $2,488.80 | 17 |
| Drain finger abscess;simple 26010 CPT 26010 | $478.20 | $797.00 | $29.15 – $677.45 | 17 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,347.40 | $5,579.00 | $97.35 – $4,742.15 | 17 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,918.20 | $8,197.00 | $97.35 – $6,967.45 | 17 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $647.40 | $1,079.00 | $29.15 – $917.15 | 17 |
| Drainage external ear simple 69000 CPT 69000 | $615.00 | $1,025.00 | $47.30 – $871.25 | 17 |
| Drainage mouth roof lesion CPT 42000 | $3,928.80 | $6,548.00 | $22.00 – $5,565.80 | 17 |
| Drainage of arm bursa 23931 CPT 23931 | $3,706.20 | $6,177.00 | $43.45 – $5,250.45 | 17 |
| Drainage of mouth lesion CPT 41008 | $3,202.80 | $5,338.00 | $25.85 – $4,537.30 | 17 |
| Drainage of mouth lesion CPT 41016 | $3,009.60 | $5,016.00 | $25.85 – $6,203.86 | 17 |
| Drainage of nose lesion int 30000 CPT 30000 | $3,688.80 | $6,148.00 | $56.10 – $5,225.80 | 17 |
| Drainage of rectal abscess CPT 45005 | $3,627.60 | $6,046.00 | $103.40 – $5,139.10 | 17 |
| Drainage of rectal abscess 45020 CPT 45020 | $3,769.20 | $6,282.00 | $165.55 – $5,339.70 | 17 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,543.20 | $2,572.00 | $126.59 – $2,186.20 | 17 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $451.20 | $752.00 | $93.83 – $639.20 | 17 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $266.40 | $444.00 | $22.00 – $377.40 | 17 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,572.40 | $5,954.00 | $139.15 – $5,060.90 | 17 |
| Drng of eyelid abscess 67700 CPT 67700 | $3,479.40 | $5,799.00 | $173.94 – $4,650.35 | 16 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,710.20 | $4,517.00 | $88.00 – $3,839.45 | 17 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $124.30 – $736.75 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,716.80 | $4,528.00 | $38.50 – $3,848.80 | 17 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $126.60 | $211.00 | $4.25 – $14.45 | 14 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,245.20 | $3,742.00 | $132.27 – $970.70 | 12 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $24.60 | $41.00 | $4.40 – $17.00 | 13 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $33.00 | $55.00 | $13.75 – $88.90 | 13 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $11,362.20 | $18,937.00 | $57.03 – $3,784.20 | 13 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $34,796.40 | $57,994.00 | $22.27 – $20,872.04 | 14 |
| Drug admin & hemodynmic meas CPT 93463 | $422.40 | $704.00 | $165.19 – $598.40 | 13 |
| Drug assay rufinamide CPT 80210 | $88.20 | $147.00 | $20.44 – $124.95 | 16 |
| Drug assay vedolizumab CPT 80280 | $93.00 | $155.00 | $21.80 – $131.75 | 16 |
| Drug test def 1-7 classes HCPCS G0480 | $602.40 | $1,004.00 | $38.08 – $125.87 | 16 |
| Drug test def 8-14 classes HCPCS G0481 | $440.40 | $734.00 | $86.77 – $623.90 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $495.00 | $825.00 | $52.24 – $300.90 | 17 |
| Drvvt confirm - quest CPT 85597 | $387.60 | $646.00 | $16.71 – $549.10 | 17 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,348.80 | $2,248.00 | $224.43 – $2,047.90 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,938.00 | $3,230.00 | $147.62 – $2,745.50 | 17 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $213.60 | $356.00 | $47.12 – $302.60 | 16 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,040.00 | $3,400.00 | $148.66 – $2,890.00 | 17 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,055.40 | $6,759.00 | $99.43 – $5,745.15 | 17 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,111.40 | $3,519.00 | $147.25 – $2,991.15 | 17 |
| E equine encephalitis igg CPT 86652 | $139.80 | $233.00 | $12.26 – $198.05 | 17 |
| ER Visit (level 1, minor) CPT 99281 | $183.60 | $306.00 | $51.60 – $260.10 | 16 |
| ER Visit (level 2) CPT 99282 | $424.20 | $707.00 | $36.28 – $600.95 | 17 |
| ER Visit (level 3) CPT 99283 | $763.20 | $1,272.00 | $62.31 – $1,081.20 | 17 |
| ER Visit (level 4) CPT 99284 | $1,146.00 | $1,910.00 | $104.86 – $1,623.50 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $1,798.20 | $2,997.00 | $152.61 – $2,547.45 | 17 |
| Ear canal biopsy 69105 CPT 69105 | $1,306.80 | $2,178.00 | $61.89 – $1,851.30 | 17 |
| Ear irrigation 69209 CPT 69209 | $137.40 | $229.00 | $8.46 – $194.65 | 16 |
| Ecg 12 lead tracing only CPT 93005 | $386.40 | $644.00 | $11.51 – $547.40 | 17 |
| Ecg < 30 days transmission & analysis CPT 93271 | $1,502.40 | $2,504.00 | $81.32 – $2,128.40 | 17 |
| Ecg external < 48 hours recording CPT 93225 | $679.80 | $1,133.00 | $20.07 – $963.05 | 17 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $516.00 | $860.00 | $43.74 – $731.00 | 17 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $72.60 | $121.00 | $10.01 – $102.85 | 17 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $108.60 | $181.00 | $9.61 – $153.85 | 17 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $49.80 | $83.00 | $5.57 – $70.55 | 17 |
| Echo guidance radiotherapy CPT 76965 | $3,412.80 | $5,688.00 | $629.17 – $4,834.80 | 13 |
| Echo stress CPT 93350 | $1,044.60 | $1,741.00 | $84.15 – $1,479.85 | 17 |
| Echo tee guidance CPT 93355 | $925.80 | $1,543.00 | $154.27 – $1,311.55 | 13 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $4,258.80 | $7,098.00 | $258.36 – $6,033.30 | 17 |
| Echo transesophageal intraop CPT 93318 | $2,355.60 | $3,926.00 | $226.44 – $3,337.10 | 15 |
| Echo transthoracic CPT 93304 | $533.40 | $889.00 | $40.15 – $755.65 | 17 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $2,004.60 | $3,341.00 | $154.42 – $2,839.85 | 17 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,111.40 | $3,519.00 | $155.12 – $2,991.15 | 17 |
| Echocardiography doppler color flow mapping CPT 93325 | $1,435.80 | $2,393.00 | $20.44 – $2,031.50 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,775.00 | $4,625.00 | $436.57 – $3,708.55 | 15 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,177.80 | $1,963.00 | $40.15 – $1,668.55 | 17 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,177.80 | $1,963.00 | $150.28 – $375.70 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $284.40 | $474.00 | $31.13 – $402.90 | 15 |
| Echograp trans r pros study CPT 76873 | $832.80 | $1,388.00 | $87.39 – $1,179.80 | 16 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,219.20 | $2,032.00 | $238.32 – $1,727.20 | 13 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,630.80 | $2,718.00 | $301.01 – $2,310.30 | 13 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $414.00 | $690.00 | $4.42 – $49.30 | 16 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $640.80 | $1,068.00 | $93.83 – $907.80 | 12 |
| Eeg during surgery CPT 95955 | $643.80 | $1,073.00 | $120.66 – $912.05 | 15 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,116.00 | $1,860.00 | $24.75 – $1,581.00 | 17 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $595.80 | $993.00 | $105.63 – $844.05 | 17 |
| Eeg recording awake and asleep CPT 95819 | $1,116.00 | $1,860.00 | $24.75 – $1,581.00 | 17 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $602.40 | $1,004.00 | $88.00 – $853.40 | 16 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $623.40 | $1,039.00 | $183.82 – $883.15 | 16 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,194.00 | $1,990.00 | $470.10 – $1,691.50 | 16 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,126.20 | $1,877.00 | $470.10 – $1,595.45 | 16 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $602.40 | $1,004.00 | $183.82 – $853.40 | 16 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,194.00 | $1,990.00 | $117.28 – $1,691.50 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,053.60 | $1,756.00 | $50.68 – $1,492.60 | 15 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,095.60 | $1,826.00 | $24.75 – $1,552.10 | 17 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $85.80 | $143.00 | $13.64 – $95.20 | 16 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $5,716.80 | $9,528.00 | $844.93 – $8,098.80 | 15 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $232.08 – $1,989.40 | 12 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $4,258.20 | $7,097.00 | $277.43 – $5,367.75 | 17 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $3,442.20 | $5,737.00 | $176.17 – $4,876.45 | 16 |
| Egd control bleeding any CPT 43255 | $2,240.40 | $3,734.00 | $255.75 – $3,173.90 | 17 |
| Egd dilate stricture CPT 43245 | not published | not published | $180.20 – $1,989.40 | 12 |
| Egd endo mucosal resection CPT 43254 | $1,162.20 | $1,937.00 | $212.31 – $1,989.40 | 16 |
| Egd endoscopic stent place CPT 43266 | $2,593.20 | $4,322.00 | $175.77 – $6,242.82 | 16 |
| Egd guide wire insertion CPT 43248 | $2,370.60 | $3,951.00 | $686.69 – $3,358.35 | 16 |
| Egd injection varices CPT 43243 | $3,241.20 | $5,402.00 | $736.75 – $4,591.70 | 16 |
| Egd lesion ablation CPT 43270 | $5,862.60 | $9,771.00 | $844.93 – $8,305.35 | 16 |
| Egd remove foreign body CPT 43247 | $2,214.00 | $3,690.00 | $191.43 – $3,136.50 | 17 |
| Egd remove lesion snare CPT 43251 | $2,251.80 | $3,753.00 | $208.28 – $3,190.05 | 17 |
| Egd varices ligation CPT 43244 | $3,061.20 | $5,102.00 | $720.64 – $4,336.70 | 16 |
| Egd w/thrml txmnt gerd CPT 43257 | $7,426.80 | $12,378.00 | $541.08 – $9,925.45 | 16 |
| Egd w/transmural drain cyst CPT 43240 | $6,720.60 | $11,201.00 | $792.58 – $9,520.85 | 16 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $2,257.80 | $3,763.00 | $148.54 – $3,198.55 | 17 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $3,867.60 | $6,446.00 | $736.75 – $5,479.10 | 16 |
| Egfr gene com variants CPT 81235 | $2,001.60 | $3,336.00 | $76.16 – $357.04 | 17 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $372.00 | $620.00 | $14.11 – $469.20 | 17 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $864.60 | $1,441.00 | $30.16 – $1,224.85 | 17 |
| Electrd sq emblem s-icd HCPCS C1896 | $19,195.80 | $31,993.00 | $2,815.01 – $27,194.05 | 13 |
| Electrolyte panel CPT 80051 | $165.00 | $275.00 | $6.51 – $233.75 | 17 |
| Electron microscopy diagnostic CPT 88348 | $578.40 | $964.00 | $75.90 – $856.70 | 17 |
| Electrophys map 3d add-on CPT 93613 | $5,610.00 | $9,350.00 | $285.64 – $7,947.50 | 12 |
| Electrophysiologic study CPT 93624 | $5,773.20 | $9,622.00 | $283.76 – $8,178.70 | 16 |
| Electrophysiology evaluation CPT 93619 | $5,773.20 | $9,622.00 | $730.54 – $8,178.70 | 16 |
| Electrophysiology evaluation CPT 93620 | $5,260.20 | $8,767.00 | $999.33 – $7,957.77 | 16 |
| Electrophysiology evaluation CPT 93621 | $5,576.40 | $9,294.00 | $210.17 – $7,899.90 | 12 |
| Electrophysiology evaluation CPT 93622 | $2,100.60 | $3,501.00 | $334.96 – $6,850.80 | 12 |
| Electrophysiology evaluation CPT 93641 | $1,726.80 | $2,878.00 | $506.65 – $2,446.30 | 13 |
| Electrophysiology evaluation CPT 93642 | $1,735.80 | $2,893.00 | $481.49 – $2,459.05 | 16 |
| Electrophysiology evaluation CPT 93644 | $184.80 | $308.00 | $77.00 – $413.80 | 13 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $16.80 | $28.00 | $4.41 – $23.80 | 16 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $463.20 | $772.00 | $116.22 – $492.15 | 16 |
| Emb without cervical dilation 58100 CPT 58100 | $2,178.60 | $3,631.00 | $56.10 – $3,086.35 | 17 |
| Embo or occlude vascular arterial s&i CPT 37242 | $13,485.60 | $22,476.00 | $449.83 – $19,104.60 | 17 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $13,485.60 | $22,476.00 | $625.66 – $19,104.60 | 17 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $13,485.60 | $22,476.00 | $536.36 – $19,104.60 | 17 |
| Embo or occlude vascular venous s&i CPT 37241 | $13,485.60 | $22,476.00 | $402.84 – $19,104.60 | 17 |
| Embolization s&i CPT 75894 | $9,112.80 | $15,188.00 | $171.10 – $12,909.80 | 15 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $3,334.20 | $5,557.00 | $41.25 – $4,723.45 | 17 |
| Emg cranial nerve bilateral CPT 95868 | $529.80 | $883.00 | $62.11 – $750.55 | 17 |
| Emg needle test 4-extremities CPT 95864 | $1,051.80 | $1,753.00 | $53.90 – $1,490.05 | 17 |
| Encephalitis, california igg/igm CPT 86651 | $139.80 | $233.00 | $12.26 – $198.05 | 17 |
| Encephalitis, st louis igg/igm CPT 86653 | $139.80 | $233.00 | $12.26 – $198.05 | 17 |
| Encephalitis, western equine igg/igm CPT 86654 | $139.80 | $233.00 | $12.26 – $198.05 | 17 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $18,056.40 | $30,094.00 | $2,788.61 – $25,579.90 | 16 |
| Endo cath bile duct s&i CPT 74328 | $982.20 | $1,637.00 | $179.43 – $1,390.60 | 13 |
| Endo cath panc duct s&i CPT 74329 | $926.40 | $1,544.00 | $179.43 – $1,312.40 | 13 |
| Endo cholangiopancreatograph CPT 43261 | $2,784.00 | $4,640.00 | $736.75 – $3,989.88 | 16 |
| Endo cholangiopancreatograph CPT 43262 | $2,490.00 | $4,150.00 | $736.75 – $3,989.88 | 16 |
| Endocervical curettage 57505 CPT 57505 | $1,119.00 | $1,865.00 | $24.20 – $1,585.25 | 17 |
| Endoluminal bx biliary tree CPT 47543 | $20,091.00 | $33,485.00 | $151.04 – $28,462.25 | 15 |
| Endoluminl ivus oct c 1st CPT 92978 | $5,032.80 | $8,388.00 | $127.04 – $7,129.80 | 13 |
| Endoluminl ivus oct c ea CPT 92979 | $3,234.00 | $5,390.00 | $63.88 – $4,581.50 | 13 |
| Endoscopic pancreatoscopy CPT 43273 | $1,265.40 | $2,109.00 | $192.68 – $1,792.65 | 13 |
| Endoscopy bowel pouch/biop CPT 44386 | $1,600.80 | $2,668.00 | $121.29 – $2,267.80 | 17 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $1,696.20 | $2,827.00 | $103.09 – $2,402.95 | 17 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,817.60 | $4,696.00 | $494.88 – $3,991.60 | 16 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $13,012.20 | $21,687.00 | $1,007.21 – $18,433.95 | 13 |
| Endovenous rf abl vein addl CPT 36476 | $3,909.00 | $6,515.00 | $441.44 – $5,537.75 | 13 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $72.00 | $120.00 | $22.67 – $102.00 | 16 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $1,416.00 | $2,360.00 | $0.37 – $93.50 | 15 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $118.20 | $197.00 | $11.13 – $167.45 | 17 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $126.01 – $2,345.66 | 4 |
| Enzyme cell activity ra CPT 82658 | $214.20 | $357.00 | $40.48 – $303.45 | 16 |
| Enzyme histochemistry CPT 88319 | $229.80 | $383.00 | $79.65 – $856.70 | 17 |
| Ep & ablate supravent arrhyt CPT 93653 | $48,183.60 | $80,306.00 | $704.87 – $68,260.10 | 16 |
| Ep & ablate ventric tachy CPT 93654 | $48,183.60 | $80,306.00 | $940.61 – $68,260.10 | 16 |
| Ep induct arrhy by elect pacing CPT 93618 | $6,268.20 | $10,447.00 | $206.25 – $8,879.95 | 17 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $102.60 | $171.00 | $21.80 – $145.35 | 16 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,454.60 | $4,091.00 | $65.56 – $3,477.35 | 15 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $1,009.20 | $1,682.00 | $0.25 – $14.95 | 15 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $1.80 | $3.00 | $0.50 – $1.70 | 14 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $1,964.40 | $3,274.00 | $336.29 – $3,334.43 | 16 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $6,835.20 | $11,392.00 | $5.39 – $120.70 | 17 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $918.00 | $1,530.00 | $4.96 – $28.05 | 17 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $253.20 | $422.00 | $10.23 – $195.50 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $273.00 | $455.00 | $12.19 – $386.75 | 17 |
| Epstein barr nuclear antigen antibody CPT 86664 | $287.40 | $479.00 | $14.21 – $407.15 | 17 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $325.20 | $542.00 | $16.86 – $460.70 | 17 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,726.20 | $2,877.00 | $23.59 – $163.20 | 13 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,855.60 | $6,426.00 | $12.61 – $51.00 | 16 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $2,919.00 | $4,865.00 | $96.12 – $6,242.82 | 16 |
| Ercp biliary & pancreas CPT 74330 | $987.60 | $1,646.00 | $179.43 – $1,399.10 | 13 |
| Ercp ea duct/ampulla dilate CPT 43277 | $2,500.80 | $4,168.00 | $301.80 – $3,989.88 | 16 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $3,928.80 | $6,548.00 | $647.45 – $5,565.80 | 16 |
| Ercp lithotripsy calculi CPT 43265 | $2,490.00 | $4,150.00 | $736.75 – $6,242.82 | 16 |
| Ercp remove duct calculi 43264 CPT 43264 | $2,490.00 | $4,150.00 | $736.75 – $3,989.88 | 16 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,784.00 | $4,640.00 | $300.00 – $3,944.00 | 16 |
| Ercp stent exchange w/dilate CPT 43276 | $2,784.00 | $4,640.00 | $378.57 – $6,242.82 | 16 |
| Ercp w/specimen collection CPT 43260 | $2,887.80 | $4,813.00 | $736.75 – $4,091.05 | 16 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $387.60 | $646.00 | $56.41 – $549.10 | 16 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $1,000.80 | $1,668.00 | $6.23 – $355.30 | 15 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $109.20 | $182.00 | $12.16 – $64.62 | 14 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $6,853.80 | $11,423.00 | $1,067.95 – $9,709.55 | 15 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $10.95 | $18.25 | $0.14 – $11.90 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | $2,370.60 | $3,951.00 | $666.36 – $3,358.35 | 16 |
| Esoph endoscopy dilation CPT 43226 | $5,461.80 | $9,103.00 | $135.28 – $7,737.55 | 17 |
| Esophageal dilat s&i CPT 74360 | $925.80 | $1,543.00 | $119.23 – $1,311.55 | 15 |
| Esophageal motility CPT 78258 | $499.20 | $832.00 | $108.75 – $707.20 | 17 |
| Esophagoscop stent placement CPT 43212 | $7,596.60 | $12,661.00 | $275.30 – $10,761.85 | 16 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $111.63 – $1,989.40 | 12 |
| Esophagoscopy flex dx brush CPT 43197 | $2,959.80 | $4,933.00 | $132.39 – $4,193.05 | 16 |
| Esophagoscopy flex remove fb CPT 43215 | $1,788.60 | $2,981.00 | $550.23 – $2,533.85 | 16 |
| Esophagoscopy w/us needle bx CPT 43232 | $4,137.60 | $6,896.00 | $535.78 – $5,861.60 | 16 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,895.40 | $3,159.00 | $102.82 – $2,685.15 | 17 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $122.69 – $1,989.40 | 12 |
| Esophagus motility study CPT 91010 | $510.60 | $851.00 | $30.25 – $723.35 | 17 |
| Establish brain cavity shunt CPT 62223 | $8,881.80 | $14,803.00 | $1,579.01 – $12,582.55 | 13 |
| Established Patient Office Visit (level 1) CPT 99211 | $108.60 | $181.00 | $22.00 – $153.85 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $125.40 | $209.00 | $28.60 – $177.65 | 15 |
| Established Patient Office Visit (level 3) CPT 99213 | $179.40 | $299.00 | $38.50 – $254.15 | 15 |
| Established Patient Office Visit (level 4) CPT 99214 | $250.80 | $418.00 | $59.86 – $355.30 | 15 |
| Established Patient Office Visit (level 5) CPT 99215 | $573.00 | $955.00 | $74.33 – $811.75 | 15 |
| Estradiol total CPT 82670 | $519.60 | $866.00 | $23.65 – $736.10 | 17 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $51.00 | $85.00 | $1.20 – $72.25 | 14 |
| Estrogens total-sendout CPT 82672 | $322.20 | $537.00 | $15.31 – $456.45 | 17 |
| Etanercept injection HCPCS J1438 | $1,801.80 | $3,003.00 | $245.13 – $2,080.02 | 17 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,156.80 | $1,928.00 | $178.62 – $1,638.80 | 16 |
| Ethylene glycol -sendout CPT 82693 | $114.60 | $191.00 | $13.85 – $162.35 | 16 |
| Etonogestrel implant system HCPCS J7307 | $2,889.60 | $4,816.00 | $1,060.50 – $3,605.70 | 13 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $345.00 | $575.00 | $0.59 – $45.90 | 14 |
| Euglobulin lysis CPT 85360 | $83.40 | $139.00 | $5.50 – $118.15 | 17 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $955.80 | $1,593.00 | $196.51 – $1,354.05 | 13 |
| Evaluation of speech fluency 92521 CPT 92521 | $405.00 | $675.00 | $82.21 – $573.75 | 13 |
| Evasc prlng admn rx agnt add CPT 61651 | $3,171.60 | $5,286.00 | $158.92 – $4,493.10 | 13 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $4,483.80 | $7,473.00 | $722.94 – $6,352.05 | 13 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $12,276.00 | $20,460.00 | $811.06 – $17,391.00 | 13 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $12,276.00 | $20,460.00 | $1,516.79 – $17,391.00 | 13 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,483.80 | $7,473.00 | $259.82 – $6,352.05 | 13 |
| Event monitor CPT 93270 | $284.40 | $474.00 | $16.17 – $402.90 | 17 |
| Evoked potentials upper limbs CPT 95925 | $477.00 | $795.00 | $30.25 – $675.75 | 17 |
| Exam pelvic add-on CPT 99459 | $16.80 | $28.00 | $7.00 – $23.80 | 13 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $645.96 – $3,001.48 | 11 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $255.60 | $426.00 | $86.35 – $737.87 | 17 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $2,815.20 | $4,692.00 | $46.75 – $3,988.20 | 17 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $2,958.00 | $4,930.00 | $51.15 – $4,190.50 | 17 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $2,584.20 | $4,307.00 | $71.50 – $3,660.95 | 17 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $3,202.80 | $5,338.00 | $128.70 – $4,537.30 | 17 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $4,334.40 | $7,224.00 | $95.15 – $6,140.40 | 17 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,728.00 | $2,880.00 | $41.25 – $2,448.00 | 17 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $2,579.40 | $4,299.00 | $102.30 – $3,654.15 | 17 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $2,584.20 | $4,307.00 | $94.05 – $3,660.95 | 17 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,491.20 | $4,152.00 | $44.00 – $3,529.20 | 17 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $4,251.00 | $7,085.00 | $166.62 – $6,022.25 | 17 |
| Exchange biliary drg cath CPT 47536 | $8,884.20 | $14,807.00 | $132.20 – $12,585.95 | 17 |
| Exchange drainage catheter CPT 49423 | $2,393.40 | $3,989.00 | $64.68 – $3,390.65 | 17 |
| Exchange nephrostomy cath CPT 50435 | $8,884.20 | $14,807.00 | $318.63 – $12,585.95 | 16 |
| Excise anal ext tag/papilla CPT 46220 | $2,813.40 | $4,689.00 | $88.00 – $3,985.65 | 17 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,488.81 – $4,418.13 | 4 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $2,952.60 | $4,921.00 | $59.40 – $4,182.85 | 17 |
| Excision of anal lesion(s) CPT 46922 | $5,621.40 | $9,369.00 | $119.17 – $7,963.65 | 17 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,941.80 | $4,903.00 | $136.40 – $5,027.74 | 13 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $5,235.60 | $8,726.00 | $160.82 – $5,105.43 | 13 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $5,776.80 | $9,628.00 | $1,040.78 – $8,183.80 | 13 |
| Exploration for testis CPT 54550 | not published | not published | $1,040.78 – $3,700.99 | 11 |
| Exploration of knee joint CPT 27310 | $5,776.80 | $9,628.00 | $419.10 – $8,183.80 | 17 |
| Explore limb vessels 35860 CPT 35860 | $3,846.60 | $6,411.00 | $700.63 – $5,449.35 | 16 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,954.20 | $3,257.00 | $710.76 – $2,768.45 | 16 |
| Explore wound abdomen 20102 CPT 20102 | $4,057.80 | $6,763.00 | $612.94 – $5,748.55 | 16 |
| Explore woundchest 20101 CPT 20101 | $3,265.20 | $5,442.00 | $500.47 – $4,625.70 | 16 |
| Explore/treat wrist joint CPT 25101 | $4,918.20 | $8,197.00 | $306.35 – $6,967.45 | 17 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $259.20 | $432.00 | $40.42 – $367.20 | 17 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $262.20 | $437.00 | $40.42 – $371.45 | 17 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,226.40 | $2,044.00 | $134.39 – $1,737.40 | 17 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $192.60 | $321.00 | $9.74 – $257.55 | 15 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $2,099.40 | $3,499.00 | $133.59 – $1,083.75 | 17 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $273.00 | $455.00 | $16.66 – $225.25 | 17 |
| F-18 fdg pet diag HCPCS A9552 | $1,013.40 | $1,689.00 | $422.25 – $1,435.65 | 12 |
| Facial bones <3 CPT 70140 | $419.40 | $699.00 | $30.18 – $594.15 | 17 |
| Factor ix CPT 85250 | $223.80 | $373.00 | $5.50 – $317.05 | 17 |
| Factor ix complex HCPCS J7194 | $7.80 | $13.00 | $0.98 – $6.80 | 16 |
| Factor ix recombinant nos HCPCS J7195 | $34.65 | $57.75 | $1.17 – $49.09 | 16 |
| Factor viii CPT 85240 | $213.00 | $355.00 | $14.30 – $301.75 | 17 |
| Factor viii recomb novoeight HCPCS J7182 | $3.15 | $5.25 | $0.97 – $4.25 | 16 |
| Factor viii recombinant nos HCPCS J7192 | $21.60 | $36.00 | $1.02 – $3.40 | 16 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $55.20 | $92.00 | $18.93 – $78.20 | 16 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.30 | $0.50 | $0.01 – $0.12 | 14 |
| Fancc gene CPT 81242 | $532.80 | $888.00 | $34.03 – $754.80 | 16 |
| Fat/lipids feces qualitative CPT 82705 | $201.60 | $336.00 | $4.74 – $285.60 | 17 |
| Fem/popl revasc w/stent CPT 37226 | $38,983.80 | $64,973.00 | $10,047.47 – $55,227.05 | 16 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $451.20 | $752.00 | $0.69 – $11.90 | 15 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,680.20 | $4,467.00 | $0.70 – $4.25 | 16 |
| Ferritin CPT 82728 | $264.60 | $441.00 | $12.67 – $353.60 | 17 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $4.65 | $7.75 | $0.20 – $2.55 | 16 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,621.60 | $6,036.00 | $542.48 – $5,130.60 | 17 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $115.80 | $193.00 | $7.18 – $154.70 | 17 |
| Fetal hemoglobin rosette CPT 85461 | $76.80 | $128.00 | $8.70 – $108.80 | 17 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $47.40 | $79.00 | $5.74 – $67.15 | 17 |
| Fibrin degradation d dimer quantitative CPT 85379 | $78.60 | $131.00 | $9.46 – $111.35 | 17 |
| Fibrin degradation products CPT 85362 | $273.00 | $455.00 | $6.40 – $386.75 | 17 |
| Fibrinogen activity CPT 85384 | $255.60 | $426.00 | $9.03 – $362.10 | 17 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $180.60 | $301.00 | $3.30 – $255.85 | 16 |
| Fibrinolytic antiplasmin CPT 85410 | $81.60 | $136.00 | $7.16 – $115.60 | 17 |
| Fibrinolytic plasminogen CPT 85415 | $165.00 | $275.00 | $15.97 – $233.75 | 17 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $225.00 | $375.00 | $5.50 – $318.75 | 17 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,739.40 | $2,899.00 | $0.63 – $321.25 | 17 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $548.40 | $914.00 | $0.19 – $0.85 | 16 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $6.90 | $11.50 | $0.29 – $560.16 | 17 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $9,370.80 | $15,618.00 | $53.75 – $2,522.24 | 13 |
| Filter vena cava fem denali HCPCS C1880 | $6,039.00 | $10,065.00 | $894.08 – $7,517.40 | 13 |
| Finasteride, 5 mg HCPCS S0138 | $35.55 | $59.25 | $0.07 – $23.32 | 14 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,282.80 | $2,138.00 | $68.46 – $1,817.30 | 17 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $575.40 | $959.00 | $55.01 – $815.15 | 15 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $609.00 | $1,015.00 | $84.41 – $862.75 | 17 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $609.00 | $1,015.00 | $37.21 – $862.75 | 15 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $3,109.80 | $5,183.00 | $469.39 – $3,853.05 | 13 |
| Fix g/colon tube w/device CPT 49460 | $7,205.40 | $12,009.00 | $39.56 – $10,207.65 | 17 |
| Fl exam g/colon tube w contrast CPT 49465 | $626.40 | $1,044.00 | $26.11 – $887.40 | 17 |
| Flecainide (tambocor)-sendout CPT 80181 | $72.00 | $120.00 | $14.05 – $102.00 | 16 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $956.13 | 17 |
| Flow cytometry interp 16 or more CPT 88189 | $865.80 | $1,443.00 | $61.45 – $1,156.85 | 15 |
| Flow cytometry marker each additional CPT 88185 | $141.00 | $235.00 | $4.23 – $188.70 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $537.00 | $895.00 | $37.39 – $377.25 | 17 |
| Floxuridine injection HCPCS J9200 | $8,522.40 | $14,204.00 | $221.73 – $9,460.50 | 16 |
| Flt3 gene CPT 81245 | $1,168.80 | $1,948.00 | $131.34 – $390.15 | 17 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2,662.80 | $4,438.00 | $1.43 – $1,060.80 | 14 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $2,164.80 | $3,608.00 | $43.06 – $1,415.25 | 16 |
| Fluidotherapy charges pt CPT 97022 | $95.40 | $159.00 | $15.32 – $135.15 | 15 |
| Fluorescent antibody titer dna CPT 86256 | $123.00 | $205.00 | $10.02 – $164.05 | 17 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $393.60 | $656.00 | $55.32 – $557.60 | 15 |
| Fluoroguide needle placement CPT 77002 | $2,748.60 | $4,581.00 | $60.93 – $648.55 | 15 |
| Fluoroscopy up to 1 hour CPT 76000 | $826.80 | $1,378.00 | $20.90 – $1,171.30 | 17 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $106.20 | $177.00 | $1.26 – $106.25 | 14 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $299.40 | $499.00 | $4.61 – $198.05 | 15 |
| Fna bx w/ct gdn 1st les CPT 10009 | $609.00 | $1,015.00 | $102.33 – $862.75 | 17 |
| Fna bx w/ct gdn ea addl CPT 10010 | $575.40 | $959.00 | $74.79 – $815.15 | 15 |
| Fna bx w/mr gdn 1st les CPT 10011 | $574.80 | $958.00 | $76.81 – $814.30 | 16 |
| Fna bx w/mr gdn ea addl CPT 10012 | $575.40 | $959.00 | $76.81 – $815.15 | 14 |
| Folic acid CPT 82746 | $273.00 | $455.00 | $13.20 – $364.65 | 17 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.05 | $1.75 | $0.04 – $1.49 | 14 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $7,203.60 | $12,006.00 | $5.84 – $95.20 | 16 |
| Fondaparinux sodium HCPCS J1652 | $1,003.20 | $1,672.00 | $0.46 – $66.30 | 15 |
| Foot X-ray CPT 73630 | $419.40 | $699.00 | $31.24 – $594.15 | 16 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,537.20 | $2,562.00 | $0.06 – $13.60 | 14 |
| Foscarnet sodium injection HCPCS J1455 | $393.00 | $655.00 | $10.15 – $291.55 | 16 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $425.40 | $709.00 | $5.25 – $17.85 | 13 |
| Fracture assessment via dxa CPT 77086 | $316.20 | $527.00 | $17.02 – $447.95 | 16 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $399.60 | $666.00 | $33.00 – $566.10 | 16 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $222.00 | $370.00 | $33.00 – $314.50 | 17 |
| Fresh frozen plasma thawing ea un CPT 86927 | $129.00 | $215.00 | $27.46 – $182.75 | 15 |
| Fructosamine glycated protein CPT 82985 | $106.80 | $178.00 | $15.58 – $151.30 | 17 |
| Fundus photography with i&r 92250 CPT 92250 | $139.80 | $233.00 | $24.75 – $198.05 | 17 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.60 | $1.00 | $0.01 – $0.85 | 15 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $32.40 | $54.00 | $2.06 – $8.50 | 13 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $638.55 – $13,493.67 | 12 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,040.78 – $7,491.76 | 11 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,645.20 | $2,742.00 | $281.61 – $2,330.70 | 17 |
| G-tube reposition CPT 43761 | $3,960.60 | $6,601.00 | $103.87 – $5,610.85 | 17 |
| G6pc gene CPT 81250 | $364.20 | $607.00 | $54.35 – $515.95 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $614.40 | $1,024.00 | $60.10 – $870.40 | 12 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $7.20 | $12.00 | $0.17 – $10.20 | 14 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $15.00 | $25.00 | $0.93 – $10.20 | 14 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $66.00 | $110.00 | $9.30 – $93.50 | 14 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $26.40 | $44.00 | $2.20 – $37.40 | 17 |
| Galectin-3 CPT 82777 | $70.80 | $118.00 | $15.33 – $100.30 | 17 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,414.39 – $6,118.60 | 11 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,900.80 | $3,168.00 | $431.18 – $2,692.80 | 15 |
| Gamma glutamyltransferase CPT 82977 | $154.80 | $258.00 | $6.69 – $206.55 | 17 |
| Gammaglobulin iga CPT 82784 | $307.20 | $512.00 | $8.64 – $410.55 | 17 |
| Gammaglobulin ige CPT 82785 | $307.20 | $512.00 | $15.30 – $435.20 | 17 |
| Gamunex-c/gammaked HCPCS J1561 | $13,122.00 | $21,870.00 | $30.92 – $102.00 | 16 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,251.60 | $2,086.00 | $24.97 – $405.45 | 14 |
| Gardner vag dna quant CPT 87512 | $410.40 | $684.00 | $38.81 – $581.40 | 16 |
| Gba gene CPT 81251 | $1,191.60 | $1,986.00 | $43.91 – $1,688.10 | 16 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $1,333.20 | $2,222.00 | $1.98 – $1,405.90 | 15 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $704.40 | $1,174.00 | $25.16 – $260.28 | 16 |
| Generator barostim neo2 2014 HCPCS C1767 | $52,543.20 | $87,572.00 | $445.94 – $60,665.10 | 13 |
| Generator emblem MRI sicd subq HCPCS C1722 | $96,952.20 | $161,587.00 | $0.22 – $99,671.83 | 13 |
| Genetic tstg severe inh cond CPT 81443 | $12,863.40 | $21,439.00 | $395.08 – $2,693.42 | 16 |
| Genome sequence analysis CPT 81425 | $4,439.40 | $7,399.00 | $2,515.66 – $6,289.15 | 16 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $80.40 | $134.00 | $0.25 – $11.60 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $273.00 | $455.00 | $13.20 – $386.75 | 17 |
| Ghs HIV antibody CPT 86703 | $103.20 | $172.00 | $12.74 – $146.20 | 17 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $138.60 | $231.00 | $19.79 – $196.35 | 16 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,020.00 | $1,700.00 | $338.72 – $1,445.00 | 15 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $279.97 – $1,445.00 | 15 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,020.00 | $1,700.00 | $396.00 – $1,445.00 | 15 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $2,586.00 | $4,310.00 | $244.19 – $3,663.50 | 16 |
| Ghs abscess perianal iandd CPT 46050 | $1,635.60 | $2,726.00 | $83.23 – $2,317.10 | 17 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,180.40 | $3,634.00 | $169.72 – $3,088.90 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $162.60 | $271.00 | $15.90 – $230.35 | 16 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,771.20 | $2,952.00 | $95.03 – $2,136.90 | 17 |
| Ghs antibodies (torch) igm CPT 86694 | $71.40 | $119.00 | $13.37 – $101.15 | 17 |
| Ghs aspiration bladder - needle CPT 51100 | $616.80 | $1,028.00 | $32.98 – $873.80 | 17 |
| Ghs bladder cath - complex-foley CPT 51703 | $1,070.40 | $1,784.00 | $82.07 – $1,516.40 | 17 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $417.00 | $695.00 | $38.50 – $726.25 | 17 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,145.80 | $5,243.00 | $129.62 – $4,456.55 | 17 |
| Ghs change cysto/gastrost CPT 43762 | $1,761.60 | $2,936.00 | $34.21 – $2,495.60 | 17 |
| Ghs chemo IV push, ea addtl CPT 96411 | $298.20 | $497.00 | $58.18 – $422.45 | 17 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $348.60 | $581.00 | $32.61 – $493.85 | 17 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $3,009.60 | $5,016.00 | $172.70 – $4,263.60 | 17 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $642.60 | $1,071.00 | $42.90 – $910.35 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $865.80 | $1,443.00 | $40.15 – $1,226.55 | 17 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,547.40 | $2,579.00 | $98.45 – $2,192.15 | 17 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,635.60 | $2,726.00 | $550.23 – $2,317.10 | 16 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,769.00 | $4,615.00 | $256.85 – $3,922.75 | 17 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $268.40 – $1,918.35 | 12 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,632.20 | $4,387.00 | $550.23 – $3,728.95 | 16 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,607.80 | $6,013.00 | $736.75 – $5,111.05 | 16 |
| Ghs community re-entry 15 minutes CPT 97537 | $121.20 | $202.00 | $25.73 – $171.70 | 13 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $287.40 | $479.00 | $56.30 – $407.15 | 16 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $459.60 | $766.00 | $28.60 – $651.10 | 17 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $478.20 | $797.00 | $29.15 – $677.45 | 17 |
| Ghs cricothyroidotomy CPT 31605 | $4,669.80 | $7,783.00 | $185.56 – $6,615.55 | 17 |
| Ghs cutdown placement age 1 and over CPT 36425 | $87.60 | $146.00 | $15.40 – $418.48 | 17 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $163.80 | $273.00 | $14.13 – $232.05 | 17 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,635.60 | $2,726.00 | $112.75 – $2,317.10 | 17 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $508.80 | $848.00 | $93.83 – $720.80 | 15 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,353.60 | $2,256.00 | $101.39 – $1,917.60 | 17 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $623.40 | $1,039.00 | $138.62 – $883.15 | 16 |
| Ghs excision ingrown nail CPT 11765 | $266.40 | $444.00 | $55.00 – $418.99 | 17 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,966.80 | $3,278.00 | $174.87 – $2,786.30 | 16 |
| Ghs fb removal - incisional CPT 10121 | $451.20 | $752.00 | $71.50 – $1,699.17 | 17 |
| Ghs fb removal - non-incisional CPT 20520 | $865.80 | $1,443.00 | $68.75 – $1,699.17 | 17 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,771.00 | $6,285.00 | $71.50 – $5,342.25 | 17 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $85.20 | $142.00 | $6.49 – $120.70 | 17 |
| Ghs fish cytogen CPT 88271 | $71.40 | $119.00 | $19.91 – $89.25 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $236.40 | $394.00 | $47.57 – $298.35 | 16 |
| Ghs flow volume loop CPT 94375 | $201.00 | $335.00 | $31.00 – $326.57 | 17 |
| Ghs gastric intub aspiration lavage CPT 43753 | $235.20 | $392.00 | $18.16 – $333.20 | 17 |
| Ghs hcv amplificaiton CPT 87521 | $223.80 | $373.00 | $32.61 – $317.05 | 17 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $102.00 | $170.00 | $14.39 – $144.50 | 17 |
| Ghs hgb stability-thal CPT 83068 | $24.00 | $40.00 | $1.76 – $34.00 | 16 |
| Ghs histoplasma antigen CPT 87385 | $142.20 | $237.00 | $12.31 – $201.45 | 16 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $490.20 | $817.00 | $97.88 – $694.45 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,201.60 | $5,336.00 | $42.35 – $4,535.60 | 17 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $4,540.80 | $7,568.00 | $119.35 – $6,432.80 | 17 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,572.00 | $2,620.00 | $123.75 – $2,227.00 | 17 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $451.20 | $752.00 | $39.60 – $737.87 | 17 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $763.20 | $1,272.00 | $45.10 – $962.20 | 17 |
| Ghs inf midline insertion CPT 36140 | $4,540.80 | $7,568.00 | $105.24 – $6,432.80 | 15 |
| Ghs inhibitor screen CPT 85335 | $372.00 | $620.00 | $8.30 – $496.40 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $236.40 | $394.00 | $19.80 – $334.90 | 17 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $817.80 | $1,363.00 | $80.85 – $1,158.55 | 17 |
| Ghs inj tendon origin/insertion CPT 20551 | $481.80 | $803.00 | $42.64 – $682.55 | 17 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $118.55 – $933.66 | 12 |
| Ghs insertion of needle - bone CPT 36680 | $576.60 | $961.00 | $54.45 – $816.85 | 17 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $3,825.00 | $6,375.00 | $101.20 – $5,418.75 | 17 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $3,733.80 | $6,223.00 | $101.20 – $5,289.55 | 17 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $2,716.80 | $4,528.00 | $215.48 – $3,848.80 | 16 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $2,199.00 | $3,665.00 | $34.65 – $3,115.25 | 17 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $763.20 | $1,272.00 | $26.95 – $1,081.20 | 17 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $763.20 | $1,272.00 | $26.95 – $1,081.20 | 17 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $763.20 | $1,272.00 | $34.65 – $1,081.20 | 17 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $951.00 | $1,585.00 | $52.25 – $1,347.25 | 17 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $951.00 | $1,585.00 | $39.05 – $1,347.25 | 17 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,146.00 | $1,910.00 | $52.25 – $1,623.50 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $2,199.00 | $3,665.00 | $51.15 – $3,115.25 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $3,706.20 | $6,177.00 | $53.35 – $5,250.45 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $2,199.00 | $3,665.00 | $67.65 – $3,115.25 | 17 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $3,997.20 | $6,662.00 | $101.20 – $5,662.70 | 17 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $154.80 | $258.00 | $7.99 – $219.30 | 17 |
| Ghs low level laser therapy CPT 97039 | $138.00 | $230.00 | $25.73 – $195.50 | 13 |
| Ghs mbp CPT 83873 | $259.20 | $432.00 | $15.98 – $367.20 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $398.40 | $664.00 | $20.92 – $564.40 | 15 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $360.60 | $601.00 | $9.16 – $510.85 | 15 |
| Ghs musc test done w/n test comp CPT 95886 | $386.40 | $644.00 | $47.23 – $547.40 | 15 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $386.40 | $644.00 | $48.04 – $547.40 | 15 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $268.80 | $448.00 | $44.85 – $380.80 | 15 |
| Ghs myocardial strain img spckl track CPT 93356 | $889.20 | $1,482.00 | $21.92 – $1,259.70 | 13 |
| Ghs nailbed repair/nail removal CPT 11760 | $2,716.80 | $4,528.00 | $25.30 – $3,848.80 | 17 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,549.80 | $2,583.00 | $47.85 – $2,195.55 | 17 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,461.60 | $2,436.00 | $47.85 – $2,070.60 | 17 |
| Ghs nerve block axillary nerve CPT 64417 | $1,549.80 | $2,583.00 | $23.10 – $2,195.55 | 17 |
| Ghs nerve block brachial plexus CPT 64415 | $1,464.00 | $2,440.00 | $38.50 – $2,074.00 | 17 |
| Ghs nerve block celiac plexus CPT 64530 | $2,716.80 | $4,528.00 | $59.40 – $3,848.80 | 17 |
| Ghs nerve block interscaline CPT 64510 | $1,462.20 | $2,437.00 | $59.95 – $2,071.45 | 17 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,549.80 | $2,583.00 | $59.40 – $2,195.55 | 17 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,585.40 | $4,309.00 | $25.85 – $3,662.65 | 17 |
| Ghs nerve block suprascapular CPT 64418 | $1,048.20 | $1,747.00 | $38.50 – $1,484.95 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $464.40 | $774.00 | $76.99 – $657.90 | 15 |
| Ghs o2 saturation CPT 82810 | $106.20 | $177.00 | $9.08 – $150.45 | 17 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $75.00 | $125.00 | $40.88 – $106.25 | 15 |
| Ghs opcc repair cvp w subq port CPT 36576 | $4,599.00 | $7,665.00 | $191.51 – $6,515.25 | 17 |
| Ghs opcc repair cvp without subq port CPT 36575 | $4,466.40 | $7,444.00 | $41.04 – $6,327.40 | 17 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $159.60 | $266.00 | $22.41 – $226.10 | 16 |
| Ghs ot group caregiver training CPT 97552 | $44.40 | $74.00 | $7.88 – $62.90 | 13 |
| Ghs ot prosthetic training/15 min CPT 97761 | $121.20 | $202.00 | $45.72 – $171.70 | 13 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $104.40 | $174.00 | $43.50 – $147.90 | 13 |
| Ghs pacing - transcutaneous CPT 92953 | $822.00 | $1,370.00 | $134.19 – $1,164.50 | 16 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,320.00 | $2,200.00 | $138.06 – $1,870.00 | 13 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,321.20 | $2,202.00 | $125.37 – $1,871.70 | 13 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,547.40 | $2,579.00 | $68.20 – $2,192.15 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $3,226.80 | $5,378.00 | $97.24 – $4,571.30 | 17 |
| Ghs plngl fx pm cl CPT 26725 | $685.80 | $1,143.00 | $84.70 – $971.55 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | $63.00 | $105.00 | $6.05 – $89.25 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $186.00 | $310.00 | $26.85 – $263.50 | 16 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $81.60 | $136.00 | $8.98 – $115.60 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $336.60 | $561.00 | $13.34 – $151.30 | 17 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $78.60 | $131.00 | $7.70 – $111.35 | 17 |
| Ghs refill of implantable pump CPT 95990 | $253.20 | $422.00 | $42.41 – $358.70 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | $478.20 | $797.00 | $24.75 – $677.45 | 17 |
| Ghs removal pharyngeal foreign body CPT 42809 | $263.40 | $439.00 | $56.30 – $418.48 | 17 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $177.60 | $296.00 | $14.77 – $251.60 | 17 |
| Ghs reticulocyte count CPT 85044 | $81.00 | $135.00 | $4.01 – $114.75 | 17 |
| Ghs sedimentation rate CPT 85651 | $30.60 | $51.00 | $3.30 – $43.35 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $68.40 | $114.00 | $6.95 – $96.90 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $2,199.00 | $3,665.00 | $101.20 – $3,115.25 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $2,199.00 | $3,665.00 | $101.20 – $3,115.25 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $2,199.00 | $3,665.00 | $101.20 – $3,115.25 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $3,706.20 | $6,177.00 | $101.20 – $5,250.45 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,070.40 | $1,784.00 | $52.25 – $1,516.40 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,070.40 | $1,784.00 | $53.35 – $1,516.40 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,294.80 | $2,158.00 | $67.65 – $1,834.30 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $2,199.00 | $3,665.00 | $101.20 – $3,115.25 | 17 |
| Ghs sleep study unattended CPT 95800 | $1,719.00 | $2,865.00 | $51.00 – $303.16 | 17 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,864.80 | $3,108.00 | $64.27 – $2,641.80 | 17 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $855.60 | $1,426.00 | $240.33 – $1,212.10 | 17 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $428.40 | $714.00 | $105.87 – $606.90 | 13 |
| Ghs sphenopalatine ganglion block CPT 64505 | $928.20 | $1,547.00 | $59.95 – $1,314.95 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $1,070.40 | $1,784.00 | $171.29 – $1,516.40 | 13 |
| Ghs strapping shoulder - 29240 CPT 29240 | $460.20 | $767.00 | $21.45 – $651.95 | 17 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,463.40 | $2,439.00 | $129.80 – $2,073.15 | 17 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,101.60 | $1,836.00 | $103.40 – $1,560.60 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $774.00 | $1,290.00 | $80.30 – $1,096.50 | 17 |
| Ghs urine, hydroxproline total CPT 83505 | $264.60 | $441.00 | $22.58 – $374.85 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $249.60 | $416.00 | $8.25 – $116.45 | 17 |
| Ghs vaginal delivery only CPT 59409 | $7,320.60 | $12,201.00 | $619.68 – $4,100.40 | 16 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,990.20 | $3,317.00 | $470.10 – $2,819.45 | 16 |
| Gi inhouse confirmation CPT 87045 | $67.80 | $113.00 | $7.59 – $96.05 | 17 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $4,451.40 | $7,419.00 | $651.78 – $6,306.15 | 17 |
| Gi trc img intral esophagus CPT 91111 | $6,253.20 | $10,422.00 | $530.24 – $8,858.70 | 16 |
| Giardia lamblia antibody CPT 86674 | $100.20 | $167.00 | $13.68 – $141.95 | 16 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $2,251.20 | $3,752.00 | $115.20 – $1,066.75 | 16 |
| Glucagon plasma - sendout CPT 82943 | $144.60 | $241.00 | $13.28 – $204.85 | 17 |
| Glucose 1 hr post dose CPT 82950 | $144.60 | $241.00 | $4.41 – $204.85 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $40.80 | $68.00 | $2.20 – $57.80 | 17 |
| Glucose blood quantitative CPT 82947 | $123.00 | $205.00 | $3.65 – $174.25 | 17 |
| Glucose body fluid CPT 82945 | $123.00 | $205.00 | $3.65 – $174.25 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $303.00 | $505.00 | $11.96 – $429.25 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $3.60 – $28.90 | 17 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.70 | $19.50 | $0.29 – $11.90 | 17 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $81.00 | $135.00 | $6.97 – $114.75 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $359.40 | $599.00 | $17.27 – $509.15 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $387.60 | $646.00 | $17.21 – $549.10 | 17 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,810.80 | $3,018.00 | $463.24 – $1,926.95 | 16 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $74.40 | $124.00 | $27.28 – $105.40 | 13 |
| Graft axiofill 1000mg HCPCS J3590 | $3,597.00 | $5,995.00 | $13.25 – $45.05 | 13 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $3,463.20 | $5,772.00 | $34.21 – $406.33 | 14 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $28,358.40 | $47,264.00 | $60.78 – $1,751.00 | 13 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $23,563.20 | $39,272.00 | $6.60 – $6,662.02 | 13 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $39,576.60 | $65,961.00 | $22.66 – $2,392.71 | 13 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $3,645.60 | $6,076.00 | $64.31 – $5,164.60 | 13 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $38,730.60 | $64,551.00 | $36.87 – $493.85 | 13 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $3,681.60 | $6,136.00 | $85.98 – $591.60 | 13 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,849.80 | $13,083.00 | $17.23 – $344.25 | 13 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $48,211.20 | $80,352.00 | $4,546.96 – $17,567.80 | 13 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $3,681.60 | $6,136.00 | $89.10 – $344.25 | 13 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $63,333.60 | $105,556.00 | $21.34 – $1,878.07 | 13 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,260.40 | $5,434.00 | $38.28 – $1,765.19 | 13 |
| Granisetron 1 mg tab HCPCS Q0166 | $168.60 | $281.00 | $70.25 – $238.85 | 13 |
| Granisetron hcl injection HCPCS J1626 | $1,036.20 | $1,727.00 | $0.12 – $137.70 | 14 |
| Great toe with reduction 28495 CPT 28495 | $3,058.80 | $5,098.00 | $83.05 – $4,333.30 | 17 |
| Growth stimulation gene 2 CPT 83006 | $237.60 | $396.00 | $20.42 – $336.60 | 17 |
| Guid loc target vol rad tx CPT 77387 | $823.20 | $1,372.00 | $16.04 – $1,166.20 | 14 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $24,470.40 | $40,784.00 | $62.48 – $4,769.65 | 13 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $7,078.80 | $11,798.00 | $6.00 – $687.48 | 13 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,166.40 | $1,944.00 | $40.25 – $732.42 | 12 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,252.80 | $2,088.00 | $137.81 – $1,774.80 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $12,466.20 | $20,777.00 | $5.75 – $607.60 | 13 |
| H pylori (c-13) breath CPT 83013 | $401.40 | $669.00 | $62.60 – $568.65 | 17 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $525.60 | $876.00 | $2.78 – $507.45 | 15 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $421.80 | $703.00 | $0.51 – $59.71 | 15 |
| Hand X-ray CPT 73130 | $621.60 | $1,036.00 | $26.76 – $880.60 | 16 |
| Hand-held pefr meter a4614 HCPCS A4614 | $26.40 | $44.00 | $11.00 – $193.08 | 13 |
| Haptoglobin quantitative CPT 83010 | $186.00 | $310.00 | $11.69 – $263.50 | 17 |
| Harvest auto stem cells CPT 38206 | $1,788.00 | $2,980.00 | $81.41 – $2,533.00 | 17 |
| Hbb full gene sequence CPT 81364 | $2,080.80 | $3,468.00 | $207.80 – $2,947.80 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $1,117.80 | $1,863.00 | $29.95 – $1,583.55 | 16 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $733.80 | $1,223.00 | $305.75 – $1,039.55 | 12 |
| Hc nm fusion spect CT unlisted CPT 78999 | $679.20 | $1,132.00 | $122.97 – $962.20 | 15 |
| Hcg qualitative CPT 84703 | $42.00 | $70.00 | $6.99 – $56.10 | 17 |
| Hcg quantitative CPT 84702 | $386.40 | $644.00 | $13.99 – $459.85 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $7,995.60 | $13,326.00 | $145.77 – $11,327.10 | 17 |
| Head CT scan (with and without contrast) CPT 70470 | $2,953.20 | $4,922.00 | $157.72 – $4,183.70 | 17 |
| Head CT scan (with contrast) CPT 70460 | $2,654.40 | $4,424.00 | $147.40 – $3,760.40 | 17 |
| Head CT scan (without contrast) CPT 70450 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $250.80 | $418.00 | $15.66 – $355.30 | 17 |
| Hematocrit CPT 85014 | $55.80 | $93.00 | $2.20 – $79.05 | 17 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $85.20 | $142.00 | $14.00 – $120.70 | 16 |
| Hemodialysis one evaluation CPT 90935 | $1,389.00 | $2,315.00 | $286.45 – $1,751.00 | 16 |
| Hemoglobin CPT 85018 | $55.80 | $93.00 | $2.20 – $79.05 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $201.60 | $336.00 | $3.30 – $285.60 | 17 |
| Hemoglobin plasma CPT 83051 | $131.40 | $219.00 | $3.85 – $186.15 | 17 |
| Hemoglobin urine CPT 83069 | $108.60 | $181.00 | $3.26 – $153.85 | 16 |
| Hemoglobin-oxygen affinity CPT 82820 | $686.40 | $1,144.00 | $12.40 – $972.40 | 16 |
| Hemolysins and agglutinins incubated CPT 86941 | $91.80 | $153.00 | $11.25 – $122.40 | 17 |
| Hemophilus influenza antibdy CPT 86684 | $192.60 | $321.00 | $14.72 – $272.85 | 17 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,563.00 | $2,605.00 | $50.60 – $2,214.25 | 17 |
| Heparin assay CPT 85520 | $284.40 | $474.00 | $7.18 – $402.90 | 17 |
| Heparin bolus from bag HCPCS J1644 | $703.20 | $1,172.00 | $0.13 – $2.49 | 15 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $175.20 | $292.00 | $0.01 – $1.18 | 14 |
| Hepatitis a antibody igm CPT 86709 | $181.20 | $302.00 | $10.46 – $256.70 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $72.00 | $120.00 | $10.94 – $102.00 | 17 |
| Hepatitis b core antibody total CPT 86704 | $222.00 | $370.00 | $11.20 – $314.50 | 17 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $924.60 | $1,541.00 | $11.00 – $504.05 | 17 |
| Hepatitis b surface antibody CPT 86706 | $186.00 | $310.00 | $9.98 – $263.50 | 17 |
| Hepatitis c antibody CPT 86803 | $273.00 | $455.00 | $13.26 – $386.75 | 17 |
| Hepatitis d quantification CPT 87523 | $429.60 | $716.00 | $16.16 – $608.60 | 16 |
| Hepatobiliary system imaging CPT 78226 | $1,404.00 | $2,340.00 | $195.30 – $1,989.00 | 17 |
| Hereditary colon ca dsordrs CPT 81435 | $9,667.20 | $16,112.00 | $562.07 – $2,720.00 | 17 |
| Hernia Repair (Inguinal) CPT 49505 | $5,322.00 | $8,870.00 | $349.25 – $7,539.50 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $72.00 | $120.00 | $12.26 – $102.00 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $147.00 | $245.00 | $17.98 – $208.25 | 17 |
| Herpes simplex virus isolation CPT 87255 | $356.40 | $594.00 | $19.49 – $504.90 | 17 |
| Heterophile antibodies screening CPT 86308 | $144.60 | $241.00 | $4.81 – $204.85 | 17 |
| Hexa gene CPT 81255 | $1,501.20 | $2,502.00 | $47.81 – $1,688.10 | 17 |
| Hhv-6 dna quant CPT 87533 | $457.80 | $763.00 | $38.81 – $648.55 | 16 |
| Hip X-ray CPT 73502 | $419.40 | $699.00 | $19.72 – $594.15 | 16 |
| Histamine CPT 83088 | $412.80 | $688.00 | $14.30 – $584.80 | 17 |
| Histochemical stains add-on CPT 88314 | $122.40 | $204.00 | $17.75 – $173.40 | 15 |
| Hiv-1 ag ia CPT 87390 | $171.60 | $286.00 | $11.55 – $243.10 | 17 |
| Hla class i high defin qual CPT 86832 | $435.60 | $726.00 | $143.25 – $582.25 | 17 |
| Hla class i phenotype qual CPT 86830 | $404.40 | $674.00 | $75.36 – $256.70 | 17 |
| Hla class i&ii antibody qual CPT 86828 | $207.60 | $346.00 | $46.82 – $294.10 | 17 |
| Hla class ii high defin qual CPT 86833 | $435.60 | $726.00 | $130.23 – $582.25 | 17 |
| Hla class ii phenotype qual CPT 86831 | $288.60 | $481.00 | $64.60 – $408.85 | 17 |
| Hla i & ii typing hr CPT 81378 | $2,786.40 | $4,644.00 | $321.14 – $3,475.65 | 17 |
| Hla i & ii typing lr CPT 81370 | $2,362.80 | $3,938.00 | $373.69 – $3,347.30 | 17 |
| Hla i low res one antigen equiv ea CPT 81374 | $1,328.40 | $2,214.00 | $69.07 – $1,258.00 | 17 |
| Hla i typing 1 locus hr CPT 81380 | $1,113.60 | $1,856.00 | $164.72 – $1,577.60 | 17 |
| Hla i typing complete lr CPT 81372 | $1,672.20 | $2,787.00 | $265.20 – $2,368.95 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $888.00 | $1,480.00 | $113.54 – $666.40 | 17 |
| Hla i typing low res one locus ea CPT 81373 | $1,671.60 | $2,786.00 | $118.42 – $2,368.10 | 17 |
| Hla ii typing 1 loc hr CPT 81382 | $1,951.80 | $3,253.00 | $114.94 – $2,432.70 | 17 |
| Hla ii typing ag equiv lr CPT 81375 | $1,024.80 | $1,708.00 | $205.13 – $1,451.80 | 17 |
| Hla typing a b or c CPT 86813 | $874.80 | $1,458.00 | $53.90 – $752.25 | 17 |
| Hla typing dr/dq CPT 86816 | $210.60 | $351.00 | $28.04 – $298.35 | 17 |
| Hlth bhv assmt/reassessment CPT 96156 | $156.00 | $260.00 | $55.68 – $221.00 | 15 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $2.70 | $4.50 | $0.15 – $3.83 | 14 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.90 | $1.50 | $0.14 – $0.85 | 14 |
| Home sleep test/type 2 porta HCPCS G0398 | $1,238.40 | $2,064.00 | $138.62 – $1,754.40 | 15 |
| Home sleep test/type 3 porta HCPCS G0399 | $1,273.20 | $2,122.00 | $138.62 – $1,803.70 | 15 |
| Homocysteine CPT 83090 | $99.00 | $165.00 | $16.65 – $140.25 | 17 |
| Homogenization tissue CPT 87176 | $68.40 | $114.00 | $5.46 – $96.90 | 17 |
| Homovanillic acid (hva) CPT 83150 | $287.40 | $479.00 | $8.25 – $407.15 | 17 |
| Hpa-5 genotyping CPT 81109 | $938.40 | $1,564.00 | $96.60 – $1,329.40 | 16 |
| Hpv types 16 & 18 only CPT 87625 | $241.80 | $403.00 | $32.59 – $342.55 | 17 |
| Hrdtry cardmypy gene panel CPT 81439 | $9,382.20 | $15,637.00 | $525.27 – $13,291.45 | 16 |
| Hrdtry perph neurphy panel CPT 81448 | $24,539.40 | $40,899.00 | $462.31 – $6,223.70 | 16 |
| Htt gene detc abnor alleles CPT 81271 | $1,323.60 | $2,206.00 | $84.46 – $1,875.10 | 16 |
| Human epididymis protein 4 (he4) CPT 86305 | $204.00 | $340.00 | $19.34 – $289.00 | 17 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $316.80 | $528.00 | $0.23 – $56.03 | 15 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $236.40 | $394.00 | $0.25 – $11.09 | 14 |
| Hydration IV infusion each additional hour CPT 96361 | $298.20 | $497.00 | $9.90 – $422.45 | 17 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $422.40 | $704.00 | $34.79 – $598.40 | 17 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $256.80 | $428.00 | $9.23 – $34.85 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $12.75 | $21.25 | $0.04 – $3.41 | 15 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $1,343.40 | $2,239.00 | $0.25 – $0.85 | 13 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $17.55 | $29.25 | $1.88 – $15.30 | 14 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $0.60 | $1.00 | $0.25 – $3.33 | 13 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $248.40 | $414.00 | $7.70 – $351.90 | 17 |
| Hyoscyamine sulfate inj HCPCS J1980 | $73.20 | $122.00 | $4.32 – $51.00 | 13 |
| Hysterosalpingography s&i CPT 74740 | $2,214.00 | $3,690.00 | $71.57 – $3,136.50 | 16 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $150.00 | $250.00 | $11.00 – $212.50 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $463.20 | $772.00 | $121.28 – $656.20 | 12 |
| I131 iodide cap, rx HCPCS A9517 | $733.80 | $1,223.00 | $21.49 – $1,039.55 | 15 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $298.20 | $497.00 | $21.16 – $422.45 | 17 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $422.40 | $704.00 | $12.57 – $598.40 | 15 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $298.20 | $497.00 | $13.52 – $422.45 | 17 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $422.40 | $704.00 | $43.23 – $598.40 | 17 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $96.00 | $160.00 | $16.81 – $136.00 | 17 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $381.60 | $636.00 | $32.61 – $540.60 | 16 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $709.80 | $1,183.00 | $160.13 – $1,005.55 | 16 |
| Icatibant injection HCPCS J1744 | $26,994.60 | $44,991.00 | $121.17 – $1,274.15 | 16 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $96,952.20 | $161,587.00 | $0.22 – $123,844.32 | 13 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $54,276.00 | $90,460.00 | $0.22 – $130,021.45 | 13 |
| Icd crtp serena MRI HCPCS C2621 | $39,481.20 | $65,802.00 | $0.22 – $47,835.95 | 13 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $24,073.20 | $40,122.00 | $4,666.50 – $32,172.50 | 13 |
| Idarubicin hcl injection HCPCS J9211 | $3,685.20 | $6,142.00 | $23.15 – $5,220.70 | 14 |
| Idursulfase injection HCPCS J1743 | $6,966.00 | $11,610.00 | $352.61 – $9,868.50 | 16 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $1,083.60 | $1,806.00 | $15.91 – $761.60 | 14 |
| Igh gene rearrange amp meth CPT 81261 | $1,594.80 | $2,658.00 | $115.72 – $858.50 | 17 |
| Igh@ var region somatic mutation analy CPT 81263 | $2,296.20 | $3,827.00 | $273.70 – $1,739.10 | 17 |
| Igk rearrangeabn clonal pop CPT 81264 | $1,594.80 | $2,658.00 | $160.52 – $1,321.75 | 17 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $166.20 | $277.00 | $29.03 – $186.15 | 15 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $384.00 | $640.00 | $48.75 – $544.00 | 17 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $384.00 | $640.00 | $28.69 – $544.00 | 17 |
| Ikbkap gene CPT 81260 | $600.60 | $1,001.00 | $36.53 – $850.85 | 17 |
| Imatinib 100 mg tab HCPCS S0088 | $679.20 | $1,132.00 | $35.09 – $169.15 | 13 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $99.00 | $165.00 | $36.01 – $140.25 | 16 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $376.80 | $628.00 | $9.24 – $870.00 | 13 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $499.80 | $833.00 | $5.06 – $607.28 | 13 |
| Immune complex assay CPT 86332 | $192.60 | $321.00 | $22.65 – $272.85 | 17 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $14,005.20 | $23,342.00 | $28.61 – $328.10 | 16 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $920.40 | $1,534.00 | $19.04 – $108.74 | 16 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $6,606.00 | $11,010.00 | $49.75 – $256.70 | 16 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $400.80 | $668.00 | $19.34 – $505.75 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $400.80 | $668.00 | $19.34 – $567.80 | 17 |
| Immunoassay tumor qual CPT 86294 | $167.40 | $279.00 | $23.76 – $237.15 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $483.00 | $805.00 | $8.80 – $684.25 | 17 |
| Immunodiffusion nes CPT 86329 | $129.60 | $216.00 | $13.06 – $183.60 | 17 |
| Immunofixation electrophoresis serum CPT 86334 | $168.60 | $281.00 | $20.76 – $238.85 | 17 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $96.00 | $160.00 | $21.60 – $128.35 | 15 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $96.00 | $160.00 | $17.55 – $179.71 | 17 |
| Immunoglobulin assay CPT 86023 | $81.00 | $135.00 | $11.58 – $107.10 | 17 |
| Immunology procedure CPT 86849 | $34.20 | $57.00 | $8.33 – $48.45 | 12 |
| Impl neurostim electr perc CPT 63650 | $6,504.60 | $10,841.00 | $410.25 – $9,214.85 | 17 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $17,191.20 | $28,652.00 | $44.44 – $4,906.09 | 13 |
| Implant cochlear osia osi300 HCPCS L8690 | $9,325.80 | $15,543.00 | $799.92 – $32,566.47 | 13 |
| Implant single ventricular device 33975 CPT 33975 | $12,058.80 | $20,098.00 | $2,071.75 – $17,083.30 | 12 |
| Implant ureth bulk agent HCPCS L8606 | $2,887.20 | $4,812.00 | $312.91 – $2,486.73 | 13 |
| Imported lipodox inj HCPCS Q2049 | $4,018.20 | $6,697.00 | $470.68 – $5,692.45 | 16 |
| Imuglucerase injection HCPCS J1786 | $343.20 | $572.00 | $27.27 – $486.20 | 16 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $102.00 | $170.00 | $18.25 – $179.71 | 17 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,305.00 | $2,175.00 | $547.21 – $1,848.75 | 15 |
| In-111 pentetreotide HCPCS A9572 | $11,244.60 | $18,741.00 | $1,779.25 – $15,929.85 | 15 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,386.00 | $2,310.00 | $25.85 – $1,961.80 | 17 |
| Incision of breast lesion CPT 19020 | $3,825.00 | $6,375.00 | $80.30 – $5,418.75 | 17 |
| Incision of eardrum CPT 69420 | $2,611.20 | $4,352.00 | $81.95 – $3,699.20 | 17 |
| Incision tendon sheath CPT 26055 | $3,771.00 | $6,285.00 | $220.00 – $5,342.25 | 17 |
| Incisn of toe tndn CPT 28010 | $1,815.00 | $3,025.00 | $144.10 – $2,571.25 | 17 |
| Incisn windpipe CPT 31600 | $4,334.40 | $7,224.00 | $736.75 – $6,140.40 | 16 |
| Incobotulinumtoxin a HCPCS J0588 | $1,317.00 | $2,195.00 | $3.52 – $1,865.75 | 16 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $24.00 | $40.00 | $0.34 – $10.96 | 16 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $135.00 | $225.00 | $56.25 – $200.76 | 13 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $147.00 | $245.00 | $61.25 – $308.59 | 13 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $139.80 | $233.00 | $58.25 – $203.23 | 13 |
| Infect ag drug suscept pheno predict CPT 87900 | $607.20 | $1,012.00 | $86.08 – $860.20 | 17 |
| Infect ag eia influenza a or b ea CPT 87400 | $54.60 | $91.00 | $6.70 – $77.35 | 17 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,215.60 | $2,026.00 | $239.25 – $1,722.10 | 17 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $831.00 | $1,385.00 | $239.25 – $1,177.25 | 17 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,109.40 | $1,849.00 | $89.98 – $1,398.25 | 17 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $2,655.60 | $4,426.00 | $239.25 – $3,762.10 | 17 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $55.80 | $93.00 | $5.56 – $79.05 | 17 |
| Infect ag if hep delta agent CPT 87380 | $155.40 | $259.00 | $17.06 – $220.15 | 17 |
| Infect ag if pneumocystis carinii CPT 87281 | $79.80 | $133.00 | $11.13 – $113.05 | 17 |
| Infect ag if varicella zoster CPT 87290 | $115.20 | $192.00 | $12.47 – $163.20 | 16 |
| Infect ag na hep b amp CPT 87516 | $374.40 | $624.00 | $32.61 – $530.40 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | $441.60 | $736.00 | $39.81 – $625.60 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $255.60 | $426.00 | $32.59 – $362.10 | 17 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $595.80 | $993.00 | $89.03 – $844.05 | 17 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $372.00 | $620.00 | $0.02 – $527.00 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,970.00 | $4,950.00 | $387.31 – $4,207.50 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $125.40 | $209.00 | $11.13 – $177.65 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $67.80 | $113.00 | $12.84 – $96.05 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $192.00 | $320.00 | $11.13 – $272.00 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $99.00 | $165.00 | $13.36 – $140.25 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $174.00 | $290.00 | $9.60 – $246.50 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $57.60 | $96.00 | $9.60 – $81.60 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $168.60 | $281.00 | $22.38 – $238.85 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $118.20 | $197.00 | $11.13 – $140.25 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $115.80 | $193.00 | $11.13 – $164.05 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $108.00 | $180.00 | $11.13 – $153.00 | 17 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $334.20 | $557.00 | $47.35 – $473.45 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $372.00 | $620.00 | $17.00 – $91.01 | 17 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $257.40 | $429.00 | $25.51 – $101.15 | 17 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $386.40 | $644.00 | $34.64 – $547.40 | 17 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,493.40 | $2,489.00 | $374.29 – $1,994.95 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $355.80 | $593.00 | $32.61 – $504.05 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $398.40 | $664.00 | $32.61 – $564.40 | 17 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $385.80 | $643.00 | $38.73 – $514.25 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $257.40 | $429.00 | $25.51 – $101.15 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $39.04 – $106.25 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $109.95 – $297.50 | 17 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $477.00 | $795.00 | $32.61 – $199.75 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $481.80 | $803.00 | $201.62 – $504.05 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $848.40 | $1,414.00 | $198.20 – $1,201.90 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $483.00 | $805.00 | $39.81 – $573.75 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $602.40 | $1,004.00 | $39.81 – $853.40 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $411.00 | $685.00 | $39.81 – $582.25 | 17 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $606.00 | $1,010.00 | $79.08 – $858.50 | 17 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $657.60 | $1,096.00 | $132.55 – $931.60 | 17 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,930.00 | $6,550.00 | $19.63 – $1,192.76 | 17 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,125.60 | $1,876.00 | $12.88 – $150.45 | 16 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,432.80 | $2,388.00 | $12.62 – $287.30 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $30.00 | $50.00 | $11.00 – $98.16 | 15 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $345.00 | $575.00 | $34.32 – $488.75 | 17 |
| Initiation & management bipap/cpap initial day CPT 94660 | $987.60 | $1,646.00 | $138.25 – $1,399.10 | 16 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $155.40 | $259.00 | $2.93 – $220.15 | 16 |
| Inj andexxa, 10 mg HCPCS J7169 | $14,184.60 | $23,641.00 | $122.09 – $709.75 | 16 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $11,192.40 | $18,654.00 | $7.04 – $49.30 | 16 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $5,248.20 | $8,747.00 | $31.47 – $7,434.95 | 16 |
| Inj brixadi, more than 7 day HCPCS J0578 | $4,345.20 | $7,242.00 | $1,062.36 – $6,155.70 | 16 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $72.00 | $120.00 | $2.33 – $10.20 | 13 |
| Inj ceftolozane tazobactam HCPCS J0695 | $286.20 | $477.00 | $3.34 – $19.55 | 16 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $286.80 | $478.00 | $85.72 – $406.30 | 14 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $3.75 | $6.25 | $0.50 – $3.40 | 16 |
| Inj dx for sinogram CPT 20501 | $393.00 | $655.00 | $38.50 – $556.75 | 15 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $79.80 | $133.00 | $13.45 – $113.05 | 16 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,318.80 | $2,198.00 | $90.97 – $1,866.60 | 17 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,549.80 | $2,583.00 | $78.27 – $2,008.55 | 17 |
| Inj for ext venography CPT 36005 | $507.00 | $845.00 | $48.02 – $718.25 | 15 |
| Inj givosiran 0.5 mg HCPCS J0223 | $235.20 | $392.00 | $74.10 – $333.20 | 16 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $6,717.00 | $11,195.00 | $1,097.79 – $6,732.00 | 16 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $7.35 | $12.25 | $1.65 – $7.65 | 16 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $286.80 | $478.00 | $56.30 – $406.30 | 16 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4,345.80 | $7,243.00 | $32.04 – $153.00 | 16 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $1,039.80 | $1,733.00 | $14.91 – $199.75 | 14 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $108.00 | $180.00 | $45.00 – $153.00 | 13 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $6,460.20 | $10,767.00 | $60.55 – $9,151.95 | 16 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $105.00 | $175.00 | $0.54 – $7.65 | 14 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $691.20 | $1,152.00 | $122.09 – $724.20 | 16 |
| Inj multihance HCPCS A9577 | $86.40 | $144.00 | $1.10 – $45.05 | 14 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,218.80 | $3,698.00 | $110.28 – $3,143.30 | 16 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $5,749.20 | $9,582.00 | $977.36 – $8,144.70 | 16 |
| Inj ogivri 10 mg HCPCS Q5114 | $10,183.20 | $16,972.00 | $25.44 – $343.40 | 16 |
| Inj ontruzant 10 mg HCPCS Q5112 | $6,316.80 | $10,528.00 | $12.00 – $598.40 | 16 |
| Inj proc ankle arthr CPT 27648 | $841.20 | $1,402.00 | $27.50 – $1,191.70 | 15 |
| Inj proc elbow arthro CPT 24220 | $666.60 | $1,111.00 | $131.35 – $944.35 | 13 |
| Inj proc for lymphang CPT 38790 | $3,441.00 | $5,735.00 | $80.92 – $4,874.75 | 15 |
| Inj proc myelogram lumbar CPT 62284 | $1,000.80 | $1,668.00 | $87.49 – $1,417.80 | 15 |
| Inj progesterone per 50 mg HCPCS J2675 | $11.40 | $19.00 | $0.44 – $16.15 | 15 |
| Inj prohance multipack HCPCS A9576 | $40.80 | $68.00 | $0.89 – $57.80 | 14 |
| Inj scleros sol mult veins CPT 36471 | $1,430.40 | $2,384.00 | $100.23 – $2,026.40 | 17 |
| Inj scleros sol sgl vein CPT 36470 | $1,274.40 | $2,124.00 | $10.29 – $1,805.40 | 17 |
| Inj secretin synthetic human HCPCS J2850 | $169.20 | $282.00 | $37.66 – $239.70 | 16 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $43.50 | $72.50 | $11.27 – $45.05 | 16 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $398.40 | $664.00 | $11.74 – $149.60 | 14 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $85.20 | $142.00 | $12.69 – $120.70 | 16 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.60 | $1.00 | $0.03 – $14.57 | 15 |
| Inj testosterone cypionate HCPCS J1071 | $73.20 | $122.00 | $0.02 – $14.85 | 15 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $53.40 | $89.00 | $6.65 – $75.65 | 16 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $135.00 | $225.00 | $56.25 – $191.25 | 13 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $120.00 | $200.00 | $50.00 – $170.00 | 13 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | $288.00 | $480.00 | $61.16 – $408.00 | 16 |
| Inj w/fluor eval cv device CPT 36598 | $1,433.40 | $2,389.00 | $186.67 – $2,030.65 | 16 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $12.00 | $20.00 | $6.80 – $418.99 | 15 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $21.00 | $35.00 | $3.08 – $991.14 | 17 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | $25.80 | $43.00 | $3.77 – $36.55 | 16 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.00 | $5.00 | $1.70 – $4.25 | 16 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $99.60 | $166.00 | $21.43 – $141.10 | 16 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $11,671.20 | $19,452.00 | $25.15 – $221.00 | 16 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $1,086.00 | $1,810.00 | $265.59 – $1,538.50 | 16 |
| Inj, bupivacaine liposome HCPCS J0666 | $4.35 | $7.25 | $0.93 – $3.40 | 16 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $85.20 | $142.00 | $3.13 – $120.70 | 14 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $6.00 | $10.00 | $0.92 – $5.10 | 16 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | $229.20 | $382.00 | $57.59 – $324.70 | 16 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $7.20 | $12.00 | $2.61 – $10.20 | 16 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $39.60 | $66.00 | $5.78 – $29.54 | 16 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3.60 | $6.00 | $2.04 – $5.10 | 16 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $109.20 | $182.00 | $24.41 – $154.70 | 16 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $34.80 | $58.00 | $7.51 – $49.30 | 16 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $103.20 | $172.00 | $36.27 – $146.20 | 16 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $12.75 | $21.25 | $2.79 – $13.60 | 16 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $181.20 | $302.00 | $13.90 – $154.70 | 16 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $871.80 | $1,453.00 | $213.08 – $1,235.05 | 16 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $156.60 | $261.00 | $29.25 – $221.85 | 16 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $544.80 | $908.00 | $164.48 – $771.80 | 16 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $38,425.20 | $64,042.00 | $226.79 – $1,154.30 | 16 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $13,770.60 | $22,951.00 | $103.92 – $605.20 | 16 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $1,929.00 | $3,215.00 | $242.99 – $2,685.15 | 16 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $675.00 | $1,125.00 | $47.97 – $197.20 | 16 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | $52.80 | $88.00 | $13.42 – $74.80 | 16 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $2,716.80 | $4,528.00 | $2.03 – $36.55 | 16 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $85.80 | $143.00 | $2.03 – $121.55 | 16 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $313.20 | $522.00 | $80.47 – $443.70 | 16 |
| Inject sacroiliac joint CPT 27096 | $3,000.60 | $5,001.00 | $126.26 – $4,250.85 | 13 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $709.20 | $1,182.00 | $117.64 – $1,004.70 | 16 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $841.20 | $1,402.00 | $131.35 – $1,191.70 | 13 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $748.80 | $1,248.00 | $54.76 – $1,060.80 | 17 |
| Injection during cath supravalvular aortography CPT 93567 | $3,727.80 | $6,213.00 | $206.85 – $5,281.05 | 13 |
| Injection epidural blood patch or clot CPT 62273 | $1,546.80 | $2,578.00 | $52.80 – $2,191.30 | 17 |
| Injection for arthrography wrist (both sides) CPT 25246 | $666.60 | $1,111.00 | $131.35 – $944.35 | 13 |
| Injection for bladder x-ray CPT 51600 | $1,726.80 | $2,878.00 | $35.20 – $2,446.30 | 15 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $840.00 | $1,400.00 | $131.35 – $1,190.00 | 13 |
| Injection for ureter x-ray CPT 50690 | $2,628.00 | $4,380.00 | $47.30 – $3,723.00 | 15 |
| Injection glatiramer acetate HCPCS J1595 | $1,207.20 | $2,012.00 | $50.92 – $401.20 | 17 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $3,000.60 | $5,001.00 | $591.77 – $4,250.85 | 15 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $422.40 | $704.00 | $34.12 – $598.40 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $298.20 | $497.00 | $14.31 – $422.45 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $298.20 | $497.00 | $7.99 – $422.45 | 12 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $131.40 | $219.00 | $13.97 – $186.15 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $699.00 | $1,165.00 | $67.10 – $990.25 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $615.00 | $1,025.00 | $23.10 – $821.95 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,757.60 | $4,596.00 | $104.54 – $3,906.60 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,320.00 | $2,200.00 | $136.51 – $1,870.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,322.40 | $2,204.00 | $268.69 – $1,870.00 | 16 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,320.00 | $2,200.00 | $123.83 – $1,870.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,320.00 | $2,200.00 | $239.89 – $1,870.00 | 16 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,939.20 | $3,232.00 | $98.12 – $2,747.20 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,088.00 | $3,480.00 | $89.45 – $2,958.00 | 17 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,026.00 | $1,710.00 | $35.20 – $1,453.50 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $595.80 | $993.00 | $34.17 – $844.05 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $286.80 | $478.00 | $37.92 – $406.30 | 17 |
| Injection, cangrelor HCPCS C9460 | $2,314.80 | $3,858.00 | $11.20 – $62.05 | 16 |
| Injection, daratumumab 10 mg HCPCS J9145 | $198.60 | $331.00 | $34.53 – $175.95 | 16 |
| Injection, doxercalciferol HCPCS J1270 | $98.40 | $164.00 | $0.22 – $27.20 | 14 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,484.40 | $2,474.00 | $12.29 – $69.70 | 16 |
| Injection, fulvestrant HCPCS J9395 | $4,829.40 | $8,049.00 | $4.25 – $250.75 | 16 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $53.85 | $89.75 | $5.25 – $76.29 | 16 |
| Injection, isavuconazonium HCPCS J1833 | $738.00 | $1,230.00 | $0.41 – $2.55 | 16 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $15.60 | $26.00 | $3.62 – $22.10 | 16 |
| Injection, peramivir HCPCS J2547 | $6.75 | $11.25 | $1.28 – $9.56 | 16 |
| Injection, renflexis HCPCS Q5104 | $1,720.20 | $2,867.00 | $17.05 – $211.65 | 16 |
| Injection, siltuximab HCPCS J2860 | $471.00 | $785.00 | $69.00 – $383.35 | 16 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,965.60 | $3,276.00 | $4.10 – $28.05 | 16 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $8,027.40 | $13,379.00 | $1,411.33 – $7,965.35 | 16 |
| Ins cath ren art 1st bi CPT 36252 | $11,076.00 | $18,460.00 | $322.01 – $15,691.00 | 15 |
| Ins cath ren art 1st uni CPT 36251 | $7,507.80 | $12,513.00 | $247.21 – $10,636.05 | 17 |
| Ins cath ren art 2nd+ bi CPT 36254 | $11,865.00 | $19,775.00 | $371.55 – $16,808.75 | 15 |
| Ins cath ren art 2nd+ uni CPT 36253 | $7,959.00 | $13,265.00 | $344.41 – $11,275.25 | 17 |
| Ins icd gen exist sgl lead CPT 33240 | $34,386.00 | $57,310.00 | $1,312.26 – $48,713.50 | 16 |
| Ins picad w subq port 5yr> CPT 36571 | $2,961.00 | $4,935.00 | $503.41 – $4,194.75 | 16 |
| Ins pq tunnld ip cath w/img CPT 49418 | $14,346.00 | $23,910.00 | $2,234.51 – $20,323.50 | 16 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,792.40 | $4,654.00 | $790.16 – $3,955.90 | 16 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $3,352.80 | $5,588.00 | $679.30 – $5,669.06 | 16 |
| Ins tun intraperit dia cath CPT 49421 | $2,813.40 | $4,689.00 | $550.23 – $3,985.65 | 16 |
| Ins vag brachytx device CPT 57156 | $3,562.20 | $5,937.00 | $224.29 – $5,046.45 | 16 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $17,670.00 | $29,450.00 | $310.52 – $25,032.50 | 16 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $14,386.80 | $23,978.00 | $331.10 – $20,381.30 | 17 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $15,256.20 | $25,427.00 | $793.97 – $21,612.95 | 16 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $8,658.00 | $14,430.00 | $209.08 – $29,813.30 | 16 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $4,030.20 | $6,717.00 | $331.10 – $31,958.20 | 17 |
| Insert cath pleura with image CPT 32557 | $4,552.20 | $7,587.00 | $773.96 – $6,448.95 | 16 |
| Insert cath pleura without image CPT 32556 | $833.40 | $1,389.00 | $472.26 – $1,989.40 | 16 |
| Insert hepatic shunt (tips) CPT 37182 | $10,756.80 | $17,928.00 | $1,658.88 – $15,238.80 | 13 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $228.65 – $534.44 | 3 |
| Insert intrauterine device iud CPT 58300 | $513.00 | $855.00 | $18.98 – $726.75 | 14 |
| Insert pm/icd lead dual CPT 33217 | $9,288.60 | $15,481.00 | $707.25 – $13,158.85 | 16 |
| Insert sq defib electrode CPT 33271 | $18,924.60 | $31,541.00 | $333.12 – $26,809.85 | 16 |
| Insert swan-ganz cath CPT 93503 | $1,972.20 | $3,287.00 | $229.35 – $2,793.95 | 16 |
| Insert vad art access left hrt arterial access CPT 33990 | $2,074.20 | $3,457.00 | $377.68 – $2,938.45 | 13 |
| Insert/repl sq defib w/eltrd CPT 33270 | $34,387.20 | $57,312.00 | $405.38 – $48,715.20 | 16 |
| Insertion catheter bladder non indwelling CPT 51701 | $309.00 | $515.00 | $28.00 – $437.75 | 17 |
| Insertion catheter bladder temporary simple CPT 51702 | $495.00 | $825.00 | $30.26 – $701.25 | 17 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $12,931.20 | $21,552.00 | $484.12 – $18,319.20 | 13 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $11,923.20 | $19,872.00 | $2,502.27 – $16,891.20 | 16 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,587.60 | $2,646.00 | $124.53 – $3,300.84 | 17 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $21,200.40 | $35,334.00 | $509.38 – $30,033.90 | 17 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $18,169.20 | $30,282.00 | $507.30 – $25,739.70 | 17 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $21,211.80 | $35,353.00 | $814.86 – $30,050.05 | 13 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,798.20 | $2,997.00 | $96.13 – $2,547.45 | 17 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,798.20 | $2,997.00 | $76.74 – $2,547.45 | 17 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $9,282.00 | $15,470.00 | $392.35 – $13,149.50 | 17 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $8,850.60 | $14,751.00 | $3,040.85 – $12,538.35 | 16 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $4,450.80 | $7,418.00 | $707.52 – $6,305.30 | 16 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $67,256.40 | $112,094.00 | $1,602.70 – $95,279.90 | 16 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $8,266.80 | $13,778.00 | $181.39 – $11,711.30 | 17 |
| Insitu hybridization auto CPT 88367 | $1,083.60 | $1,806.00 | $135.22 – $951.15 | 17 |
| Insitu hybridization manual CPT 88368 | $785.40 | $1,309.00 | $89.47 – $990.25 | 17 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $176.63 – $412.87 | 4 |
| Inst fibrinolysis agent ini day CPT 32561 | $878.40 | $1,464.00 | $141.76 – $1,244.40 | 16 |
| Instill, bupivac and meloxic HCPCS C9088 | $1.80 | $3.00 | $0.28 – $2.55 | 13 |
| Insulin total CPT 83525 | $222.00 | $370.00 | $10.62 – $314.50 | 17 |
| Int hrhc lig 1 hroid without img CPT 46945 | $2,370.60 | $3,951.00 | $50.60 – $3,358.35 | 17 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $50.60 – $2,875.99 | 12 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $3,988.80 | $6,648.00 | $26.18 – $65.45 | 16 |
| Interrog dev eval icpms ip CPT 93290 | $123.60 | $206.00 | $19.20 – $175.10 | 17 |
| Interrog dev eval scrms ip CPT 93291 | $163.80 | $273.00 | $21.70 – $232.05 | 17 |
| Interrog device eval heart CPT 93289 | $235.80 | $393.00 | $15.30 – $99.87 | 17 |
| Interrog evl pm/ldls pm ip CPT 93288 | $369.60 | $616.00 | $26.69 – $523.60 | 17 |
| Interrogate subq defib CPT 93261 | $96.60 | $161.00 | $16.36 – $136.85 | 16 |
| Intra-atrial pacing CPT 93610 | $5,913.60 | $9,856.00 | $206.25 – $8,377.60 | 17 |
| Intra-atrial recording CPT 93602 | $6,265.80 | $10,443.00 | $125.40 – $8,876.55 | 17 |
| Intracard echo interv w/s&i CPT 93662 | $4,080.60 | $6,801.00 | $238.80 – $5,780.85 | 13 |
| Intracranial complete study CPT 93886 | $1,169.40 | $1,949.00 | $169.39 – $1,656.65 | 17 |
| Intracranial limited study CPT 93888 | $725.40 | $1,209.00 | $91.12 – $1,027.65 | 17 |
| Intraventricular pacing CPT 93612 | $6,268.20 | $10,447.00 | $206.25 – $8,879.95 | 17 |
| Intrinsic factor antibody CPT 86340 | $226.20 | $377.00 | $14.01 – $320.45 | 17 |
| Intro cath dialysis circuit CPT 36901 | $4,888.80 | $8,148.00 | $131.16 – $6,925.80 | 17 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,240.40 | $13,734.00 | $195.43 – $11,673.90 | 17 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $4,612.80 | $7,688.00 | $267.53 – $11,893.06 | 17 |
| Intro cath svc/ivc CPT 36010 | $8,350.20 | $13,917.00 | $125.95 – $11,829.45 | 15 |
| Intro catheter aorta CPT 36200 | $4,540.80 | $7,568.00 | $122.10 – $6,432.80 | 15 |
| Intro long gi tube CPT 44500 | $663.60 | $1,106.00 | $21.64 – $983.24 | 17 |
| Intro long gi tube w/mult fluo CPT 74340 | $761.40 | $1,269.00 | $147.61 – $1,078.65 | 13 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,152.80 | $3,588.00 | $897.00 – $3,049.80 | 13 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,547.40 | $2,579.00 | $79.20 – $2,192.15 | 17 |
| Ionm in operatng room 15 min CPT 95940 | $191.40 | $319.00 | $35.26 – $271.15 | 13 |
| Ionm remote/>1 pt or per hr CPT 95941 | $3,504.00 | $5,840.00 | $141.06 – $4,964.00 | 12 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $173.40 | $289.00 | $0.28 – $4.25 | 14 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $2,178.60 | $3,631.00 | $0.10 – $5.10 | 14 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $440.40 | $734.00 | $115.85 – $623.90 | 16 |
| Ipratropium bromide non-comp HCPCS J7644 | $49.35 | $82.25 | $0.10 – $53.55 | 15 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $1,572.00 | $2,620.00 | $1.11 – $399.50 | 14 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $115.20 | $192.00 | $28.11 – $163.20 | 16 |
| Iron CPT 83540 | $159.00 | $265.00 | $6.01 – $213.35 | 17 |
| Iron binding capacity CPT 83550 | $138.60 | $231.00 | $5.50 – $185.30 | 17 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $239.40 | $399.00 | $11.43 – $169.15 | 17 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $574.80 | $958.00 | $0.14 – $12.82 | 15 |
| Irradiation of blood product each unit reference CPT 86945 | $165.00 | $275.00 | $28.22 – $233.75 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $124.20 | $207.00 | $21.43 – $175.95 | 17 |
| Ivc venogram s&i CPT 75825 | $6,448.20 | $10,747.00 | $41.25 – $9,134.95 | 17 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $399.60 | $666.00 | $87.90 – $505.75 | 16 |
| Jak2 targeted sequence analysis CPT 81279 | $1,227.60 | $2,046.00 | $139.57 – $726.75 | 17 |
| John cunningham antibody CPT 86711 | $62.40 | $104.00 | $15.70 – $88.40 | 17 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $201.60 | $336.00 | $5.50 – $285.60 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $126.60 | $211.00 | $0.19 – $52.70 | 17 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,469.40 | $2,449.00 | $89.65 – $2,081.65 | 17 |
| Kidney imag w/bld flow multi CPT 78709 | $1,750.80 | $2,918.00 | $249.69 – $2,480.30 | 17 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,903.20 | $3,172.00 | $124.75 – $2,696.20 | 17 |
| Kit case 4.2mm spinejack HCPCS C1062 | $7,833.60 | $13,056.00 | $2,872.32 – $11,097.60 | 12 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,000.60 | $20,001.00 | $5,000.25 – $17,000.85 | 11 |
| Kit gene analys d816 variant CPT 81273 | $1,303.80 | $2,173.00 | $88.08 – $1,589.50 | 17 |
| Kit hfx iq ipg bundle HCPCS C1822 | $56,811.60 | $94,686.00 | $18,009.42 – $69,581.85 | 13 |
| Kit ipg optimizer smart HCPCS C1824 | $55,402.80 | $92,338.00 | $20,314.36 – $78,487.30 | 13 |
| Kit lead specify 5-6-5 HCPCS C1778 | $17,425.20 | $29,042.00 | $44.00 – $19,112.65 | 13 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,965.60 | $3,276.00 | $720.72 – $2,784.60 | 13 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $8,362.80 | $13,938.00 | $3,066.36 – $18,254.51 | 13 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,676.80 | $6,128.00 | $178.31 – $2,297.55 | 12 |
| Knee MRI (with and without contrast) CPT 73723 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 17 |
| Knee MRI (with contrast) CPT 73722 | $4,621.20 | $7,702.00 | $354.83 – $6,546.70 | 17 |
| Knee MRI (without contrast) CPT 73721 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 17 |
| Knee X-ray CPT 73564 | $419.40 | $699.00 | $37.53 – $594.15 | 16 |
| Kras gene addl variants CPT 81276 | $1,930.80 | $3,218.00 | $139.10 – $682.55 | 17 |
| Kras gene variants exon 2 CPT 81275 | $1,353.60 | $2,256.00 | $131.10 – $544.00 | 17 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,036.40 | $3,394.00 | $626.47 – $2,884.90 | 13 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $4.50 | $7.50 | $0.11 – $6.38 | 14 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $171.00 | $285.00 | $0.25 – $0.85 | 13 |
| Lactate dehydrogenase (ldh) CPT 83615 | $102.60 | $171.00 | $5.61 – $136.85 | 17 |
| Lactated ringers intravenous solution HCPCS J7120 | $108.00 | $180.00 | $0.00 – $18.63 | 15 |
| Lactic acid CPT 83605 | $159.00 | $265.00 | $8.80 – $225.25 | 17 |
| Lactoferrin fecal qualitative CPT 83630 | $119.40 | $199.00 | $13.54 – $169.15 | 17 |
| Lactoferrin fecal quant CPT 83631 | $194.40 | $324.00 | $18.24 – $275.40 | 17 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,069.14 – $7,491.76 | 11 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,862.37 – $7,491.76 | 11 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,646.97 – $7,491.76 | 11 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $215.40 | $359.00 | $21.50 – $305.15 | 16 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $818.32 – $6,118.60 | 11 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $2,164.36 – $10,918.43 | 11 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $790.44 – $10,918.43 | 12 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,228.24 – $10,918.43 | 11 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $747.98 – $6,118.60 | 11 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,244.42 – $6,118.60 | 11 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $1,646.97 – $6,118.60 | 9 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $3,769.20 | $6,282.00 | $344.04 – $5,339.70 | 16 |
| Laryngoscopy and dilation CPT 31528 | $3,769.20 | $6,282.00 | $517.24 – $5,339.70 | 16 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,632.20 | $4,387.00 | $129.80 – $3,728.95 | 17 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $3,716.40 | $6,194.00 | $77.00 – $5,264.90 | 17 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $13,576.80 | $22,628.00 | $2,344.46 – $19,233.80 | 13 |
| Lead capillary CPT 83655 | $67.20 | $112.00 | $11.00 – $95.20 | 17 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,132.20 | $6,887.00 | $0.22 – $7,112.63 | 13 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $13,024.20 | $21,707.00 | $1,073.75 – $24,493.72 | 13 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,092.20 | $3,487.00 | $159.46 – $2,963.95 | 17 |
| Leishmania antibody CPT 86717 | $159.00 | $265.00 | $11.38 – $225.25 | 16 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $609.00 | $1,015.00 | $112.50 – $1,015.79 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,429.20 | $2,382.00 | $88.25 – $1,288.59 | 12 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $2,022.60 | $3,371.00 | $281.48 – $1,288.42 | 12 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $117.60 | $196.00 | $2.03 – $162.35 | 14 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,559.80 | $5,933.00 | $954.16 – $5,467.08 | 17 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,967.00 | $4,945.00 | $111.41 – $2,169.89 | 17 |
| Levalbuterol non-comp unit HCPCS J7614 | $66.00 | $110.00 | $0.06 – $77.35 | 14 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $300.00 | $500.00 | $0.03 – $2.55 | 14 |
| Levetiracetam therapeutic drug level CPT 80177 | $72.00 | $120.00 | $12.31 – $102.00 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $325.80 | $543.00 | $1.60 – $126.65 | 14 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $19.80 | $33.00 | $4.34 – $28.05 | 14 |
| Liberta rc ipg HCPCS C1820 | $52,306.80 | $87,178.00 | $238.70 – $79,490.65 | 13 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.45 | $0.75 | $0.00 – $0.64 | 13 |
| Lidocaine therapeutic drug level CPT 80176 | $303.00 | $505.00 | $13.65 – $429.25 | 17 |
| Ligation major artery neck CPT 37615 | $3,192.60 | $5,321.00 | $714.63 – $4,522.85 | 16 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $136.40 – $1,699.17 | 12 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $883.80 | $1,473.00 | $2.25 – $96.05 | 14 |
| Lipase CPT 83690 | $210.00 | $350.00 | $5.50 – $297.50 | 17 |
| Lipoprotein blood high res frac & quant CPT 83701 | $188.40 | $314.00 | $30.51 – $266.90 | 17 |
| Lipoprotein blood quant CPT 83704 | $320.40 | $534.00 | $31.77 – $453.90 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $249.60 | $416.00 | $7.61 – $353.60 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $129.00 | $215.00 | $9.27 – $171.70 | 17 |
| Lithium therapeutic drug level CPT 80178 | $168.60 | $281.00 | $6.14 – $238.85 | 17 |
| Liver Function Test CPT 80076 | $201.00 | $335.00 | $7.59 – $267.75 | 17 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $1,030.20 | $1,717.00 | $66.41 – $1,459.45 | 17 |
| Liver/spleen imag static only CPT 78215 | $2,667.00 | $4,445.00 | $76.19 – $3,778.25 | 17 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $358.05 – $3,402.68 | 12 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $10.80 | $18.00 | $0.61 – $4.89 | 14 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $435.60 | $726.00 | $81.78 – $617.10 | 16 |
| Loop ostmy bridg ster HCPCS A4421 | $81.00 | $135.00 | $33.75 – $114.75 | 12 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1,342.20 | $2,237.00 | $0.75 – $16.61 | 15 |
| Low back disk surgery CPT 63030 | not published | not published | $1,646.97 – $7,491.76 | 11 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,785.80 | $4,643.00 | $157.72 – $3,946.55 | 17 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,654.40 | $4,424.00 | $165.60 – $3,760.40 | 17 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,621.20 | $7,702.00 | $316.41 – $6,546.70 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $419.40 | $699.00 | $34.28 – $594.15 | 17 |
| Lumizyme injection HCPCS J0221 | $966.60 | $1,611.00 | $130.44 – $1,369.35 | 16 |
| Lung Function Test (Spirometry) CPT 94010 | $171.60 | $286.00 | $16.50 – $243.10 | 17 |
| Lung function test (mbc/mvv) CPT 94200 | $109.80 | $183.00 | $9.90 – $155.55 | 17 |
| Lung perfusion imaging CPT 78580 | $1,322.40 | $2,204.00 | $86.90 – $1,873.40 | 17 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $423.60 | $706.00 | $84.16 – $600.10 | 16 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $313.20 | $522.00 | $26.51 – $119.00 | 16 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $483.00 | $805.00 | $97.47 – $684.25 | 15 |
| Lymph vessel x-ray trunk CPT 75805 | $1,597.20 | $2,662.00 | $96.25 – $3,300.84 | 17 |
| Lymph vessel x-ray trunk CPT 75807 | $1,784.40 | $2,974.00 | $103.40 – $3,300.84 | 17 |
| Lymphatics/lymph node imaging CPT 78195 | $6,783.00 | $11,305.00 | $198.00 – $9,609.25 | 17 |
| Lymphocyte culture mixed CPT 86821 | $667.80 | $1,113.00 | $33.98 – $946.05 | 17 |
| Lymphocyte transformation mitogen CPT 86353 | $537.60 | $896.00 | $45.56 – $761.60 | 17 |
| M.avium-intra dna amp prob CPT 87561 | $393.60 | $656.00 | $32.61 – $557.60 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $108.00 | $180.00 | $24.94 – $103.70 | 15 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $559.80 | $933.00 | $94.07 – $391.85 | 17 |
| M/phmtrc alysishquant/semiq CPT 88369 | $602.40 | $1,004.00 | $30.83 – $853.40 | 15 |
| MRA abdomen post contrast CPT 74185 | $5,659.80 | $9,433.00 | $463.03 – $8,018.05 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,528.20 | $7,547.00 | $463.36 – $3,086.35 | 15 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $5,661.00 | $9,435.00 | $586.63 – $8,019.75 | 13 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $4,528.80 | $7,548.00 | $316.41 – $6,415.80 | 15 |
| MRI breast c- unilateral CPT 77046 | $3,253.80 | $5,423.00 | $103.17 – $4,609.55 | 18 |
| MRI breast w IV cont bi CPT 77049 | $5,999.40 | $9,999.00 | $169.13 – $8,499.15 | 15 |
| MRI breast without cont bi CPT 77047 | $3,801.60 | $6,336.00 | $102.55 – $5,385.60 | 18 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $3,173.40 | $5,289.00 | $214.16 – $4,495.65 | 18 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $5,311.20 | $8,852.00 | $478.32 – $7,524.20 | 18 |
| MRI chest w IV cont CPT 71551 | $2,836.80 | $4,728.00 | $431.72 – $4,018.80 | 18 |
| MRI chest without & w/contrast CPT 71552 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| MRI chest without contrast CPT 71550 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| MRI guid parenchymal tiss ablation CPT 77022 | $3,441.00 | $5,735.00 | $760.92 – $4,874.75 | 12 |
| MRI loex nonjt w IV cont CPT 73719 | $4,359.60 | $7,266.00 | $316.41 – $6,176.10 | 17 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 17 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 17 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,178.60 | $3,631.00 | $316.41 – $3,086.35 | 18 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| MRI tmj CPT 70336 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 17 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 17 |
| MRI upper extremity w/dye CPT 73219 | $4,621.20 | $7,702.00 | $316.41 – $6,546.70 | 17 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $3,261.00 | $5,435.00 | $316.41 – $4,619.75 | 15 |
| Macroscopic exam arthropod CPT 87168 | $55.20 | $92.00 | $3.97 – $78.20 | 16 |
| Macroscopic exam parasite CPT 87169 | $49.80 | $83.00 | $4.01 – $70.55 | 16 |
| Magnesium CPT 83735 | $110.40 | $184.00 | $6.23 – $147.90 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $237.00 | $395.00 | $0.30 – $5.10 | 14 |
| Magnetic image bone marrow CPT 77084 | $2,412.60 | $4,021.00 | $214.16 – $3,417.85 | 18 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $186.00 | $310.00 | $31.07 – $263.50 | 16 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $316.80 | $528.00 | $41.98 – $448.80 | 16 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $146.40 | $244.00 | $5.16 – $23.80 | 13 |
| Map tachycard site(s) CPT 93609 | $3,500.40 | $5,834.00 | $257.40 – $4,958.90 | 15 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $95.40 | $159.00 | $20.27 – $135.15 | 16 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,036.40 | $3,394.00 | $13.25 – $282.06 | 13 |
| Mastoids complete CPT 70130 | $360.00 | $600.00 | $45.13 – $510.00 | 16 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $7,672.80 | $12,788.00 | $7.00 – $2,249.95 | 13 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $108.60 | $181.00 | $13.44 – $153.85 | 17 |
| Mayo aathr protein s free CPT 85306 | $250.80 | $418.00 | $14.24 – $355.30 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $158.40 | $264.00 | $14.24 – $224.40 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $72.00 | $120.00 | $21.80 – $102.00 | 16 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $440.40 | $734.00 | $7.26 – $623.90 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $154.80 | $258.00 | $13.74 – $219.30 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | $438.00 | $730.00 | $12.49 – $620.50 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $111.60 | $186.00 | $12.10 – $158.10 | 17 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,227.60 | $2,046.00 | $113.03 – $304.30 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,702.80 | $2,838.00 | $40.80 – $115.06 | 17 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,261.80 | $2,103.00 | $84.46 – $487.90 | 17 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $13,845.00 | $23,075.00 | $380.06 – $19,613.75 | 16 |
| Mayo androstenedione CPT 82157 | $490.20 | $817.00 | $27.21 – $694.45 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $249.60 | $416.00 | $13.57 – $353.60 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $108.60 | $181.00 | $10.05 – $153.85 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $111.60 | $186.00 | $13.99 – $158.10 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $229.80 | $383.00 | $28.68 – $306.00 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $372.00 | $620.00 | $14.11 – $527.00 | 17 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $100.20 | $167.00 | $9.46 – $141.95 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $1,114.20 | $1,857.00 | $103.81 – $1,112.65 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $240.00 | $400.00 | $11.99 – $320.45 | 17 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $99.00 | $165.00 | $12.26 – $140.25 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | $72.00 | $120.00 | $8.30 – $102.00 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $349.80 | $583.00 | $12.64 – $272.00 | 16 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $166.20 | $277.00 | $15.68 – $235.45 | 16 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $241.80 | $403.00 | $19.91 – $80.75 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $1,180.80 | $1,968.00 | $113.58 – $1,578.45 | 17 |
| Mayo ceruloplasmin CPT 82390 | $186.00 | $310.00 | $9.98 – $263.50 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $401.40 | $669.00 | $13.12 – $79.90 | 16 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $240.00 | $400.00 | $11.97 – $320.45 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $57.00 | $95.00 | $10.87 – $80.75 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $130.20 | $217.00 | $11.78 – $184.45 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $833.40 | $1,389.00 | $108.25 – $1,180.65 | 17 |
| Mayo chromium CPT 82495 | $325.20 | $542.00 | $6.60 – $85.00 | 17 |
| Mayo coccidioides antibody CPT 86635 | $131.40 | $219.00 | $10.66 – $175.95 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $711.60 | $1,186.00 | $21.20 – $398.65 | 17 |
| Mayo cortisol free CPT 82530 | $138.00 | $230.00 | $15.53 – $195.50 | 17 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $146.40 | $244.00 | $12.28 – $174.25 | 17 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $126.60 | $211.00 | $11.26 – $179.35 | 17 |
| Mayo cyanide CPT 82600 | $214.80 | $358.00 | $18.03 – $304.30 | 17 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $249.60 | $416.00 | $12.31 – $353.60 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $535.80 | $893.00 | $23.10 – $759.05 | 17 |
| Mayo dihydrotestosterone CPT 82642 | $602.40 | $1,004.00 | $20.06 – $853.40 | 16 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $103.80 | $173.00 | $8.96 – $147.05 | 16 |
| Mayo efpo chloride stool CPT 82438 | $102.60 | $171.00 | $3.30 – $145.35 | 17 |
| Mayo estriol CPT 82677 | $282.60 | $471.00 | $19.25 – $357.00 | 17 |
| Mayo estrone CPT 82679 | $490.20 | $817.00 | $14.30 – $694.45 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $249.60 | $416.00 | $14.30 – $353.60 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $72.00 | $120.00 | $12.76 – $102.00 | 17 |
| Mayo factor ii CPT 85210 | $225.00 | $375.00 | $4.40 – $318.75 | 17 |
| Mayo factor v CPT 85220 | $213.00 | $355.00 | $5.50 – $301.75 | 17 |
| Mayo factor vii CPT 85230 | $225.00 | $375.00 | $5.50 – $318.75 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $213.00 | $355.00 | $21.32 – $301.75 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $304.80 | $508.00 | $21.32 – $431.80 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $322.20 | $537.00 | $21.32 – $456.45 | 17 |
| Mayo factor x CPT 85260 | $178.80 | $298.00 | $13.20 – $253.30 | 17 |
| Mayo factor xi CPT 85270 | $201.00 | $335.00 | $13.20 – $284.75 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $600.60 | $1,001.00 | $4.42 – $850.85 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $264.60 | $441.00 | $13.71 – $374.85 | 17 |
| Mayo ffspg allergen clam igg CPT 86001 | $53.40 | $89.00 | $6.36 – $75.65 | 17 |
| Mayo fibrinogen antigen CPT 85385 | $75.60 | $126.00 | $10.90 – $107.10 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $72.00 | $120.00 | $13.47 – $102.00 | 17 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $10,180.80 | $16,968.00 | $26.75 – $90.95 | 12 |
| Mayo hemosiderin qualitative urine CPT 83070 | $27.00 | $45.00 | $3.30 – $38.25 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $513.60 | $856.00 | $32.61 – $727.60 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $371.40 | $619.00 | $32.61 – $526.15 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $174.00 | $290.00 | $12.82 – $246.50 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $322.20 | $537.00 | $13.20 – $430.95 | 17 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $66.60 | $111.00 | $8.26 – $94.35 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $97.20 | $162.00 | $12.56 – $137.70 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $464.40 | $774.00 | $22.55 – $657.90 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $138.60 | $231.00 | $0.34 – $25.26 | 16 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $282.60 | $471.00 | $13.93 – $377.40 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $451.20 | $752.00 | $19.34 – $601.80 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $400.80 | $668.00 | $19.34 – $567.80 | 17 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $119.40 | $199.00 | $14.93 – $159.80 | 16 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $117.60 | $196.00 | $11.13 – $166.60 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $345.00 | $575.00 | $32.61 – $488.75 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $350.40 | $584.00 | $19.83 – $398.65 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $371.40 | $619.00 | $32.61 – $526.15 | 16 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $372.00 | $620.00 | $21.64 – $527.00 | 16 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $309.00 | $515.00 | $39.81 – $437.75 | 17 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $712.80 | $1,188.00 | $44.51 – $1,009.80 | 17 |
| Mayo infliximab therapeutic drug level CPT 80230 | $699.60 | $1,166.00 | $21.80 – $102.00 | 16 |
| Mayo inhab inhibin a CPT 86336 | $1,046.40 | $1,744.00 | $14.49 – $1,319.20 | 16 |
| Mayo insft insulin free CPT 83527 | $131.40 | $219.00 | $12.03 – $186.15 | 17 |
| Mayo insulin antibodies CPT 86337 | $386.40 | $644.00 | $12.10 – $547.40 | 17 |
| Mayo iodine CPT 83789 | $711.60 | $1,186.00 | $22.41 – $952.00 | 16 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $72.00 | $120.00 | $15.31 – $102.00 | 16 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $72.00 | $120.00 | $12.31 – $102.00 | 17 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $292.80 | $488.00 | $11.89 – $414.80 | 17 |
| Mayo legionella antibody CPT 86713 | $78.60 | $131.00 | $14.22 – $111.35 | 17 |
| Mayo leptospira antibody igm CPT 86720 | $229.80 | $383.00 | $15.05 – $325.55 | 17 |
| Mayo lipoprotein electrophoresis CPT 83700 | $387.60 | $646.00 | $10.46 – $549.10 | 17 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $288.60 | $481.00 | $14.39 – $408.85 | 17 |
| Mayo manganese CPT 83785 | $110.40 | $184.00 | $15.85 – $156.40 | 16 |
| Mayo metanephrines plasma CPT 83835 | $307.20 | $512.00 | $14.30 – $435.20 | 17 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $83.40 | $139.00 | $7.88 – $118.15 | 17 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $83.40 | $139.00 | $6.94 – $118.15 | 17 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $126.60 | $211.00 | $8.70 – $179.35 | 17 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $102.60 | $171.00 | $16.83 – $95.20 | 17 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $4,014.60 | $6,691.00 | $104.70 – $431.80 | 16 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $513.00 | $855.00 | $139.57 – $726.75 | 16 |
| Mayo muramidase CPT 85549 | $225.60 | $376.00 | $17.42 – $319.60 | 17 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $83.40 | $139.00 | $6.94 – $118.15 | 16 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $711.60 | $1,186.00 | $16.77 – $96.90 | 17 |
| Mayo myoglobin CPT 83874 | $55.80 | $93.00 | $12.01 – $79.05 | 17 |
| Mayo nickel CPT 83885 | $178.20 | $297.00 | $12.10 – $252.45 | 17 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $298.20 | $497.00 | $19.71 – $422.45 | 17 |
| Mayo organic acids qualitative each specimen CPT 83919 | $102.00 | $170.00 | $15.29 – $144.50 | 17 |
| Mayo oxalate 24 hour urine CPT 83945 | $249.60 | $416.00 | $13.43 – $353.60 | 17 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $108.60 | $181.00 | $10.71 – $153.85 | 17 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $325.20 | $542.00 | $13.97 – $460.70 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $165.00 | $275.00 | $11.20 – $124.95 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $372.00 | $620.00 | $32.61 – $527.00 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $204.60 | $341.00 | $16.71 – $289.85 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $75.00 | $125.00 | $12.79 – $106.25 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $250.20 | $417.00 | $2.20 – $354.45 | 17 |
| Mayo pregnenolone CPT 84140 | $153.00 | $255.00 | $19.21 – $216.75 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $322.20 | $537.00 | $15.42 – $456.45 | 17 |
| Mayo proinsulin CPT 84206 | $178.80 | $298.00 | $8.80 – $253.30 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $192.60 | $321.00 | $17.09 – $272.85 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $83.40 | $139.00 | $17.10 – $110.50 | 16 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $133.20 | $222.00 | $12.42 – $188.70 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $192.60 | $321.00 | $24.20 – $272.85 | 17 |
| Mayo renin CPT 84244 | $355.80 | $593.00 | $13.20 – $504.05 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $255.60 | $426.00 | $16.57 – $342.55 | 17 |
| Mayo selenium CPT 84255 | $325.20 | $542.00 | $23.73 – $460.70 | 16 |
| Mayo serotonin CPT 84260 | $369.60 | $616.00 | $28.79 – $523.60 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $114.60 | $191.00 | $17.98 – $120.70 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $138.60 | $231.00 | $12.76 – $196.35 | 17 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $89.40 | $149.00 | $3.95 – $126.65 | 17 |
| Mayo tau phosphorylated 217 each CPT 84393 | $56.40 | $94.00 | $22.00 – $74.80 | 12 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $911.40 | $1,519.00 | $194.15 – $1,291.15 | 16 |
| Mayo tgrp testosterone free CPT 84402 | $422.40 | $704.00 | $23.67 – $598.40 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $478.20 | $797.00 | $23.99 – $677.45 | 17 |
| Mayo thyroglobulin CPT 84432 | $273.00 | $455.00 | $14.92 – $364.65 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $96.60 | $161.00 | $9.46 – $136.85 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $134.40 | $224.00 | $11.51 – $179.35 | 16 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $123.60 | $206.00 | $13.16 – $136.00 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $204.00 | $340.00 | $32.83 – $289.00 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $626.40 | $1,044.00 | $8.80 – $887.40 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | $114.60 | $191.00 | $15.85 – $162.35 | 16 |
| Mayo vitamin k CPT 84597 | $136.20 | $227.00 | $12.75 – $192.95 | 16 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $72.00 | $120.00 | $12.31 – $102.00 | 17 |
| Mcoln1 gene CPT 81290 | $227.40 | $379.00 | $36.53 – $322.15 | 16 |
| Measurement post void urine by ultrasound CPT 51798 | $205.20 | $342.00 | $11.71 – $290.70 | 17 |
| Mecp2 gene dup/delet variant CPT 81304 | $3,703.80 | $6,173.00 | $139.40 – $5,247.05 | 17 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $470.40 | $784.00 | $0.32 – $4.25 | 13 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $34.20 | $57.00 | $0.50 – $6.42 | 13 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $3,097.20 | $5,162.00 | $79.62 – $622.20 | 13 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $50,047.20 | $83,412.00 | $12,692.02 – $49,037.35 | 13 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $10.80 | $18.00 | $1.88 – $15.69 | 14 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $8,127.60 | $13,546.00 | $19.22 – $115.60 | 16 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $470.40 | $784.00 | $0.27 – $9.80 | 15 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $2,643.00 | $4,405.00 | $1.17 – $695.30 | 14 |
| Metabolic Blood Panel (Basic) CPT 80048 | $202.80 | $338.00 | $7.86 – $271.15 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $282.00 | $470.00 | $9.81 – $376.55 | 17 |
| Metabolic panel ionized ca CPT 80047 | $235.20 | $392.00 | $12.76 – $333.20 | 17 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $255.60 | $426.00 | $0.88 – $3.40 | 14 |
| Methadone injection HCPCS J1230 | $55.95 | $93.25 | $3.55 – $19.33 | 14 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $155.40 | $259.00 | $3.02 – $219.30 | 14 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $441.60 | $736.00 | $1.78 – $58.01 | 15 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $28.65 | $47.75 | $0.12 – $25.50 | 15 |
| Methotrexate therapeutic drug level CPT 80204 | $67.20 | $112.00 | $29.07 – $95.20 | 16 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,620.00 | $2,700.00 | $0.54 – $9.60 | 16 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $42.45 | $70.75 | $4.03 – $54.40 | 14 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $512.40 | $854.00 | $0.51 – $3.40 | 13 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $114.60 | $191.00 | $0.07 – $4.25 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $1.20 | $2.00 | $0.08 – $8.61 | 17 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $10.80 | $18.00 | $0.13 – $6.54 | 17 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $192.60 | $321.00 | $0.60 – $11.05 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $4.80 | $8.00 | $0.08 – $6.80 | 14 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $3.15 | $5.25 | $0.02 – $4.25 | 14 |
| Mgmt promoter methylation analysis CPT 81287 | $214.80 | $358.00 | $58.62 – $304.30 | 17 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $36.60 | $61.00 | $0.16 – $10.20 | 14 |
| Microdissection laser CPT 88380 | $600.60 | $1,001.00 | $150.36 – $850.85 | 12 |
| Microdissection manual CPT 88381 | $1,179.00 | $1,965.00 | $66.22 – $775.20 | 13 |
| Microsatellite instability CPT 81301 | $1,154.40 | $1,924.00 | $266.69 – $1,635.40 | 17 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $13,503.00 | $22,505.00 | $410.24 – $19,129.25 | 13 |
| Microwave bronch, 3d, ebus HCPCS C9751 | $3,707.40 | $6,179.00 | $2,100.86 – $5,252.15 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $1,714.80 | $2,858.00 | $0.10 – $22.10 | 15 |
| Mifepristone 200 mg ta HCPCS S0190 | $1,252.20 | $2,087.00 | $168.88 – $1,773.95 | 13 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $1,179.60 | $1,966.00 | $0.92 – $417.35 | 14 |
| Minocycline hydrochloride HCPCS J2265 | $444.60 | $741.00 | $0.60 – $2.94 | 16 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $133.20 | $222.00 | $26.72 – $188.70 | 16 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,847.80 | $11,413.00 | $12.85 – $2,424.20 | 16 |
| Mitomycin instillation HCPCS J9281 | $54,580.80 | $90,968.00 | $201.12 – $721.65 | 16 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $2,986.80 | $4,978.00 | $15.08 – $4,231.30 | 16 |
| Mlh1 gene CPT 81288 | $1,191.60 | $1,986.00 | $112.63 – $1,688.10 | 16 |
| Mlh1 gene dup/delete variant CPT 81294 | $1,522.80 | $2,538.00 | $167.79 – $2,157.30 | 17 |
| Mlh1 gene full seq CPT 81292 | $1,522.80 | $2,538.00 | $209.78 – $1,230.50 | 17 |
| Mlh1 gene known variants CPT 81293 | $1,215.00 | $2,025.00 | $52.02 – $364.10 | 17 |
| Mnt subs tx for change dx HCPCS G0270 | $24.60 | $41.00 | $10.25 – $55.10 | 12 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $23.40 | $39.00 | $5.16 – $41.50 | 17 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $14,856.60 | $24,761.00 | $2,381.37 – $22,633.86 | 13 |
| Mopath procedure level 1 CPT 81400 | $1,328.40 | $2,214.00 | $59.44 – $431.80 | 16 |
| Mopath procedure level 3 CPT 81402 | $2,169.60 | $3,616.00 | $101.11 – $556.75 | 16 |
| Mopath procedure level 5 CPT 81404 | $9,075.60 | $15,126.00 | $176.69 – $511.70 | 16 |
| Mopath procedure level 6 CPT 81405 | $9,041.40 | $15,069.00 | $222.70 – $900.06 | 16 |
| Mopath procedure level 7 CPT 81406 | $15,543.60 | $25,906.00 | $56.10 – $1,080.08 | 16 |
| Mopath procedure level 8 CPT 81407 | $3,400.80 | $5,668.00 | $786.44 – $2,232.10 | 16 |
| Mopath procedure level 9 CPT 81408 | $4,422.60 | $7,371.00 | $36.38 – $2,571.61 | 16 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $285.60 | $476.00 | $4.00 – $13.60 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $324.00 | $540.00 | $1.38 – $8.50 | 15 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $419.40 | $699.00 | $101.11 – $444.55 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $1,574.40 | $2,624.00 | $105.71 – $2,230.40 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $304.20 | $507.00 | $83.22 – $430.95 | 17 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $924.00 | $1,540.00 | $255.28 – $1,309.00 | 16 |
| Mpl gene analysis common variants CPT 81338 | $1,227.60 | $2,046.00 | $113.28 – $1,739.10 | 16 |
| Mr elastography CPT 76391 | $1,002.60 | $1,671.00 | $105.67 – $1,420.35 | 16 |
| Mr safety determination physician/other qhp CPT 76016 | $161.40 | $269.00 | $32.25 – $228.65 | 16 |
| Mr safety implant elec prepj CPT 76018 | $168.60 | $281.00 | $56.90 – $238.85 | 16 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $45.00 | $75.00 | $7.81 – $63.75 | 16 |
| Mr sfty med physics xm cstmz CPT 76017 | $444.00 | $740.00 | $135.66 – $629.00 | 16 |
| Mr spectroscopy CPT 76390 | $2,896.20 | $4,827.00 | $78.01 – $4,102.95 | 16 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,833.60 | $3,056.00 | $316.41 – $2,597.60 | 15 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,760.40 | $2,934.00 | $316.41 – $2,493.90 | 15 |
| Msh2 gene dup/delete variant CPT 81297 | $1,522.80 | $2,538.00 | $133.51 – $2,157.30 | 17 |
| Msh2 gene full seq CPT 81295 | $1,522.80 | $2,538.00 | $133.51 – $1,071.50 | 17 |
| Msh6 gene dup/delete variant CPT 81300 | $1,522.80 | $2,538.00 | $142.27 – $2,157.30 | 17 |
| Msh6 gene full seq CPT 81298 | $1,522.80 | $2,538.00 | $226.10 – $1,157.33 | 17 |
| Mthfr gene analy common variants CPT 81291 | $357.60 | $596.00 | $51.80 – $506.60 | 16 |
| Mucopolysaccharides CPT 83864 | $218.40 | $364.00 | $19.80 – $309.40 | 17 |
| Multiple sleep latency test CPT 95805 | $4,651.80 | $7,753.00 | $260.54 – $6,590.05 | 17 |
| Mumps antibody igg CPT 86735 | $298.20 | $497.00 | $12.13 – $422.45 | 16 |
| Muscle test cran nerv unilat CPT 95867 | $3,714.00 | $6,190.00 | $27.50 – $5,261.50 | 17 |
| Muscle test larynx CPT 95865 | $294.00 | $490.00 | $45.34 – $416.50 | 17 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $700.70 – $7,491.76 | 12 |
| Mycobacteria dna amp probe CPT 87551 | $363.00 | $605.00 | $44.83 – $514.25 | 16 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $100.20 | $167.00 | $0.10 – $22.95 | 15 |
| Mycophenolic acid HCPCS J7518 | $19.05 | $31.75 | $0.21 – $22.95 | 15 |
| Mycoplasma antibody igm CPT 86738 | $235.20 | $392.00 | $12.30 – $333.20 | 17 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,368.00 | $2,280.00 | $108.14 – $486.20 | 16 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,000.80 | $1,668.00 | $114.50 – $1,417.80 | 17 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,000.80 | $1,668.00 | $111.12 – $1,417.80 | 17 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,000.80 | $1,668.00 | $109.28 – $1,417.80 | 17 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,000.80 | $1,668.00 | $112.58 – $1,417.80 | 17 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $108.60 | $181.00 | $10.71 – $135.15 | 16 |
| N block inj hypogas plxs CPT 64517 | $1,726.20 | $2,877.00 | $115.47 – $2,445.45 | 17 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $5.55 | $9.25 | $0.03 – $7.86 | 14 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $24.00 | $40.00 | $2.03 – $9.35 | 14 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $0.60 | $1.00 | $0.05 – $0.85 | 14 |
| Naltrexone, depot form HCPCS J2315 | $33.60 | $56.00 | $2.68 – $1,703.34 | 17 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $2,857.80 | $4,763.00 | $64.75 – $4,048.55 | 17 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $91.80 | $153.00 | $18.77 – $243.53 | 15 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $1,000.80 | $1,668.00 | $133.62 – $1,417.80 | 16 |
| Natriuretic peptide CPT 83880 | $315.00 | $525.00 | $36.06 – $446.25 | 17 |
| Natural killer cells total count CPT 86357 | $631.80 | $1,053.00 | $35.06 – $895.05 | 17 |
| Navigational bronchoscopy 31627 CPT 31627 | $10,068.60 | $16,781.00 | $831.39 – $14,263.85 | 13 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $133.20 | $222.00 | $24.92 – $188.70 | 15 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,061.00 | $3,435.00 | $157.72 – $2,919.75 | 17 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,654.40 | $4,424.00 | $165.60 – $3,760.40 | 17 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,621.20 | $7,702.00 | $316.41 – $6,546.70 | 18 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 17 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $4,621.20 | $7,702.00 | $316.41 – $6,546.70 | 17 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 17 |
| Nelarabine injection HCPCS J9261 | $748.80 | $1,248.00 | $50.42 – $1,060.80 | 16 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $72.60 | $121.00 | $1.00 – $3.40 | 13 |
| Nerve conduction 7-8 studies CPT 95910 | $1,635.00 | $2,725.00 | $63.48 – $2,316.25 | 17 |
| Nerve conduction studies 11-12 CPT 95912 | $576.00 | $960.00 | $83.45 – $816.00 | 17 |
| Nerve conduction studies 13+ CPT 95913 | $521.40 | $869.00 | $93.45 – $738.65 | 17 |
| Nerve conduction studies 9-10 CPT 95911 | $3,241.20 | $5,402.00 | $73.75 – $4,591.70 | 17 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $973.01 – $6,716.06 | 11 |
| Nerve teasing preparations CPT 88362 | $159.60 | $266.00 | $52.84 – $856.70 | 16 |
| Neurolysis celiac plexus CPT 64680 | $3,557.40 | $5,929.00 | $80.85 – $5,039.65 | 17 |
| New Patient Office Visit (level 2) CPT 99202 | $183.60 | $306.00 | $38.86 – $260.10 | 15 |
| New Patient Office Visit (level 3) CPT 99203 | $238.80 | $398.00 | $59.67 – $338.30 | 15 |
| New Patient Office Visit (level 4) CPT 99204 | $303.00 | $505.00 | $99.41 – $429.25 | 15 |
| New Patient Office Visit (level 5) CPT 99205 | $663.60 | $1,106.00 | $129.29 – $940.10 | 15 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $17.55 | $29.25 | $0.04 – $2.55 | 14 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $4.05 | $6.75 | $0.68 – $5.74 | 14 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $104.40 | $174.00 | $19.57 – $107.10 | 16 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $291.00 | $485.00 | $78.51 – $412.25 | 16 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $1,559.40 | $2,599.00 | $282.16 – $2,209.15 | 16 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $685.80 | $1,143.00 | $116.49 – $971.55 | 16 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,544.40 | $2,574.00 | $90.60 – $2,187.90 | 17 |
| Njx aa&/strd vagus nrv CPT 64408 | $1,143.00 | $1,905.00 | $38.50 – $1,619.25 | 17 |
| Njx interlaminar crv/thrc CPT 62324 | $2,476.80 | $4,128.00 | $83.56 – $3,508.80 | 17 |
| Njx interlaminar lmbr/sac CPT 62326 | $3,717.60 | $6,196.00 | $81.77 – $5,266.60 | 17 |
| Njx interlaminar lmbr/sac CPT 62327 | $3,455.40 | $5,759.00 | $87.09 – $4,895.15 | 17 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $2,292.00 | $3,820.00 | $353.81 – $3,247.00 | 16 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,214.00 | $3,690.00 | $183.01 – $3,136.50 | 17 |
| Nm imaging bone/joint whole body CPT 78306 | $2,214.00 | $3,690.00 | $111.63 – $3,136.50 | 17 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,709.00 | $4,515.00 | $112.20 – $3,837.75 | 17 |
| Nm imaging gastric emptying study CPT 78264 | $2,111.40 | $3,519.00 | $148.49 – $2,991.15 | 17 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,795.80 | $2,993.00 | $70.40 – $2,544.05 | 17 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,404.00 | $2,340.00 | $210.15 – $1,989.00 | 17 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $688.20 | $1,147.00 | $125.40 – $974.95 | 17 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,417.20 | $2,362.00 | $262.00 – $2,007.70 | 17 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,335.00 | $2,225.00 | $102.38 – $1,891.25 | 17 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $2,632.80 | $4,388.00 | $110.79 – $3,729.80 | 17 |
| Noonan spectrum disorders CPT 81442 | $2,452.80 | $4,088.00 | $394.18 – $3,474.80 | 16 |
| Npm1 gene CPT 81310 | $2,182.20 | $3,637.00 | $31.96 – $271.17 | 17 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $14,978.40 | $24,964.00 | $1,100.00 – $21,219.40 | 17 |
| Nras gene variants exon 2&3 CPT 81311 | $1,133.40 | $1,889.00 | $208.67 – $523.60 | 17 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $4,144.20 | $6,907.00 | $283.86 – $5,870.95 | 16 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $3,819.00 | $6,365.00 | $295.68 – $5,410.25 | 16 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,215.80 | $8,693.00 | $374.88 – $7,389.05 | 17 |
| Nuclear rx intra-arterial CPT 79445 | $616.20 | $1,027.00 | $111.50 – $872.95 | 16 |
| Nushield 1 square cm HCPCS Q4160 | $2,889.00 | $4,815.00 | $57.23 – $3,424.78 | 13 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $2,820.00 | $4,700.00 | $760.26 – $3,995.00 | 16 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $534.60 | $891.00 | $40.14 – $266.90 | 16 |
| Observation direct referral from physician office for admission HCPCS G0379 | $138.00 | $230.00 | $31.88 – $642.97 | 14 |
| Observation per hour HCPCS G0378 | $793.20 | $1,322.00 | $27.85 – $1,074.19 | 11 |
| Obstetrical care 59410 CPT 59410 | $3,276.60 | $5,461.00 | $1,365.25 – $4,641.85 | 13 |
| Obstetrics panel CPT 80055 | $424.80 | $708.00 | $13.20 – $601.80 | 17 |
| Obtaining screen pap smear HCPCS Q0091 | $57.00 | $95.00 | $10.10 – $80.75 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $156.60 | $261.00 | $37.51 – $209.10 | 16 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $601.80 | $1,003.00 | $0.39 – $36.55 | 15 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $23,098.20 | $38,497.00 | $128.54 – $4,665.91 | 17 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $38.55 | $64.25 | $0.55 – $25.00 | 15 |
| Olanzapine long-acting inj HCPCS J2358 | $76.20 | $127.00 | $1.84 – $107.95 | 16 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,151.20 | $10,252.00 | $28.16 – $150.45 | 16 |
| Oncoprotein dcp CPT 83951 | $571.80 | $953.00 | $59.86 – $810.05 | 17 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $428.40 | $714.00 | $0.10 – $70.62 | 14 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $34.80 | $58.00 | $0.01 – $49.30 | 14 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $138.60 | $231.00 | $0.06 – $48.45 | 15 |
| Ophthalmic mitomycin HCPCS J7315 | $1,930.20 | $3,217.00 | $352.28 – $2,085.05 | 13 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $577.50 – $13,493.67 | 12 |
| Oral aprepitant HCPCS J8501 | $738.00 | $1,230.00 | $1.72 – $48.77 | 15 |
| Oral everolimus HCPCS J7527 | $1,281.00 | $2,135.00 | $0.87 – $26.35 | 14 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,040.78 – $3,700.99 | 11 |
| Organic acids total quant ea spec CPT 83918 | $165.00 | $275.00 | $21.93 – $233.75 | 17 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $105.60 | $176.00 | $17.49 – $70.55 | 16 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $366.00 | $610.00 | $3.11 – $272.00 | 14 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $725.40 | $1,209.00 | $141.75 – $1,027.65 | 13 |
| Orthopantogram CPT 70355 | $284.40 | $474.00 | $22.93 – $402.90 | 16 |
| Oscillation chest wall mechanical per session CPT 94669 | $316.80 | $528.00 | $24.36 – $448.80 | 16 |
| Osmolality blood CPT 83930 | $154.80 | $258.00 | $3.30 – $219.30 | 17 |
| Osmolality urine CPT 83935 | $154.80 | $258.00 | $3.30 – $219.30 | 17 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $492.80 – $7,491.76 | 12 |
| Ot evaluation high complexity patient/family CPT 97167 | $411.00 | $685.00 | $50.52 – $582.25 | 13 |
| Ot evaluation low complexity patient/family CPT 97165 | $411.00 | $685.00 | $50.52 – $582.25 | 13 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $411.00 | $685.00 | $50.52 – $549.10 | 13 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $102.60 | $171.00 | $30.19 – $182.92 | 13 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $124.20 | $207.00 | $49.66 – $175.95 | 13 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $110.40 | $184.00 | $23.13 – $156.40 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $138.00 | $230.00 | $33.29 – $195.50 | 15 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $129.60 | $216.00 | $14.30 – $183.60 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $257.40 | $429.00 | $13.04 – $364.65 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $257.40 | $429.00 | $13.64 – $364.65 | 15 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $110.40 | $184.00 | $9.22 – $156.40 | 15 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $110.40 | $184.00 | $18.43 – $156.40 | 15 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $115.80 | $193.00 | $25.73 – $164.05 | 13 |
| Oth resp proc, group HCPCS G0239 | $72.00 | $120.00 | $9.51 – $102.00 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $79.80 | $133.00 | $13.89 – $113.05 | 15 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $93.60 | $156.00 | $0.50 – $17.00 | 14 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $5,068.20 | $8,447.00 | $0.05 – $71.40 | 14 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $40.20 | $67.00 | $1.50 – $5.10 | 13 |
| PSA (Prostate) Test CPT 84153 | $131.40 | $219.00 | $17.09 – $175.95 | 17 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1,179.00 | $1,965.00 | $0.09 – $21.25 | 14 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $52.80 | $88.00 | $6.66 – $61.20 | 16 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $4,138.20 | $6,897.00 | $9.54 – $2,397.39 | 17 |
| Palonosetron hcl HCPCS J2469 | $1,461.60 | $2,436.00 | $0.22 – $195.50 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $4,918.20 | $8,197.00 | $6.09 – $2,192.15 | 14 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $364.20 | $607.00 | $109.25 – $515.95 | 16 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $201.00 | $335.00 | $5.05 – $21.25 | 13 |
| Papaverin hcl injection HCPCS J2440 | $61.20 | $102.00 | $2.70 – $34.00 | 13 |
| Parathormone (pth) intact CPT 83970 | $226.20 | $377.00 | $38.36 – $320.45 | 17 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,600.80 | $2,668.00 | $290.95 – $2,267.80 | 16 |
| Parathyroid planar imaging CPT 78070 | $1,125.60 | $1,876.00 | $98.19 – $1,594.60 | 17 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,750.80 | $2,918.00 | $240.02 – $2,480.30 | 17 |
| Paricalcitol HCPCS J2501 | $268.80 | $448.00 | $0.60 – $75.65 | 14 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $347.40 | $579.00 | $22.00 – $492.15 | 17 |
| Partial removal finger bone CPT 26236 | $4,321.20 | $7,202.00 | $302.50 – $6,121.70 | 17 |
| Partial removal foot fascia CPT 28060 | $3,958.20 | $6,597.00 | $215.05 – $5,607.45 | 17 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $17,505.00 | $29,175.00 | $2.54 – $3,304.80 | 13 |
| Passy muir valve metal trach HCPCS L8501 | $1,018.20 | $1,697.00 | $157.36 – $1,442.45 | 13 |
| Path clin consltj mod 21-40 CPT 80504 | $474.00 | $790.00 | $22.20 – $671.50 | 16 |
| Path clin consltj sf 5-20 CPT 80503 | $198.60 | $331.00 | $11.09 – $281.35 | 16 |
| Pdgfra gene CPT 81314 | $1,585.20 | $2,642.00 | $232.46 – $2,245.70 | 17 |
| Pegaspargase injection HCPCS J9266 | $19,415.40 | $32,359.00 | $2,480.08 – $31,266.47 | 16 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $2,401.80 | $4,003.00 | $56.41 – $1,668.55 | 16 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $1,329.00 | $2,215.00 | $82.81 – $1,882.75 | 16 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $10,699.80 | $17,833.00 | $67.14 – $1,262.25 | 16 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $684.60 | $1,141.00 | $116.75 – $969.85 | 16 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,238.60 | $3,731.00 | $62.59 – $3,171.35 | 16 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $395.40 | $659.00 | $87.11 – $560.15 | 16 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $526.20 | $877.00 | $88.85 – $745.45 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,953.20 | $4,922.00 | $157.72 – $4,183.70 | 17 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,654.40 | $4,424.00 | $154.10 – $3,760.40 | 17 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| Pelvic MRI (with and without contrast) CPT 72197 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $4,621.20 | $7,702.00 | $312.15 – $6,546.70 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,494.00 | $2,490.00 | $84.15 – $2,116.50 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $519.60 | $866.00 | $35.20 – $736.10 | 17 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $7,026.00 | $11,710.00 | $31.22 – $140.25 | 16 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,483.40 | $4,139.00 | $2.75 – $235.45 | 16 |
| Peng benzathine/procaine inj HCPCS J0558 | $7.20 | $12.00 | $4.08 – $21.47 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $507.60 | $846.00 | $9.87 – $33.01 | 16 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $192.60 | $321.00 | $0.50 – $6.80 | 14 |
| Penile injection CPT 54235 | $833.40 | $1,389.00 | $144.33 – $1,180.65 | 16 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $15,121.80 | $25,203.00 | $1,915.89 – $25,826.93 | 13 |
| Penile vascular study CPT 93980 | $1,179.60 | $1,966.00 | $94.21 – $1,671.10 | 17 |
| Pentamidine non-comp unit HCPCS J2545 | $1,311.00 | $2,185.00 | $44.03 – $761.60 | 14 |
| Pentobarbital sodium inj HCPCS J2515 | $63.60 | $106.00 | $3.36 – $32.30 | 13 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $17,506.20 | $29,177.00 | $2,163.27 – $24,800.45 | 15 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $23,537.40 | $39,229.00 | $2,163.27 – $33,344.65 | 12 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $17,505.00 | $29,175.00 | $2,163.27 – $24,798.75 | 15 |
| Perc d-e cor stent ather br HCPCS C9603 | $24,949.80 | $41,583.00 | $2,163.27 – $35,345.55 | 12 |
| Perc d-e cor stent ather s HCPCS C9602 | $18,556.80 | $30,928.00 | $2,163.27 – $26,288.80 | 15 |
| Perc drug-el cor stent bran HCPCS C9601 | $24,949.80 | $41,583.00 | $2,163.27 – $35,345.55 | 12 |
| Perc drug-el cor stent sing HCPCS C9600 | $18,556.80 | $30,928.00 | $2,163.27 – $26,288.80 | 15 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,422.60 | $2,371.00 | $25.67 – $175.95 | 14 |
| Peri-proc device eval icd CPT 93287 | $159.00 | $265.00 | $24.84 – $225.25 | 13 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,314.40 | $5,524.00 | $131.45 – $4,695.40 | 13 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,186.40 | $3,644.00 | $136.98 – $3,097.40 | 17 |
| Peripheral vascular rehab CPT 93668 | $322.80 | $538.00 | $52.63 – $457.30 | 15 |
| Perq clsr tcat l atr apndge CPT 33340 | $3,855.60 | $6,426.00 | $711.29 – $5,462.10 | 13 |
| Perq plmt bile duct stent CPT 47538 | $20,091.00 | $33,485.00 | $295.36 – $28,462.25 | 17 |
| Perq plmt bile duct stent CPT 47540 | $20,091.00 | $33,485.00 | $476.83 – $28,462.25 | 17 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,662.00 | $2,770.00 | $75.02 – $2,354.50 | 17 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $3,771.00 | $6,285.00 | $148.50 – $6,203.86 | 17 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | $1,215.00 | $2,025.00 | $506.25 – $1,721.25 | 12 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $39.60 | $66.00 | $8.24 – $56.10 | 16 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $829.80 | $1,383.00 | $83.04 – $1,175.55 | 12 |
| Pet CT skull-mid thgh initial CPT 78815 | $8,008.80 | $13,348.00 | $777.05 – $11,345.80 | 16 |
| Pet CT whole body initial CPT 78816 | $9,824.40 | $16,374.00 | $808.44 – $13,917.90 | 16 |
| Pet fdg brain metoblic eval sb CPT 78608 | $13,297.20 | $22,162.00 | $751.40 – $18,837.70 | 16 |
| Pet image full body CPT 78813 | $20,659.20 | $34,432.00 | $1,055.99 – $29,267.20 | 16 |
| Pet image ltd area CPT 78811 | $12,324.00 | $20,540.00 | $1,156.63 – $17,459.00 | 16 |
| Pet image skull-thigh CPT 78812 | $16,496.40 | $27,494.00 | $865.68 – $23,369.90 | 16 |
| Pet image w/ct lmtd CPT 78814 | $7,254.00 | $12,090.00 | $1,234.11 – $10,276.50 | 16 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $30,931.20 | $51,552.00 | $45.98 – $5,967.63 | 13 |
| Ph body fluid CPT 83986 | $67.80 | $113.00 | $2.20 – $96.05 | 17 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $42.15 | $70.25 | $3.47 – $30.17 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $273.00 | $455.00 | $14.22 – $386.75 | 17 |
| Phentolaine mesylate inj HCPCS J2760 | $1,032.60 | $1,721.00 | $48.36 – $475.22 | 16 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.60 | $1.00 | $0.00 – $0.01 | 13 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $765.60 | $1,276.00 | $0.29 – $51.00 | 14 |
| Phenytoin total therapeutic drug level CPT 80185 | $192.00 | $320.00 | $12.31 – $272.00 | 17 |
| Phlebotomy therapeutic CPT 99195 | $487.80 | $813.00 | $11.00 – $691.05 | 17 |
| Phosphorus CPT 84100 | $110.40 | $184.00 | $4.40 – $147.90 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $91.20 | $152.00 | $5.37 – $129.20 | 17 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $272.40 | $454.00 | $1.72 – $38.25 | 14 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,305.00 | $2,175.00 | $223.15 – $1,848.75 | 15 |
| Pin caspar distraction 12mm HCPCS C1821 | $29,164.20 | $48,607.00 | $872.96 – $3,372.80 | 13 |
| Pin finger dislocation CPT 26776 | not published | not published | $138.60 – $3,402.68 | 12 |
| Pinworm exam CPT 87172 | $49.20 | $82.00 | $3.97 – $69.70 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $165.60 | $276.00 | $0.68 – $11.05 | 14 |
| Place duod/jej tube perc CPT 49441 | $4,182.60 | $6,971.00 | $211.46 – $5,925.35 | 17 |
| Place gastrostomy tube perc CPT 49440 | $4,101.00 | $6,835.00 | $194.19 – $5,809.75 | 17 |
| Place non-slctv cath thoracic arta CPT 36221 | $29,488.80 | $49,148.00 | $190.76 – $41,775.80 | 17 |
| Place slctv cath carotd art uni CPT 36224 | $33,920.40 | $56,534.00 | $1,371.74 – $48,053.90 | 16 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $26,215.20 | $43,692.00 | $1,154.89 – $37,138.20 | 16 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $33,920.40 | $56,534.00 | $277.61 – $48,053.90 | 17 |
| Place slctv cath subclavian art CPT 36225 | $26,215.20 | $43,692.00 | $276.45 – $37,138.20 | 17 |
| Place slctv cath vertebral art uni CPT 36226 | $26,629.20 | $44,382.00 | $1,397.95 – $37,724.70 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,203.80 | $3,673.00 | $90.85 – $3,122.05 | 17 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $703.20 | $1,172.00 | $43.26 – $996.20 | 15 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $5,891.40 | $9,819.00 | $77.78 – $8,346.15 | 17 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,959.80 | $4,933.00 | $183.78 – $4,193.05 | 16 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,348.80 | $2,248.00 | $562.00 – $2,850.54 | 11 |
| Placement of seton CPT 46020 | not published | not published | $192.18 – $2,875.99 | 12 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $13,400.40 | $22,334.00 | $420.05 – $18,983.90 | 17 |
| Platelet aggregation each agent teg CPT 85576 | $166.20 | $277.00 | $23.15 – $235.45 | 17 |
| Platelet automated CPT 85049 | $102.60 | $171.00 | $3.30 – $145.35 | 17 |
| Platelets each unit HCPCS P9019 | $306.00 | $510.00 | $33.00 – $408.85 | 17 |
| Platelets irradiated ea unit HCPCS P9032 | $651.00 | $1,085.00 | $120.30 – $870.40 | 15 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $576.00 | $960.00 | $111.43 – $725.90 | 15 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $748.80 | $1,248.00 | $181.97 – $944.35 | 15 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $3,525.60 | $5,876.00 | $431.56 – $4,994.60 | 15 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,525.60 | $5,876.00 | $598.62 – $4,994.60 | 15 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,562.40 | $2,604.00 | $6.72 – $2,213.40 | 15 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $790.20 | $1,317.00 | $37.38 – $1,119.45 | 15 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $9,337.20 | $15,562.00 | $274.65 – $13,227.70 | 17 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,913.40 | $8,189.00 | $714.38 – $6,960.65 | 16 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,657.00 | $6,095.00 | $962.01 – $5,180.75 | 16 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $6,775.20 | $11,292.00 | $527.32 – $9,598.20 | 13 |
| Plerixafor injection HCPCS J2562 | $1,570.80 | $2,618.00 | $15.99 – $2,225.30 | 16 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $464.40 | $774.00 | $34.68 – $657.90 | 17 |
| Plmt access bil tree sm bwl CPT 47541 | $2,624.40 | $4,374.00 | $253.59 – $6,543.73 | 17 |
| Plmt biliary drainage cath CPT 47534 | $9,337.80 | $15,563.00 | $364.49 – $13,228.55 | 17 |
| Plmt nephroureteral catheter CPT 50433 | $11,458.80 | $19,098.00 | $759.80 – $16,233.30 | 16 |
| Plmt ureteral stent prq CPT 50694 | $8,743.80 | $14,573.00 | $788.45 – $12,387.05 | 16 |
| Pm device progr eval dual CPT 93280 | $216.00 | $360.00 | $33.04 – $306.00 | 17 |
| Pm device progr eval multi CPT 93281 | $255.60 | $426.00 | $33.04 – $362.10 | 17 |
| Pm phone r-strip device eval CPT 93293 | $241.80 | $403.00 | $33.04 – $342.55 | 17 |
| Pml/raralpha 1 breakpoint CPT 81316 | $1,180.80 | $1,968.00 | $192.65 – $1,672.80 | 17 |
| Pmp22 gene dup/delet CPT 81324 | $4,533.00 | $7,555.00 | $548.13 – $6,421.75 | 17 |
| Pms2 gene dup/delet variants CPT 81319 | $1,522.80 | $2,538.00 | $189.11 – $2,157.30 | 17 |
| Pms2 gene full seq analysis CPT 81317 | $1,522.80 | $2,538.00 | $226.10 – $1,496.15 | 17 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $360.60 | $601.00 | $24.23 – $510.85 | 17 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $36,493.80 | $60,823.00 | $52.28 – $365.50 | 16 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $9,867.00 | $16,445.00 | $572.58 – $13,187.75 | 17 |
| Porfimer sodium injection HCPCS J9600 | $105,045.60 | $175,076.00 | $4,829.04 – $113,936.55 | 16 |
| Positioner proc acufex leg acs HCPCS E0190 | $81.60 | $136.00 | $12.50 – $166.91 | 12 |
| Potassium 24 hour urine CPT 84133 | $126.60 | $211.00 | $4.40 – $179.35 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $171.00 | $285.00 | $0.07 – $0.64 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $102.60 | $171.00 | $4.42 – $54.40 | 17 |
| Pq biliary strict dil s&i CPT 74363 | $1,452.60 | $2,421.00 | $147.90 – $2,057.85 | 15 |
| Pq dr cath chg w cont s&i CPT 75984 | $6,457.80 | $10,763.00 | $19.25 – $9,148.55 | 15 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $7,489.80 | $12,483.00 | $4,244.22 – $10,610.55 | 16 |
| Pq thr inj ext pse CPT 36002 | $899.40 | $1,499.00 | $113.66 – $1,133.05 | 17 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $16,794.60 | $27,991.00 | $1,151.36 – $23,792.35 | 16 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $16,794.60 | $27,991.00 | $1,139.88 – $23,792.35 | 16 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,200.20 | $3,667.00 | $200.75 – $3,402.68 | 17 |
| Pr application of long arm splint CPT 29105 | $411.60 | $686.00 | $36.85 – $583.10 | 17 |
| Pr application splint static short arm CPT 29125 | $265.20 | $442.00 | $28.60 – $375.70 | 17 |
| Pr biopsy skin punch single lesion CPT 11104 | $873.60 | $1,456.00 | $44.47 – $1,237.60 | 17 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $30.00 | $50.00 | $17.00 – $42.50 | 16 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,769.20 | $6,282.00 | $158.09 – $5,339.70 | 17 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $229.80 | $383.00 | $34.69 – $325.55 | 17 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,786.40 | $4,644.00 | $736.75 – $3,947.40 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,873.40 | $4,789.00 | $44.00 – $4,070.65 | 17 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $3,228.60 | $5,381.00 | $88.55 – $4,573.85 | 17 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,008.00 | $1,680.00 | $337.77 – $1,428.00 | 16 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,008.00 | $1,680.00 | $57.75 – $1,428.00 | 17 |
| Pr incision & drainage abscess simple/single CPT 10060 | $478.20 | $797.00 | $25.85 – $677.45 | 17 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $2,199.00 | $3,665.00 | $103.19 – $3,115.25 | 17 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $451.20 | $752.00 | $33.55 – $639.20 | 17 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $721.80 | $1,203.00 | $10.89 – $1,022.55 | 15 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $736.75 – $2,047.90 | 11 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $2,497.20 | $4,162.00 | $33.00 – $3,537.70 | 17 |
| Pr removal intrauterine device CPT 58301 | $987.00 | $1,645.00 | $18.98 – $1,319.20 | 16 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $846.00 | $1,410.00 | $36.30 – $1,198.50 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $913.20 | $1,522.00 | $52.25 – $1,293.70 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $709.80 | $1,183.00 | $34.65 – $1,005.55 | 17 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $709.80 | $1,183.00 | $26.95 – $1,005.55 | 17 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $913.20 | $1,522.00 | $39.05 – $1,293.70 | 17 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $9,994.94 – $9,994.94 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,632.20 | $4,387.00 | $269.64 – $3,728.95 | 16 |
| Pralatrexate injection HCPCS J9307 | $723.60 | $1,206.00 | $247.91 – $1,025.10 | 16 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $2,624.40 | $4,374.00 | $161.98 – $3,717.90 | 13 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,624.40 | $4,374.00 | $142.03 – $3,717.90 | 13 |
| Prealbumin CPT 84134 | $62.40 | $104.00 | $13.56 – $88.40 | 17 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $250.80 | $418.00 | $0.15 – $9.55 | 15 |
| Prednisone 1 mg tablet HCPCS J7512 | $10.20 | $17.00 | $0.00 – $0.85 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,534.80 | $2,558.00 | $85.25 – $2,174.30 | 17 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $406.80 | $678.00 | $92.50 – $576.30 | 17 |
| Pregnancy associated plasma protein-a CPT 84163 | $144.60 | $241.00 | $13.99 – $182.75 | 17 |
| Pressure max expiratory/inspiratory CPT 94799 | $7,348.20 | $12,247.00 | $7.11 – $161.10 | 15 |
| Pressure velocity wire add ves CPT 93572 | $3,777.00 | $6,295.00 | $176.33 – $5,350.75 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $49.20 | $82.00 | $14.76 – $65.45 | 15 |
| Pretreat rbc density gradient separation reference CPT 86972 | $70.80 | $118.00 | $10.18 – $179.71 | 15 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $110.40 | $184.00 | $36.60 – $147.90 | 15 |
| Pretreat rbc w enzyme reference CPT 86971 | $219.00 | $365.00 | $44.87 – $310.25 | 15 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $139.20 | $232.00 | $15.29 – $179.71 | 15 |
| Prgr stim/pace a/iv drug CPT 93623 | $6,268.20 | $10,447.00 | $282.41 – $8,879.95 | 12 |
| Prgrmg dev eval impltbl sys CPT 93260 | $123.00 | $205.00 | $14.30 – $174.25 | 16 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $191.40 | $319.00 | $33.04 – $271.15 | 17 |
| Prgrmg dev eval scrms ip CPT 93285 | $192.00 | $320.00 | $29.85 – $272.00 | 17 |
| Prgrmg eval implantable dfb CPT 93282 | $231.60 | $386.00 | $33.04 – $328.10 | 17 |
| Prgrmg eval implantable dfb CPT 93283 | $265.20 | $442.00 | $33.04 – $375.70 | 17 |
| Prgrmg eval implantable dfb CPT 93284 | $298.80 | $498.00 | $33.04 – $423.30 | 17 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $26,668.20 | $44,447.00 | $2,617.11 – $37,779.95 | 16 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $9,309.60 | $15,516.00 | $1,535.88 – $13,188.60 | 13 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $6,624.60 | $11,041.00 | $225.50 – $6,798.87 | 13 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $225.00 | $375.00 | $24.98 – $324.16 | 16 |
| Procalcitonin CPT 84145 | $190.20 | $317.00 | $17.41 – $269.45 | 17 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $83.40 | $139.00 | $1.14 – $42.92 | 14 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $9.60 | $16.00 | $1.03 – $13.60 | 13 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,189.80 | $1,983.00 | $26.81 – $1,685.55 | 17 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $3,316.20 | $5,527.00 | $58.30 – $4,697.95 | 17 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,009.60 | $5,016.00 | $57.54 – $4,263.60 | 17 |
| Progesterone CPT 84144 | $400.80 | $668.00 | $18.70 – $567.80 | 17 |
| Prolactin CPT 84146 | $435.60 | $726.00 | $18.01 – $617.10 | 17 |
| Promethazine hcl injection HCPCS J2550 | $39.75 | $66.25 | $1.70 – $22.10 | 15 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $61.20 | $102.00 | $0.06 – $0.85 | 14 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $197.40 | $329.00 | $11.73 – $86.70 | 13 |
| Prostate biopsy, any mthd HCPCS G0416 | $309.00 | $515.00 | $129.08 – $781.96 | 15 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $427.20 | $712.00 | $156.64 – $747.62 | 13 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $122.40 | $204.00 | $1.10 – $6.80 | 14 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $6,432.60 | $10,721.00 | $1,232.00 – $4,760.00 | 13 |
| Protein c activity CPT 85303 | $307.20 | $512.00 | $12.86 – $434.35 | 17 |
| Protein c concentrate HCPCS J2724 | $123.00 | $205.00 | $9.50 – $174.25 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $235.20 | $392.00 | $9.98 – $333.20 | 17 |
| Protein s total CPT 85305 | $105.00 | $175.00 | $10.79 – $148.75 | 17 |
| Protein total 24 hour urine CPT 84156 | $25.20 | $42.00 | $3.41 – $35.70 | 17 |
| Protein total body fluid CPT 84157 | $67.80 | $113.00 | $3.72 – $96.05 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $144.60 | $241.00 | $3.41 – $204.85 | 17 |
| Prothrombin complex kcentra HCPCS J7168 | $8.25 | $13.75 | $1.33 – $7.65 | 16 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $96.00 | $160.00 | $3.66 – $120.70 | 17 |
| Prp i/hern init block >5 yr CPT 49507 | $9,925.80 | $16,543.00 | $1,326.21 – $14,061.55 | 16 |
| Prq card revasc mi 1 vsl CPT 92941 | $26,415.60 | $44,026.00 | $581.00 – $37,422.10 | 13 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $18,556.80 | $30,928.00 | $2,163.27 – $26,288.80 | 12 |
| Prq card stent w/angio addl CPT 92929 | $26,415.60 | $44,026.00 | $1,327.62 – $37,422.10 | 12 |
| Prq cardiac angio addl art CPT 92921 | $17,391.60 | $28,986.00 | $123.06 – $24,638.10 | 12 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $26,415.60 | $44,026.00 | $859.73 – $37,422.10 | 16 |
| Prq trlml c athrc st angiop1 CPT 92933 | $24,920.40 | $41,534.00 | $961.43 – $35,303.90 | 16 |
| Prq trluml c angiop 1art&/br CPT 92920 | $17,391.60 | $28,986.00 | $773.91 – $24,638.10 | 16 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $33,162.60 | $55,271.00 | $507.59 – $46,980.35 | 16 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $183.60 | $306.00 | $21.96 – $260.10 | 17 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $100.20 | $167.00 | $25.73 – $141.95 | 13 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $91.20 | $152.00 | $20.59 – $129.20 | 13 |
| Pt evaluation high complexity patient/family CPT 97163 | $345.00 | $575.00 | $52.05 – $488.75 | 13 |
| Pt evaluation low complexity patient/family CPT 97161 | $345.00 | $575.00 | $52.05 – $488.75 | 13 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $345.00 | $575.00 | $52.05 – $488.75 | 13 |
| Pt re-evaluation patient/family CPT 97164 | $129.60 | $216.00 | $35.28 – $183.60 | 15 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $478.20 | $797.00 | $74.76 – $677.45 | 12 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $110.40 | $184.00 | $20.44 – $156.40 | 12 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $110.40 | $184.00 | $9.22 – $156.40 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $110.40 | $184.00 | $18.43 – $156.40 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $121.20 | $202.00 | $25.73 – $171.70 | 13 |
| Pten gene dup/delet variant CPT 81323 | $357.00 | $595.00 | $51.62 – $505.75 | 16 |
| Pten gene full sequence CPT 81321 | $400.80 | $668.00 | $227.12 – $660.00 | 16 |
| Pten gene known fam variant CPT 81322 | $40.80 | $68.00 | $23.12 – $57.80 | 16 |
| Pulmonary vent imaging CPT 78579 | $748.80 | $1,248.00 | $141.88 – $1,060.80 | 17 |
| Pulse ox continuous overnight monitoring CPT 94762 | $532.20 | $887.00 | $31.90 – $753.95 | 16 |
| Pulse ox multiple CPT 94761 | $416.40 | $694.00 | $4.25 – $589.90 | 15 |
| Pulse ox single CPT 94760 | $201.00 | $335.00 | $2.18 – $284.75 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $58.80 | $98.00 | $14.30 – $135.18 | 17 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $287.40 | $479.00 | $26.40 – $418.99 | 17 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,230.60 | $2,051.00 | $46.20 – $1,743.35 | 17 |
| Puraply 1 sq cm HCPCS Q4195 | $3,953.40 | $6,589.00 | $46.78 – $1,923.55 | 13 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $2,976.60 | $4,961.00 | $48.60 – $4,216.85 | 15 |
| Pvb thoracic cont infusion CPT 64463 | $2,976.60 | $4,961.00 | $111.16 – $4,216.85 | 16 |
| Pvb thoracic single inj site CPT 64461 | $2,976.60 | $4,961.00 | $77.09 – $3,752.75 | 17 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $58.80 | $98.00 | $0.92 – $20.40 | 14 |
| Pyruvate CPT 84210 | $298.20 | $497.00 | $8.80 – $422.45 | 17 |
| Pyruvate kinase CPT 84220 | $130.80 | $218.00 | $8.77 – $185.30 | 17 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,655.60 | $4,426.00 | $245.43 – $3,762.10 | 17 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,798.20 | $2,997.00 | $160.27 – $2,547.45 | 17 |
| Quest t3 uptake CPT 84479 | $255.60 | $426.00 | $6.01 – $342.55 | 17 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $4,032.00 | $6,720.00 | $11.00 – $1,490.90 | 17 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $6,998.40 | $11,664.00 | $11.00 – $991.10 | 17 |
| Radiation physics consult CPT 77336 | $495.00 | $825.00 | $53.90 – $701.25 | 17 |
| Radiation therapy dose plan CPT 77300 | $595.80 | $993.00 | $40.15 – $844.05 | 17 |
| Radiation treatment aid(s) CPT 77332 | $1,024.80 | $1,708.00 | $60.50 – $1,451.80 | 17 |
| Radiation treatment aid(s) CPT 77334 | $1,772.40 | $2,954.00 | $100.65 – $2,510.90 | 17 |
| Radiation treatment delivery CPT 77402 | $1,024.80 | $1,708.00 | $23.65 – $1,451.80 | 17 |
| Radiation treatment delivery CPT 77412 | $1,953.60 | $3,256.00 | $48.40 – $2,767.60 | 17 |
| Radiology port images(s) CPT 77417 | $142.20 | $237.00 | $14.21 – $201.45 | 15 |
| Radiotherapy dose plan imrt CPT 77301 | $12,731.40 | $21,219.00 | $914.88 – $18,036.15 | 17 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,646.00 | $4,410.00 | $120.98 – $3,748.50 | 17 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,002.60 | $6,671.00 | $235.01 – $5,670.35 | 17 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,764.20 | $4,607.00 | $341.35 – $3,915.95 | 17 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,929.80 | $4,883.00 | $300.49 – $4,150.55 | 17 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,082.40 | $1,804.00 | $94.34 – $1,533.40 | 17 |
| Radphm quant measure sgl area add-on CPT 78835 | $2,764.20 | $4,607.00 | $44.15 – $3,915.95 | 15 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $186.00 | $310.00 | $36.84 – $166.60 | 16 |
| Ranibizumab injection HCPCS J2778 | $844.80 | $1,408.00 | $38.76 – $869.06 | 16 |
| Rapid Strep Test CPT 87880 | $62.40 | $104.00 | $6.93 – $88.40 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $12,075.00 | $20,125.00 | $238.37 – $3,722.15 | 16 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $71,857.80 | $119,763.00 | $137.53 – $736.10 | 16 |
| Rbc count only automated CPT 85041 | $22.80 | $38.00 | $2.35 – $32.30 | 17 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,321.80 | $2,203.00 | $562.95 – $1,872.55 | 15 |
| Rbc irradiated each unit HCPCS P9038 | $510.60 | $851.00 | $132.20 – $682.55 | 15 |
| Rbc serum pretx incubj drugs CPT 86975 | $192.60 | $321.00 | $43.11 – $418.48 | 15 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,825.67 – $6,203.86 | 11 |
| Re-exploration of chest 32120 CPT 32120 | $7,017.00 | $11,695.00 | $1,372.08 – $9,940.75 | 13 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,786.78 – $19,285.98 | 11 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,642.84 – $19,285.98 | 11 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,244.42 – $6,203.86 | 11 |
| Red blood cells each unit HCPCS P9021 | $384.00 | $640.00 | $33.00 – $225.25 | 17 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,432.80 | $2,388.00 | $161.25 – $2,028.95 | 16 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $677.40 | $1,129.00 | $226.63 – $959.65 | 15 |
| Red blood cells washed each unit HCPCS P9022 | $665.40 | $1,109.00 | $155.90 – $942.65 | 16 |
| Reduction of procidentia 45900 CPT 45900 | $2,571.60 | $4,286.00 | $388.83 – $3,643.10 | 16 |
| Refill maint impl spine pump CPT 95991 | $425.40 | $709.00 | $63.14 – $602.65 | 16 |
| Refill/maint pump/resvr syst CPT 96522 | $423.60 | $706.00 | $95.53 – $600.10 | 17 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $2,544.60 | $4,241.00 | $1.91 – $439.45 | 14 |
| Release palm/finger tendon CPT 26440 | not published | not published | $196.90 – $1,678.38 | 12 |
| Relocation skin pocket aicd CPT 33223 | $3,986.40 | $6,644.00 | $704.38 – $5,647.40 | 16 |
| Relocation skin pocket pm CPT 33222 | $2,504.40 | $4,174.00 | $364.32 – $3,547.90 | 17 |
| Rem endovas vena cava filter CPT 37193 | $11,923.20 | $19,872.00 | $2,046.60 – $16,891.20 | 16 |
| Rem interrog dev eval icpms CPT 93297 | $190.20 | $317.00 | $33.04 – $254.15 | 17 |
| Rem interrog dev eval scrms CPT 93298 | $190.20 | $317.00 | $33.04 – $254.15 | 17 |
| Rem interrog evl pm/ids CPT 93296 | $223.80 | $373.00 | $21.99 – $317.05 | 17 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $250.80 | $418.00 | $33.04 – $355.30 | 15 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $76.20 | $127.00 | $11.26 – $135.15 | 15 |
| Rem/biv cast full arm/leg CPT 29705 | $441.00 | $735.00 | $93.83 – $624.75 | 15 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $16.80 | $28.00 | $2.38 – $17.85 | 16 |
| Remote 30 day ecg tech supp CPT 93229 | $3,361.80 | $5,603.00 | $32.84 – $4,762.55 | 15 |
| Removal anal seton other marker 46030 CPT 46030 | $2,500.80 | $4,168.00 | $79.20 – $3,542.80 | 17 |
| Removal biliary drg cath CPT 47537 | $9,786.00 | $16,310.00 | $89.12 – $13,863.50 | 17 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $3,171.60 | $5,286.00 | $319.83 – $4,493.10 | 16 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,685.40 | $2,809.00 | $202.50 – $2,387.65 | 17 |
| Removal cerclage w/anes CPT 59871 | $7,680.00 | $12,800.00 | $331.31 – $10,880.00 | 16 |
| Removal cerumen impacted (both sides) CPT 69210 | $145.80 | $243.00 | $18.77 – $206.55 | 16 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $629.48 – $5,669.06 | 12 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $146.40 | $244.00 | $22.69 – $208.38 | 16 |
| Removal duct glbldr calculi CPT 47544 | $5,320.20 | $8,867.00 | $193.54 – $7,536.95 | 15 |
| Removal foreign body foot subcutaneous right CPT 28190 | $726.60 | $1,211.00 | $33.55 – $1,029.35 | 17 |
| Removal implant superficial separate procedure CPT 20670 | $2,854.80 | $4,758.00 | $102.85 – $4,044.30 | 17 |
| Removal mamma implant mat 19330 CPT 19330 | $3,040.80 | $5,068.00 | $550.23 – $4,307.80 | 16 |
| Removal of bone for graft CPT 20900 | not published | not published | $270.90 – $7,491.76 | 12 |
| Removal of external ear CPT 69120 | $3,769.20 | $6,282.00 | $383.31 – $6,203.86 | 17 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $1,646.97 – $2,880.34 | 4 |
| Removal of hip foreign body 27087 CPT 27087 | $4,669.80 | $7,783.00 | $71.50 – $6,615.55 | 17 |
| Removal of implant deep CPT 20680 | not published | not published | $188.65 – $3,001.48 | 12 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $1,260.84 – $3,478.49 | 4 |
| Removal of testis CPT 54520 | not published | not published | $228.80 – $3,617.00 | 12 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $748.20 | $1,247.00 | $34.10 – $1,059.95 | 17 |
| Removal sutr and stapl no anes CPT 15854 | $35.40 | $59.00 | $6.10 – $50.15 | 13 |
| Removal sutr or stapl no anes CPT 15853 | $24.60 | $41.00 | $4.32 – $34.85 | 13 |
| Removal tunnled intprtnl cath CPT 49422 | $3,209.40 | $5,349.00 | $255.40 – $4,546.65 | 17 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $33,155.40 | $55,259.00 | $452.20 – $46,970.15 | 16 |
| Remove ext hem groups 2+ CPT 46250 | $4,284.00 | $7,140.00 | $142.45 – $6,069.00 | 17 |
| Remove foreign body from eye CPT 65235 | $3,769.20 | $6,282.00 | $736.75 – $5,339.70 | 16 |
| Remove knee cyst CPT 27347 | $5,725.80 | $9,543.00 | $304.17 – $8,111.55 | 17 |
| Remove renal tube w/fluoro CPT 50389 | $4,575.00 | $7,625.00 | $591.36 – $6,481.25 | 16 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $380.67 – $4,385.60 | 4 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $1,035.11 – $3,606.55 | 11 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $1,896.50 – $7,491.76 | 11 |
| Remove ureter stent percut CPT 50384 | $12,596.40 | $20,994.00 | $1,814.93 – $17,844.90 | 16 |
| Remove ventricular device 33977 CPT 33977 | $12,352.20 | $20,587.00 | $2,249.55 – $17,498.95 | 12 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $1,026.93 – $7,359.41 | 4 |
| Renal function panel CPT 80069 | $212.40 | $354.00 | $8.07 – $300.90 | 17 |
| Repair biceps tendon CPT 23430 | not published | not published | $419.10 – $7,491.76 | 12 |
| Repair blood vessel dir lower extr CPT 35226 | $1,226.40 | $2,044.00 | $248.28 – $2,839.30 | 16 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $2,520.00 | $4,200.00 | $542.33 – $3,570.00 | 16 |
| Repair dental ellis ii fx CPT 41899 | $108.60 | $181.00 | $18.77 – $243.53 | 15 |
| Repair elbow perc CPT 24357 | $3,919.80 | $6,533.00 | $630.41 – $5,553.05 | 16 |
| Repair extns tendon finger without grft ea CPT 26418 | $5,324.40 | $8,874.00 | $254.65 – $7,542.90 | 17 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $404.25 – $3,402.68 | 12 |
| Repair of eye wound CPT 65280 | $5,322.00 | $8,870.00 | $566.69 – $7,539.50 | 17 |
| Repair of eye wound CPT 65286 | $5,790.00 | $9,650.00 | $218.35 – $8,202.50 | 17 |
| Repair palate CPT 42182 | $4,334.40 | $7,224.00 | $52.25 – $6,203.86 | 17 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $2,199.00 | $3,665.00 | $95.15 – $3,115.25 | 17 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $3,607.80 | $6,013.00 | $273.82 – $5,111.05 | 17 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $5,322.00 | $8,870.00 | $399.30 – $7,539.50 | 17 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | $4,977.60 | $8,296.00 | $1,469.67 – $7,051.60 | 12 |
| Repair umbilical lesion CPT 49600 | $6,586.80 | $10,978.00 | $1,119.58 – $9,331.30 | 16 |
| Repair umbilical lesion CPT 49606 | $11,529.00 | $19,215.00 | $1,959.59 – $16,332.75 | 13 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,688.90 – $6,203.86 | 11 |
| Replace duod/jej tube perc CPT 49451 | $2,995.20 | $4,992.00 | $77.36 – $4,243.20 | 17 |
| Replace elbow joint CPT 24363 | not published | not published | $1,646.97 – $19,285.98 | 11 |
| Replace g-j tube perc CPT 49452 | $3,667.80 | $6,113.00 | $120.76 – $5,196.05 | 17 |
| Replace g/c tube perc CPT 49450 | $3,076.80 | $5,128.00 | $56.21 – $4,358.80 | 17 |
| Replace picvad cath CPT 36585 | $4,620.60 | $7,701.00 | $283.90 – $6,545.85 | 17 |
| Replace tunneled cv cath CPT 36578 | $3,812.40 | $6,354.00 | $219.25 – $5,400.90 | 17 |
| Replantation thumb complete CPT 20827 | $21,938.40 | $36,564.00 | $4,459.05 – $31,079.40 | 13 |
| Repos lv lead pm/icd CPT 33226 | $3,023.40 | $5,039.00 | $884.67 – $4,283.15 | 16 |
| Repos sq defib eltrd CPT 33273 | $6,864.00 | $11,440.00 | $276.75 – $9,724.00 | 16 |
| Reposition pm/icd lead CPT 33215 | $3,023.40 | $5,039.00 | $564.80 – $4,283.15 | 16 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $868.20 | $1,447.00 | $158.13 – $1,229.95 | 13 |
| Reptilase test CPT 85635 | $86.40 | $144.00 | $6.60 – $122.40 | 17 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $34.05 | $56.75 | $6.23 – $34.00 | 16 |
| Resp virus 6-11 targets CPT 87632 | $1,146.60 | $1,911.00 | $187.10 – $1,624.35 | 17 |
| Respirator motion mgmt simul CPT 77293 | $1,260.60 | $2,101.00 | $225.33 – $1,785.85 | 15 |
| Resuscitation cardiopulmonary CPT 92950 | $1,146.00 | $1,910.00 | $143.14 – $1,623.50 | 15 |
| Reticulated platelet assay CPT 85055 | $313.80 | $523.00 | $14.17 – $444.55 | 17 |
| Reticulocyte automated CPT 85045 | $121.20 | $202.00 | $3.71 – $153.00 | 17 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $550.23 – $3,606.55 | 11 |
| Revasc intra lithotrip-ather HCPCS C9766 | $22,821.00 | $38,035.00 | $4,293.62 – $32,329.75 | 15 |
| Revasc intra lithotrip-stent HCPCS C9765 | $22,821.00 | $38,035.00 | $4,293.62 – $32,329.75 | 15 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,410.20 | $19,017.00 | $2,521.87 – $16,164.45 | 15 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $36,943.80 | $61,573.00 | $5,637.79 – $52,337.05 | 15 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $36,943.80 | $61,573.00 | $5,637.79 – $52,337.05 | 15 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $36,943.80 | $61,573.00 | $5,637.79 – $52,337.05 | 15 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $23,097.00 | $38,495.00 | $4,293.62 – $32,720.75 | 15 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $34,634.40 | $57,724.00 | $5,637.79 – $49,065.40 | 15 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $736.75 – $2,047.90 | 11 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $1,078.46 – $13,077.83 | 11 |
| Revision of calf tendon CPT 27687 | not published | not published | $358.05 – $3,402.68 | 12 |
| Revision of eyelid CPT 67880 | $4,321.20 | $7,202.00 | $790.23 – $6,121.70 | 16 |
| Revision of penis CPT 54435 | $5,776.80 | $9,628.00 | $822.90 – $8,183.80 | 16 |
| Revision tips CPT 37183 | $5,080.80 | $8,468.00 | $791.79 – $7,197.80 | 16 |
| Revsc opn/prq tib/pero stent CPT 37234 | $37,315.20 | $62,192.00 | $5,690.71 – $52,863.20 | 13 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $26.25 | $43.75 | $4.18 – $37.19 | 16 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,763.80 | $6,273.00 | $274.72 – $5,332.05 | 16 |
| Rheumatoid factor qualitative CPT 86430 | $78.60 | $131.00 | $5.71 – $111.35 | 17 |
| Rheumatoid factor quantitative CPT 86431 | $162.60 | $271.00 | $5.27 – $230.35 | 17 |
| Rho d immune globulin inj HCPCS J2790 | $1,201.20 | $2,002.00 | $52.14 – $547.40 | 14 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $224.40 | $374.00 | $3.07 – $170.00 | 14 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $3,856.80 | $6,428.00 | $16.07 – $153.85 | 16 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $4.20 | $7.00 | $0.09 – $5.95 | 14 |
| Right ventric recording CPT 93603 | $6,268.20 | $10,447.00 | $175.73 – $8,879.95 | 16 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $20.25 | $33.75 | $6.98 – $28.05 | 16 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,204.20 | $2,007.00 | $6.93 – $1,301.34 | 17 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $117.60 | $196.00 | $23.17 – $166.60 | 16 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $2,406.60 | $4,011.00 | $47.49 – $298.35 | 16 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $537.60 | $896.00 | $18.55 – $522.75 | 16 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $238.80 | $398.00 | $16.74 – $338.30 | 16 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $7,826.40 | $13,044.00 | $17.58 – $221.85 | 16 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $42.35 – $1,236.52 | 12 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $672.00 | $1,120.00 | $33.55 – $1,699.17 | 17 |
| Rmvl icd by tv extr CPT 33244 | $3,049.80 | $5,083.00 | $1,613.55 – $4,320.55 | 16 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $56,113.20 | $93,522.00 | $490.18 – $79,493.70 | 16 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $56,113.20 | $93,522.00 | $508.94 – $79,493.70 | 16 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $56,113.20 | $93,522.00 | $471.43 – $79,493.70 | 16 |
| Rmvl icd pulse gen only CPT 33241 | $7,275.60 | $12,126.00 | $435.27 – $10,307.10 | 16 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,684.20 | $2,807.00 | $272.28 – $2,385.95 | 16 |
| Rmvl perm pm pulse gen CPT 33233 | $2,933.40 | $4,889.00 | $136.79 – $8,679.17 | 16 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $33,155.40 | $55,259.00 | $470.95 – $46,970.15 | 16 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $26,215.20 | $43,692.00 | $433.43 – $37,138.20 | 16 |
| Rmvl pq iabp CPT 33968 | $358.20 | $597.00 | $64.51 – $507.45 | 13 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $988.80 | $1,648.00 | $180.11 – $1,400.80 | 13 |
| Rmvl sq defib electrode CPT 33272 | $7,275.60 | $12,126.00 | $597.19 – $10,307.10 | 16 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,114.80 | $1,858.00 | $81.93 – $1,579.30 | 16 |
| Rmvl tv pm lead dual CPT 33235 | $2,550.00 | $4,250.00 | $916.22 – $3,816.60 | 16 |
| Rmvl tv pm lead sgl CPT 33234 | $3,023.40 | $5,039.00 | $908.49 – $4,283.15 | 16 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $127.20 | $212.00 | $15.61 – $180.20 | 16 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $25.95 | $43.25 | $6.95 – $22.95 | 16 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $8,428.80 | $14,048.00 | $5.59 – $52.70 | 16 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $1,252.80 | $2,088.00 | $0.03 – $0.85 | 14 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,070.60 | $3,451.00 | $105.95 – $2,933.35 | 17 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,929.80 | $4,883.00 | $229.93 – $4,150.55 | 17 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,322.20 | $5,537.00 | $450.66 – $4,706.45 | 17 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $4,245.60 | $7,076.00 | $71.65 – $2,547.45 | 17 |
| Rpl tun cvc wo subq port CPT 36581 | $4,245.60 | $7,076.00 | $204.48 – $6,014.60 | 17 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $10,089.00 | $16,815.00 | $294.14 – $14,292.75 | 16 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $7,267.80 | $12,113.00 | $225.87 – $10,296.05 | 16 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $7,267.80 | $12,113.00 | $134.68 – $10,296.05 | 16 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $10,089.00 | $16,815.00 | $187.48 – $14,292.75 | 16 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $10,089.00 | $16,815.00 | $403.45 – $14,292.75 | 13 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $7,267.80 | $12,113.00 | $303.73 – $10,296.05 | 16 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $10,089.00 | $16,815.00 | $338.61 – $14,292.75 | 13 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $7,267.80 | $12,113.00 | $252.05 – $10,296.05 | 16 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $10,089.00 | $16,815.00 | $225.35 – $14,292.75 | 16 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $7,267.80 | $12,113.00 | $166.03 – $10,296.05 | 16 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $10,089.00 | $16,815.00 | $488.92 – $14,292.75 | 13 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $7,267.80 | $12,113.00 | $348.86 – $10,296.05 | 13 |
| Rubella antibody igg CPT 86762 | $71.40 | $119.00 | $13.37 – $101.15 | 17 |
| Rubeola antibody igg CPT 86765 | $255.60 | $426.00 | $11.97 – $362.10 | 17 |
| Russell viper venom diluted CPT 85613 | $225.00 | $375.00 | $8.90 – $318.75 | 17 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,345.40 | $8,909.00 | $22.24 – $100.30 | 16 |
| Salmonella antibody CPT 86768 | $125.40 | $209.00 | $12.26 – $177.65 | 16 |
| Sarscov coronavirus ag ia CPT 87426 | $39.00 | $65.00 | $19.72 – $84.87 | 17 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,404.00 | $2,340.00 | $200.69 – $1,989.00 | 17 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $880.20 | $1,467.00 | $94.21 – $1,246.95 | 17 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $2,028.00 | $3,380.00 | $94.21 – $2,873.00 | 17 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,609.20 | $2,682.00 | $94.21 – $2,279.70 | 17 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,940.40 | $3,234.00 | $143.68 – $2,748.90 | 17 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,647.60 | $2,746.00 | $94.21 – $2,334.10 | 17 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,647.60 | $2,746.00 | $94.21 – $2,334.10 | 17 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,621.00 | $6,035.00 | $667.92 – $5,129.75 | 16 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $846.45 – $3,402.68 | 11 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $78.00 | $130.00 | $24.62 – $110.50 | 15 |
| Screen cerv/vag thin layer HCPCS G0123 | $61.20 | $102.00 | $18.83 – $86.70 | 15 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,800.00 | $3,000.00 | $626.45 – $2,550.00 | 15 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,800.00 | $3,000.00 | $792.58 – $2,550.00 | 15 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $50.40 | $84.00 | $11.39 – $71.40 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $34.80 | $58.00 | $9.31 – $50.98 | 16 |
| Screening prostate cancer PSA HCPCS G0103 | $96.00 | $160.00 | $17.94 – $136.00 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $38,478.00 | $64,130.00 | $0.44 – $1,241.70 | 13 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $14,101.80 | $23,503.00 | $2,848.28 – $19,977.55 | 13 |
| Sedimentation rate erythrocyte automated CPT 85652 | $110.40 | $184.00 | $2.51 – $156.40 | 17 |
| Semen analysis w/count CPT 89310 | $67.20 | $112.00 | $8.00 – $95.20 | 16 |
| Sept9 promoter methylation analysis CPT 81327 | $602.40 | $1,004.00 | $54.78 – $853.40 | 16 |
| Serpina1 gene CPT 81332 | $345.60 | $576.00 | $40.56 – $489.60 | 17 |
| Set radiation therapy field CPT 77280 | $573.00 | $955.00 | $66.00 – $811.75 | 17 |
| Set radiation therapy field CPT 77290 | $1,000.80 | $1,668.00 | $133.65 – $1,417.80 | 17 |
| Set-up cardiovert-defibrill CPT 93745 | $625.80 | $1,043.00 | $113.83 – $886.55 | 14 |
| Sgmdsc w/band ligation CPT 45350 | $2,717.40 | $4,529.00 | $112.93 – $3,849.65 | 15 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $643.20 | $1,072.00 | $38.50 – $911.20 | 17 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,295.17 – $7,491.76 | 11 |
| Shoe post-op mens m HCPCS L3260 | $561.00 | $935.00 | $62.82 – $708.05 | 12 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,274.16 – $7,491.76 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $4,621.20 | $7,702.00 | $441.61 – $6,546.70 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 17 |
| Shoulder X-ray CPT 73030 | $419.40 | $699.00 | $28.58 – $594.15 | 16 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $797.51 – $3,001.48 | 11 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,235.60 | $8,726.00 | $489.17 – $8,393.41 | 13 |
| Sialidase enzyme assay CPT 87905 | $143.40 | $239.00 | $11.36 – $203.15 | 17 |
| Sickling rbc CPT 85660 | $76.80 | $128.00 | $3.30 – $103.70 | 17 |
| Sig w/tndsc balloon dilation CPT 45340 | $3,763.20 | $6,272.00 | $109.36 – $5,331.20 | 17 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $1,764.00 | $2,940.00 | $104.10 – $2,499.00 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,788.60 | $2,981.00 | $70.04 – $2,533.85 | 17 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $2,571.60 | $4,286.00 | $135.27 – $3,643.10 | 17 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,716.00 | $2,860.00 | $123.20 – $2,431.00 | 17 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,959.80 | $4,933.00 | $220.66 – $4,193.05 | 15 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $2,421.00 | $4,035.00 | $55.00 – $3,429.75 | 17 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $2,919.00 | $4,865.00 | $112.93 – $6,242.82 | 15 |
| Sigmoidoscopy w/resection CPT 45349 | $2,564.40 | $4,274.00 | $112.93 – $3,632.90 | 15 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,727.40 | $2,879.00 | $134.15 – $2,447.15 | 17 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,380.60 | $2,301.00 | $147.92 – $1,955.85 | 17 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $2,106.60 | $3,511.00 | $219.74 – $2,984.35 | 17 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,315.20 | $2,192.00 | $86.52 – $1,858.10 | 17 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $393.00 | $655.00 | $37.38 – $556.75 | 16 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $753.00 | $1,255.00 | $77.89 – $504.90 | 14 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,953.20 | $4,922.00 | $157.72 – $4,183.70 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $2,654.40 | $4,424.00 | $147.40 – $3,760.40 | 17 |
| Sinus CT scan (without contrast) CPT 70486 | $1,795.80 | $2,993.00 | $94.21 – $2,544.05 | 17 |
| Sirolimus, oral HCPCS J7520 | $300.00 | $500.00 | $0.55 – $24.65 | 15 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $153.00 | $255.00 | $31.13 – $216.75 | 16 |
| Skin Biopsy CPT 11102 | $823.80 | $1,373.00 | $35.45 – $1,167.05 | 17 |
| Skyla, 13.5 mg HCPCS J7301 | $2,343.60 | $3,906.00 | $552.05 – $3,320.10 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | $8,373.60 | $13,956.00 | $381.22 – $11,862.60 | 17 |
| Sleep study unattended CPT 95806 | $1,375.80 | $2,293.00 | $138.62 – $1,949.05 | 16 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $197.40 | $329.00 | $11.66 – $58.59 | 12 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,586.40 | $12,644.00 | $707.52 – $5,829.16 | 13 |
| Slitting of prepuce CPT 54001 | $3,058.80 | $5,098.00 | $52.80 – $4,333.30 | 17 |
| Small bowel endoscopy CPT 44360 | $2,451.00 | $4,085.00 | $149.01 – $3,472.25 | 17 |
| Small bowel endoscopy CPT 44364 | $2,012.40 | $3,354.00 | $210.00 – $2,850.90 | 17 |
| Small bowel endoscopy CPT 44366 | $2,240.40 | $3,734.00 | $228.25 – $3,173.90 | 17 |
| Small bowel endoscopy CPT 44369 | $2,203.80 | $3,673.00 | $228.25 – $3,122.05 | 17 |
| Small bowel endoscopy CPT 44382 | $2,280.00 | $3,800.00 | $76.74 – $3,230.00 | 17 |
| Small bowel endoscopy br/wa CPT 44380 | $1,895.40 | $3,159.00 | $64.44 – $2,685.15 | 17 |
| Small bowel endoscopy br/wa CPT 44381 | $2,798.40 | $4,664.00 | $109.10 – $3,964.40 | 15 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,214.00 | $3,690.00 | $164.24 – $3,136.50 | 17 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $26,215.20 | $43,692.00 | $460.56 – $37,138.20 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $31.80 | $53.00 | $3.30 – $35.70 | 17 |
| Smear gram stain CPT 87205 | $108.60 | $181.00 | $3.97 – $153.85 | 17 |
| Smear nasal eosinophil CPT 89190 | $89.40 | $149.00 | $5.38 – $126.65 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $43.20 | $72.00 | $4.95 – $61.20 | 17 |
| Smear wet mount CPT 87210 | $102.60 | $171.00 | $5.41 – $145.35 | 17 |
| Smpd1 gene common variants CPT 81330 | $1,260.60 | $2,101.00 | $43.68 – $1,785.85 | 17 |
| Sodium 24 hour urine CPT 84300 | $126.60 | $211.00 | $4.70 – $179.35 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $76.20 | $127.00 | $0.80 – $42.50 | 14 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $76.20 | $127.00 | $0.03 – $38.25 | 15 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $76.80 | $128.00 | $0.00 – $15.24 | 15 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $13.20 | $22.00 | $0.02 – $0.21 | 13 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $374.40 | $624.00 | $1.28 – $100.30 | 14 |
| Sodium serum/plasma/whole blood CPT 84295 | $102.60 | $171.00 | $4.47 – $145.35 | 17 |
| Somatropin injection HCPCS J2941 | $1,973.40 | $3,289.00 | $45.46 – $555.90 | 16 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $306.62 – $1,326.30 | 2 |
| Special physics consult CPT 77370 | $833.40 | $1,389.00 | $106.15 – $1,180.65 | 17 |
| Special radiation dosimetry CPT 77331 | $942.00 | $1,570.00 | $63.59 – $1,334.50 | 17 |
| Special radiation treatment CPT 77470 | $1,986.00 | $3,310.00 | $40.15 – $2,813.50 | 17 |
| Special teletx port plan CPT 77321 | $1,286.40 | $2,144.00 | $56.98 – $1,822.40 | 17 |
| Specific gravity body fluid CPT 84315 | $25.80 | $43.00 | $2.94 – $36.55 | 16 |
| Sperm antibody test CPT 89325 | $73.80 | $123.00 | $9.92 – $104.55 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $213.38 – $961.24 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $61.79 – $382.81 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,525.80 | $2,543.00 | $80.72 – $2,161.55 | 17 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $988.80 | $1,648.00 | $20.90 – $1,400.80 | 17 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $2,893.80 | $4,823.00 | $263.62 – $4,099.55 | 13 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $448.80 | $748.00 | $64.30 – $635.80 | 13 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $18.00 | $30.00 | $2.91 – $25.50 | 12 |
| Splint finger 4 prong foam sm HCPCS A4570 | $607.80 | $1,013.00 | $20.92 – $138.55 | 12 |
| Splint func pos polyflex ii med HCPCS L3999 | $121.20 | $202.00 | $50.50 – $171.70 | 12 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $137.40 | $229.00 | $7.04 – $600.13 | 12 |
| Split blood or products CPT 86985 | $226.20 | $377.00 | $80.04 – $320.45 | 15 |
| Srs linear based CPT 77372 | $7,146.60 | $11,911.00 | $694.74 – $10,124.35 | 17 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $429.60 | $716.00 | $69.79 – $608.60 | 13 |
| St evaluate speech sound production CPT 92522 | $429.60 | $716.00 | $66.90 – $608.60 | 13 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $429.60 | $716.00 | $138.75 – $645.15 | 13 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $638.40 | $1,064.00 | $46.55 – $904.40 | 15 |
| St evaluation swallow function CPT 92610 | $522.00 | $870.00 | $42.79 – $739.50 | 15 |
| St treatment speech individual CPT 92507 | $203.40 | $339.00 | $23.87 – $288.15 | 15 |
| St treatment swallow dysfunction/oral CPT 92526 | $362.40 | $604.00 | $89.57 – $513.40 | 13 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $44,044.80 | $73,408.00 | $198.66 – $15,462.48 | 13 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $810.00 | $1,350.00 | $33.44 – $1,249.82 | 13 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $33,109.80 | $55,183.00 | $109.75 – $8,133.86 | 13 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $10,323.00 | $17,205.00 | $962.68 – $9,135.91 | 13 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $33,589.20 | $55,982.00 | $5,152.97 – $47,584.70 | 16 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $18,360.00 | $30,600.00 | $3,788.30 – $26,010.00 | 13 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $67,511.40 | $112,519.00 | $13,343.80 – $95,641.15 | 16 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $34,695.00 | $57,825.00 | $12,299.12 – $49,151.25 | 16 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $792.00 | $1,320.00 | $22.00 – $1,122.00 | 17 |
| Strapping of elbow or wrist 29260 CPT 29260 | $453.00 | $755.00 | $34.52 – $641.75 | 17 |
| Strapping of knee CPT 29530 | $764.40 | $1,274.00 | $28.05 – $1,082.90 | 17 |
| Strep a ag ia CPT 87430 | $89.40 | $149.00 | $6.93 – $126.65 | 17 |
| Streptozocin injection HCPCS J9320 | $1,416.00 | $2,360.00 | $133.72 – $2,006.00 | 13 |
| Stress test pulmonary CPT 94618 | $41.40 | $69.00 | $6.92 – $135.18 | 17 |
| Stress tte complete CPT 93351 | $2,775.00 | $4,625.00 | $204.09 – $3,931.25 | 17 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $53.40 | $89.00 | $1.88 – $7.65 | 13 |
| Sugars single quant CPT 84378 | $114.60 | $191.00 | $10.71 – $162.35 | 17 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.60 | $1.00 | $0.03 – $0.43 | 14 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $1,520.40 | $2,534.00 | $73.05 – $1,552.10 | 14 |
| Support clav 29.6-40.5in med HCPCS L3650 | $137.40 | $229.00 | $50.38 – $435.24 | 13 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $168.51 – $2,875.99 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $67.80 | $113.00 | $6.03 – $96.05 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $154.80 | $258.00 | $9.73 – $219.30 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $236.40 | $394.00 | $13.54 – $334.90 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $345.00 | $575.00 | $27.79 – $460.70 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $440.40 | $734.00 | $36.24 – $623.90 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $610.80 | $1,018.00 | $54.67 – $865.30 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | $71.40 | $119.00 | $6.17 – $101.15 | 17 |
| Susceptibility agar dilution per agent CPT 87181 | $96.60 | $161.00 | $4.41 – $136.85 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $68.40 | $114.00 | $4.41 – $96.90 | 17 |
| Susceptibility mic per plate CPT 87186 | $168.60 | $281.00 | $8.04 – $84.15 | 17 |
| Svc venogram s&i CPT 75827 | $6,278.40 | $10,464.00 | $41.25 – $8,894.40 | 17 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $96.00 | $160.00 | $4.09 – $136.00 | 17 |
| System pacing micra av HCPCS C1786 | $30,110.40 | $50,184.00 | $2,375.00 – $18,993.11 | 13 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $31,525.20 | $52,542.00 | $0.22 – $26,800.70 | 13 |
| System sealant biosentry tract HCPCS C2613 | $940.80 | $1,568.00 | $392.00 – $1,332.80 | 12 |
| T cells absolute cd 4 count CPT 86361 | $459.60 | $766.00 | $24.89 – $651.10 | 17 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $861.00 | $1,435.00 | $43.66 – $1,219.75 | 17 |
| T cells total count CPT 86359 | $619.20 | $1,032.00 | $35.06 – $877.20 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $369.60 | $616.00 | $15.74 – $523.60 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $269.40 | $449.00 | $8.80 – $381.65 | 17 |
| T4 (thyroxine) free CPT 84439 | $345.00 | $575.00 | $8.38 – $488.75 | 17 |
| T4 (thyroxine) total CPT 84436 | $204.00 | $340.00 | $6.38 – $272.85 | 17 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $3.15 | $5.25 | $0.34 – $5.78 | 15 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.45 | $5.75 | $0.79 – $3.40 | 14 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $119.40 | $199.00 | $0.11 – $28.90 | 15 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $2,712.00 | $4,520.00 | $166.15 – $684.25 | 16 |
| Tacrolimus therapeutic drug level CPT 80197 | $81.60 | $136.00 | $12.76 – $115.60 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $28.80 | $48.00 | $5.95 – $40.80 | 16 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $133.80 | $223.00 | $32.84 – $189.55 | 16 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $175.20 | $292.00 | $45.85 – $185.30 | 16 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $48.60 | $81.00 | $0.30 – $27.63 | 14 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,384.20 | $2,307.00 | $140.01 – $1,960.95 | 13 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,384.20 | $2,307.00 | $100.41 – $1,960.95 | 13 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,792.60 | $6,321.00 | $130.22 – $835.48 | 17 |
| Target gsa panel organ neop CPT 81445 | $3,415.80 | $5,693.00 | $421.80 – $4,839.05 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $8,669.40 | $14,449.00 | $1,375.30 – $3,438.25 | 17 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,828.40 | $4,714.00 | $987.91 – $4,006.90 | 16 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,161.38 – $2,239.13 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $615.60 | $1,026.00 | $76.76 – $872.10 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $559.80 | $933.00 | $57.60 – $793.05 | 17 |
| Tc-99m exametazime diag HCPCS A9521 | $3,733.20 | $6,222.00 | $745.61 – $5,288.70 | 15 |
| Tc-99m labeled rbc HCPCS A9560 | $322.20 | $537.00 | $134.25 – $973.37 | 12 |
| Tc-99m maa HCPCS A9540 | $122.40 | $204.00 | $41.19 – $412.73 | 12 |
| Tc-99m mebrofenin HCPCS A9537 | $225.60 | $376.00 | $94.00 – $436.63 | 12 |
| Tc-99m medronate HCPCS A9503 | $183.60 | $306.00 | $76.50 – $305.14 | 12 |
| Tc-99m mertiatide HCPCS A9562 | $1,978.20 | $3,297.00 | $824.25 – $2,802.45 | 12 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $8.50 – $21.25 | 15 |
| Tc-99m oxidronate HCPCS A9561 | $108.00 | $180.00 | $45.00 – $153.00 | 12 |
| Tc-99m pentetate dtpa HCPCS A9539 | $122.40 | $204.00 | $30.49 – $285.56 | 12 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $231.60 | $386.00 | $30.49 – $328.10 | 12 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $0.60 | $1.00 | $0.25 – $35.27 | 12 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $382.20 | $637.00 | $61.62 – $541.45 | 12 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $878.40 | $1,464.00 | $228.37 – $1,244.40 | 12 |
| Tc-99m sulfur colloid HCPCS A9541 | $268.80 | $448.00 | $112.00 – $608.82 | 12 |
| Tc-99m tilmanocept diag HCPCS A9520 | $73.20 | $122.00 | $30.50 – $961.01 | 12 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $457.20 | $762.00 | $86.06 – $647.70 | 16 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $2,801.40 | $4,669.00 | $436.57 – $3,968.65 | 15 |
| Telavancin injection HCPCS J3095 | $987.60 | $1,646.00 | $4.45 – $19.55 | 16 |
| Telehealth original site facility fee HCPCS Q3014 | $101.40 | $169.00 | $15.76 – $127.50 | 12 |
| Telethx isodose plan cplx CPT 77307 | $2,941.80 | $4,903.00 | $85.27 – $4,167.55 | 17 |
| Telethx isodose plan simple CPT 77306 | $2,452.20 | $4,087.00 | $46.48 – $3,473.95 | 17 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $539.40 | $899.00 | $16.87 – $764.15 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,427.60 | $24,046.00 | $107.15 – $300.05 | 16 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $221.65 – $1,678.38 | 12 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,854.80 | $4,758.00 | $91.30 – $4,044.30 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $102.00 | $170.00 | $3.23 – $48.02 | 14 |
| Teriparatide injection HCPCS J3110 | $67.80 | $113.00 | $14.96 – $1,940.51 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $1,654.20 | $2,757.00 | $49.35 – $2,343.45 | 17 |
| Tetanus immune globulin inj HCPCS J1670 | $1,524.00 | $2,540.00 | $187.65 – $1,503.65 | 16 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $47.25 | $78.75 | $7.94 – $66.94 | 16 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $8,626.80 | $14,378.00 | $1,174.76 – $3,211.56 | 17 |
| Thaw preserved stem cells CPT 38208 | $226.80 | $378.00 | $52.69 – $458.48 | 15 |
| Theophylline therapeutic drug level CPT 80198 | $264.60 | $441.00 | $12.10 – $374.85 | 17 |
| Ther/proph/diag inj ia CPT 96373 | $198.60 | $331.00 | $11.88 – $281.35 | 17 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.00 | $45.00 | $11.25 – $38.36 | 12 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $20.40 | $34.00 | $8.50 – $28.90 | 12 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $64.80 | $108.00 | $0.51 – $4.25 | 15 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $4,057.20 | $6,762.00 | $407.56 – $5,747.70 | 16 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $283.05 – $377.38 | 3 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $496.67 – $10,918.43 | 11 |
| Thrombectmy crnry perq mechanical CPT 92973 | $5,527.20 | $9,212.00 | $330.47 – $7,830.20 | 13 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $6,108.60 | $10,181.00 | $308.07 – $8,653.85 | 17 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $8,026.20 | $13,377.00 | $386.68 – $11,893.06 | 17 |
| Thrombin time CPT 85670 | $86.40 | $144.00 | $5.36 – $122.40 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $131.40 | $219.00 | $6.01 – $175.95 | 17 |
| Thromboxane urine CPT 84431 | $130.80 | $218.00 | $16.31 – $185.30 | 17 |
| Thyroglobulin antibody CPT 86800 | $154.80 | $258.00 | $14.79 – $206.55 | 17 |
| Thyroid (TSH) Test CPT 84443 | $400.80 | $668.00 | $15.61 – $505.75 | 17 |
| Thyroid Ultrasound CPT 76536 | $1,002.00 | $1,670.00 | $83.98 – $1,419.50 | 17 |
| Thyroid imaging CPT 78013 | $865.80 | $1,443.00 | $136.59 – $1,226.55 | 17 |
| Thyroid met uptake CPT 78020 | $288.60 | $481.00 | $33.13 – $408.85 | 15 |
| Thyroid mets imag whole body CPT 78018 | $2,004.60 | $3,341.00 | $103.40 – $2,839.85 | 17 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $7,843.80 | $13,073.00 | $297.20 – $11,112.05 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $204.00 | $340.00 | $11.00 – $289.00 | 17 |
| Tigecycline injection HCPCS J3243 | $602.40 | $1,004.00 | $0.24 – $15.30 | 14 |
| Tilt table study CPT 93660 | $4,324.20 | $7,207.00 | $372.05 – $6,125.95 | 15 |
| Tissue culture skin/biopsy CPT 88233 | $1,575.60 | $2,626.00 | $130.78 – $2,232.10 | 17 |
| Tissue exam koh skin/hair/nails CPT 87220 | $81.60 | $136.00 | $3.97 – $115.60 | 17 |
| Tissue transglutaminase iga CPT 86364 | $100.20 | $167.00 | $4.94 – $118.15 | 16 |
| Tl-201 thallium diag per mci HCPCS A9505 | $169.20 | $282.00 | $70.50 – $246.47 | 12 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,452.61 – $10,918.43 | 11 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $612.00 | $1,020.00 | $0.85 – $53.55 | 15 |
| Tobramycin non-comp unit HCPCS J7682 | $533.40 | $889.00 | $10.24 – $755.65 | 14 |
| Tobramycin peak therapeutic drug level CPT 80200 | $257.40 | $429.00 | $14.99 – $364.65 | 17 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $6,468.00 | $10,780.00 | $3.60 – $10.20 | 16 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $130.80 | $218.00 | $1.60 – $145.35 | 14 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $70.80 | $118.00 | $24.88 – $100.30 | 16 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,404.90 – $19,285.98 | 11 |
| Total Hip Replacement CPT 27130 | not published | not published | $2,492.82 – $13,493.67 | 11 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,690.84 – $13,493.67 | 11 |
| Total hysterectomy CPT 58150 | not published | not published | $1,673.37 – $2,816.30 | 4 |
| Total tau CPT 84394 | $56.40 | $94.00 | $23.50 – $79.90 | 12 |
| Toxoplasma antibody igg CPT 86777 | $201.60 | $336.00 | $13.37 – $269.45 | 17 |
| Toxoplasma antibody igm CPT 86778 | $249.60 | $416.00 | $13.39 – $333.20 | 17 |
| Tp53 gene full gene sequence CPT 81351 | $3,902.40 | $6,504.00 | $227.12 – $706.03 | 16 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $1,172.40 | $1,954.00 | $201.52 – $1,098.20 | 16 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $3,054.00 | $5,090.00 | $126.27 – $4,326.50 | 17 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $400.20 | $667.00 | $23.55 – $566.95 | 14 |
| Transcath biopsy CPT 37200 | $9,409.80 | $15,683.00 | $125.40 – $13,330.55 | 17 |
| Transcath closure of asd CPT 93580 | $15,283.20 | $25,472.00 | $1,820.40 – $21,651.20 | 16 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $2,724.00 | $4,540.00 | $330.64 – $3,859.00 | 16 |
| Transcatheter bx s&i CPT 75970 | $3,277.20 | $5,462.00 | $19.25 – $4,642.70 | 15 |
| Transferrin CPT 84466 | $438.00 | $730.00 | $11.86 – $620.50 | 17 |
| Transfusion blood/blood component(s) CPT 36430 | $1,167.00 | $1,945.00 | $30.62 – $1,653.25 | 17 |
| Transplant hand tendon CPT 26480 | not published | not published | $844.93 – $3,402.68 | 11 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,378.80 | $7,298.00 | $47.37 – $414.80 | 16 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $382.80 | $638.00 | $30.02 – $542.30 | 16 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $6,197.40 | $10,329.00 | $17.67 – $209.10 | 16 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $8,753.40 | $14,589.00 | $782.34 – $1,955.85 | 15 |
| Treat ankle dislocation CPT 27842 | $1,205.40 | $2,009.00 | $130.35 – $1,707.65 | 17 |
| Treat clavicle dislocation 23545 CPT 23545 | $2,813.40 | $4,689.00 | $129.80 – $3,985.65 | 17 |
| Treat elbow dislocation CPT 24605 | $2,074.80 | $3,458.00 | $173.25 – $2,939.30 | 17 |
| Treat elbow fracture CPT 24620 | $3,825.00 | $6,375.00 | $154.55 – $5,418.75 | 17 |
| Treat finger fracture each CPT 26727 | $7,945.20 | $13,242.00 | $246.40 – $11,255.70 | 17 |
| Treat finger fracture each CPT 26742 | $3,854.40 | $6,424.00 | $80.85 – $5,460.40 | 17 |
| Treat fracture of radius CPT 25505 | $2,813.40 | $4,689.00 | $159.50 – $3,985.65 | 17 |
| Treat fracture of radius CPT 25520 | $2,813.40 | $4,689.00 | $550.23 – $3,985.65 | 16 |
| Treat hip dislocation CPT 27252 | $3,854.40 | $6,424.00 | $309.65 – $5,460.40 | 17 |
| Treat hip dislocation CPT 27257 | $4,402.20 | $7,337.00 | $260.70 – $6,236.45 | 17 |
| Treat humerus fracture CPT 24515 | $5,715.60 | $9,526.00 | $431.20 – $13,493.67 | 17 |
| Treat humerus fracture CPT 24535 | $2,976.60 | $4,961.00 | $226.60 – $4,216.85 | 17 |
| Treat humerus fracture CPT 24565 | $4,334.40 | $7,224.00 | $190.85 – $6,140.40 | 17 |
| Treat knee dislocation CPT 27552 | $2,767.80 | $4,613.00 | $172.70 – $3,921.05 | 17 |
| Treat kneecap dislocation CPT 27562 | $3,237.00 | $5,395.00 | $147.95 – $4,585.75 | 17 |
| Treat knuckle dislocation CPT 26705 | $3,960.00 | $6,600.00 | $80.85 – $5,610.00 | 17 |
| Treat lower leg dislocation CPT 27830 | $2,813.40 | $4,689.00 | $123.20 – $3,985.65 | 17 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $736.75 – $3,402.68 | 11 |
| Treat ulnar fracture CPT 24675 | $3,508.80 | $5,848.00 | $200.75 – $4,970.80 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $121.20 | $202.00 | $28.27 – $171.70 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $91.20 | $152.00 | $10.78 – $129.20 | 15 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $71.40 | $119.00 | $24.90 – $209.42 | 16 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $38.50 – $2,875.99 | 12 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $495.00 – $7,491.76 | 12 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $844.93 – $7,491.76 | 11 |
| Treatment of toe fracture 28510 CPT 28510 | $766.20 | $1,277.00 | $93.83 – $1,085.45 | 16 |
| Treatment radiation delivery level 2 CPT 77407 | $1,557.60 | $2,596.00 | $35.75 – $2,206.60 | 17 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $263.40 | $439.00 | $55.86 – $373.15 | 16 |
| Treponema pallidum antibody CPT 86780 | $226.20 | $377.00 | $12.30 – $320.45 | 17 |
| Treprostinil injection HCPCS J3285 | $1,570.80 | $2,618.00 | $34.54 – $1,335.35 | 16 |
| Trg gene rearrangement anal CPT 81342 | $1,181.40 | $1,969.00 | $187.25 – $629.85 | 16 |
| Triamcinolone a inj prs-free HCPCS J3300 | $508.20 | $847.00 | $6.62 – $26.95 | 16 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $70.80 | $118.00 | $0.53 – $6.80 | 15 |
| Trichinella antibody CPT 86784 | $222.00 | $370.00 | $11.67 – $314.50 | 17 |
| Trichomonas assay w/optic CPT 87808 | $123.60 | $206.00 | $13.54 – $175.10 | 17 |
| Triglycerides CPT 84478 | $186.00 | $310.00 | $5.33 – $263.50 | 17 |
| Trim nail(s) HCPCS G0127 | $105.60 | $176.00 | $19.35 – $149.60 | 15 |
| Trim nondyst nails CPT 11719 | $138.60 | $231.00 | $28.21 – $196.35 | 16 |
| Trimethobenzamide hcl inj HCPCS J3250 | $98.40 | $164.00 | $4.24 – $105.40 | 14 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $10,065.00 | $16,775.00 | $1,935.06 – $14,258.75 | 13 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $10,828.20 | $18,047.00 | $1,863.90 – $15,339.95 | 13 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $13,401.00 | $22,335.00 | $196.58 – $18,984.75 | 15 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $13,401.00 | $22,335.00 | $137.21 – $18,984.75 | 15 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $13,400.40 | $22,334.00 | $294.23 – $18,983.90 | 17 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $16,263.00 | $27,105.00 | $266.53 – $23,039.25 | 17 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $6,514.20 | $10,857.00 | $215.16 – $9,228.45 | 16 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $15,167.40 | $25,279.00 | $348.45 – $21,487.15 | 17 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $7,354.80 | $12,258.00 | $125.71 – $10,419.30 | 16 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $15,167.40 | $25,279.00 | $307.63 – $21,487.15 | 17 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $8,968.80 | $14,948.00 | $1,480.07 – $12,705.80 | 16 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $4,071.60 | $6,786.00 | $128.70 – $5,768.10 | 17 |
| Troponin quantitative CPT 84484 | $165.00 | $275.00 | $10.86 – $233.75 | 17 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,775.00 | $4,625.00 | $436.57 – $3,931.25 | 15 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,860.20 | $4,767.00 | $436.57 – $4,051.95 | 15 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $2,043.00 | $3,405.00 | $318.29 – $2,894.25 | 15 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $775.20 | $1,292.00 | $49.25 – $381.85 | 13 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $198.60 | $331.00 | $78.00 – $385.43 | 13 |
| Tx atrial fib pulm vein isol CPT 93656 | $48,183.60 | $80,306.00 | $940.93 – $68,260.10 | 16 |
| Tx closed distal humerus fx CPT 24999 | $90.60 | $151.00 | $18.77 – $251.57 | 15 |
| Tx closed hip disl traumatic without anes CPT 27250 | $2,716.80 | $4,528.00 | $212.53 – $3,848.80 | 17 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,316.20 | $5,527.00 | $250.25 – $4,697.95 | 17 |
| Tx l/r atrial fib addl CPT 93657 | $48,183.60 | $80,306.00 | $352.73 – $68,260.10 | 13 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $6,308.40 | $10,514.00 | $246.40 – $8,936.90 | 17 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $5,728.20 | $9,547.00 | $195.80 – $8,114.95 | 17 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $5,776.80 | $9,628.00 | $246.40 – $8,183.80 | 17 |
| Tympanic membrane repair CPT 69610 | $8,426.40 | $14,044.00 | $91.30 – $11,937.40 | 17 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $2,813.40 | $4,689.00 | $83.05 – $3,985.65 | 17 |
| Ua w/micro/comp poc CPT 81000 | $28.20 | $47.00 | $2.25 – $39.95 | 17 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $133.20 | $222.00 | $28.17 – $188.70 | 16 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $248.40 | $414.00 | $41.00 – $351.90 | 17 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $894.00 | $1,490.00 | $34.92 – $1,266.50 | 16 |
| Ultrasound chest CPT 76604 | $867.60 | $1,446.00 | $81.43 – $1,229.10 | 17 |
| Ultrasound dx ophth b-scan CPT 76512 | $600.60 | $1,001.00 | $94.21 – $850.85 | 16 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $464.40 | $774.00 | $94.21 – $657.90 | 17 |
| Ultrasound guidance for vascular access CPT 76937 | $381.60 | $636.00 | $28.08 – $540.60 | 15 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $2,769.60 | $4,616.00 | $79.20 – $3,923.60 | 15 |
| Ultrasound joint complete left CPT 76881 | $965.40 | $1,609.00 | $94.21 – $1,367.65 | 16 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $804.00 | $1,340.00 | $18.41 – $1,139.00 | 16 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,759.20 | $2,932.00 | $81.52 – $2,492.20 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $169.20 | $282.00 | $43.05 – $239.70 | 15 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $880.20 | $1,467.00 | $70.40 – $1,246.95 | 17 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $400.80 | $668.00 | $94.21 – $567.80 | 17 |
| Ultrasound prostate/transrectal CPT 76872 | $1,384.20 | $2,307.00 | $94.21 – $1,960.95 | 17 |
| Ultrasound retroperitoneal limited CPT 76775 | $528.00 | $880.00 | $83.73 – $748.00 | 17 |
| Ultrasound scrotum and contents CPT 76870 | $963.00 | $1,605.00 | $81.40 – $1,364.25 | 17 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,494.00 | $2,490.00 | $84.15 – $2,116.50 | 17 |
| Unlisted CT procedure CPT 76497 | $624.00 | $1,040.00 | $22.36 – $884.00 | 15 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $37.44 – $92.34 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $70.22 – $6,118.60 | 8 |
| Unlisted mr procedure CPT 76498 | $942.00 | $1,570.00 | $66.24 – $1,334.50 | 15 |
| Unlisted procedure colon CPT 45399 | $2,595.60 | $4,326.00 | $807.76 – $3,677.10 | 14 |
| Unlisted procedure esophagus CPT 43499 | $152.40 | $254.00 | $18.77 – $983.24 | 15 |
| Unlisted procedure larynx CPT 31599 | $104.40 | $174.00 | $18.77 – $243.53 | 15 |
| Unlisted procedure microbiology CPT 87999 | $312.00 | $520.00 | $70.39 – $442.00 | 12 |
| Unlisted procedure rectum CPT 45999 | $845.40 | $1,409.00 | $18.77 – $1,197.65 | 15 |
| Unlisted px ant segment eye CPT 66999 | $89.40 | $149.00 | $18.77 – $2,391.84 | 15 |
| Unlisted px casting/strpg CPT 29799 | $93.00 | $155.00 | $18.77 – $165.47 | 15 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $18.77 – $251.57 | 9 |
| Unlisted px male genital sys CPT 55899 | $90.60 | $151.00 | $18.77 – $255.06 | 15 |
| Unlisted px posterior segmnt CPT 67299 | $4,036.20 | $6,727.00 | $628.32 – $5,717.95 | 14 |
| Unlisted px salivry glnd/dux CPT 42699 | $93.60 | $156.00 | $18.77 – $243.53 | 15 |
| Unlisted px small intestine CPT 44799 | $2,995.80 | $4,993.00 | $18.77 – $4,003.50 | 15 |
| Unlisted px tongue flr mouth CPT 41599 | $103.20 | $172.00 | $18.77 – $243.53 | 15 |
| Unlisted transfusion med px CPT 86999 | $306.00 | $510.00 | $6.76 – $385.90 | 15 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,560.60 | $2,601.00 | $121.97 – $2,210.85 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,999.40 | $9,999.00 | $316.41 – $8,499.15 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,621.20 | $7,702.00 | $316.41 – $6,546.70 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,801.60 | $6,336.00 | $214.16 – $5,385.60 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,895.40 | $3,159.00 | $137.74 – $2,685.15 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,214.00 | $3,690.00 | $163.44 – $3,136.50 | 17 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,876.80 | $3,128.00 | $166.71 – $2,658.80 | 17 |
| Urea nitrogen CPT 84520 | $89.40 | $149.00 | $3.67 – $119.85 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $89.40 | $149.00 | $5.17 – $126.65 | 16 |
| Urea nitrogen clearance CPT 84545 | $72.00 | $120.00 | $5.50 – $102.00 | 17 |
| Ureteral embolization/occl CPT 50705 | $9,301.80 | $15,503.00 | $1,145.02 – $13,177.55 | 13 |
| Urethrocystography void s&i CPT 74455 | $1,624.80 | $2,708.00 | $46.75 – $2,301.80 | 17 |
| Uric acid blood CPT 84550 | $115.80 | $193.00 | $4.20 – $154.70 | 17 |
| Uric acid urine CPT 84560 | $126.60 | $211.00 | $2.24 – $179.35 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $131.40 | $219.00 | $2.95 – $186.15 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $71.40 | $119.00 | $2.09 – $101.15 | 17 |
| Urinalysis microscopic only CPT 81015 | $58.80 | $98.00 | $2.83 – $83.30 | 17 |
| Urine Culture Test CPT 87086 | $255.60 | $426.00 | $7.50 – $342.55 | 17 |
| Urine pregnancy test CPT 81025 | $49.20 | $82.00 | $4.40 – $66.30 | 17 |
| Urography, antegrade CPT 74425 | $1,624.80 | $2,708.00 | $41.25 – $2,301.80 | 17 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $55.80 | $93.00 | $8.20 – $74.38 | 16 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $746.40 | $1,244.00 | $138.84 – $1,057.40 | 16 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $340.20 | $567.00 | $44.00 – $309.98 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $34.20 | $57.00 | $11.00 – $48.45 | 15 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $31.20 | $52.00 | $11.00 – $44.20 | 15 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $91.20 | $152.00 | $11.00 – $111.56 | 15 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $117.60 | $196.00 | $5.00 – $177.14 | 15 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $72.60 | $121.00 | $11.00 – $105.10 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $881.40 | $1,469.00 | $11.00 – $177.56 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $49.80 | $83.00 | $11.00 – $67.15 | 15 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $186.00 | $310.00 | $77.50 – $263.50 | 13 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $12.00 | $20.00 | $5.00 – $17.04 | 15 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $12.60 | $21.00 | $5.00 – $17.04 | 15 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $15.00 | $25.00 | $6.25 – $21.25 | 15 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $57.00 | $95.00 | $11.00 – $76.50 | 15 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $18.00 | $30.00 | $7.50 – $49.49 | 15 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $82.20 | $137.00 | $11.00 – $129.18 | 15 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $97.80 | $163.00 | $11.00 – $138.55 | 15 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $91.80 | $153.00 | $11.00 – $175.42 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $48.60 | $81.00 | $11.00 – $68.85 | 15 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $75.00 | $125.00 | $11.00 – $133.47 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $144.00 | $240.00 | $11.00 – $257.99 | 15 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $144.00 | $240.00 | $11.00 – $312.90 | 15 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $40.20 | $67.00 | $9.53 – $54.40 | 15 |
| Vaccine rabies im CPT 90675 | $600.00 | $1,000.00 | $11.00 – $850.00 | 17 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $504.00 | $840.00 | $11.00 – $730.71 | 15 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,195.80 | $1,993.00 | $11.00 – $1,226.11 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $66.60 | $111.00 | $11.00 – $79.05 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $31.80 | $53.00 | $11.00 – $74.61 | 15 |
| Vaccine typhoid vicps im CPT 90691 | $46.80 | $78.00 | $11.00 – $71.55 | 15 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,764.04 – $5,176.94 | 11 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,631.13 – $5,176.94 | 11 |
| Valproic acid total therapeutic drug level CPT 80164 | $304.80 | $508.00 | $12.58 – $431.80 | 17 |
| Valvuloplasty aortic CPT 92986 | $6,420.60 | $10,701.00 | $990.14 – $9,095.85 | 15 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1.20 | $2.00 | $0.02 – $0.85 | 14 |
| Vancomycin hcl injection HCPCS J3370 | $280.20 | $467.00 | $3.50 – $14.64 | 13 |
| Vancomycin peak therapeutic drug level CPT 80202 | $304.80 | $508.00 | $12.58 – $431.80 | 17 |
| Varicella zoster antibody igg CPT 86787 | $134.40 | $224.00 | $11.97 – $179.35 | 17 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $7.95 | $13.25 | $0.58 – $8.50 | 14 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $17,628.00 | $29,380.00 | $11.62 – $78.20 | 16 |
| Veeg cont 2-12 hrs CPT 95713 | $1,194.00 | $1,990.00 | $470.10 – $1,691.50 | 16 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $2,109.60 | $3,516.00 | $901.38 – $2,988.60 | 16 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $602.40 | $1,004.00 | $275.89 – $853.40 | 16 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,194.00 | $1,990.00 | $156.37 – $1,691.50 | 16 |
| Veeg unmon 2-12 hrs CPT 95711 | $623.40 | $1,039.00 | $97.73 – $883.15 | 16 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $102.00 | $170.00 | $18.77 – $144.50 | 13 |
| Venogram ext bil s&i CPT 75822 | $3,772.20 | $6,287.00 | $41.25 – $5,343.95 | 17 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $2,248.80 | $3,748.00 | $41.25 – $3,185.80 | 17 |
| Venous m-thrombectomy add-on CPT 37188 | $29,196.00 | $48,660.00 | $2,788.61 – $41,361.00 | 16 |
| Venous mech thrombectomy CPT 37187 | $26,215.20 | $43,692.00 | $4,574.16 – $37,138.20 | 16 |
| Venous sampling s&i CPT 75893 | $3,362.40 | $5,604.00 | $495.62 – $5,669.06 | 16 |
| Ventilator each subsequent day CPT 94003 | $1,965.60 | $3,276.00 | $94.69 – $2,784.60 | 16 |
| Ventilator initial day CPT 94002 | $2,269.20 | $3,782.00 | $130.31 – $3,214.70 | 16 |
| Very long chain fatty acids CPT 82726 | $176.40 | $294.00 | $18.35 – $249.90 | 17 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $699.00 | $1,165.00 | $3.35 – $100.30 | 14 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $320.40 | $534.00 | $5.19 – $226.10 | 14 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $1,020.60 | $1,701.00 | $4.85 – $963.90 | 14 |
| Virus isolation addl studies ea CPT 87253 | $239.40 | $399.00 | $18.77 – $339.15 | 17 |
| Vitamin D Test CPT 82306 | $532.20 | $887.00 | $3.06 – $57.76 | 17 |
| Vitamin b-12 CPT 82607 | $282.60 | $471.00 | $14.01 – $377.40 | 17 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | $11.40 | $19.00 | $1.17 – $15.30 | 16 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $808.80 | $1,348.00 | $0.49 – $56.95 | 14 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $14,044.20 | $23,407.00 | $2,126.09 – $13,279.55 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $538.20 | $897.00 | $28.60 – $762.45 | 17 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $469.20 | $782.00 | $25.83 – $145.35 | 16 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $255.60 | $426.00 | $11.99 – $362.10 | 17 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $325.20 | $542.00 | $23.46 – $460.70 | 17 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $298.20 | $497.00 | $13.20 – $422.45 | 17 |
| Warde 1015200 kappa light chain free CPT 83521 | $349.80 | $583.00 | $7.39 – $45.05 | 17 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $142.20 | $237.00 | $7.45 – $201.45 | 17 |
| Warde 3008005 oligoclonal bands CPT 83916 | $244.80 | $408.00 | $16.50 – $285.60 | 17 |
| Warde 3016000 west nile virus antibody CPT 86788 | $92.40 | $154.00 | $15.66 – $130.90 | 17 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $103.20 | $172.00 | $13.37 – $146.20 | 17 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $137.40 | $229.00 | $11.38 – $194.65 | 16 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $255.60 | $426.00 | $8.25 – $362.10 | 17 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $302.40 | $504.00 | $16.71 – $428.40 | 17 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $477.00 | $795.00 | $107.49 – $527.00 | 16 |
| Warde 3400852 arsenic CPT 82175 | $99.00 | $165.00 | $17.63 – $140.25 | 16 |
| Warde 3708165 mercury urine CPT 83825 | $85.20 | $142.00 | $13.20 – $120.70 | 17 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $192.60 | $321.00 | $6.94 – $118.15 | 17 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $159.00 | $265.00 | $4.94 – $141.95 | 17 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $236.40 | $394.00 | $7.53 – $316.20 | 16 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $435.60 | $726.00 | $35.89 – $617.10 | 17 |
| Warde aldolase CPT 82085 | $226.20 | $377.00 | $9.02 – $320.45 | 17 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $1,125.60 | $1,876.00 | $15.68 – $1,594.60 | 17 |
| Warde amiodarone therapeutic drug level CPT 80151 | $67.20 | $112.00 | $14.05 – $95.20 | 16 |
| Warde analysis gene hfe common variants CPT 81256 | $2,381.40 | $3,969.00 | $60.74 – $506.60 | 17 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $1,114.20 | $1,857.00 | $77.57 – $996.20 | 16 |
| Warde anti-mullerian hormone CPT 82166 | $63.00 | $105.00 | $14.56 – $89.25 | 16 |
| Warde apolipoprotein b CPT 82172 | $84.00 | $140.00 | $19.60 – $119.00 | 17 |
| Warde cadmium blood CPT 82300 | $99.00 | $165.00 | $20.90 – $140.25 | 17 |
| Warde calcitonin CPT 82308 | $386.40 | $644.00 | $23.02 – $547.40 | 17 |
| Warde calculus (stone) infrared CPT 82365 | $236.40 | $394.00 | $11.00 – $334.90 | 17 |
| Warde clozapine therapeutic drug level CPT 80159 | $72.00 | $120.00 | $18.73 – $102.00 | 17 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $386.40 | $644.00 | $20.41 – $283.90 | 17 |
| Warde collagen cross links c-telopeptide CPT 82523 | $112.80 | $188.00 | $17.36 – $159.80 | 16 |
| Warde complement total hemolytic CPT 86162 | $369.60 | $616.00 | $18.88 – $523.60 | 17 |
| Warde copper CPT 82525 | $159.00 | $265.00 | $11.53 – $225.25 | 17 |
| Warde cryoglobulin CPT 82595 | $96.00 | $160.00 | $6.01 – $136.00 | 17 |
| Warde erythropoietin CPT 82668 | $264.60 | $441.00 | $16.50 – $374.85 | 17 |
| Warde estrogen fractionated CPT 82671 | $322.20 | $537.00 | $24.20 – $456.45 | 17 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $159.00 | $265.00 | $5.18 – $225.25 | 17 |
| Warde folic acid rbc CPT 82747 | $307.20 | $512.00 | $16.40 – $435.20 | 17 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $235.20 | $392.00 | $8.80 – $280.50 | 17 |
| Warde gastrin CPT 82941 | $235.20 | $392.00 | $15.40 – $333.20 | 17 |
| Warde growth hormone (hgh) CPT 83003 | $400.80 | $668.00 | $8.80 – $567.80 | 17 |
| Warde helminth antibody strongyloides igg CPT 86682 | $139.80 | $233.00 | $12.09 – $185.30 | 16 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $102.60 | $171.00 | $11.96 – $145.35 | 17 |
| Warde hepatitis a antibody CPT 86708 | $123.00 | $205.00 | $11.51 – $174.25 | 17 |
| Warde hepatitis be antibody CPT 86707 | $255.60 | $426.00 | $10.75 – $362.10 | 17 |
| Warde hepatitis delta agent antibody CPT 86692 | $118.20 | $197.00 | $15.95 – $167.45 | 17 |
| Warde immunofixation electrophoresis urine CPT 86335 | $359.40 | $599.00 | $11.05 – $509.15 | 17 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $273.00 | $455.00 | $10.71 – $386.75 | 17 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,834.20 | $3,057.00 | $205.36 – $2,598.45 | 16 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $210.00 | $350.00 | $21.90 – $118.15 | 17 |
| Warde lipoprotein (a) CPT 83695 | $91.20 | $152.00 | $13.31 – $129.20 | 17 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $198.60 | $331.00 | $41.73 – $281.35 | 17 |
| Warde mitochondrial antibody each CPT 86381 | $162.60 | $271.00 | $10.90 – $79.90 | 16 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $72.00 | $120.00 | $12.31 – $102.00 | 17 |
| Warde protein c antigen CPT 85302 | $163.80 | $273.00 | $11.16 – $232.05 | 17 |
| Warde sex hormone binding globulin CPT 84270 | $201.60 | $336.00 | $20.19 – $285.60 | 17 |
| Warde somatomedin CPT 84305 | $137.40 | $229.00 | $19.76 – $194.65 | 17 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $307.20 | $512.00 | $14.65 – $435.20 | 17 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $846.00 | $1,410.00 | $22.00 – $1,198.50 | 17 |
| Warde topiramate therapeutic drug level CPT 80201 | $201.60 | $336.00 | $11.08 – $285.60 | 17 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $216.60 | $361.00 | $24.23 – $306.85 | 17 |
| Warde viscosity CPT 85810 | $181.20 | $302.00 | $4.40 – $256.70 | 17 |
| Warde vitamin a CPT 84590 | $249.60 | $416.00 | $10.79 – $353.60 | 17 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $298.20 | $497.00 | $7.70 – $422.45 | 17 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $478.20 | $797.00 | $26.11 – $677.45 | 17 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $176.40 | $294.00 | $7.70 – $249.90 | 17 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $680.40 | $1,134.00 | $35.78 – $963.90 | 17 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $226.20 | $377.00 | $11.00 – $320.45 | 17 |
| Warde zinc CPT 84630 | $201.60 | $336.00 | $10.58 – $285.60 | 17 |
| Wbc automated CPT 85048 | $71.40 | $119.00 | $1.38 – $101.15 | 17 |
| Western blot test CPT 84181 | $207.60 | $346.00 | $15.83 – $230.35 | 17 |
| Wet mounts/ w preparations HCPCS Q0111 | $40.80 | $68.00 | $6.56 – $57.80 | 16 |
| Whole blood for transfusion HCPCS P9010 | $603.00 | $1,005.00 | $15.52 – $854.25 | 17 |
| Whole mitochondrial genome CPT 81460 | $1,146.00 | $1,910.00 | $649.40 – $1,623.50 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $211.20 | $352.00 | $30.08 – $418.99 | 15 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $361.80 | $603.00 | $62.07 – $512.55 | 15 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $388.20 | $647.00 | $66.84 – $549.95 | 15 |
| Wrist X-ray CPT 73110 | $419.40 | $699.00 | $30.91 – $594.15 | 16 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $831.71 – $1,678.38 | 11 |
| X-ray abdomen 1 view CPT 74018 | $419.40 | $699.00 | $11.03 – $594.15 | 17 |
| X-ray abdomen 2 views CPT 74019 | $419.40 | $699.00 | $13.17 – $594.15 | 17 |
| X-ray abdomen >=3 views CPT 74021 | $419.40 | $699.00 | $15.33 – $594.15 | 17 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $666.60 | $1,111.00 | $42.59 – $944.35 | 17 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $419.40 | $699.00 | $31.37 – $594.15 | 17 |
| X-ray ankle 2 views (both sides) CPT 73600 | $419.40 | $699.00 | $20.70 – $594.15 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $2,628.00 | $4,380.00 | $110.06 – $3,723.00 | 16 |
| X-ray bone age studies CPT 77072 | $419.40 | $699.00 | $18.23 – $594.15 | 17 |
| X-ray bone length studies CPT 77073 | $419.40 | $699.00 | $34.01 – $594.15 | 17 |
| X-ray bone survey complete CPT 77075 | $666.60 | $1,111.00 | $72.04 – $944.35 | 17 |
| X-ray bone survey infant CPT 77076 | $322.20 | $537.00 | $56.83 – $456.45 | 17 |
| X-ray cervical spine 2-3 views CPT 72040 | $419.40 | $699.00 | $29.15 – $594.15 | 17 |
| X-ray cervical spine 4-5 views CPT 72050 | $666.60 | $1,111.00 | $44.68 – $944.35 | 17 |
| X-ray cervical spine >= 6 views CPT 72052 | $666.60 | $1,111.00 | $54.27 – $944.35 | 17 |
| X-ray clavicle complete (both sides) CPT 73000 | $621.60 | $1,036.00 | $30.34 – $880.60 | 16 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $804.00 | $1,340.00 | $41.25 – $1,139.00 | 17 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,332.60 | $2,221.00 | $71.50 – $1,887.85 | 17 |
| X-ray elbow 2 views (both sides) CPT 73070 | $419.40 | $699.00 | $25.56 – $594.15 | 16 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $419.40 | $699.00 | $27.94 – $594.15 | 16 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $804.00 | $1,340.00 | $41.25 – $1,139.00 | 17 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $666.60 | $1,111.00 | $32.88 – $944.35 | 17 |
| X-ray exam entire spi 6/> vw CPT 72084 | $666.60 | $1,111.00 | $39.67 – $944.35 | 17 |
| X-ray exam of arm infant CPT 73092 | $419.40 | $699.00 | $29.12 – $594.15 | 16 |
| X-ray exam of eye sockets CPT 70200 | $419.40 | $699.00 | $37.25 – $594.15 | 17 |
| X-ray exam of femur 1 CPT 73551 | $419.40 | $699.00 | $12.69 – $594.15 | 16 |
| X-ray exam of perineum CPT 74775 | $513.00 | $855.00 | $69.30 – $726.75 | 17 |
| X-ray exam of sinuses CPT 70210 | $419.40 | $699.00 | $26.74 – $594.15 | 17 |
| X-ray exam si joints CPT 72200 | $171.60 | $286.00 | $25.61 – $243.10 | 17 |
| X-ray exam thorac spine4/>vw CPT 72074 | $275.40 | $459.00 | $34.68 – $390.15 | 17 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $419.40 | $699.00 | $27.29 – $594.15 | 16 |
| X-ray facial bones complete > 3 views CPT 70150 | $419.40 | $699.00 | $37.69 – $594.15 | 17 |
| X-ray femur >=2 views (both sides) CPT 73552 | $419.40 | $699.00 | $15.03 – $594.15 | 16 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $419.40 | $699.00 | $25.36 – $594.15 | 16 |
| X-ray foot 2 views (both sides) CPT 73620 | $419.40 | $699.00 | $28.74 – $594.15 | 16 |
| X-ray forearm 2 views (both sides) CPT 73090 | $419.40 | $699.00 | $30.86 – $594.15 | 16 |
| X-ray hand 2 views (both sides) CPT 73120 | $419.40 | $699.00 | $29.76 – $594.15 | 16 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $419.40 | $699.00 | $28.64 – $594.15 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $419.40 | $699.00 | $24.41 – $594.15 | 16 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $419.40 | $699.00 | $18.31 – $594.15 | 17 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $419.40 | $699.00 | $22.07 – $594.15 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $419.40 | $699.00 | $26.53 – $594.15 | 17 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $419.40 | $699.00 | $13.15 – $594.15 | 16 |
| X-ray humerus >= 2 views left CPT 73060 | $419.40 | $699.00 | $28.00 – $594.15 | 16 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $419.40 | $699.00 | $30.17 – $594.15 | 16 |
| X-ray knee 3 views (both sides) CPT 73562 | $419.40 | $699.00 | $33.76 – $594.15 | 16 |
| X-ray knee ap standing bilateral CPT 73565 | $419.40 | $699.00 | $24.66 – $594.15 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $270.60 | $451.00 | $34.13 – $383.35 | 17 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $419.40 | $699.00 | $29.42 – $594.15 | 16 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $666.60 | $1,111.00 | $40.28 – $944.35 | 17 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $666.60 | $1,111.00 | $38.50 – $944.35 | 17 |
| X-ray mandible complete > 4 views CPT 70110 | $419.40 | $699.00 | $30.25 – $594.15 | 17 |
| X-ray mandible ltd <4 views CPT 70100 | $419.40 | $699.00 | $27.41 – $594.15 | 17 |
| X-ray nasal bones complete > 3 views CPT 70160 | $419.40 | $699.00 | $20.90 – $594.15 | 17 |
| X-ray neck soft tissue CPT 70360 | $419.40 | $699.00 | $19.25 – $594.15 | 17 |
| X-ray nose to rectum for foreign body child CPT 76010 | $419.40 | $699.00 | $15.95 – $594.15 | 17 |
| X-ray pelvis 1-2 views CPT 72170 | $419.40 | $699.00 | $19.25 – $594.15 | 17 |
| X-ray pelvis complete > 3 views CPT 72190 | $419.40 | $699.00 | $33.72 – $594.15 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,722.00 | $2,870.00 | $41.25 – $2,439.50 | 17 |
| X-ray ribs 2 views left CPT 71100 | $419.40 | $699.00 | $29.15 – $594.15 | 17 |
| X-ray ribs 3 views bilateral CPT 71110 | $419.40 | $699.00 | $30.25 – $594.15 | 17 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $419.40 | $699.00 | $29.15 – $594.15 | 17 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $666.60 | $1,111.00 | $30.25 – $944.35 | 17 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $419.40 | $699.00 | $27.83 – $594.15 | 17 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $419.40 | $699.00 | $26.99 – $594.15 | 17 |
| X-ray scapula complete (both sides) CPT 73010 | $419.40 | $699.00 | $31.97 – $594.15 | 16 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $419.40 | $699.00 | $28.36 – $594.15 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $2,214.00 | $3,690.00 | $30.25 – $3,136.50 | 17 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $419.40 | $699.00 | $37.27 – $594.15 | 17 |
| X-ray skull < 4 views CPT 70250 | $419.40 | $699.00 | $34.97 – $594.15 | 17 |
| X-ray skull > 4 views complete CPT 70260 | $666.60 | $1,111.00 | $47.82 – $944.35 | 17 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $804.00 | $1,340.00 | $41.25 – $1,139.00 | 17 |
| X-ray small intestine follow-through study CPT 74248 | $445.20 | $742.00 | $25.43 – $630.70 | 15 |
| X-ray spine single view CPT 72020 | $419.40 | $699.00 | $23.54 – $594.15 | 17 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $419.40 | $699.00 | $20.90 – $594.15 | 17 |
| X-ray sternum > 2 views CPT 71120 | $419.40 | $699.00 | $20.90 – $594.15 | 17 |
| X-ray surgical specimen CPT 76098 | $3,982.80 | $6,638.00 | $20.58 – $5,642.30 | 17 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $804.00 | $1,340.00 | $50.60 – $1,139.00 | 17 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $419.40 | $699.00 | $30.25 – $594.15 | 17 |
| X-ray thoracic spine 2 views CPT 72070 | $419.40 | $699.00 | $34.03 – $594.15 | 17 |
| X-ray thoracic spine 3 views CPT 72072 | $419.40 | $699.00 | $34.68 – $594.15 | 17 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $396.00 | $660.00 | $29.15 – $561.00 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $666.60 | $1,111.00 | $16.68 – $944.35 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $666.60 | $1,111.00 | $30.29 – $944.35 | 17 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $419.40 | $699.00 | $26.48 – $594.15 | 16 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $419.40 | $699.00 | $20.13 – $594.15 | 16 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $699.00 | $1,165.00 | $73.15 – $990.25 | 17 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $699.00 | $1,165.00 | $71.50 – $990.25 | 17 |
| X-ray wrist 2 views (both sides) CPT 73100 | $419.40 | $699.00 | $29.70 – $594.15 | 16 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $3,733.80 | $6,223.00 | $195.25 – $5,289.55 | 17 |
| Zika virus dna/rna amp probe CPT 87662 | $179.40 | $299.00 | $40.55 – $254.15 | 17 |
| Zika virus igm antibody CPT 86794 | $58.80 | $98.00 | $13.32 – $83.30 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $295.80 | $493.00 | $4.31 – $168.30 | 14 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $46.20 | $77.00 | $21.28 – $65.45 | 16 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $3,400.20 | $5,667.00 | $3.19 – $158.71 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $198.00 | $330.00 | $18.63 – $263.50 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,327.80 | $2,213.00 | $51.33 – $1,881.05 | 17 |
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.