UPMC Northwest

100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure	Cash price	Gross charge	Negotiated range	Payers
#a/b/c/c/h pnl-candida albicans ab CPT 86628	$112.80	$188.00	$10.89 – $159.80	17
#acylcarnitineprfl CPT 82017	$144.60	$241.00	$15.30 – $204.85	16
#aptt mix-1:1 incubated CPT 87532	$562.20	$937.00	$31.82 – $796.45	16
#bac vag cand-c. albicans naa CPT 87481	$474.00	$790.00	$31.82 – $671.50	17
#cbg+cort-cbg CPT 84449	$328.20	$547.00	$16.32 – $464.95	17
#celiac hla-dq8 CPT 81383	$1,704.00	$2,840.00	$98.97 – $2,414.00	17
#cf-97variants CPT 81220	$3,357.60	$5,596.00	$257.79 – $674.05	17
#cmvcul-virus inoculation shell CPT 87254	$83.40	$139.00	$5.95 – $118.15	17
#coxa-coxsackie a serotype a16 CPT 86658	$111.60	$186.00	$11.82 – $148.75	16
#creutz-prot.,western blot CPT 84182	$166.20	$277.00	$26.49 – $235.45	17
#fecal-sodium CPT 84302	$43.80	$73.00	$4.41 – $62.05	17
#flow interp 9 - 15 markers CPT 88188	$303.00	$505.00	$46.29 – $429.25	14
#pnh-flow cytometry interp CPT 88187	$837.60	$1,396.00	$45.38 – $1,186.60	14
17-hydroxypregnenolone CPT 84143	$325.20	$542.00	$20.69 – $460.70	17
17-ketosteroids CPT 83586	$58.80	$98.00	$11.61 – $83.30	17
2d tee w or without fol w/con,in HCPCS C8925	$1,641.60	$2,736.00	$683.10 – $2,325.60	14
2d tte w or without fol w/con,co HCPCS C8923	$2,071.20	$3,452.00	$683.10 – $2,934.20	14
2nd order venous cath CPT 36012	$9,776.40	$16,294.00	$125.95 – $13,849.90	14
3-d radiotherapy plan CPT 77295	$3,859.80	$6,433.00	$603.72 – $5,468.05	16
5' nucleotidase - sendout CPT 83915	$58.80	$98.00	$10.11 – $83.30	17
88334 ap bill cytologic exam each additional site CPT 88334	$141.60	$236.00	$19.64 – $200.60	14
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129	$96.80	$2,979.05	$27.85 – $102.85	16
Abd paracentesis/w/o image guide 49082 CPT 49082	$1,550.40	$2,584.00	$52.38 – $2,196.40	16
Abd/low ext cath 1st CPT 36245	$5,015.40	$8,359.00	$726.45 – $7,105.15	12
Abd/low ext cath 2nd CPT 36246	$6,644.40	$11,074.00	$756.89 – $9,412.90	12
Abd/low ext cath 3rd CPT 36247	$7,387.20	$12,312.00	$901.71 – $10,465.20	12
Abd/low ext cath addl CPT 36248	$1,287.00	$2,145.00	$53.44 – $1,823.25	14
Abdominal CT scan (with and without contrast) CPT 74170	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
Abdominal CT scan (with contrast) CPT 74160	$1,368.00	$2,280.00	$153.92 – $1,938.00	16
Abdominal CT scan (without contrast) CPT 74150	$1,226.40	$2,044.00	$91.94 – $1,737.40	16
Abdominal MRI (with and without contrast) CPT 74183	$3,815.40	$6,359.00	$308.78 – $5,405.15	16
Abdominal MRI (with contrast) CPT 74182	$2,449.80	$4,083.00	$308.78 – $3,470.55	16
Abdominal MRI (without contrast) CPT 74181	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Abdominal Ultrasound (complete) CPT 76700	$564.00	$940.00	$91.94 – $799.00	16
Abdominal Ultrasound (limited) CPT 76705	$315.00	$525.00	$68.75 – $446.25	16
Abdominal paracentesis w/image guidance CPT 49083	$1,898.40	$3,164.00	$92.76 – $2,689.40	16
Abl1 gene CPT 81170	$1,282.20	$2,137.00	$272.07 – $871.25	17
Ablate inf turbinate submuc 30802 CPT 30802	not published	not published	$41.80 – $1,482.83	10
Ablate inf turbinate superf 30801 CPT 30801	not published	not published	$41.80 – $1,482.83	10
Ablation of upper extremity nerves rf CPT 64999	not published	not published	$34.99 – $303.94	8
Abobotulinumtoxina HCPCS J0586	$64.60	$80.75	$5.53 – $68.00	16
Abscess drain retroperitoneal surg code CPT 49406	$7,281.60	$12,136.00	$190.99 – $10,315.60	16
Access & clsr pq fem art endogft dlvry w/img uni CPT 34713	$504.00	$840.00	$170.65 – $714.00	12
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131	$0.80	$18.62	$0.04 – $0.85	13
Acetazolamide 500 mg solution for injection HCPCS J1120	$195.20	$244.00	$12.53 – $207.40	13
Acetone qualitative CPT 82009	$34.80	$58.00	$4.10 – $49.30	17
Acetylcholine receptor modulating antibody CPT 86043	$108.00	$180.00	$10.60 – $153.00	17
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132	$478.80	$798.00	$0.24 – $11.05	13
Acetylcysteine non-comp unit HCPCS J7608	$107.20	$134.00	$0.71 – $113.90	13
Acute hepatitis panel CPT 80074	$306.00	$510.00	$43.20 – $433.50	17
Acyclovir 400 mg tablet HCPCS J8499	not published	$454.60	$0.04 – $0.51	13
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133	$427.20	$712.00	$0.02 – $4.25	13
Adapter b 8 channel 10cm HCPCS C1883	$1,725.60	$2,876.00	$719.00 – $6,064.43	12
Adenosine 3 mg/250 ml bag for osm HCPCS J0153	$117.00	$195.00	$0.35 – $27.20	13
Adenovirus ag ia CPT 87301	$187.80	$313.00	$10.86 – $266.05	16
Adenovirus antibody,serum - quest CPT 86603	$84.60	$141.00	$11.67 – $119.85	17
Adh-sendout CPT 84588	$236.40	$394.00	$30.78 – $334.90	17
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815	$450.00	$750.00	$0.15 – $2.52	13
Administration chemotherapy IV infusion each additional hour CPT 96415	$210.00	$350.00	$31.11 – $297.50	16
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417	$449.40	$749.00	$61.53 – $636.65	16
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413	$912.00	$1,520.00	$137.28 – $1,292.00	16
Administration chemotherapy IV push single/initial substance/drug CPT 96409	$652.20	$1,087.00	$101.42 – $923.95	16
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402	$243.00	$405.00	$34.94 – $344.25	16
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401	$388.80	$648.00	$55.25 – $550.80	16
Administration immunization 1 vaccine CPT 90471	$12.00	$20.00	$1.42 – $73.28	14
Administration immunization each additional vaccine CPT 90472	$12.00	$20.00	$0.68 – $17.00	11
Administration vaccine hepatitis b HCPCS G0010	$12.00	$20.00	$8.00 – $47.51	14
Administration vaccine influenza virus HCPCS G0008	$12.00	$20.00	$8.00 – $46.19	15
Administration vaccine pneumococcal HCPCS G0009	$12.00	$20.00	$8.00 – $46.19	15
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354	$108.60	$13,185.75	$26.62 – $153.85	16
Afamelanotide implant, 1 mg HCPCS J7352	$6,529.20	$10,882.00	$2,669.39 – $9,249.70	15
Air injection into abdomen 49400 CPT 49400	$6,051.00	$10,085.00	$52.80 – $8,572.25	14
Albumin (human), 25%, 50ml HCPCS P9047	$952.80	$1,588.00	$33.51 – $623.90	13
Albumin (human), 5%, 250 ml HCPCS P9045	$717.60	$897.00	$33.51 – $762.45	16
Albumin (microalbumin) 24 hour urine quantitative CPT 82043	$33.00	$55.00	$5.24 – $46.75	17
Albumin body fluid quantitative each specimen CPT 82042	$15.00	$25.00	$0.67 – $21.25	16
Albumin serum plasma or whole blood CPT 82040	$33.00	$55.00	$4.01 – $46.75	17
Albumin, human 5 % intravenous solution HCPCS P9041	$183.60	$306.00	$6.70 – $260.10	13
Albuterol ipratrop non-comp HCPCS J7620	$11.60	$14.50	$0.09 – $12.32	13
Albuterol non-comp con HCPCS J7611	$5.40	$6.75	$0.11 – $5.74	14
Albuterol non-comp unit HCPCS J7613	$8.40	$10.50	$0.05 – $8.93	13
Aldesleukin injection HCPCS J9015	not published	$8,017.43	$2,895.09 – $6,814.82	15
Alkaline phosphatase CPT 84075	$34.80	$58.00	$4.70 – $49.30	17
Allergen alpha lactalbumin ige CPT 86008	$39.00	$65.00	$16.26 – $55.25	17
Allergen egg white ige CPT 86003	$39.00	$65.00	$4.73 – $55.25	17
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256	$40.40	$50.50	$3.45 – $40.80	16
Alpha-fetoprotein afp-l3 frac & total CPT 82107	$570.00	$950.00	$58.41 – $807.50	17
Alpha-fetoprotein amniotic CPT 82106	$193.80	$323.00	$15.42 – $274.55	17
Alpha-fetoprotein tumor marker CPT 82105	$102.00	$170.00	$15.21 – $144.50	17
Alt/sgpt CPT 84460	$37.20	$62.00	$4.81 – $52.70	17
Alteplase 100 mg infusion from pyxis vial HCPCS J2997	$189.60	$20,518.05	$59.63 – $192.10	17
Aluminum - quest CPT 82108	$168.00	$280.00	$23.11 – $238.00	17
Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278	$11.60	$26.23	$0.40 – $11.90	14
Amino acids quant 2-5 CPT 82136	$229.20	$382.00	$17.78 – $324.70	17
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281	$13.00	$16.25	$1.08 – $13.60	13
Aminolevulinic acid delta CPT 82135	$108.60	$181.00	$13.20 – $153.85	17
Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280	$58.40	$73.00	$2.50 – $10.34	13
Amiodarone 50 mg/ml intravenous solution HCPCS J0282	$167.20	$209.00	$0.27 – $79.65	13
Ammonia CPT 82140	$80.40	$134.00	$5.50 – $113.90	17
Amp metatarsal w/toe single 28810 CPT 28810	not published	not published	$252.45 – $3,248.02	10
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285	$155.20	$195.00	$27.41 – $124.10	13
Amphotericin b lipid complex HCPCS J0287	not published	$200.75	$6.50 – $170.64	16
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289	$235.20	$392.00	$13.56 – $66.30	16
Ampicillin 1 gram solution for injection HCPCS J0290	$111.20	$139.00	$0.34 – $66.62	13
Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295	$61.20	$76.50	$0.88 – $63.75	13
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515	$340.20	$567.00	$226.80 – $481.95	16
Amputation toe interphalangeal joint CPT 28825	not published	not published	$542.09 – $3,340.82	9
Amputation toe metatarsophalangeal joint CPT 28820	not published	not published	$603.90 – $3,340.82	9
Amylase CPT 82150	$40.80	$68.00	$5.50 – $57.80	17
An cholangiogram percutaneous compl CPT 47531	$3,342.00	$5,570.00	$85.71 – $4,734.50	16
An fluoro guide for cvp CPT 77001	$429.60	$716.00	$66.41 – $608.60	14
Analysis gene f2 20210g>a variant CPT 81240	$2,503.20	$4,172.00	$29.09 – $396.95	17
Analysis gene f5 leiden variant CPT 81241	$1,251.60	$2,086.00	$29.09 – $1,688.10	17
Analyze neurostimulator simple w/reprogramming 95971 CPT 95971	$670.80	$1,118.00	$39.13 – $950.30	16
Anaplsma phgcytophlm amp prb CPT 87468	$189.00	$315.00	$30.88 – $267.75	17
Anca screen with reflex to titer -quest CPT 86021	$42.00	$70.00	$5.50 – $59.50	17
Androstanediol CPT 82154	$489.00	$815.00	$26.15 – $692.75	17
Angio balloon ctrl dialysis seg add-on CPT 36907	$11,788.80	$19,648.00	$112.62 – $16,700.80	14
Angio tib/peroneal/init ves/unila 37228 CPT 37228	$37,266.60	$62,111.00	$7,969.78 – $52,794.35	15
Angio trnslmnl balloon same artery ea addl CPT 37247	$9,692.40	$16,154.00	$159.14 – $13,730.90	14
Angio trnslmnl balloon same artery ini CPT 37246	$9,692.40	$16,154.00	$320.94 – $13,730.90	16
Angioplasty fem/pop unilat 37224 CPT 37224	$21,742.80	$36,238.00	$4,929.65 – $30,802.30	15
Angioplasty tib/pero/unilat/ea add 37232 CPT 37232	$27,920.40	$46,534.00	$1,795.89 – $39,553.90	12
Angioplasty/iliac/init ves/unilat 37220 CPT 37220	$20,309.40	$33,849.00	$4,666.70 – $28,771.65	15
Angiotensin ii CPT 82163	$147.60	$246.00	$15.95 – $209.10	17
Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490	$22,037.40	$39,550.50	$0.15 – $4.97	13
Ankle X-ray CPT 73610	$119.40	$199.00	$26.26 – $169.15	15
Ant colporrhaphy/rpr cyctocele 57240 CPT 57240	not published	not published	$1,280.69 – $5,082.81	9
Ant instr 2-3 vert segm 22845 CPT 22845	not published	not published	$1,063.34 – $3,606.26	3
Anti mog serum - sendout CPT 86362	$102.00	$170.00	$10.60 – $144.50	17
Antibody bacterium, not elsewhere specified CPT 86609	$119.40	$199.00	$11.68 – $169.15	16
Antibody elution rbc reference CPT 86860	$54.00	$90.00	$9.29 – $171.54	17
Antibody htlv-i CPT 86687	$76.20	$127.00	$8.24 – $107.95	17
Antibody id rbc panel CPT 86870	$129.60	$216.00	$9.29 – $360.10	17
Antibody identification platelet antibodies heparin-pf4 igg CPT 86022	$360.60	$601.00	$5.50 – $510.85	17
Antibody influenza virus CPT 86710	$158.40	$264.00	$12.29 – $224.40	16
Antibody lymphocytic choriomeningitis CPT 86727	$146.40	$244.00	$11.67 – $207.40	17
Antibody screen rbc CPT 86850	$54.00	$90.00	$8.86 – $76.50	17
Antibody tetanus CPT 86774	$97.20	$162.00	$13.42 – $137.70	16
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187	$15.20	$19.00	$0.84 – $1.98	16
Antineutrophil cytoplasmic antibody screen each antibody CPT 86036	$42.00	$70.00	$10.60 – $59.50	17
Antineutrophil cytoplasmic antibody titer each antibody CPT 86037	$42.00	$70.00	$10.60 – $59.50	17
Antinuclear antibodies CPT 86038	$62.40	$104.00	$10.96 – $83.30	17
Antinuclear antibodies titer CPT 86039	$102.60	$171.00	$10.12 – $145.35	17
Antiphosphatidylserine antibody CPT 86148	$204.00	$340.00	$14.57 – $289.00	16
Antistreptolysin o screen CPT 86063	$37.20	$62.00	$5.23 – $52.70	17
Antistreptolysin o titer CPT 86060	$45.00	$75.00	$6.62 – $63.75	17
Antithrombin iii activity CPT 85300	$89.40	$149.00	$10.15 – $126.65	17
Antithymocyte globuln rabbit HCPCS J7511	not published	$1,886.35	$631.00 – $1,603.40	16
Apc gene dup/delet variants CPT 81203	$2,299.20	$3,832.00	$181.38 – $3,257.20	17
Apl(pml-rara) quant - sendout CPT 81315	$2,235.60	$3,726.00	$188.01 – $3,167.10	17
Appendix Removal (Laparoscopic) CPT 44970	not published	not published	$1,067.82 – $6,007.35	9
Appl multlay comprs arm/hand CPT 29584	$514.80	$858.00	$95.55 – $729.30	12
Application finger splntstatic 29130 CPT 29130	$159.60	$266.00	$78.41 – $226.10	15
Application long leg splint 29505 CPT 29505	$1,002.00	$1,670.00	$40.70 – $1,419.50	16
Application lower leg splint 29515 CPT 29515	$388.80	$648.00	$38.50 – $550.80	16
Application multi layer compression below knee (both sides) CPT 29581	$338.40	$564.00	$27.80 – $479.40	14
Application of long arm cast 29065 CPT 29065	$1,343.40	$2,239.00	$46.75 – $1,903.15	16
Application of paste boot 29580 CPT 29580	$336.00	$560.00	$90.51 – $476.00	12
Application short leg cast 29405 CPT 29405	$366.60	$611.00	$55.55 – $519.35	16
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275	$2,992.20	$4,987.00	$219.71 – $4,238.95	12
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271	$3,460.20	$5,767.00	$203.45 – $4,901.95	12
Apply forearm splintdynamic 29126 CPT 29126	$366.60	$611.00	$28.60 – $519.35	16
Apply of finger splint 29131 CPT 29131	$610.80	$1,018.00	$30.48 – $865.30	16
Apply rigid leg cast 29445 CPT 29445	$1,426.80	$2,378.00	$111.62 – $2,021.30	14
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185	$7.80	$9.75	$1.04 – $6.80	16
Aquaporin-4 antibody cba each CPT 86052	$102.00	$170.00	$10.60 – $144.50	17
Aquaporin-4 antibody elisa CPT 86051	$102.00	$170.00	$10.14 – $144.50	17
Aquatic exercise - group charge CPT 97150	$80.40	$134.00	$33.50 – $113.90	12
Argatroban nonesrd use 1mg HCPCS J0883	$627.00	$1,045.00	$0.50 – $47.60	16
Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017	$292.80	$370.00	$5.15 – $311.10	16
Arterial blood draw/perc 36620 CPT 36620	$607.20	$1,012.00	$52.34 – $860.20	14
Artery x-rays arm/leg 75710-26 CPT 75710	$2,833.20	$4,722.00	$41.25 – $4,013.70	16
Artery x-rays arms/legs 75716-26 CPT 75716	$2,833.20	$4,722.00	$41.25 – $4,013.70	16
Artery xray of abdomen 75726-26 CPT 75726	$3,805.80	$6,343.00	$41.25 – $5,411.37	16
Artery-vein nonautograft CPT 36830	not published	not published	$687.28 – $5,411.37	10
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826	not published	not published	$1,254.48 – $2,378.87	3
Arthrd ant ntrbdy cervical CPT 22551	not published	not published	$2,101.82 – $13,248.33	9
Arthrd cmbn 1ntrspc lumbar CPT 22633	not published	not published	$2,708.93 – $18,935.33	9
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824	not published	not published	$517.29 – $3,248.02	10
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610	$366.60	$611.00	$25.85 – $519.35	16
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606	$336.60	$561.00	$46.59 – $693.24	16
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605	$271.20	$452.00	$23.65 – $384.20	16
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611	$708.00	$1,180.00	$54.80 – $1,003.00	16
Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552	not published	not published	$619.41 – $3,039.21	3
Arthrodesis subtalar CPT 28725	not published	not published	$803.41 – $12,880.32	10
Arthrodesis triple CPT 28715	not published	not published	$669.90 – $12,880.32	10
Asp core fat pad CPT 17999	$103.20	$172.00	$47.46 – $204.60	14
Aspirate bladder/sprapubic cath 51102 CPT 51102	$3,951.60	$6,586.00	$169.77 – $5,598.10	16
Aspirate pleura without imaging 32554 CPT 32554	$1,611.00	$2,685.00	$534.56 – $2,282.25	15
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005	$777.00	$1,295.00	$65.76 – $1,100.75	16
Aspiration peritonsillar abscess CPT 42999	$109.20	$182.00	$35.92 – $239.10	14
Assay dir meas fr estradiol CPT 82681	$128.40	$214.00	$25.34 – $181.90	16
Assay myeloperoxidase CPT 83876	$205.80	$343.00	$14.29 – $291.55	16
Assay neurflmnt light chain CPT 83884	$1,615.20	$2,692.00	$673.00 – $2,288.20	11
Assay of adp & amp CPT 82030	$292.80	$488.00	$19.80 – $414.80	17
Assay of breath ethanol CPT 82075	$202.80	$338.00	$24.19 – $287.30	16
Assay of feces porphyrins CPT 84126	$276.00	$460.00	$35.47 – $391.00	16
Assay of fluoride CPT 82735	$317.40	$529.00	$8.80 – $449.65	17
Assay of glucosidase CPT 82963	$342.00	$570.00	$19.48 – $484.50	17
Assay of glutathione CPT 82978	$93.60	$156.00	$7.42 – $132.60	17
Assay of interleukin-6 (il-6) CPT 83529	$67.20	$112.00	$15.66 – $95.20	16
Assay of leflunomide CPT 80193	$141.00	$235.00	$34.98 – $199.75	16
Assay of lrh hormone CPT 83727	$159.00	$265.00	$15.59 – $225.25	17
Assay of osteocalcin CPT 83937	$274.80	$458.00	$27.07 – $389.30	17
Assay of procainamide w/metab CPT 80192	$149.40	$249.00	$15.19 – $211.65	17
Assay of prostaglandin CPT 84150	$298.20	$497.00	$12.10 – $422.45	17
Assay of sialic acid CPT 84275	$229.20	$382.00	$12.19 – $324.70	17
Assay of somatostatin CPT 84307	$153.00	$255.00	$16.58 – $216.75	17
Assay of thiocyanate CPT 84430	$72.60	$121.00	$5.28 – $102.85	17
Assay of urine sulfate CPT 84392	$43.80	$73.00	$4.98 – $62.05	16
Assess cyst contrast inject CPT 49424	$1,873.80	$3,123.00	$34.32 – $2,654.55	14
Assessment leukocyte fecal qualitative/semiquantitative CPT 89055	$70.20	$117.00	$3.87 – $99.45	17
Ast/sgot CPT 84450	$36.00	$60.00	$4.70 – $51.00	17
Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022	$313.60	$25,868.08	$57.67 – $333.20	16
Athrectomy fem/pop/unilateral 37225 CPT 37225	$120,934.20	$201,557.00	$14,741.00 – $171,323.45	15
Atropine 0.1 mg/ml injection syringe HCPCS J0461	$22.80	$38.00	$0.06 – $0.85	13
Augment injectable kit 3.0cc HCPCS C1734	$7,492.80	$12,488.00	$3,122.00 – $10,614.80	12
Av fuse uppr arm basilic CPT 36819	not published	not published	$1,649.25 – $5,565.99	9
Av fuse uppr arm cephalic CPT 36818	not published	not published	$1,286.48 – $5,565.99	9
Av fusion direct any site CPT 36821	not published	not published	$1,245.27 – $3,240.82	9
Av fusion/forearm vein 36820 CPT 36820	not published	not published	$680.67 – $5,411.37	10
Avelumab 20 mg/ml intravenous solution HCPCS J9023	$231.00	$4,562.25	$63.19 – $327.25	16
Avul nail plate addl CPT 11732	$571.80	$953.00	$28.32 – $810.05	14
Avulsion nail plate partial/complete simple single nail plate CPT 11730	$417.00	$695.00	$28.32 – $590.75	16
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	$22.60	$495.98	$0.36 – $22.10	13
Azathioprine 50 mg tablet HCPCS J7500	$10.40	$13.00	$0.04 – $11.05	13
Azathioprine parenteral HCPCS J7501	not published	$522.63	$188.72 – $444.24	15
Azithromycin 500 mg intravenous solution HCPCS J0456	$319.20	$399.00	$1.29 – $108.64	14
Aztreonam 1 gram solution for injection HCPCS J0457	$19.80	$24.75	$1.60 – $15.30	13
B cells total count CPT 86355	$335.40	$559.00	$34.22 – $475.15	17
Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475	not published	$2,362.85	$114.42 – $502.10	16
Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476	not published	$412.13	$31.54 – $376.30	13
Baclofen eval charges CPT 97750	$118.20	$197.00	$18.43 – $167.45	14
Bacterial meningitis antigen CPT 86403	$236.40	$394.00	$10.47 – $334.90	17
Bacterial vaginosis pcr CPT 87801	$424.80	$708.00	$42.68 – $601.80	17
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358	$70.80	$118.00	$15.47 – $100.30	12
Balloon dilate urtrl strix CPT 50706	$10,138.20	$16,897.00	$981.76 – $14,362.45	12
Bartonella dna pcr-sendout CPT 87471	$306.00	$510.00	$31.82 – $433.50	17
Bausch health Ultrasound surg HCPCS V2788	$609.00	$1,015.00	$248.75 – $847.06	10
Bcg live 50 mg intravesical suspension HCPCS J9030	$732.60	$1,221.00	$2.06 – $1,037.85	13
Belatacept 250 mg intravenous solution HCPCS J0485	$21.00	$35.00	$2.45 – $11.90	16
Belimumab 120 mg intravenous solution HCPCS J0490	$220.80	$276.00	$35.40 – $215.05	16
Bendamustine 100 mg intravenous powder for solution HCPCS J9033	$56.40	$94.00	$1.19 – $79.90	16
Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034	$70.80	$118.00	$8.52 – $43.15	16
Benign lesion paring 2-4 CPT 11056	$576.60	$961.00	$32.65 – $816.85	14
Benztropine 1 mg/ml injection solution HCPCS J0515	$100.20	$167.00	$9.68 – $48.45	13
Beta 2 glycoprotein 1 antibody iga CPT 86146	$229.20	$382.00	$23.08 – $306.00	17
Beta-2 microglobulin CPT 82232	$74.40	$124.00	$14.67 – $105.40	17
Beta-amyloid 1-40 CPT 82233	$1,670.40	$2,784.00	$696.00 – $2,366.40	11
Beta-amyloid 1-42 CPT 82234	$1,670.40	$2,784.00	$696.00 – $2,366.40	11
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702	$49.20	$81.60	$4.39 – $51.85	14
Bevacizumab 25 mg/ml intravenous solution HCPCS J9035	$398.40	$7,775.00	$46.22 – $403.75	16
Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107	$231.00	$6,572.13	$17.59 – $327.25	16
Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118	not published	$1,292.85	$16.27 – $115.48	16
Bilateral n block inj occipital 64405 CPT 64405	$1,959.60	$3,266.00	$38.50 – $2,776.10	16
Bilateral n block inj trigeminal 64400 CPT 64400	$2,232.00	$3,720.00	$14.30 – $3,162.00	16
Bilirubin direct CPT 82248	$33.00	$55.00	$4.55 – $46.75	17
Bilirubin total CPT 82247	$33.00	$55.00	$4.55 – $46.75	17
Biopsy abdominal mass CPT 49180	$2,419.20	$4,032.00	$89.07 – $3,427.20	16
Biopsy bone trocar/needle superficial CPT 20220	$2,094.00	$3,490.00	$69.30 – $2,966.50	16
Biopsy cervixsingle/multiple 57500 CPT 57500	$8,072.40	$13,454.00	$72.73 – $11,435.90	16
Biopsy muscle percutaneous needle CPT 20206	$1,891.20	$3,152.00	$62.03 – $2,679.20	16
Biopsy needle liver percutaneous CPT 47000	$2,056.80	$3,428.00	$98.61 – $2,913.80	16
Biopsy needle lymph node superficial CPT 38505	$1,741.80	$2,903.00	$74.17 – $2,467.55	16
Biopsy of prostate CPT 55700	not published	not published	$98.45 – $2,050.66	10
Biopsy renal percutaneous trocar/needle (both sides) CPT 50200	$2,056.80	$3,428.00	$150.82 – $2,913.80	16
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222	$1,176.60	$1,961.00	$69.65 – $2,865.05	16
Biopsy/excision of lymph node(s); open deep 38530 CPT 38530	not published	not published	$243.10 – $3,833.30	10
Biopsy/removal lymph nodes CPT 38525	not published	not published	$171.60 – $3,833.30	10
Biopsy/soft tissue/neck or thorax 21550 CPT 21550	$3,198.60	$5,331.00	$37.95 – $4,531.35	16
Biospy of bladder CPT 53899	$111.60	$186.00	$34.22 – $250.42	14
Bivalirudin HCPCS J0583	not published	$198.18	$0.11 – $163.50	13
Bladder irrigate/lavage/instill 51700 CPT 51700	$611.40	$1,019.00	$31.57 – $866.15	16
Bleomycin 15 unit solution for injection HCPCS J9040	$1,089.00	$1,815.00	$13.59 – $638.11	13
Blinatumomab 35 mcg intravenous solution HCPCS J9039	$311.40	$519.00	$103.71 – $441.15	16
Blink reflex test CPT 95933	$159.60	$266.00	$23.65 – $226.10	16
Bln 1.2 mono emrg 15x1.2 HCPCS C1725	$3,042.60	$5,071.00	$66.00 – $1,542.13	12
Bln 30frx10mmx12cm renal nephromax HCPCS C1726	$752.40	$1,254.00	$182.25 – $1,535.76	12
Bln dil 900ml preperitnl HCPCS C1727	$2,067.60	$3,446.00	$407.00 – $2,416.16	11
Bln inpact admiral 4x150x130cm HCPCS C2623	$4,954.20	$8,257.00	$2,064.25 – $7,018.45	12
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877	$2,530.20	$4,217.00	$1,054.25 – $3,584.45	12
Bln ureth 5ml 28f 2wy ltx st HCPCS A4338	$102.00	$170.00	$1.75 – $71.56	12
Block tap inj(s) w/wo img uni CPT 64486	not published	not published	$164.62 – $346.25	3
Blood Clotting (PT/INR) Test CPT 85610	$34.80	$58.00	$3.61 – $49.30	17
Blood Clotting (PTT) Test CPT 85730	$119.40	$199.00	$5.45 – $169.15	17
Blood Count (CBC) Test CPT 85025	$89.40	$149.00	$6.60 – $126.65	17
Blood Count (CBC) Test (without differential) CPT 85027	$51.00	$85.00	$5.87 – $72.25	17
Blood Culture Test CPT 87040	$137.40	$229.00	$9.36 – $194.65	17
Blood draw capillary 36416 CPT 36416	$7.80	$13.00	$0.05 – $11.05	11
Blood gases o2 saturation direct measurement CPT 82805	$436.20	$727.00	$42.75 – $617.95	17
Blood gases ph venous CPT 82800	$60.00	$100.00	$9.98 – $85.00	17
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274	$30.60	$51.00	$3.08 – $43.35	17
Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272	$20.40	$34.00	$3.84 – $28.90	17
Blood occult feces colorectal neoplasm screening qualitative CPT 82270	$20.40	$34.00	$1.26 – $28.90	17
Blood occult peroxidase activity qualitative gastric CPT 82271	$52.20	$87.00	$3.99 – $73.95	17
Blood smear interpretation CPT 85060	$92.40	$154.00	$2.35 – $130.90	11
Blood split unit HCPCS P9011	$300.60	$501.00	$69.44 – $425.85	15
Blood typing abo CPT 86900	$34.80	$58.00	$2.71 – $49.30	17
Blood typing ag donor ea ag CPT 86902	$106.20	$177.00	$3.10 – $150.45	17
Blood typing rbc ag non abo/rh ea CPT 86905	$80.40	$134.00	$2.24 – $113.90	17
Blood typing rh (d) CPT 86901	$47.40	$79.00	$2.71 – $67.15	17
Bone Density Scan (DEXA) CPT 77080	$240.00	$400.00	$66.12 – $340.00	16
Bone marrow biopsyneedle/trocar 38221 CPT 38221	$1,237.20	$2,062.00	$76.80 – $1,752.70	16
Bone marrow interpretation CPT 85097	$250.80	$418.00	$1.71 – $817.76	17
Bone survey-lead poisoning CPT 77074	$420.60	$701.00	$51.63 – $595.85	16
Bone/joint imaging ltd area CPT 78300	$508.80	$848.00	$75.90 – $720.80	16
Boot j walker l HCPCS L4386	$1,516.20	$2,527.00	$241.75 – $2,147.95	12
Boot walker genesis full shell 3-strap s HCPCS L4360	$861.60	$1,436.00	$43.00 – $967.32	12
Borrelia antibody CPT 86619	$210.60	$351.00	$12.13 – $298.35	16
Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618	$99.00	$165.00	$15.44 – $140.25	17
Borrelia miyamotoi amp prb CPT 87478	$189.00	$315.00	$30.88 – $267.75	17
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041	$241.20	$4,007.50	$1.76 – $341.70	13
Br punct aspir ea add, l CPT 19001	$361.80	$603.00	$22.43 – $512.55	14
Bra surgical elizabeth pink sm HCPCS L8000	$55.20	$92.00	$23.00 – $212.31	12
Brace ank air stirrup univ HCPCS L4350	$249.60	$416.00	$104.00 – $353.60	12
Brace ankle stablizing lg HCPCS L1902	$231.60	$386.00	$96.50 – $508.85	12
Brace knee support neoprene padded open patella med HCPCS L1810	$1,083.60	$1,806.00	$170.32 – $1,535.10	12
Brace oths wrist hnd fngr without HCPCS L3807	$642.00	$1,070.00	$267.50 – $1,296.62	11
Brace wrist classic lft sm HCPCS L3908	$522.60	$871.00	$113.83 – $740.35	12
Brach/thor cath 1st CPT 36215	$8,405.40	$14,009.00	$189.20 – $11,907.65	14
Brach/thor cath 2nd CPT 36216	$10,167.00	$16,945.00	$125.95 – $14,403.25	14
Braf gene CPT 81210	$1,392.00	$2,320.00	$150.49 – $523.60	17
Brain MRA (blood vessel MRI, with and without contrast) CPT 70546	$5,969.40	$9,949.00	$308.78 – $8,456.65	16
Brain MRA (blood vessel MRI, without contrast) CPT 70544	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Brain MRI (with and without contrast) CPT 70553	$3,827.40	$6,379.00	$308.78 – $5,422.15	16
Brain MRI (with contrast) CPT 70552	$2,449.80	$4,083.00	$308.78 – $3,470.55	16
Brain MRI (without contrast) CPT 70551	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Brca1&2 gen ful dup/del alys CPT 81164	$2,287.20	$3,812.00	$514.12 – $2,720.00	17
Brcassure comprehensive panel-sendout CPT 81162	$1,920.00	$3,200.00	$1,280.00 – $2,720.00	17
Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083	$3,145.20	$5,242.00	$152.78 – $4,455.70	16
Breast punct aspir cyst, bil CPT 19000	$777.00	$1,295.00	$40.15 – $1,100.75	16
Brentuximab vedotin 50 mg intravenous solution HCPCS J9042	$492.80	$22,317.50	$163.31 – $523.60	16
Bronchial challenge CPT 94070	$520.20	$867.00	$20.90 – $736.95	16
Bronchoscopy clear airways 31645 CPT 31645	not published	not published	$162.58 – $1,726.28	10
Bronchoscopy w/biopsy(s) 31625 CPT 31625	$2,132.40	$3,554.00	$173.59 – $3,020.90	16
Bronchoscopy/lung bx each 31628 CPT 31628	not published	not published	$193.38 – $3,690.81	10
Budesonide non-comp unit HCPCS J7626	$875.20	$1,094.00	$0.79 – $929.90	14
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939	$9.00	$11.25	$0.23 – $9.35	16
Bundled special stain group 1 microorganisms CPT 88312	$67.20	$112.00	$8.19 – $95.20	17
Bundled special stain group 2 CPT 88313	$67.20	$112.00	$6.51 – $129.03	17
Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665	$1.40	$1.75	$0.01 – $0.20	12
Buprenorph X-ray 100 mg or less HCPCS Q9991	$6,604.80	$11,008.00	$1,273.17 – $9,356.80	16
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572	$15.40	$19.25	$4.81 – $16.36	13
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574	$25.00	$31.25	$7.81 – $26.56	13
Buprenorphine X-ray over 100 mg HCPCS Q9992	$6,604.80	$11,008.00	$1,273.17 – $9,356.80	16
Butorphanol tartrate 1 mg HCPCS J0595	$89.40	$149.00	$4.06 – $46.75	13
Bx bone trocar/ndl deep CPT 20225	$2,553.60	$4,256.00	$107.80 – $3,617.60	16
Bx breast 1st lesion strtctc CPT 19081	$5,112.00	$8,520.00	$163.13 – $7,242.00	16
Bx breast add lesion Ultrasound imag CPT 19084	$2,792.40	$4,654.00	$72.73 – $3,955.90	14
Bx breast add lesion strtctc CPT 19082	$5,112.00	$8,520.00	$77.42 – $7,242.00	14
Bx breast perq without image 19100 CPT 19100	not published	not published	$67.38 – $1,621.93	10
Bx of cervix w/scope leep 57460 CPT 57460	not published	not published	$164.78 – $3,182.86	10
Bx pancreas pq ndl CPT 48102	$3,197.40	$5,329.00	$631.31 – $4,529.65	15
Bx skin punch ea sep/ addl les CPT 11105	$658.20	$1,097.00	$24.25 – $932.45	14
Bx thyroid/percutan core needle 60100 CPT 60100	$1,240.20	$2,067.00	$72.05 – $1,756.95	16
Bx/exc lymph node/open/deep cervic 38510 CPT 38510	not published	not published	$149.60 – $3,833.30	10
Bx/exc lymph node/open/superfic 38500 CPT 38500	not published	not published	$432.99 – $3,942.82	9
Bypass temp external fem-fem CPT 37799	$114.60	$191.00	$35.59 – $636.60	14
C motor evoked uppr limbs CPT 95928	$400.80	$668.00	$144.69 – $1,018.46	16
C motor evoked upr&lwr limbs CPT 95939	$2,663.40	$4,439.00	$378.73 – $3,773.15	16
C-kit mutation liquid tumor - sendout CPT 81272	$4,054.80	$6,758.00	$289.97 – $5,744.30	17
C-peptide CPT 84681	$102.60	$171.00	$18.87 – $145.35	17
C-reactive protein CPT 86140	$40.80	$68.00	$3.30 – $57.80	17
C-reactive protein high sensitivity CPT 86141	$137.40	$229.00	$11.58 – $194.65	17
C1 esterase inhibitor func - sendout CPT 86161	$202.80	$338.00	$10.88 – $287.30	17
CT 3d report other modality w/workstation CPT 76377	$610.80	$1,018.00	$254.50 – $865.30	12
CT Angiogram of Abdomen and Pelvis CPT 74174	$3,063.00	$5,105.00	$308.78 – $4,339.25	16
CT Angiogram of the Chest (for blood clot) CPT 71275	$1,576.80	$2,628.00	$153.92 – $2,233.80	16
CT Angiogram of the Head CPT 70496	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178	$1,533.00	$2,555.00	$308.78 – $2,171.75	16
CT Scan of Abdomen and Pelvis (with contrast) CPT 74177	$1,368.00	$2,280.00	$289.48 – $1,938.00	16
CT Scan of Abdomen and Pelvis (without contrast) CPT 74176	$1,226.40	$2,044.00	$185.12 – $1,737.40	16
CT angio pelvis CPT 72191	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
CT colonography dx CPT 74261	$1,226.40	$2,044.00	$91.94 – $1,737.40	15
CT colonography screening CPT 74263	$6,423.00	$10,705.00	$209.00 – $9,099.25	14
CT guidance for needle placement CPT 77012	$1,516.20	$2,527.00	$174.66 – $2,147.95	14
CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989	$771.00	$1,285.00	$19.25 – $1,092.25	14
CT lower extremity w/contrast (both sides) CPT 73701	$1,176.00	$1,960.00	$153.92 – $1,666.00	15
CT lower extremity without contrast (both sides) CPT 73700	$989.40	$1,649.00	$91.94 – $1,401.65	15
CT lwr extremity w/o&w/dye CPT 73702	$1,240.20	$2,067.00	$153.92 – $1,756.95	15
CT neck soft tissue w/contrast CPT 70491	$1,368.00	$2,280.00	$151.25 – $1,938.00	16
CT neck soft tissue without & w/contrast CPT 70492	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
CT neck soft tissue without contrast CPT 70490	$1,226.40	$2,044.00	$91.94 – $1,737.40	16
CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481	$1,368.00	$2,280.00	$153.92 – $1,938.00	16
CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480	$1,226.40	$2,044.00	$91.94 – $1,737.40	16
CT orbit/sella/fossa w/wo contrast CPT 70482	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
CT scan for therapy guide CPT 77014	$855.60	$1,426.00	$109.50 – $1,212.10	14
CT t-spine w /wo contrast CPT 72130	$1,750.20	$2,917.00	$153.92 – $2,479.45	16
CT thoracic spine w/contrast CPT 72129	$1,636.80	$2,728.00	$153.92 – $2,318.80	16
CT thoracic spine without contrast CPT 72128	$1,368.00	$2,280.00	$91.94 – $1,938.00	16
CT thorax low dose for lung screening without contrast CPT 71271	$666.60	$1,111.00	$91.94 – $944.35	16
CT upper extremity w/contrast (both sides) CPT 73201	$1,368.00	$2,280.00	$280.73 – $1,938.00	15
CT upper extremity without contrast (both sides) CPT 73200	$1,068.00	$1,780.00	$91.94 – $1,513.00	15
CT uppr extremity w/o&w/dye CPT 73202	$1,240.20	$2,067.00	$153.92 – $1,756.95	15
Ca screen;flexi sigmoidscope HCPCS G0104	not published	not published	$230.84 – $938.75	8
Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043	$441.60	$33,002.93	$143.50 – $625.60	16
Cabergoline, oral 0.25mg HCPCS J8515	$105.00	$175.00	$1.60 – $74.80	13
Caffeine citrate 20 mg/ml inj for po HCPCS J0706	not published	$0.98	$0.25 – $14.76	12
Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630	$9,437.60	$11,797.00	$215.02 – $10,027.45	15
Calcium 24 hour urine CPT 82340	$43.80	$73.00	$5.47 – $62.05	17
Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612	$0.80	$1.00	$0.02 – $0.85	13
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613	$0.80	$1.00	$0.05 – $0.85	13
Calcium ionized CPT 82330	$66.60	$111.00	$9.73 – $94.35	17
Calcium total CPT 82310	$37.20	$62.00	$4.68 – $52.70	17
Calprotectin fecal CPT 83993	$175.20	$292.00	$17.80 – $248.20	17
Candida dna CPT 87480	$175.80	$293.00	$18.18 – $249.05	17
Cannula ercp contour 5-4-3 tip HCPCS C1889	$7,828.80	$13,048.00	$5.75 – $19.55	12
Canthotomy 67715 CPT 67715	$3,352.80	$5,588.00	$338.00 – $4,749.80	15
Cap nerve 2x15mm HCPCS C1763	$706.20	$1,177.00	$294.25 – $4,483.06	12
Cap trach decann 15mm HCPCS C1750	$1,444.80	$2,408.00	$179.00 – $4,445.18	12
Carbamazepine free CPT 80157	$89.40	$149.00	$12.02 – $126.65	17
Carbamazepine free -sendout CPT 80161	$89.40	$149.00	$16.90 – $126.65	16
Carbamazepine total therapeutic drug level CPT 80156	$89.40	$149.00	$13.21 – $126.65	17
Carbohydrate deficient transf - sendout CPT 82373	$111.60	$186.00	$8.76 – $158.10	17
Carbohydrate urine - sendout CPT 84377	$28.80	$48.00	$4.99 – $40.80	17
Carbon dioxide CPT 82374	$36.00	$60.00	$4.43 – $51.00	17
Carboplatin 10 mg/ml desensitization HCPCS J9045	$1,696.00	$2,120.00	$1.41 – $384.16	13
Carboxyhemoglobin quantitative CPT 82375	$72.00	$120.00	$6.16 – $102.00	17
Carcinoembryonic ag (cea) CPT 82378	$96.60	$161.00	$17.19 – $136.85	17
Cardiac perf spect sgl/ef/wm rst/strs CPT 78451	$1,963.80	$3,273.00	$267.23 – $2,782.05	16
Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798	$121.20	$202.00	$50.50 – $171.70	15
Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797	$90.60	$151.00	$30.63 – $129.64	15
Cardiolipin antibody iga CPT 86147	$129.60	$216.00	$23.08 – $173.40	17
Cardioversion elective electrical conversion arrhythmia external CPT 92960	$883.20	$1,472.00	$95.70 – $1,251.20	16
Caregiver training strategies&tq 1st 30 minutes CPT 97550	$105.00	$175.00	$43.75 – $148.75	12
Caregiver training strategies&tq ea addl 15 min CPT 97551	$52.20	$87.00	$21.75 – $73.95	12
Carfilzomib 10 mg intravenous solution HCPCS J9047	$136.00	$7,447.25	$35.14 – $144.50	16
Carmustine 100 mg intravenous powder for solution HCPCS J9050	$287.40	$5,016.70	$150.56 – $407.15	16
Carotene CPT 82380	$65.40	$109.00	$8.36 – $92.65	17
Carotid Artery Ultrasound (Duplex) CPT 93880	$979.80	$1,633.00	$162.65 – $1,388.05	16
Carpal Tunnel Release Surgery CPT 64721	not published	not published	$330.00 – $1,954.82	10
Caspofungin acetate HCPCS J0637	$2,284.80	$3,808.00	$2.24 – $244.80	13
Cataract Surgery CPT 66984	not published	not published	$662.78 – $2,938.64	10
Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752	$428.40	$714.00	$178.50 – $1,172.20	12
Cath ablt clsfast 7fx100cmx HCPCS C1888	$1,363.20	$2,272.00	$477.00 – $4,959.99	11
Cath acuity innr ic130 6f 63cm HCPCS C1887	$1,338.60	$2,231.00	$9.50 – $287.39	12
Cath adherent clot 10mm 6f 10 HCPCS C1757	$1,504.20	$2,507.00	$5.75 – $1,283.27	11
Cath baloon occl urnry 34f 7x2x65 HCPCS C2628	$358.80	$598.00	$149.50 – $3,850.95	11
Cath council tip 16fr 5cc HCPCS A4344	$130.20	$217.00	$2.00 – $92.16	12
Cath cv dl inj 7fx16cm HCPCS C1751	$670.80	$1,118.00	$54.75 – $952.71	12
Cath groshong MRI 8fr plstc port HCPCS C1788	$2,380.80	$3,968.00	$958.88 – $3,372.80	11
Cath hawkone s directional HCPCS C1714	$7,936.80	$13,228.00	$1,121.17 – $11,243.80	11
Cath infuse micro 150cm rapidtransit HCPCS A4351	$81.60	$136.00	$0.25 – $11.79	12
Cath left heart/lv gram CPT 93452	$5,695.80	$9,493.00	$1,257.63 – $8,069.05	15
Cath malecot 28fr 4-wing ltx HCPCS C1729	$655.20	$1,092.00	$2.50 – $347.30	12
Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340	$201.00	$335.00	$7.00 – $214.95	12
Cath place 1st order venous 36011 CPT 36011	$10,167.00	$16,945.00	$125.95 – $14,403.25	14
Cath plc art ang/grft lt/rt hr CPT 93461	$11,503.20	$19,172.00	$2,119.68 – $16,296.20	15
Cath plc art/angio/rt hrt cath CPT 93456	$8,503.80	$14,173.00	$1,622.87 – $12,047.05	15
Cath right heart w/o2 sat & card CPT 93451	$6,459.60	$10,766.00	$1,126.58 – $9,151.10	15
Cath steerable flex adv 12f HCPCS C1766	$2,410.80	$4,018.00	$155.39 – $3,415.30	11
Cath uret open tp 6fx70cm HCPCS C1758	$733.20	$1,222.00	$6.00 – $221.66	12
Catheterization collection of specimen single patient all places of service HCPCS P9612	$39.00	$65.00	$8.08 – $55.25	15
Cauterization chemical granulation tissue CPT 17250	$299.40	$499.00	$28.40 – $424.15	16
Cdna analysis for variants CPT 81403	$7,041.00	$11,735.00	$167.96 – $486.20	16
Cebpa gene full sequence CPT 81218	$2,182.20	$3,637.00	$219.38 – $3,091.45	17
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690	$20.80	$26.00	$0.50 – $6.90	14
Cefepime 1 gram solution for injection HCPCS J0692	$43.40	$54.25	$0.77 – $37.97	14
Cefotaxime sodium injection HCPCS J0698	$88.20	$147.00	$36.75 – $124.95	12
Cefoxitin 1 gram intravenous solution HCPCS J0694	$108.80	$136.00	$1.61 – $70.05	13
Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712	$217.80	$519.96	$1.81 – $4.57	16
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713	$52.80	$66.00	$0.99 – $34.30	14
Ceftazidime and avibactam HCPCS J0714	not published	$896.58	$66.13 – $762.09	15
Ceftriaxone 1 gram solution for injection HCPCS J0696	$177.60	$222.00	$0.27 – $114.05	14
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697	$47.20	$59.00	$1.17 – $29.33	13
Cell count w differential body fluid CPT 89051	$58.80	$98.00	$5.08 – $83.30	17
Cell cryopreserve/storage CPT 88240	$165.60	$276.00	$11.85 – $234.60	16
Cell function assay w/stim CPT 86352	$1,146.00	$1,910.00	$67.46 – $1,623.50	17
Cell marker study CPT 88182	$126.60	$211.00	$41.00 – $179.35	17
Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119	$497.40	$22,750.00	$18.50 – $99.45	16
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717	$37.80	$63.00	$2.47 – $6,112.81	17
Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055	$210.60	$1,616.23	$49.48 – $298.35	16
Change cystostomy tube simple CPT 51705	$298.20	$497.00	$30.80 – $422.45	16
Change cystostomy tube; complex 51710 CPT 51710	$3,396.00	$5,660.00	$30.80 – $4,811.00	16
Change g-tube to g-j perc CPT 49446	$3,861.60	$6,436.00	$138.42 – $5,470.60	16
Change of windpipe airway 31502 CPT 31502	$580.20	$967.00	$119.08 – $821.95	15
Chemo adm cns w/lmbr punct CPT 96450	$1,119.00	$1,865.00	$84.33 – $1,585.25	16
Chest 2 vws w oblique CPT 71048	$83.40	$139.00	$35.67 – $118.15	16
Chest CT scan (with and without contrast) CPT 71270	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
Chest CT scan (with contrast) CPT 71260	$1,368.00	$2,280.00	$153.92 – $1,938.00	16
Chest CT scan (without contrast) CPT 71250	$1,226.40	$2,044.00	$91.94 – $1,737.40	16
Chest X-ray CPT 71046	$141.00	$235.00	$26.00 – $199.75	16
Chest X-ray (single view) CPT 71045	$108.60	$181.00	$16.69 – $153.85	16
Chest apical lordotic proj CPT 71047	$218.40	$364.00	$33.23 – $309.40	16
Chg radiologic exam esophagus double contrast CPT 74221	$253.20	$422.00	$92.49 – $358.70	16
Chlamydia culture CPT 87110	$96.00	$160.00	$17.78 – $136.00	17
Chlamydia type CPT 87140	$64.80	$108.00	$3.30 – $91.80	17
Chloride CPT 82435	$34.80	$58.00	$4.17 – $49.30	17
Chloride 24 hour urine CPT 82436	$34.80	$58.00	$5.21 – $49.30	17
Chloroprocaine hcl injection HCPCS J2401	$1.20	$47.57	$0.03 – $0.85	13
Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205	$1,060.80	$1,326.00	$24.91 – $85.79	13
Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230	$39.40	$49.25	$9.84 – $41.65	13
Chlorpromazine 100 mg tablet HCPCS Q0161	$0.80	$1.00	$0.25 – $0.85	12
Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300	$516.60	$861.00	$105.33 – $731.85	12
Cholecystostomy complete w/supervision & interpretation CPT 47490	$3,158.40	$5,264.00	$829.03 – $4,474.40	15
Cholesterol CPT 82465	$40.80	$68.00	$3.95 – $57.80	17
Cholesterol (Lipid) Test CPT 80061	$133.20	$222.00	$12.14 – $188.70	17
Cholesterol body fluid CPT 84999	$6,841.20	$11,402.00	$0.78 – $38.25	11
Chrom analysis CPT 88273	$228.60	$381.00	$31.57 – $323.85	16
Chromatography CPT 83021	$163.80	$273.00	$16.38 – $232.05	17
Chromo high res and frag x - sendout CPT 81243	$3,739.80	$6,233.00	$50.19 – $674.05	17
Chromogenic substrate assay CPT 85130	$188.40	$314.00	$10.78 – $266.90	16
Chromosome analysis 100 CPT 88249	$3,003.60	$5,006.00	$157.05 – $4,255.10	17
Chromosome analysis 15-20 cell count CPT 88262	$817.80	$1,363.00	$113.81 – $1,158.55	17
Chromosome analysis 5 CPT 88261	$2,955.60	$4,926.00	$239.73 – $4,187.10	17
Chromosome study additional CPT 88289	$590.40	$984.00	$31.22 – $836.40	17
Chronic urticaria - sendout CPT 86343	$114.60	$191.00	$11.30 – $162.35	16
Chylomicron screen, bf - sendout CPT 82664	$526.20	$877.00	$55.77 – $745.45	16
Cilastatin sodium injection HCPCS J0743	not published	$25.35	$6.34 – $64.11	12
Ciliary transsleral therapy CPT 66710	$4,594.20	$7,657.00	$1,070.14 – $6,508.45	15
Cinacalcet 30 mg tablet HCPCS J0604	not published	$195.63	$0.16 – $1.69	13
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744	$101.60	$127.00	$0.92 – $66.00	13
Ciprofloxacin otic susp 6 mg HCPCS J7342	$128.80	$161.00	$7.64 – $543.41	13
Circum 28 days or older CPT 54161	not published	not published	$140.80 – $2,050.66	10
Circumcision (newborn) CPT 54150	$2,149.20	$3,582.00	$86.90 – $3,044.70	15
Cisplatin 1 mg/ml desensitization HCPCS J9060	$700.00	$875.00	$0.80 – $183.03	13
Cladribine 10 mg/10 ml intravenous solution HCPCS J9065	$329.60	$412.00	$6.74 – $227.63	16
Claviculectomy partial CPT 23120	not published	not published	$302.50 – $3,248.02	10
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736	$76.20	$95.25	$0.74 – $50.15	14
Clip ligating vesolock lg HCPCS C1760	$699.00	$1,165.00	$168.50 – $1,679.28	12
Clos txnose fx without stablz 21315 CPT 21315	$4,779.60	$7,966.00	$131.45 – $6,771.10	16
Close lac/mouth vest/2.5 cm or < 40830 CPT 40830	$388.80	$648.00	$34.65 – $550.80	16
Closed tx humerus fx w/manip 24505 CPT 24505	$2,860.80	$4,768.00	$179.30 – $4,052.80	16
Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266	not published	not published	$260.70 – $1,602.09	10
Closure enterostomy lg/sm intestine 44620 CPT 44620	not published	not published	$1,038.16 – $3,340.30	3
Clot factor fletcher fact CPT 85292	$109.80	$183.00	$17.17 – $155.55	17
Clot factor viii reltd antgn CPT 85244	$343.80	$573.00	$18.52 – $487.05	17
Clot factor wght kininogen CPT 85293	$320.40	$534.00	$17.17 – $453.90	17
Clot factor xii hageman CPT 85280	$131.40	$219.00	$14.30 – $186.15	17
Clot factor xiii fibrin stab CPT 85290	$69.60	$116.00	$8.80 – $98.60	17
Clozapine, 25 mg HCPCS S0136	$17.40	$21.75	$0.28 – $6.71	13
Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670	$315.00	$525.00	$23.09 – $446.25	16
Clsd tx dist fib fx w/manip 27788 CPT 27788	$3,017.40	$5,029.00	$174.90 – $4,274.65	16
Clsd tx elbow dislocation child 24640 CPT 24640	$280.20	$467.00	$58.30 – $396.95	16
Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605	$2,509.80	$4,183.00	$182.60 – $3,555.55	16
Clsd tx fx radius/ulna w/manip 25565 CPT 25565	$2,186.40	$3,644.00	$220.55 – $3,097.40	16
Clsd tx hip disloc without anes 27265 CPT 27265	$1,632.60	$2,721.00	$207.41 – $2,312.85	16
Clsd tx iphal jnt disl w/manip req anes CPT 26775	$4,633.20	$7,722.00	$229.63 – $6,563.70	15
Clsd tx metatarsal fracture w/manip 28475 CPT 28475	$4,795.80	$7,993.00	$129.80 – $6,794.05	16
Clsd tx of ankle fracture w/manip 28435 CPT 28435	$4,497.60	$7,496.00	$159.50 – $6,371.60	16
Clsd tx patella disloc without anes 27560 CPT 27560	$1,632.60	$2,721.00	$112.20 – $2,312.85	16
Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781	$3,570.00	$5,950.00	$216.70 – $5,057.50	16
Clsd tx radius fracture w/manip 24655 CPT 24655	$3,449.40	$5,749.00	$130.35 – $4,886.65	16
Clsd tx shoulder dislc/fx 23665 CPT 23665	$2,186.40	$3,644.00	$172.70 – $3,097.40	16
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675	$2,186.40	$3,644.00	$165.55 – $3,097.40	16
Clsd tx temporomandibular dislocat 21480 CPT 21480	$3,032.40	$5,054.00	$31.88 – $4,295.90	16
Clsd tx toe dislocation without anes28660 CPT 28660	$763.20	$1,272.00	$53.35 – $1,081.20	16
Clsd tx trimall ankle fx w/manip 27818 CPT 27818	$1,632.60	$2,721.00	$262.90 – $2,312.85	16
Clsd tx wrist ulnar styloid fx 25650 CPT 25650	$810.00	$1,350.00	$160.60 – $1,147.50	16
Clsd tx/fem shaft fx/manipulation 27502 CPT 27502	$4,281.00	$7,135.00	$434.50 – $6,064.75	16
Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515	$556.80	$928.00	$73.15 – $788.80	16
Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605	$4,165.80	$6,943.00	$116.60 – $5,901.55	16
Clsd tx/nasal bone fx/stabilize 21320 CPT 21320	$4,594.20	$7,657.00	$132.84 – $6,508.45	16
Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655	$1,632.60	$2,721.00	$152.90 – $2,312.85	16
Clsd/shoulder dislo/manip/no anest 23650 CPT 23650	$1,632.60	$2,721.00	$108.90 – $2,312.85	16
Cltx scap fx w/mnpj +-tractj CPT 23575	$3,379.20	$5,632.00	$123.20 – $4,787.20	16
Cmv pcr-sendout CPT 87496	$306.60	$511.00	$31.82 – $434.35	17
Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189	$8.20	$10,019.00	$1.68 – $8.50	16
Cold agglutinin titer CPT 86157	$39.00	$65.00	$7.31 – $55.25	17
Colistimethate sodium inj HCPCS J0770	not published	$25.68	$6.42 – $118.92	12
Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120	$223.20	$372.00	$48.29 – $316.20	12
Collar cerv ascend 172 reg HCPCS L0172	$236.40	$394.00	$98.50 – $763.24	12
Collar cerv patriot adlt HCPCS L0150	$316.80	$528.00	$132.00 – $654.47	12
Collection blood specimen from completely implantable venous access device CPT 36591	$72.00	$120.00	$31.08 – $132.72	15
Collection blood specimen using established central/peripheral catheter venous nos CPT 36592	$240.00	$400.00	$38.42 – $340.00	15
Collection of venous blood by venipuncture CPT 36415	$10.20	$17.00	$0.05 – $14.45	15
Colonoscopy & polypectomy 44392 CPT 44392	$3,379.20	$5,632.00	$212.64 – $4,787.20	16
Colonoscopy (diagnostic) CPT 45378	$1,500.00	$2,500.00	$198.55 – $2,125.00	16
Colonoscopy (with biopsy) CPT 45380	$2,132.40	$3,554.00	$247.96 – $3,020.90	16
Colonoscopy (with polyp removal) CPT 45385	$2,132.40	$3,554.00	$294.89 – $3,020.90	16
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384	$2,132.40	$3,554.00	$261.22 – $3,020.90	16
Colonoscopy stoma w/snare 44394 CPT 44394	$3,373.80	$5,623.00	$809.52 – $4,779.55	15
Colonoscopy submucous njx CPT 45381	$4,867.20	$8,112.00	$117.67 – $6,895.20	16
Colonoscopy thru stoma spx CPT 44388	$3,380.40	$5,634.00	$160.08 – $4,788.90	16
Colonoscopy w/injection CPT 44404	$2,448.60	$4,081.00	$457.34 – $3,468.85	14
Colonoscopy with biopsy CPT 44389	$1,555.20	$2,592.00	$177.36 – $2,203.20	16
Colposcopy/cervix/ conization 57461 CPT 57461	not published	not published	$190.88 – $3,182.86	10
Compatibility test each unit antiglobulin technique CPT 86922	$179.40	$299.00	$23.10 – $254.15	17
Compatibility test each unit immediate spin technique CPT 86920	$89.40	$149.00	$23.10 – $171.54	17
Complement antigen each component c3 CPT 86160	$54.00	$90.00	$10.88 – $72.25	17
Complement fixation each CPT 86171	$122.40	$204.00	$7.70 – $173.40	17
Complex repair trunk 1.1-2.5cm 13120 CPT 13120	$4,060.20	$6,767.00	$66.00 – $5,751.95	16
Complx repair enel 1.1-2.5 cm 13151 CPT 13151	$4,909.80	$8,183.00	$194.70 – $6,955.55	16
Complx repair enel 2.6-7.5 cm 13152 CPT 13152	$4,655.40	$7,759.00	$529.26 – $6,595.15	15
Complx repair fccmnaxghf 13131 CPT 13131	$2,186.40	$3,644.00	$78.10 – $3,097.40	16
Complx repair fccmnaxghf 13132 CPT 13132	$5,469.60	$9,116.00	$529.26 – $7,748.60	15
Complx repair fccmnaxghf 13133 CPT 13133	$1,718.40	$2,864.00	$262.09 – $2,434.40	12
Complx repair sal addl 5 cm/> 13122 CPT 13122	$1,128.00	$1,880.00	$176.83 – $1,598.00	12
Concentration infection agents any type CPT 87015	$44.40	$74.00	$6.06 – $62.90	17
Condylomata destruction 56420 CPT 56420	$1,632.00	$2,720.00	$55.55 – $2,312.00	16
Conization of cervix CPT 57520	not published	not published	$232.65 – $3,182.86	10
Conization/cerv/loop electrode exc 57522 CPT 57522	not published	not published	$239.75 – $3,182.86	10
Consultation pathology during surgery CPT 88329	$63.60	$106.00	$2.75 – $90.10	17
Consultation pathology during surgery cytological exam initial site CPT 88333	$231.60	$386.00	$23.18 – $817.76	17
Consultation pathology during surgery frozen section each additional block CPT 88332	$40.80	$68.00	$13.25 – $101.22	14
Consultation pathology during surgery frozen section first tissue block CPT 88331	$159.60	$266.00	$28.38 – $226.10	17
Contrast exam abdominl aorta 75625-26 CPT 75625	$2,833.20	$4,722.00	$42.90 – $4,013.70	16
Control nosebleed pack+caut 30905 CPT 30905	$1,632.00	$2,720.00	$87.45 – $2,312.00	16
Control of nosebleed ant comp 30903 CPT 30903	$1,632.00	$2,720.00	$44.55 – $2,312.00	16
Control of nosebleedantersmpl 30901 CPT 30901	$388.80	$648.00	$29.70 – $550.80	16
Controller infinity pt dbs HCPCS C1787	$3,636.00	$6,060.00	$346.00 – $5,926.12	12
Convert nephrostomy catheter CPT 50434	$2,643.00	$4,405.00	$1,153.84 – $3,744.25	15
Coombs direct CPT 86880	$37.20	$62.00	$4.89 – $52.70	17
Coombs indirect titer reference CPT 86886	$67.20	$112.00	$4.70 – $95.20	17
Copper intrauterine device HCPCS J7300	$3,515.20	$4,394.00	$1,098.50 – $3,734.90	12
Core ndl bx lng/med perq CPT 32408	$3,052.80	$5,088.00	$133.56 – $4,324.80	16
Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459	$9,024.60	$15,041.00	$1,728.43 – $12,784.85	15
Coronary angio/lv gram/lt heart CPT 93458	$8,070.00	$13,450.00	$1,564.80 – $11,432.50	15
Coronary angio/lv gram/rt&lt heart CPT 93460	$10,049.40	$16,749.00	$1,850.92 – $14,236.65	15
Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295	not published	not published	$1,223.97 – $3,340.82	9
Cortisol total am CPT 82533	$89.40	$149.00	$13.20 – $126.65	17
Cosyntropin 0.25 mg solution for injection HCPCS J0834	$844.80	$1,056.00	$10.69 – $549.54	13
Counseling smoke cess interm >10mins CPT 99407	$48.00	$80.00	$21.26 – $68.00	16
Coveredge 32 lead kit 40cm 48 HCPCS C1897	$3,053.40	$5,089.00	$35.75 – $4,316.49	12
Covid-19 administration immunization im inj 1st/only component CPT 90480	$24.00	$40.00	$16.00 – $42.75	14
Creat artery-vein fistula autograft 36825 CPT 36825	not published	not published	$1,535.97 – $5,565.99	9
Create eardrum opening CPT 69436	not published	not published	$108.35 – $1,482.83	10
Create passage to kidney CPT 52334	not published	not published	$263.71 – $3,452.59	10
Creatine - sendout CPT 82540	$31.80	$53.00	$4.21 – $45.05	16
Creatine kinase CPT 82550	$40.80	$68.00	$5.90 – $57.80	17
Creatine kinase isoenzymes CPT 82552	$66.00	$110.00	$12.14 – $93.50	17
Creatine kinase mb CPT 82553	$114.60	$191.00	$10.47 – $162.35	17
Creatinine CPT 82565	$34.80	$58.00	$4.64 – $49.30	17
Creatinine 24 hour urine CPT 82570	$43.80	$73.00	$4.70 – $58.65	17
Creatinine clearance urine CPT 82575	$64.80	$108.00	$8.58 – $91.80	17
Critical care 30-74 minutes CPT 99291	$1,263.00	$2,105.00	$166.79 – $1,789.25	16
Critical care each additional 30 minutes CPT 99292	$478.80	$798.00	$81.84 – $678.30	14
Crotalidae poly immune fab HCPCS J0840	not published	$7,102.31	$1,154.65 – $6,036.96	16
Cryofibrinogen qualitative - sendout CPT 82585	$80.40	$134.00	$5.50 – $113.90	17
Cryoprecipitate each unit HCPCS P9012	$619.20	$1,032.00	$54.97 – $877.20	15
Cryptococcus abs qn - sendout CPT 86641	$136.20	$227.00	$13.07 – $192.95	17
Cryptosporidium antigen CPT 87272	$193.80	$323.00	$10.86 – $274.55	16
Crystal identification light microscopy CPT 89060	$36.00	$60.00	$6.65 – $51.00	17
Cta abdomen without & /or w/contrast CPT 74175	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635	$2,020.20	$3,367.00	$153.92 – $2,861.95	16
Cta lower extremity without & w/contrast (both sides) CPT 73706	$1,533.00	$2,555.00	$153.92 – $2,171.75	15
Cta neck without &/or w/contrast CPT 70498	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
Cta upper extremity w &/or without contrast left CPT 73206	$1,533.00	$2,555.00	$153.92 – $2,171.75	15
Culture aerobic additional method definitive id each CPT 87077	$43.80	$73.00	$7.33 – $62.05	17
Culture afb any source CPT 87116	$74.40	$124.00	$8.25 – $105.40	17
Culture anaerobic additional method definitive id each CPT 87076	$88.20	$147.00	$7.33 – $124.95	17
Culture anaerobic except blood CPT 87075	$105.00	$175.00	$8.59 – $148.75	17
Culture bact stool aero addl path ea CPT 87046	$40.80	$68.00	$2.87 – $57.80	17
Culture body fluid CPT 87070	$84.60	$141.00	$7.59 – $119.85	17
Culture fungi definitive id mold CPT 87107	$70.80	$118.00	$8.75 – $100.30	17
Culture fungi definitive id yeast CPT 87106	$67.20	$112.00	$9.36 – $95.20	17
Culture fungi other (except blood) CPT 87102	$80.40	$134.00	$7.63 – $113.90	17
Culture fungi skin/hair/nail CPT 87101	$80.40	$134.00	$6.99 – $113.90	17
Culture mycobacteria definitive id each isolate CPT 87118	$189.60	$316.00	$13.25 – $268.60	17
Culture mycoplasma any source CPT 87109	$84.60	$141.00	$13.96 – $119.85	17
Culture screening strep group a CPT 87081	$60.60	$101.00	$5.72 – $60.35	17
Culture typing immunologic CPT 87147	$45.00	$75.00	$3.30 – $63.75	17
Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150	$588.60	$981.00	$18.75 – $833.85	17
Culture urine each isolate CPT 87088	$40.80	$68.00	$7.34 – $57.80	17
Cutter lead HCPCS C1773	$1,829.40	$3,049.00	$142.00 – $1,316.47	11
Cv line/pic reposition CPT 36597	$1,591.20	$2,652.00	$63.95 – $2,254.20	16
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420	$7.40	$9.25	$0.63 – $4.84	14
Cyanocobalamin unsat binding capacity CPT 82608	$93.60	$156.00	$12.99 – $132.60	17
Cyclic citrullinated peptide antibody CPT 86200	$97.20	$162.00	$11.74 – $130.05	17
Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075	$2.40	$81.86	$0.30 – $0.85	16
Cyclosporine 2 hour CPT 80158	$102.00	$170.00	$16.37 – $144.50	17
Cyclosporine modified 25 mg capsule HCPCS J7515	$20.20	$25.25	$0.36 – $21.25	14
Cyclosporine oral 100 mg HCPCS J7502	$59.40	$74.25	$1.29 – $62.90	14
Cylinder pump set 20cm titan zero angl HCPCS C1813	$3,862.80	$6,438.00	$447.75 – $20,112.58	12
Cyp2c19 gene com variants CPT 81225	$1,065.60	$1,776.00	$89.73 – $1,441.60	16
Cyp2c9 gene com variants CPT 81227	$1,870.20	$3,117.00	$158.54 – $2,216.80	16
Cyp2d6 gene com variants CPT 81226	$269.40	$449.00	$179.60 – $486.98	16
Cystatin c CPT 82610	$119.40	$199.00	$16.72 – $169.15	17
Cystine urine quantitative CPT 82131	$125.40	$209.00	$20.84 – $177.65	17
Cysto cgen post urtl valves CPT 52400	not published	not published	$1,166.69 – $3,551.23	9
Cysto impl 4 or more HCPCS C9740	not published	not published	$7,995.28 – $9,521.33	8
Cysto w/ureter stricture tx CPT 52341	not published	not published	$654.34 – $3,551.23	9
Cysto/uretero w/lithotripsy CPT 52356	not published	not published	$585.08 – $5,234.35	9
Cystogram >= 3 views supervision & interpretation CPT 74430	$269.40	$449.00	$40.15 – $381.65	16
Cystoscopy & ureter catheter CPT 52005	$4,281.00	$7,135.00	$127.60 – $6,064.75	16
Cystoscopy (Bladder Scope) CPT 52000	$3,031.80	$5,053.00	$82.50 – $4,295.05	16
Cystoscopy and treatment CPT 52214	not published	not published	$199.65 – $3,452.59	10
Cystoscopy and treatment CPT 52224	not published	not published	$168.85 – $3,452.59	10
Cystoscopy and treatment CPT 52234	not published	not published	$237.60 – $3,452.59	10
Cystoscopy and treatment CPT 52235	not published	not published	$297.01 – $3,452.59	10
Cystoscopy and treatment CPT 52240	not published	not published	$495.55 – $5,088.95	10
Cystoscopy and treatment CPT 52260	not published	not published	$102.30 – $2,050.66	10
Cystoscopy and treatment CPT 52265	not published	not published	$59.95 – $2,050.66	10
Cystoscopy and treatment CPT 52276	not published	not published	$272.61 – $2,050.66	10
Cystoscopy and treatment CPT 52290	not published	not published	$149.05 – $2,050.66	10
Cystoscopy and treatment CPT 52310	$4,368.00	$7,280.00	$141.90 – $6,188.00	16
Cystoscopy and treatment CPT 52315	not published	not published	$214.50 – $2,050.66	10
Cystoscopy and treatment CPT 52320	not published	not published	$254.29 – $3,452.59	10
Cystoscopy and treatment CPT 52330	not published	not published	$233.20 – $3,452.59	10
Cystoscopy chemodenervation CPT 52287	not published	not published	$143.81 – $2,050.66	10
Cystoscopy implant stent CPT 52282	not published	not published	$888.36 – $3,551.23	9
Cystoscopy prostatic imp 1-3 HCPCS C9739	not published	not published	$3,294.42 – $5,234.35	8
Cystoscopy removal of clots CPT 52001	not published	not published	$250.91 – $3,452.59	10
Cystoscopy stone removal CPT 52325	not published	not published	$332.13 – $5,088.95	10
Cystostomy cystotomy w/drainage 51040 CPT 51040	$6,051.00	$10,085.00	$289.60 – $8,572.25	16
Cystouretero & or pyeloscope CPT 52351	not published	not published	$667.07 – $3,551.23	9
Cystouretero w/biopsy CPT 52354	not published	not published	$836.61 – $5,234.35	9
Cystouretero w/lithotripsy CPT 52353	not published	not published	$954.79 – $5,234.35	9
Cystouretero w/stone remove CPT 52352	not published	not published	$649.82 – $3,551.23	9
Cystourethro w/addl implant 52442 CPT 52442	not published	not published	$43.45 – $1,561.10	8
Cystourethro w/implant CPT 52441	not published	not published	$180.56 – $2,055.59	8
Cystourethroscop/calib/dilat stric 52281 CPT 52281	not published	not published	$118.25 – $2,050.66	10
Cystourethroscopy w/biopsy(s) 52204 CPT 52204	$4,869.60	$8,116.00	$135.85 – $6,898.60	16
Cytarabine 20 mg/ml injection solution HCPCS J9100	$66.20	$82.75	$0.52 – $36.28	13
Cyto/molecular report CPT 88291	$186.00	$310.00	$6.05 – $263.50	12
Cytogenetics 25-99 CPT 88274	$292.80	$488.00	$38.43 – $414.80	16
Cytogenomic neo microra alys CPT 81277	$1,343.40	$2,239.00	$844.80 – $1,795.20	16
Cytomegalovirus (cmv) antibody igg CPT 86644	$71.40	$119.00	$13.05 – $100.30	17
Cytomegalovirus (cmv) antibody igm CPT 86645	$85.20	$142.00	$15.28 – $120.70	17
Cytopathology cellular enhancement technique non-gyn CPT 88112	$316.20	$527.00	$39.63 – $447.95	17
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175	$78.00	$130.00	$24.13 – $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	$96.60	$161.00	$8.61 – $136.85	17
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104	$68.40	$114.00	$6.75 – $102.95	17
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177	$75.60	$126.00	$5.35 – $107.10	12
Cytopathology fna adequacy evaluation first episode each site CPT 88172	$51.00	$85.00	$13.62 – $176.44	16
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173	$85.20	$142.00	$22.17 – $141.99	16
D&c after delivery 59160 CPT 59160	not published	not published	$474.36 – $3,273.80	9
D&c/diagnostic/therapeutic/non ob 58120 CPT 58120	not published	not published	$551.58 – $3,273.80	9
Dacarbazine 100 mg intravenous solution HCPCS J9130	$93.00	$155.00	$2.18 – $54.47	13
Dalbavancin 500 mg intravenous solution HCPCS J0875	$64.40	$85.00	$9.86 – $32.25	16
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878	$711.60	$1,186.00	$0.02 – $25.49	14
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144	$109.20	$19,744.65	$35.09 – $154.70	16
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881	$32.20	$4,868.28	$1.85 – $468.63	17
Daunorubicin 5 mg/ml intravenous solution HCPCS J9150	not published	$224.84	$13.70 – $191.11	16
Dch validity tests CPT 81002	$18.60	$31.00	$3.16 – $26.35	17
Deamidated gliadin antibody iga CPT 86258	$96.60	$161.00	$10.93 – $136.85	16
Debr musc/fascia 20sq cm/< 11043 CPT 11043	$2,446.20	$4,077.00	$36.30 – $3,465.45	16
Debrid ecz/inf skin up tp 10% body 11000 CPT 11000	$544.20	$907.00	$32.23 – $770.95	16
Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010	$2,350.20	$3,917.00	$608.34 – $3,329.45	15
Debride nail1-5 11720 CPT 11720	$274.20	$457.00	$17.13 – $388.45	16
Debride nail6 or more 11721 CPT 11721	$413.40	$689.00	$22.00 – $585.65	16
Debride/subq tissue/ea add 20sq cm 11045 CPT 11045	$1,588.80	$2,648.00	$46.42 – $2,250.80	12
Debridement (>20 cm) charge pt CPT 97598	$341.40	$569.00	$12.72 – $483.65	14
Debridement bone <= 20 sq cm CPT 11044	$2,359.20	$3,932.00	$36.30 – $3,342.20	16
Debridement subcutaneous tissue <= 20 sq cm CPT 11042	$2,116.20	$3,527.00	$36.30 – $2,997.95	16
Debridement/bone/20 sq cm or less 11046 CPT 11046	$1,632.00	$2,720.00	$80.89 – $2,312.00	12
Debridement/bone/ea add 20 sq cm 11047 CPT 11047	$1,062.60	$1,771.00	$133.38 – $1,505.35	12
Decalcification CPT 88311	$102.00	$170.00	$18.39 – $144.50	14
Decitabine 50 mg intravenous solution HCPCS J0894	$184.80	$231.00	$0.77 – $191.87	13
Declotting thrombolytic agent implanted vas access device 36 CPT 36593	$381.60	$636.00	$27.57 – $540.60	16
Deferoxamine 500 mg solution for injection HCPCS J0895	not published	$56.68	$5.69 – $49.93	13
Degarelix 120 mg subcutaneous solution HCPCS J9155	$25.80	$43.00	$2.81 – $26.35	16
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664	$84.60	$141.00	$13.00 – $203.61	16
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897	$68.00	$85.00	$18.18 – $1,899.65	17
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800	$1,632.60	$2,721.00	$25.85 – $2,312.85	15
Design mlc device for imrt CPT 77338	$1,254.00	$2,090.00	$316.51 – $1,776.50	15
Desmopressin 4 mcg/ml injection solution HCPCS J2597	$39.40	$745.25	$2.23 – $41.65	17
Desoxycorticosterone CPT 82633	$285.60	$476.00	$28.10 – $404.60	17
Destroy cervthor facet jnt 64633 CPT 64633	$4,080.60	$6,801.00	$629.15 – $5,780.85	15
Destroy cth facet jnt addl 64634 CPT 64634	$4,080.60	$6,801.00	$60.74 – $5,780.85	14
Destroy vulva lesion extensive 56515 CPT 56515	not published	not published	$128.15 – $1,831.15	10
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635	$4,350.00	$7,250.00	$618.25 – $6,162.50	15
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636	$4,393.20	$7,322.00	$52.82 – $6,223.70	14
Destruction vag lesions simple 57061 CPT 57061	not published	not published	$77.00 – $3,182.86	10
Device ablt adv novasure HCPCS C1886	$4,733.40	$7,889.00	$1,972.25 – $6,705.65	11
Device intraute mirena HCPCS J7298	$3,052.80	$3,816.00	$911.00 – $3,097.40	12
Device tiss remov myosure reach HCPCS C1782	$2,842.20	$4,737.00	$825.39 – $4,026.45	11
Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081	$121.20	$202.00	$30.23 – $171.70	16
Dexametha opth insert 0.1 mg HCPCS J1096	$505.60	$632.00	$64.99 – $537.20	16
Dexamethasone 4 mg tablet HCPCS J8540	$9.00	$15.00	$0.01 – $0.52	14
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100	$7.60	$9.50	$0.06 – $5.10	14
Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190	$307.20	$828.85	$39.82 – $435.20	16
Dextrose 5 % IV bolus HCPCS J7070	$76.40	$95.50	$1.97 – $80.75	13
Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042	$75.60	$126.00	$0.89 – $19.78	13
Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121	$78.40	$98.00	$4.34 – $83.30	12
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060	$80.80	$101.00	$0.42 – $27.69	13
Dhea-s (dehydroepiand sulfate) CPT 82627	$111.60	$186.00	$20.16 – $158.10	17
Diab manage trn ind/group HCPCS G0109	$93.00	$155.00	$13.28 – $144.73	13
Diabetes (HbA1c) Test CPT 83036	$74.40	$124.00	$7.70 – $105.40	17
Diag laparo separate proc 49320 CPT 49320	not published	not published	$701.79 – $6,007.35	9
Diagnostic Mammogram (both breasts) CPT 77066	$591.60	$986.00	$142.84 – $838.10	13
Diagnostic Mammogram (one breast) CPT 77065	$487.20	$812.00	$112.65 – $690.20	13
Diagnostic anoscopy spx 46600 CPT 46600	$463.20	$772.00	$22.00 – $656.20	16
Diagnostic laryngoscopy 31575 CPT 31575	$1,199.40	$1,999.00	$75.90 – $1,699.15	16
Diatrizoate meglumine 18 % urethral solution HCPCS Q9958	$0.60	$1.00	$0.05 – $0.85	13
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360	$29.40	$73.77	$4.64 – $20.40	13
Dicyclomine injection HCPCS J0500	$84.00	$105.00	$7.17 – $89.25	13
Diffusing capacity CPT 94729	$145.80	$243.00	$43.49 – $206.55	14
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160	$12.80	$16.00	$1.94 – $9.05	13
Digoxin immune fab 40 mg intravenous solution HCPCS J1162	$8,382.60	$13,971.00	$3,263.22 – $11,875.35	16
Digoxin total therapeutic drug level CPT 80162	$89.40	$149.00	$12.04 – $126.65	17
Dilat xst trc new access rcs CPT 50437	not published	not published	$313.37 – $3,551.23	9
Dilate esophagus 1/mult pass CPT 43450	$1,558.20	$2,597.00	$64.90 – $2,207.45	16
Dilation of salivary duct CPT 42660	not published	not published	$38.50 – $509.79	10
Dilator fascial 10fx20cm HCPCS C2627	$232.20	$387.00	$16.75 – $479.98	11
Dimenhydrinate injection HCPCS J1240	$12.80	$16.00	$3.43 – $13.60	13
Dimethyl sulfoxide 50% 50 ml HCPCS J1212	$208.80	$1,343.50	$94.25 – $808.76	16
Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163	$9.60	$16.00	$0.25 – $0.85	12
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200	$8.60	$10.75	$0.35 – $6.32	14
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702	$24.60	$41.00	$10.25 – $34.85	14
Disability dlco CPT 94727	$190.20	$317.00	$34.72 – $269.45	16
Disaccharidases CPT 82657	$163.80	$273.00	$20.11 – $232.05	16
Dise eval slp do brth flx dx CPT 42975	not published	not published	$117.57 – $1,775.61	9
Dna antibody native/double stranded CPT 86225	$60.00	$100.00	$12.46 – $85.00	17
Dna gardnerella CPT 87510	$175.80	$293.00	$17.64 – $249.05	17
Dna trichomonas CPT 87660	$183.60	$306.00	$13.96 – $260.10	17
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250	$297.00	$495.00	$4.47 – $56.02	13
Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171	$94.40	$149.00	$0.33 – $63.83	13
Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265	$28.20	$47.00	$0.53 – $3.29	13
Doppler intravascular pressure flow initial vessel CPT 93571	$1,242.60	$2,071.00	$492.27 – $1,760.35	12
Doppler upper/lower extremity arteries complete bilateral CPT 93923	$425.40	$709.00	$100.70 – $602.65	14
Doppler upper/lower extremity arteries limited bilateral CPT 93922	$339.60	$566.00	$53.67 – $481.10	16
Doripenem 50 mg/ml inj 10 ml HCPCS J1267	not published	$90.16	$4.20 – $42.15	12
Dornase alfa non-comp unit HCPCS J7639	$104.80	$131.00	$29.19 – $111.35	14
Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272	$565.80	$943.00	$153.88 – $801.55	16
Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000	$358.40	$486.03	$0.97 – $154.52	13
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050	$1,812.00	$3,020.00	$68.49 – $1,138.01	16
Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271	$0.60	$0.75	$0.07 – $0.64	13
Dpyd gene common variants CPT 81232	$2,524.20	$4,207.00	$158.54 – $2,175.15	16
Drain blood from under nail 11740 CPT 11740	$276.00	$460.00	$26.40 – $391.00	16
Drain cath image guided visceral pq CPT 49405	$7,281.60	$12,136.00	$190.71 – $10,315.60	16
Drain cerebro spinal fluid 62272 CPT 62272	$3,449.40	$5,749.00	$40.70 – $4,886.65	16
Drain finger abscess;simple 26010 CPT 26010	$194.40	$324.00	$29.15 – $275.40	16
Drain lower leg lesion 27603 CPT 27603	not published	not published	$97.35 – $2,865.05	10
Drain thigh/knee lesion 27301 CPT 27301	$5,469.60	$9,116.00	$97.35 – $7,748.60	16
Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800	$824.40	$1,374.00	$29.15 – $1,167.90	16
Drainage external ear simple 69000 CPT 69000	$1,134.60	$1,891.00	$47.30 – $1,607.35	16
Drainage of arm bursa 23931 CPT 23931	$2,183.40	$3,639.00	$43.45 – $3,093.15	16
Drainage of kidney lesion CPT 50390	$2,056.80	$3,428.00	$100.70 – $2,913.80	16
Drainage of mouth lesion CPT 41008	$3,430.80	$5,718.00	$25.85 – $4,860.30	16
Drainage of mouth lesion CPT 41017	$3,379.20	$5,632.00	$25.85 – $4,787.20	16
Dress/debrid prtl-thick burn l 16030 CPT 16030	$3,570.00	$5,950.00	$126.59 – $5,057.50	16
Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025	$866.40	$1,444.00	$110.61 – $1,227.40	16
Dress/debride pt-thick burn/<5% bs 16020 CPT 16020	$529.20	$882.00	$22.00 – $749.70	16
Drng hand tendon sheath 26020 CPT 26020	not published	not published	$139.15 – $3,248.02	10
Drng of eyelid abscess 67700 CPT 67700	$7,063.80	$11,773.00	$167.13 – $10,007.05	15
Drng of finger abscess comp 26011 CPT 26011	$3,017.40	$5,029.00	$88.00 – $4,274.65	16
Drng of scrotum abscess 55100 CPT 55100	$2,486.40	$4,144.00	$38.50 – $3,522.40	16
Droperidol 2.5 mg/ml injection solution HCPCS J1790	$22.80	$28.50	$4.23 – $14.39	13
Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765	$2,118.60	$3,531.00	$340.06 – $1,450.95	11
Drug assay vedolizumab CPT 80280	$126.60	$211.00	$34.98 – $179.35	16
Drug asy hydroxychloroquine CPT 80220	$57.60	$96.00	$16.90 – $81.60	16
Drug test def 1-7 classes HCPCS G0480	$239.40	$399.00	$70.34 – $339.15	15
Drug test def 8-14 classes HCPCS G0481	$239.40	$399.00	$108.23 – $339.15	15
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307	$239.40	$399.00	$56.35 – $207.40	17
Drvvt confirm - quest CPT 85597	$163.80	$273.00	$16.31 – $232.05	17
Dstrj nulyt agt gnclr nrv CPT 64624	$1,400.40	$2,334.00	$480.33 – $2,010.67	15
Dup scan/hemodialysis access 93990 CPT 93990	$498.00	$830.00	$91.94 – $705.50	16
Dup scan/ue art/graft/bilat/comp 93930 CPT 93930	$490.20	$817.00	$155.72 – $694.45	16
Duplex scan bilateral study 93985 CPT 93985	$1,662.00	$2,770.00	$209.00 – $2,354.50	16
Duplex scan unilateral study 93986 CPT 93986	$831.00	$1,385.00	$91.94 – $1,177.25	16
Durvalumab 50 mg/ml intravenous solution HCPCS J9173	$200.40	$2,161.20	$53.74 – $283.90	16
Dx bronchoscope/brush 31623 CPT 31623	not published	not published	$148.66 – $1,726.28	10
Dx bronchoscope/lavage 31624 CPT 31624	$4,661.40	$7,769.00	$103.91 – $6,603.65	16
Dx bronchoscope/wash 31622 CPT 31622	$1,558.20	$2,597.00	$147.25 – $2,207.45	16
Dxa bone density axl vrt fx CPT 77085	$151.80	$253.00	$67.06 – $215.05	15
E equine encephalitis igg CPT 86652	$122.40	$204.00	$11.96 – $173.40	17
ER Visit (level 1, minor) CPT 99281	$213.00	$355.00	$51.26 – $301.75	15
ER Visit (level 2) CPT 99282	$265.20	$442.00	$36.28 – $375.70	16
ER Visit (level 3) CPT 99283	$336.60	$561.00	$62.31 – $476.85	16
ER Visit (level 4) CPT 99284	$570.00	$950.00	$104.86 – $807.50	16
ER Visit (level 5, high severity) CPT 99285	$703.20	$1,172.00	$152.61 – $996.20	16
Ear irrigation 69209 CPT 69209	$79.80	$133.00	$16.06 – $113.05	15
Ecg 12 lead tracing only CPT 93005	$147.60	$246.00	$11.51 – $209.10	16
Ecg < 30 days transmission & analysis CPT 93271	$855.60	$1,426.00	$79.36 – $1,212.10	16
Ecg external < 48 hours recording CPT 93225	$235.80	$393.00	$20.07 – $334.05	16
Ecg external < 48 hours scanning analysis w/report CPT 93226	$404.40	$674.00	$43.74 – $572.90	16
Ecg external > 48 hours up to 7 days recording CPT 93242	$66.00	$110.00	$10.01 – $93.50	16
Ecg external >7 days up to 15 days recording CPT 93246	$63.00	$105.00	$9.61 – $89.25	16
Echo guidance radiotherapy CPT 76965	$3,656.40	$6,094.00	$728.51 – $5,179.90	12
Echo stress CPT 93350	$626.40	$1,044.00	$84.15 – $937.61	16
Echo tee probe placement image acquisition interpretation & report CPT 93312	$1,641.60	$2,736.00	$263.44 – $2,325.60	16
Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307	$1,025.40	$1,709.00	$154.42 – $1,452.65	16
Echocardiogram (Heart Ultrasound) CPT 93306	$1,820.40	$3,034.00	$155.12 – $2,578.90	16
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929	$1,820.40	$3,034.00	$683.10 – $2,578.90	14
Echocardiography transthoracic 2d followup/limited CPT 93308	$691.20	$1,152.00	$40.15 – $979.20	16
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924	$691.20	$1,152.00	$308.78 – $979.20	14
Echocardiograpy doppler follow up/limited study CPT 93321	$324.00	$540.00	$31.13 – $459.00	14
Echograp trans r pros study CPT 76873	$576.60	$961.00	$91.94 – $816.85	15
Ecmo/ecls initiation artery 33947 CPT 33947	$1,554.60	$2,591.00	$483.60 – $2,202.35	12
Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952	$1,958.40	$3,264.00	$533.42 – $2,774.40	12
Ecp ciliary body destruction CPT 66711	not published	not published	$885.10 – $2,348.35	9
Eeg during surgery CPT 95955	$604.80	$1,008.00	$131.28 – $856.80	14
Eeg monitor/record/awake/drowsy 95816 CPT 95816	$584.40	$974.00	$24.75 – $827.90	16
Eeg over 1 hour 95813 - 26 CPT 95813	$627.00	$1,045.00	$128.56 – $888.25	16
Eeg recording awake and asleep CPT 95819	$584.40	$974.00	$24.75 – $827.90	16
Eeg without vid 2-12 hr unmntr CPT 95705	$586.20	$977.00	$88.00 – $830.45	15
Eeg without vid 2-12hr cont mntr CPT 95707	$589.20	$982.00	$269.24 – $834.70	15
Eeg without vid ea 12-26hr cont CPT 95710	$1,126.20	$1,877.00	$458.76 – $1,595.45	15
Eeg without vid ea 12-26hr intmt CPT 95709	$1,126.20	$1,877.00	$458.76 – $1,595.45	15
Eeg wo vid 2-12hr intmt mntr CPT 95706	$586.80	$978.00	$269.24 – $831.30	15
Eeg wo vid ea 12-26hr unmntr CPT 95708	$1,126.20	$1,877.00	$132.00 – $1,595.45	15
Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332	$67.20	$112.00	$20.30 – $95.20	16
Egd control bleeding any CPT 43255	$2,132.40	$3,554.00	$255.75 – $3,020.90	16
Egd lesion ablation CPT 43270	$2,448.60	$4,081.00	$973.70 – $3,468.85	15
Egd remove foreign body CPT 43247	$2,132.40	$3,554.00	$191.43 – $3,020.90	16
Egd remove lesion snare CPT 43251	$2,132.40	$3,554.00	$208.28 – $3,020.90	16
Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250	$4,283.40	$7,139.00	$1,093.66 – $6,068.15	15
Ehrlicha chaffeensis amp prb CPT 87484	$189.00	$315.00	$30.88 – $267.75	17
Electrolyte panel CPT 80051	$51.00	$85.00	$6.36 – $72.25	17
Electron microscopy diagnostic CPT 88348	$1,386.00	$2,310.00	$75.90 – $1,963.50	17
Elotuzumab 300 mg intravenous solution HCPCS J9176	not published	$6,377.50	$4.98 – $4,065.68	16
Emb without cervical dilation 58100 CPT 58100	$2,193.00	$3,655.00	$56.10 – $3,106.75	16
Emg 2 ext w-w/o paraspinal area 95861 CPT 95861	$464.40	$774.00	$41.25 – $657.90	16
Emg cranial nerve bilateral CPT 95868	$496.80	$828.00	$62.11 – $703.80	16
Emg thor paraspinal without t1/t2 CPT 95869	$152.40	$254.00	$23.97 – $311.72	16
Encephalitis, california igg/igm CPT 86651	$122.40	$204.00	$11.96 – $173.40	17
Encephalitis, st louis igg/igm CPT 86653	$122.40	$204.00	$11.96 – $173.40	17
Encephalitis, western equine igg/igm CPT 86654	$122.40	$204.00	$11.96 – $173.40	17
Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475	not published	not published	$2,721.39 – $3,749.62	9
Endome abla/them without hystero guide 58353 CPT 58353	not published	not published	$440.89 – $5,082.81	9
Endoscopic injection/implant CPT 51715	not published	not published	$204.26 – $3,452.59	10
Endoscopy maxillary sinus CPT 31267	not published	not published	$923.44 – $7,127.72	9
Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238	not published	not published	$482.27 – $1,775.61	9
Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177	$67.20	$112.00	$23.20 – $65.26	16
Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650	$77.00	$96.25	$0.37 – $25.67	14
Enzyme histochemistry CPT 88319	$573.60	$956.00	$79.68 – $817.76	17
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321	$102.00	$170.00	$35.26 – $144.50	16
Epidural/lumbar/sacral/ea add level64484 CPT 64484	$1,897.80	$3,163.00	$65.56 – $2,688.55	14
Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165	$106.40	$133.00	$0.25 – $14.95	14
Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178	not published	$69.68	$1.33 – $70.82	13
Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300	$2,236.20	$3,727.00	$321.36 – $3,273.80	15
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885	$111.20	$139.00	$5.39 – $109.17	17
Epoetin alfa, 100 units esrd HCPCS Q4081	not published	$342.68	$0.54 – $291.28	13
Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106	$918.00	$1,530.00	$4.96 – $32.30	17
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325	$389.40	$649.00	$10.23 – $551.65	13
Epstein barr early antigen antibody CPT 86663	$76.20	$127.00	$11.90 – $107.95	17
Epstein barr nuclear antigen antibody CPT 86664	$102.00	$170.00	$13.87 – $144.50	17
Epstein barr viral capsid antigen antibody igm CPT 86665	$105.00	$175.00	$16.45 – $148.75	17
Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327	$88.80	$130.83	$15.16 – $60.64	12
Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032	$3,637.20	$6,062.00	$12.61 – $5,152.70	16
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179	$345.60	$2,824.90	$56.41 – $489.60	16
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335	$227.20	$284.00	$6.23 – $114.53	14
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805	$9.60	$16.00	$0.14 – $8.50	13
Esoph egd dilation <30 mm CPT 43249	$2,132.40	$3,554.00	$606.94 – $3,020.90	15
Esophagoscopy/flex/diagnostic 43200 CPT 43200	not published	not published	$102.82 – $938.54	10
Established Patient Office Visit (level 1) CPT 99211	$129.60	$216.00	$22.00 – $183.60	14
Established Patient Office Visit (level 2) CPT 99212	$145.80	$243.00	$28.60 – $206.55	14
Established Patient Office Visit (level 3) CPT 99213	$186.60	$311.00	$38.50 – $264.35	14
Established Patient Office Visit (level 4) CPT 99214	$201.60	$336.00	$59.86 – $285.60	14
Established Patient Office Visit (level 5) CPT 99215	$291.00	$485.00	$85.86 – $412.25	14
Estradiol total CPT 82670	$137.40	$229.00	$23.65 – $194.65	17
Estrogens total-sendout CPT 82672	$292.80	$488.00	$15.31 – $414.80	17
Ethylene glycol -sendout CPT 82693	$104.40	$174.00	$13.51 – $147.90	16
Etonogestrel implant system HCPCS J7307	$3,428.00	$4,285.00	$1,071.25 – $3,642.25	12
Etoposide 20 mg/ml intravenous solution HCPCS J9181	$1,867.20	$3,112.00	$0.28 – $10.71	13
Euglobulin lysis CPT 85360	$61.80	$103.00	$5.50 – $87.55	17
Evaluation of speech fluency 92521 CPT 92521	$404.40	$674.00	$155.06 – $572.90	12
Event monitor CPT 93270	$228.60	$381.00	$16.17 – $323.85	16
Evoked potential visual not glaucoma CPT 95930	$699.00	$1,165.00	$81.69 – $990.25	16
Evoked potentials upper limbs CPT 95925	$490.20	$817.00	$30.25 – $694.45	16
Exam of vagina w/scope 57420 CPT 57420	not published	not published	$89.90 – $304.51	10
Exc abd les sc 3 cm/> CPT 22903	not published	not published	$645.96 – $2,946.91	9
Exc arm/elbo les sc <3cm 24075 CPT 24075	not published	not published	$59.40 – $1,621.93	10
Exc back les sbq <3 cm 21930 CPT 21930	not published	not published	$138.60 – $1,621.93	10
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442	not published	not published	$86.35 – $704.33	10
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421	not published	not published	$46.75 – $704.33	10
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423	not published	not published	$39.60 – $1,621.93	10
Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426	not published	not published	$133.10 – $2,865.05	10
Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401	not published	not published	$51.15 – $399.94	10
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403	not published	not published	$71.50 – $704.33	10
Exc benign feenlm 3.1-4.0cm 11444 CPT 11444	$3,430.80	$5,718.00	$128.70 – $4,860.30	14
Exc benign snhfg 3.1-4.0cm 11424 CPT 11424	not published	not published	$95.15 – $1,621.93	10
Exc benign tal 0.5 < cm 11400 CPT 11400	not published	not published	$41.25 – $704.33	10
Exc feenl mal+mrg 2.1-3 11643 CPT 11643	not published	not published	$210.28 – $1,621.93	10
Exc foot/toe tum dep 1.5cm/> CPT 28041	not published	not published	$656.76 – $2,946.91	9
Exc forearm les sc 3 cm/> CPT 25071	not published	not published	$622.59 – $1,668.28	9
Exc mal+marg tal 1.1-2 cm 11602 CPT 11602	not published	not published	$89.10 – $403.32	10
Exc malig feenl 1.1-2 11642 CPT 11642	not published	not published	$148.50 – $704.33	10
Exc malig feenl 3.1-4.0 11644 CPT 11644	not published	not published	$243.10 – $1,621.93	10
Exc malig snhfg 0.5cm or less 11620 CPT 11620	not published	not published	$100.65 – $1,621.93	10
Exc malig snhfg 2.1-3 cm 11623 CPT 11623	not published	not published	$124.85 – $1,621.93	10
Exc neck tum deep 5 cm/> CPT 21554	not published	not published	$1,085.01 – $2,946.91	9
Exc snhfg mal+mrg 1.1-2 11622 CPT 11622	not published	not published	$123.20 – $704.33	10
Exc snhfg mal+mrg >4 cm 11626 CPT 11626	not published	not published	$264.00 – $2,865.05	10
Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555	not published	not published	$41.25 – $1,621.93	10
Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552	not published	not published	$660.21 – $2,946.91	9
Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043	not published	not published	$691.01 – $2,946.91	9
Exc tendon sheath or cap lesion 26160 CPT 26160	not published	not published	$601.05 – $1,647.86	9
Exc thrombosed hemorrhoid 46320 CPT 46320	not published	not published	$44.00 – $1,180.32	10
Exc vagina lesion 57135 CPT 57135	not published	not published	$157.30 – $3,182.86	10
Exc/pilonidal cyst/sinus/simple 11770 CPT 11770	$5,481.60	$9,136.00	$166.62 – $7,765.60	16
Exchange biliary drg cath CPT 47536	$3,855.00	$6,425.00	$132.20 – $5,461.25	16
Exchange drainage catheter CPT 49423	$4,902.00	$8,170.00	$64.68 – $6,944.50	16
Exchange lens prosthesis CPT 66986	not published	not published	$1,971.96 – $2,348.35	9
Exchange nephrostomy cath CPT 50435	$2,643.00	$4,405.00	$604.53 – $3,744.25	15
Excise anal ext tag/papilla CPT 46220	not published	not published	$88.00 – $1,180.32	10
Excise inferior turbinate CPT 30130	not published	not published	$80.85 – $3,246.47	10
Excise lesion testis CPT 54512	not published	not published	$1,040.35 – $3,551.23	9
Excise lip or cheek fold CPT 40819	not published	not published	$818.54 – $1,525.20	8
Excise parotid gland/lesion CPT 42415	not published	not published	$2,441.39 – $6,091.06	9
Excise parotid gland/lesion CPT 42420	not published	not published	$2,441.94 – $6,091.06	9
Excise subq tumor/abd wall <3 cm 22902 CPT 22902	not published	not published	$606.88 – $1,668.28	9
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422	not published	not published	$41.25 – $1,621.93	10
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402	not published	not published	$59.40 – $704.33	10
Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406	not published	not published	$129.25 – $1,621.93	10
Excision of anal lesion(s) CPT 46922	not published	not published	$119.17 – $2,745.27	10
Excision of lingual tonsil CPT 42870	not published	not published	$176.00 – $5,921.86	10
Excision of penis lesion(s) 54060 CPT 54060	not published	not published	$70.95 – $1,831.15	10
Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931	not published	not published	$692.02 – $1,668.28	9
Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789	$3,237.00	$5,395.00	$692.50 – $4,257.40	12
Exploration maxillary sinus CPT 31256	not published	not published	$679.35 – $3,796.26	9
Explore deep node(s) neck CPT 38542	not published	not published	$847.60 – $6,007.35	9
Explore parathyroid glands CPT 60500	not published	not published	$2,977.84 – $6,091.06	9
Explore penetrating wnd/extremity 20103 CPT 20103	$2,678.40	$4,464.00	$742.83 – $3,794.40	15
Explore/treat wrist joint CPT 25101	$5,268.60	$8,781.00	$306.35 – $7,463.85	16
Ext ecg>48hr<7d scan a/r CPT 93243	$246.60	$411.00	$103.92 – $349.35	16
Ext ecg>7d<15d scan a/r CPT 93247	$240.00	$400.00	$103.92 – $340.00	16
External chromosome analysis 20-25 cells CPT 88264	$1,124.40	$1,874.00	$131.15 – $1,592.90	17
External ocular photography CPT 92285	$91.20	$152.00	$23.89 – $129.20	15
External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237	$1,167.00	$1,945.00	$130.37 – $1,653.25	17
Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235	$89.40	$149.00	$16.26 – $119.85	17
F-18 fdg pet diag HCPCS A9552	$1,007.40	$1,679.00	$419.75 – $1,427.15	11
Facial bones <3 CPT 70140	$288.60	$481.00	$30.18 – $408.85	16
Factor ix CPT 85250	$112.80	$188.00	$5.50 – $159.80	17
Factor ix complex HCPCS J7194	$8.40	$10.50	$1.07 – $8.93	16
Factor ix recombinant nos HCPCS J7195	not published	$2.53	$0.91 – $2.15	16
Factor viii CPT 85240	$112.80	$188.00	$14.30 – $159.80	17
Factor viii recombinant nos HCPCS J7192	$4.80	$8.00	$1.02 – $6.80	16
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358	$55.20	$92.00	$18.93 – $56.29	16
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308	$0.40	$0.50	$0.01 – $0.43	13
Fat/lipids feces qualitative CPT 82705	$30.00	$50.00	$4.63 – $42.50	17
Fatty acids nonesterified CPT 82725	$171.60	$286.00	$14.50 – $243.10	17
Fem/popl revasc w/stent CPT 37226	$34,620.00	$57,700.00	$9,805.28 – $49,045.00	15
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010	$144.00	$240.00	$0.53 – $4.53	14
Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439	$4.60	$7.00	$0.70 – $4.25	16
Ferritin CPT 82728	$76.20	$127.00	$12.36 – $107.95	17
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138	$6.20	$985.43	$0.20 – $5.10	16
Fetal chrom aneuploidy gsa panel CPT 81420	$3,621.60	$6,036.00	$667.96 – $5,130.60	17
Fetal hemoglobin (kleihauer betke) CPT 85460	$121.20	$202.00	$7.01 – $171.70	17
Fetal non stress test CPT 59025	$266.40	$444.00	$19.25 – $377.40	16
Fibrin degradation d dimer quantitative CPT 85379	$93.60	$156.00	$9.23 – $132.60	17
Fibrin degradation products CPT 85362	$45.00	$75.00	$6.25 – $63.75	17
Fibrin degrade semiquant CPT 85378	$70.20	$117.00	$8.82 – $99.45	17
Fibrinogen activity CPT 85384	$105.00	$175.00	$8.82 – $148.75	17
Fibrinolysins/coagulopathy screen interpretation/report CPT 85390	$180.00	$300.00	$3.30 – $255.00	17
Fibrinolytic antiplasmin CPT 85410	$130.20	$217.00	$6.99 – $184.45	17
Fibrinolytic plasminogen CPT 85415	$124.20	$207.00	$15.59 – $175.95	17
Fibrinolytic plasminogen xcpt antgnc asa CPT 85420	$97.20	$162.00	$5.50 – $137.70	17
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442	$1,366.80	$2,278.00	$0.63 – $321.25	17
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110	$1.20	$618.11	$0.19 – $0.85	16
Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101	$1,093.80	$1,823.00	$0.29 – $556.26	17
Filter spider fx 3mmx320cm HCPCS C1884	$3,649.20	$6,082.00	$438.50 – $4,413.99	12
Filter vena cava fem denali HCPCS C1880	$5,991.00	$9,985.00	$1,345.25 – $6,268.74	12
Finasteride, 5 mg HCPCS S0138	$32.20	$40.25	$0.07 – $34.21	13
Fine needle asp without image guide 10021 CPT 10021	$478.80	$798.00	$68.46 – $678.30	16
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007	$777.00	$1,295.00	$84.41 – $1,100.75	16
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006	$777.00	$1,295.00	$44.78 – $1,100.75	14
Fix g/colon tube w/device CPT 49460	$2,854.80	$4,758.00	$39.56 – $4,044.30	16
Fl exam g/colon tube w contrast CPT 49465	$602.40	$1,004.00	$26.11 – $853.40	16
Flecainide (tambocor)-sendout CPT 80181	$141.00	$235.00	$16.90 – $188.70	16
Flexible Sigmoidoscopy CPT 45330	not published	not published	$58.47 – $912.67	10
Flotufolastat f18 diag 1 mci HCPCS A9608	$1,173.60	$1,956.00	$608.73 – $1,662.60	14
Flow cytometry interp 16 or more CPT 88189	$699.60	$1,166.00	$61.48 – $991.10	14
Flow cytometry marker each additional CPT 88185	$141.00	$235.00	$4.23 – $199.75	14
Flow cytometry one marker technical component CPT 88184	$288.60	$481.00	$37.41 – $408.85	17
Flt3 gene CPT 81245	$1,102.80	$1,838.00	$131.40 – $1,562.30	17
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450	$907.80	$1,513.00	$1.43 – $392.36	13
Fludarabine 50 mg intravenous solution HCPCS J9185	not published	$216.50	$43.06 – $184.03	16
Fluidotherapy charges pt CPT 97022	$85.80	$143.00	$15.32 – $121.55	14
Fluorescent antibody titer dna CPT 86256	$39.00	$65.00	$10.02 – $55.25	17
Fluoroguide for spine inject 77003-26 CPT 77003	$511.80	$853.00	$55.32 – $725.05	14
Fluoroguide needle placement CPT 77002	$429.60	$716.00	$60.93 – $608.60	14
Fluoroscopy up to 1 hour CPT 76000	$496.20	$827.00	$20.90 – $702.95	16
Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190	$49.80	$83.00	$0.89 – $26.97	13
Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680	$346.20	$577.00	$4.61 – $98.60	14
Fna bx w/ct gdn 1st les CPT 10009	$777.00	$1,295.00	$102.33 – $1,100.75	16
Folic acid CPT 82746	$89.40	$149.00	$13.20 – $126.65	17
Folic acid 5 mg/ml injection solution HCPCS J1808	$1.40	$1.75	$0.04 – $0.14	13
Fomepizole 1 gram/ml intravenous solution HCPCS J1451	$80.80	$1,425.88	$5.70 – $85.85	15
Fondaparinux sodium HCPCS J1652	$490.80	$818.00	$0.46 – $45.90	14
Foot X-ray CPT 73630	$118.20	$197.00	$31.25 – $167.45	15
Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453	$1,366.80	$2,278.00	$0.06 – $12.75	13
Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009	$84.60	$141.00	$17.50 – $59.50	12
Fragmenting of kidney stone CPT 50590	not published	not published	$274.45 – $3,452.59	10
Frenectomy 41115 CPT 41115	not published	not published	$340.06 – $1,525.20	9
Frenotomy 40806 CPT 40806	not published	not published	$440.31 – $524.35	8
Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059	$602.40	$1,004.00	$33.00 – $853.40	15
Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017	$229.20	$382.00	$33.00 – $324.70	16
Fresh frozen plasma thawing ea un CPT 86927	$199.80	$333.00	$27.47 – $176.44	15
Fructosamine glycated protein CPT 82985	$66.60	$111.00	$15.20 – $94.35	17
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260	not published	not published	$1,093.82 – $1,883.47	9
Fundus photography with i&r 92250 CPT 92250	$169.20	$282.00	$58.49 – $239.70	16
Furosemide 10 mg/ml injection solution HCPCS J1938	$0.40	$0.50	$0.01 – $0.43	14
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940	not published	$3.19	$0.15 – $5.31	13
Fusion of big toe joint CPT 28750	not published	not published	$306.35 – $7,151.22	10
G-tube reposition CPT 43761	not published	not published	$103.87 – $284.23	10
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579	$19.20	$32.00	$0.93 – $12.30	13
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581	$108.60	$181.00	$9.30 – $153.85	13
Galectin-3 CPT 82777	$96.00	$160.00	$15.66 – $136.00	17
Gallbladder Removal (Laparoscopic) CPT 47562	not published	not published	$1,414.39 – $6,007.35	9
Gamma glutamyltransferase CPT 82977	$45.00	$75.00	$6.53 – $63.75	17
Gammaglobulin iga CPT 82784	$80.40	$134.00	$8.43 – $113.90	17
Gammaglobulin ige CPT 82785	$80.40	$134.00	$14.93 – $113.90	17
Gamunex-c/gammaked HCPCS J1561	$345.60	$2,896.33	$30.92 – $364.65	16
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570	$415.20	$692.00	$9.74 – $165.28	13
Gemcitabine 1 gram intravenous solution HCPCS J9201	$1,180.80	$1,476.00	$1.45 – $332.78	14
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203	$74.40	$124.00	$26.72 – $255.55	16
Generator barostim neo2 2014 HCPCS C1767	$42,237.00	$70,395.00	$9,658.00 – $50,588.47	12
Genetic tstg severe inh cond CPT 81443	$14,904.00	$24,840.00	$910.40 – $2,644.44	16
Genome sequence analysis CPT 81425	$4,439.40	$7,399.00	$2,959.60 – $6,289.15	16
Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580	$46.00	$57.50	$0.38 – $29.81	14
Gentamicin peak therapeutic drug level CPT 80170	$96.00	$160.00	$13.20 – $136.00	17
Ghs HIV antibody CPT 86703	$255.60	$426.00	$12.43 – $362.10	17
Ghs IV inf sq injection, on-body injector CPT 96377	$145.80	$243.00	$19.79 – $206.55	15
Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245	$1,020.00	$1,700.00	$338.72 – $1,445.00	14
Ghs IV infusion casirivimab/imdevimab HCPCS M0243	$1,020.00	$1,700.00	$338.72 – $1,445.00	14
Ghs IV infusion sotrovimab HCPCS M0247	$1,020.00	$1,700.00	$396.00 – $2,170.93	14
Ghs IV thrombolytics - cerebral CPT 37195	$1,635.60	$2,726.00	$286.79 – $2,317.10	15
Ghs abscess perianal iandd CPT 46050	$3,449.40	$5,749.00	$83.23 – $4,886.65	16
Ghs abscess postoperative iandd complex CPT 10180	$4,281.00	$7,135.00	$169.72 – $6,064.75	16
Ghs alcohol, methyl (methanol)-medtox CPT 84600	$147.60	$246.00	$15.52 – $209.10	16
Ghs alpha thalasemia, 7 deletions CPT 81257	$1,687.20	$2,812.00	$92.74 – $2,390.20	17
Ghs analysis neurostim without reprogramming CPT 95970	$574.80	$958.00	$21.27 – $814.30	16
Ghs antibodies (torch) igm CPT 86694	$62.40	$104.00	$13.05 – $88.40	17
Ghs bladder cath - complex-foley CPT 51703	$605.40	$1,009.00	$82.07 – $857.65	16
Ghs block ilioinguinal/gentitofemoral CPT 64425	$1,260.60	$2,101.00	$38.50 – $1,785.85	16
Ghs central line insert < age 5, failed CPT 36555	$3,106.20	$5,177.00	$129.62 – $4,400.45	16
Ghs change cysto/gastrost CPT 43762	$1,156.80	$1,928.00	$34.21 – $1,638.80	16
Ghs chemo IV push, ea addtl CPT 96411	$378.00	$630.00	$58.18 – $535.50	16
Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486	$591.00	$985.00	$31.82 – $837.25	17
Ghs cl tx metacarpophal disloc without anes CPT 26700	$590.40	$984.00	$42.90 – $836.40	16
Ghs closd tx interphalang jt disloc w/ma CPT 26770	$280.20	$467.00	$40.15 – $396.95	16
Ghs closed reduction ankle dislocation CPT 27840	$3,032.40	$5,054.00	$98.45 – $4,295.90	16
Ghs closed tx bimalleolar fracture w/manip CPT 27810	$3,032.40	$5,054.00	$818.30 – $4,295.90	15
Ghs closed tx tibial fracture w/manip CPT 27752	$1,884.60	$3,141.00	$256.85 – $2,669.85	16
Ghs clsd red med malleolus fx w manip CPT 27762	$3,396.00	$5,660.00	$792.00 – $4,811.00	15
Ghs clsd tx frac distal tibia w/manipulation CPT 27825	$2,186.40	$3,644.00	$1,085.30 – $3,097.40	15
Ghs conjunctiva foreign body-superf bil CPT 65205	$166.20	$277.00	$86.74 – $235.45	15
Ghs corneal fb with slit lamp bilat CPT 65222	$388.80	$648.00	$28.60 – $550.80	16
Ghs corneal fb without slit lamp bilat CPT 65220	$280.20	$467.00	$29.15 – $399.46	16
Ghs diphtheria toxoid ab igg CPT 86648	$240.00	$400.00	$13.79 – $340.00	17
Ghs dislocation elbow closed treatment CPT 24600	$3,032.40	$5,054.00	$112.75 – $4,295.90	16
Ghs ed peritoneal lavage w guidance if performed CPT 49084	$5,218.20	$8,697.00	$85.38 – $7,392.45	16
Ghs ed therapeutic lp, drain csf w fluoro CPT 62329	$1,439.40	$2,399.00	$101.39 – $2,039.15	16
Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700	$586.80	$978.00	$135.28 – $831.30	15
Ghs excision ingrown nail CPT 11765	$607.20	$1,012.00	$55.00 – $860.20	16
Ghs eyelid foreign body-embedded - bil CPT 67938	$2,002.80	$3,338.00	$167.97 – $2,837.30	15
Ghs febrile agglutinns(mayo) CPT 86000	$117.60	$196.00	$6.33 – $166.60	17
Ghs fish cytogen CPT 88271	$186.00	$310.00	$19.43 – $263.50	16
Ghs fish hybrid in situ 100-300 CPT 88275	$337.20	$562.00	$46.42 – $477.70	16
Ghs flow volume loop CPT 94375	$145.80	$243.00	$34.62 – $311.72	16
Ghs gastric intub aspiration lavage CPT 43753	$252.00	$420.00	$18.16 – $357.00	16
Ghs histoplasma antigen CPT 87385	$125.40	$209.00	$12.02 – $177.65	16
Ghs hla-dr/dq, multiple antigens CPT 86817	$424.80	$708.00	$96.26 – $601.80	17
Ghs i and d abscess/hematoma scrotum CPT 54700	$4,869.60	$8,116.00	$42.35 – $6,898.60	16
Ghs i and d perirectal abscess 46040 CPT 46040	$5,469.60	$9,116.00	$119.35 – $7,748.60	16
Ghs i and d pilonidal cyst simple CPT 10080	$388.80	$648.00	$39.60 – $704.33	16
Ghs incision thrombosed ext hemorrhoid CPT 46083	$745.20	$1,242.00	$45.10 – $1,055.70	16
Ghs inf midline insertion CPT 36140	$5,299.20	$8,832.00	$105.24 – $7,507.20	14
Ghs inhibitor screen CPT 85335	$85.20	$142.00	$8.30 – $120.70	17
Ghs init tx 1st degree burn CPT 16000	$282.00	$470.00	$19.80 – $399.50	16
Ghs inj neurolytic other perph nerve CPT 64640	$1,343.40	$2,239.00	$80.85 – $1,903.15	16
Ghs inj transforaminal cerv ea add bil CPT 64480	$1,972.80	$3,288.00	$77.37 – $2,794.80	14
Ghs insertion of needle - bone CPT 36680	$678.60	$1,131.00	$54.45 – $961.35	16
Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035	$2,183.40	$3,639.00	$101.20 – $3,093.15	16
Ghs irrigate corpora cavernosa for priapism CPT 54220	$3,562.20	$5,937.00	$210.28 – $5,046.45	15
Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250	$4,779.60	$7,966.00	$34.65 – $6,771.10	16
Ghs layer closure 2.5 cm or less - 12031 CPT 12031	$388.80	$648.00	$26.95 – $550.80	16
Ghs layer closure 2.5 cm or less - 12041 CPT 12041	$388.80	$648.00	$26.95 – $550.80	16
Ghs layer closure 2.5cm or less - 12051 CPT 12051	$388.80	$648.00	$34.65 – $550.80	16
Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052	$388.80	$648.00	$52.25 – $550.80	16
Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042	$610.80	$1,018.00	$39.05 – $865.30	16
Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053	$695.40	$1,159.00	$52.25 – $985.15	16
Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034	$2,183.40	$3,639.00	$51.15 – $3,093.15	16
Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044	$4,779.60	$7,966.00	$53.35 – $6,771.10	16
Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054	not published	not published	$67.65 – $571.63	10
Ghs low level laser therapy CPT 97039	$159.60	$266.00	$47.34 – $226.10	12
Ghs mbp CPT 83873	$112.80	$188.00	$15.60 – $159.80	17
Ghs moderate sedation ea addtl 15 min CPT 99153	$189.00	$315.00	$9.16 – $267.75	14
Ghs musc test done w/n test comp CPT 95886	$274.80	$458.00	$72.92 – $389.30	14
Ghs musc tst done w/nerv tst lim CPT 95885	$260.40	$434.00	$45.88 – $368.90	14
Ghs myocardial strain img spckl track CPT 93356	$838.80	$1,398.00	$46.89 – $1,188.30	12
Ghs nailbed repair/nail removal CPT 11760	$1,632.60	$2,721.00	$25.30 – $2,312.85	16
Ghs nerve blk intercostal, ea addtl level CPT 64421	$1,540.80	$2,568.00	$47.85 – $2,182.80	16
Ghs nerve block brachial plexus CPT 64415	not published	not published	$38.50 – $891.22	10
Ghs nerve block interscaline CPT 64510	$3,582.00	$5,970.00	$59.95 – $5,074.50	16
Ghs nerve block lumbar or thoracic symp CPT 64520	$3,570.00	$5,950.00	$59.40 – $5,057.50	16
Ghs nerve block sciatic nerve CPT 64445	not published	not published	$25.85 – $693.24	10
Ghs ng placement w fluoro guidance CPT 43752	$334.20	$557.00	$197.94 – $473.45	14
Ghs opcc repair cvp without subq port CPT 36575	$4,956.00	$8,260.00	$41.04 – $7,021.00	16
Ghs ot group caregiver training CPT 97552	$44.40	$74.00	$18.50 – $62.90	12
Ghs ot prosthetic training/15 min CPT 97761	$225.60	$376.00	$45.72 – $319.60	12
Ghs ot sensory integrative tech/15min CPT 97533	$146.40	$244.00	$50.35 – $207.40	12
Ghs paravert facet/nerve cerv ea add bil CPT 64492	$1,897.80	$3,163.00	$138.06 – $2,688.55	12
Ghs paravert facet/nerve lumb ea add bil CPT 64495	$985.80	$1,643.00	$125.37 – $1,396.55	12
Ghs peritonsillar abscess i andd CPT 42700	$1,632.60	$2,721.00	$68.20 – $2,312.85	16
Ghs phenylketonurid CPT 84030	$37.80	$63.00	$4.99 – $53.55	17
Ghs plngl fx pm cl CPT 26725	$723.00	$1,205.00	$84.70 – $1,024.25	16
Ghs ppd (tb intradermal) CPT 86580	$57.00	$95.00	$6.05 – $80.75	17
Ghs protoporphyrins fract CPT 84202	$99.00	$165.00	$13.01 – $140.25	17
Ghs removal intranasal foreign body CPT 30300	$276.00	$460.00	$24.75 – $391.00	16
Ghs rsv eia (respir synctial vrs) CPT 87420	$187.80	$313.00	$12.61 – $266.05	16
Ghs sensitivity (per antimicro) CPT 87184	$34.80	$58.00	$6.78 – $49.30	17
Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005	$2,183.40	$3,639.00	$101.20 – $3,093.15	16
Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016	$4,548.00	$7,580.00	$101.20 – $6,443.00	16
Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006	$4,620.00	$7,700.00	$101.20 – $6,545.00	16
Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017	$4,594.20	$7,657.00	$101.20 – $6,508.45	16
Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014	$610.80	$1,018.00	$52.25 – $865.30	16
Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004	$610.80	$1,018.00	$53.35 – $865.30	16
Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015	$610.80	$1,018.00	$67.65 – $865.30	16
Ghs simple repair over 30 cm - 12007 CPT 12007	$4,795.80	$7,993.00	$101.20 – $6,794.05	16
Ghs somatosensory testing lower extremit CPT 95926	$490.20	$817.00	$64.27 – $694.45	16
Ghs somatosensory testing upper & lower limbs CPT 95938	$1,858.80	$3,098.00	$240.33 – $2,633.30	16
Ghs sp train/fitting sp device - kx CPT 92609	$378.00	$630.00	$106.42 – $535.50	12
Ghs st - re-eval for alt comm CPT 92597	$991.80	$1,653.00	$143.59 – $1,405.05	12
Ghs superficial wnd dehis w packing12021 CPT 12021	$3,197.40	$5,329.00	$129.80 – $4,529.65	16
Ghs superficial wnd dehiscence simp12020 CPT 12020	$3,112.80	$5,188.00	$103.40 – $4,409.80	16
Ghs tx distal phalangeal fx with manipulation CPT 26755	$824.40	$1,374.00	$80.30 – $1,167.90	16
Ghs urine, porphyrins quant CPT 84120	$80.40	$134.00	$8.25 – $113.90	17
Gi inhouse confirmation CPT 87045	$84.60	$141.00	$7.59 – $119.85	17
Giardia lamblia antibody CPT 86674	$186.00	$310.00	$13.35 – $263.50	16
Glaucoma surgery CPT 66170	not published	not published	$663.30 – $2,283.12	10
Glucagon 1 mg solution for injection HCPCS J1610	$522.40	$653.00	$71.91 – $197.05	16
Glucagon plasma - sendout CPT 82943	$131.40	$219.00	$12.96 – $186.15	17
Glucose 1 hr post dose CPT 82950	$54.00	$90.00	$4.31 – $76.50	17
Glucose blood by monitoring device cleared by fda for home use CPT 82962	$32.40	$54.00	$2.20 – $45.90	17
Glucose blood quantitative CPT 82947	$34.80	$58.00	$3.56 – $49.30	17
Glucose body fluid CPT 82945	$34.80	$58.00	$3.56 – $49.30	17
Glucose tolerance test (gtt) 3 specimens CPT 82951	$96.60	$161.00	$11.67 – $136.85	17
Glucose tolerance test (gtt) >3 specimens each additional CPT 82952	$34.80	$58.00	$3.56 – $49.30	17
Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596	$11.60	$14.50	$0.29 – $11.90	16
Golimumab 12.5 mg/ml intravenous solution HCPCS J1602	$108.00	$135.00	$6.97 – $113.90	16
Gonadotropin follicle stimulating hormone (fsh) CPT 83001	$89.40	$149.00	$16.85 – $119.85	17
Gonadotropin luteinizing hormone (lh) CPT 83002	$84.60	$141.00	$16.80 – $119.85	17
Goserelin 10.8 mg subcutaneous implant HCPCS J9202	$1,886.40	$3,815.05	$463.24 – $1,349.91	16
Graft axiofill 1000mg HCPCS J3590	$3,442.80	$5,738.00	$17.32 – $58.89	12
Graft nerve adv 3-4x70mm HCPCS C1762	$5,283.60	$8,806.00	$1,222.00 – $5,555.44	12
Graft patch felt ptfe 2x2 HCPCS C1768	$2,249.40	$3,749.00	$106.50 – $1,995.27	12
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133	$394.20	$657.00	$87.60 – $558.45	12
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121	$5,533.20	$9,222.00	$33.31 – $344.25	12
Graft xenmtrx sft rect 15x20cm HCPCS C1781	$3,613.80	$6,023.00	$19.25 – $1,566.12	12
Graft xenmtrx sft rect 19x28cm HCPCS C2625	$255.00	$425.00	$100.25 – $1,471.99	12
Granisetron hcl injection HCPCS J1626	$728.40	$1,214.00	$0.12 – $46.84	13
Great toe with reduction 28495 CPT 28495	$4,620.00	$7,700.00	$83.05 – $6,545.00	16
Growth hormone antibody CPT 86277	$145.80	$243.00	$8.80 – $206.55	17
Guid loc target vol rad tx CPT 77387	$1,214.40	$2,024.00	$41.25 – $1,720.40	13
Guide endoanchr sg-64 aaa 62cm HCPCS L8670	$1,821.00	$3,035.00	$590.50 – $3,977.40	12
Guide wire threaded 1.4x150mm HCPCS C1769	$2,001.60	$3,336.00	$11.75 – $1,128.57	12
Guide worley csg 9fx50cm std HCPCS C1892	$141.00	$235.00	$25.50 – $610.77	11
Guided cath fluid drainage 10030 CPT 10030	$1,473.60	$2,456.00	$137.81 – $2,087.60	16
Gw stiffened micro access kit HCPCS C1894	$496.80	$828.00	$6.25 – $506.68	11
H pylori (c-13) breath CPT 83013	$346.80	$578.00	$61.09 – $491.30	17
Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631	$1,022.40	$1,704.00	$2.78 – $134.79	13
Haloperidol lactate 5 mg/ml injection solution HCPCS J1630	$46.40	$58.00	$0.51 – $49.30	14
Hand X-ray CPT 73130	$119.40	$199.00	$26.77 – $169.15	15
Hand-held pefr meter a4614 HCPCS A4614	$26.40	$44.00	$11.00 – $161.01	12
Haptoglobin quantitative CPT 83010	$57.00	$95.00	$11.41 – $80.75	17
Hbb gene dup/del variants CPT 81363	$1,672.80	$2,788.00	$183.56 – $2,369.80	16
Hbot, full body chamber, 30m HCPCS G0277	$430.80	$718.00	$48.28 – $610.30	13
Hcg qualitative CPT 84703	$74.40	$124.00	$6.82 – $105.40	17
Hcg quantitative CPT 84702	$84.60	$141.00	$13.65 – $119.85	17
Head CT scan (with and without contrast) CPT 70470	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
Head CT scan (with contrast) CPT 70460	$1,368.00	$2,280.00	$147.40 – $1,938.00	16
Head CT scan (without contrast) CPT 70450	$1,226.40	$2,044.00	$91.94 – $1,737.40	16
Hematocrit CPT 85014	$24.00	$40.00	$2.15 – $34.00	17
Hemodialysis one evaluation CPT 90935	$1,223.40	$2,039.00	$279.71 – $1,733.15	15
Hemoglobin CPT 85018	$24.00	$40.00	$2.15 – $34.00	17
Hemoglobin f (fetal) chemical CPT 83030	$57.00	$95.00	$5.50 – $80.75	17
Hemoglobin fetal qualitative CPT 83033	$86.40	$144.00	$7.18 – $122.40	17
Hemoglobin methemoglobin quantitative CPT 83050	$54.00	$90.00	$3.30 – $76.50	17
Hemoglobin plasma CPT 83051	$39.00	$65.00	$3.85 – $55.25	17
Hemolysins and agglutinins incubated CPT 86941	$157.20	$262.00	$10.98 – $222.70	17
Hemophilus influenza antibdy CPT 86684	$268.20	$447.00	$14.37 – $379.95	17
Hepagam b im injection HCPCS J1571	not published	$345.53	$42.08 – $293.70	16
Heparin assay CPT 85520	$75.60	$126.00	$7.18 – $107.10	17
Heparin bolus from bag HCPCS J1644	$39.40	$49.25	$0.13 – $4.25	14
Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642	$5.40	$6.75	$0.01 – $1.93	13
Hepatitis a antibody igm CPT 86709	$80.40	$134.00	$10.21 – $113.90	17
Hepatitis b core antibody igm CPT 86705	$91.20	$152.00	$10.67 – $129.20	17
Hepatitis b core antibody total CPT 86704	$74.40	$124.00	$10.93 – $105.40	17
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371	$1,720.80	$2,151.00	$11.00 – $379.10	17
Hepatitis b surface antibody CPT 86706	$67.20	$112.00	$9.74 – $59.50	17
Hepatitis c antibody CPT 86803	$90.60	$151.00	$12.94 – $128.35	17
Hepatitis d quantification CPT 87523	$385.80	$643.00	$38.85 – $546.55	16
Hepatobiliary system imaging CPT 78226	$855.60	$1,426.00	$195.39 – $1,212.10	16
Hereditary colon ca dsordrs CPT 81435	$3,394.80	$5,658.00	$578.07 – $2,720.00	17
Hernia Repair (Inguinal) CPT 49505	not published	not published	$349.25 – $3,532.77	10
Herpes simplex 1 ag if CPT 87274	$198.60	$331.00	$10.86 – $281.35	16
Herpes simplex 2 ag if CPT 87273	$183.60	$306.00	$9.19 – $260.10	17
Herpes simplex type 1 antibody igg CPT 86695	$85.20	$142.00	$11.96 – $120.70	17
Herpes simplex type 2 antibody igg CPT 86696	$175.80	$293.00	$17.55 – $249.05	17
Herpes simplex virus isolation CPT 87255	$186.60	$311.00	$19.50 – $264.35	17
Heterophile antibodies screening CPT 86308	$37.20	$62.00	$4.70 – $52.70	17
Hexa gene CPT 81255	$1,416.00	$2,360.00	$46.66 – $2,006.00	17
Hhv-6 dna quant CPT 87533	$378.00	$630.00	$37.87 – $535.50	16
Hip X-ray CPT 73502	$134.40	$224.00	$50.70 – $190.40	15
Histamine CPT 83088	$209.40	$349.00	$14.30 – $296.65	17
Histochemical stains add-on CPT 88314	$57.60	$96.00	$17.76 – $94.12	14
Hiv-1 ag ia CPT 87390	$298.20	$497.00	$11.55 – $422.45	17
Hla class i high defin qual CPT 86832	$409.20	$682.00	$146.45 – $579.70	17
Hla class i phenotype qual CPT 86830	$276.00	$460.00	$75.39 – $391.00	17
Hla class ii high defin qual CPT 86833	$409.20	$682.00	$133.14 – $579.70	17
Hla class ii phenotype qual CPT 86831	$487.20	$812.00	$64.63 – $690.20	17
Hla i & ii typing hr CPT 81378	$2,453.40	$4,089.00	$313.40 – $3,475.65	17
Hla i low res one antigen equiv ea CPT 81374	$837.60	$1,396.00	$67.41 – $1,186.60	17
Hla i typing 1 locus hr CPT 81380	$1,111.80	$1,853.00	$160.75 – $1,575.05	17
Hla i typing complete lr CPT 81372	$2,508.00	$4,180.00	$265.20 – $3,553.00	17
Hla i typing high res 1 allele grp ea CPT 81381	$549.60	$916.00	$113.54 – $666.40	17
Hla ii typing 1 loc hr CPT 81382	$2,925.00	$4,875.00	$112.17 – $1,662.60	17
Hla ii typing ag equiv lr CPT 81375	$1,024.80	$1,708.00	$200.19 – $1,451.80	17
Hla typing a b or c CPT 86813	$669.60	$1,116.00	$52.60 – $948.60	17
Hocm 250-299mg/ml iodine,1ml HCPCS Q9961	$0.60	$1.00	$0.15 – $0.85	13
Hocm 350-399mg/ml iodine,1ml HCPCS Q9963	$0.80	$1.00	$0.14 – $0.51	13
Homocysteine CPT 83090	$114.60	$191.00	$16.25 – $162.35	17
Homogenization tissue CPT 87176	$111.60	$186.00	$5.33 – $158.10	17
Homovanillic acid (hva) CPT 83150	$99.00	$165.00	$8.25 – $140.25	17
Hpv types 16 & 18 only CPT 87625	$284.40	$474.00	$36.77 – $402.90	17
Hrdtry cardmypy gene panel CPT 81439	$9,556.80	$15,928.00	$530.45 – $13,291.45	16
Hrdtry perph neurphy panel CPT 81448	$23,150.40	$38,584.00	$530.45 – $6,223.70	16
Htt gene detc abnor alleles CPT 81271	$1,333.80	$2,223.00	$124.25 – $1,889.55	16
Human epididymis protein 4 (he4) CPT 86305	$345.60	$576.00	$18.87 – $489.60	17
Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473	$316.80	$528.00	$0.23 – $56.03	14
Hydralazine 20 mg/ml injection solution HCPCS J0360	$94.40	$118.00	$3.54 – $100.30	13
Hydration IV infusion each additional hour CPT 96361	$105.00	$175.00	$9.90 – $148.75	16
Hydration IV infusion initial 31minutes - 1 hour CPT 96360	$388.20	$647.00	$34.79 – $549.95	16
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720	$42.80	$253.40	$8.25 – $28.05	14
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171	$4.40	$5.50	$0.01 – $3.41	14
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999	$654.40	$1,005.00	$0.25 – $0.85	12
Hymenotomy CPT 56442	not published	not published	$68.32 – $3,273.80	9
Hysterosalpingography s&i CPT 74740	$429.60	$716.00	$71.60 – $608.60	15
Hysteroscopy ablation CPT 58563	not published	not published	$347.49 – $4,941.63	10
Hysteroscopy biopsy CPT 58558	not published	not published	$577.87 – $3,273.80	9
Hysteroscopy remove fb CPT 58562	not published	not published	$387.42 – $3,273.80	9
Hysteroscopy remove myoma CPT 58561	not published	not published	$1,151.69 – $5,082.81	9
Hysterotomy abdominal 59100 CPT 59100	$3,761.40	$6,269.00	$31.88 – $5,328.65	15
Hzv zoster vacc recombinant adjuvanted im inj CPT 90750	$150.00	$250.00	$11.00 – $262.68	14
I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720	$2,812.80	$4,688.00	$98.45 – $3,984.80	16
I-123 sod iodide diag per 100 uci HCPCS A9516	$646.80	$1,078.00	$269.50 – $916.30	11
I131 iodide cap, rx HCPCS A9517	$706.80	$1,178.00	$20.98 – $1,001.30	14
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367	$228.60	$381.00	$21.16 – $323.85	16
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368	$133.20	$222.00	$12.57 – $188.70	14
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366	$138.00	$230.00	$13.52 – $195.50	16
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365	$411.60	$686.00	$43.23 – $583.10	16
Ia infect ag ab qual/semiquant sgl step CPT 86318	$149.40	$249.00	$16.41 – $211.65	17
Iadna legionella pneumophila amplified probe tq CPT 87541	$591.00	$985.00	$31.82 – $837.25	16
Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742	not published	$582.58	$156.27 – $495.19	15
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882	$40,346.40	$67,244.00	$16,811.00 – $108,424.54	12
Ifosfamide 1 gram intravenous solution HCPCS J9208	$752.00	$940.00	$13.81 – $282.08	13
Igh gene rearrange amp meth CPT 81261	$933.00	$1,555.00	$115.77 – $1,321.75	17
Igh@ var region somatic mutation analy CPT 81263	$1,416.60	$2,361.00	$267.10 – $1,739.10	17
Igk rearrangeabn clonal pop CPT 81264	$933.00	$1,555.00	$156.65 – $1,303.05	17
Ihc/icc per specimen each additional single antibody stain CPT 88341	$272.40	$454.00	$56.22 – $385.90	14
Ihc/icc per specimen each multiplex antibody stain CPT 88344	$272.40	$454.00	$97.34 – $385.90	17
Ihc/icc per specimen initial single antibody stain CPT 88342	$272.40	$454.00	$28.70 – $385.90	17
Iliac revasc add-on 37222 CPT 37222	$10,123.20	$16,872.00	$1,350.83 – $14,341.20	12
Imetelstat 188 mg intravenous solution HCPCS J0870	$99.00	$165.00	$36.01 – $140.25	16
Immobilizer shldr cntor adlt HCPCS L3670	$198.00	$330.00	$33.25 – $725.49	12
Immobilizer shldr dlx str 24-36in med HCPCS L1830	$94.80	$158.00	$39.50 – $506.41	12
Immune complex assay CPT 86332	$289.20	$482.00	$22.10 – $409.70	17
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569	$476.00	$1,376.98	$28.61 – $323.85	16
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568	not published	$2,250.00	$30.01 – $102.82	16
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566	$191.40	$1,624.83	$49.75 – $138.11	16
Immunoassay tumor antigen quantitative ca 125 CPT 86304	$141.00	$235.00	$18.87 – $199.75	17
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301	$141.00	$235.00	$18.87 – $199.75	17
Immunoassay tumor qual CPT 86294	$233.40	$389.00	$23.19 – $330.65	16
Immunodiff gel qual ea antigen/ab CPT 86331	$72.00	$120.00	$8.80 – $102.00	17
Immunodiffusion nes CPT 86329	$129.60	$216.00	$12.74 – $183.60	17
Immunofixation electrophoresis serum CPT 86334	$114.00	$190.00	$20.26 – $158.10	17
Immunofluorescence per specimen each additional single antibody stain CPT 88350	$108.00	$180.00	$21.60 – $153.00	14
Immunofluorescence per specimen initial single antibody stain CPT 88346	$108.00	$180.00	$17.55 – $171.54	17
Immunoglobulin assay CPT 86023	$144.00	$240.00	$11.30 – $204.00	17
Immunology procedure CPT 86849	$43.80	$73.00	$8.64 – $62.05	11
Impl neurostim electr perc CPT 63650	$4,795.80	$7,993.00	$410.25 – $6,794.05	16
Implant cartilage 10mm synthetic HCPCS L8699	$7,867.80	$13,113.00	$76.25 – $4,091.18	12
Implant neuroelectrodes CPT 64561	not published	not published	$931.26 – $6,757.50	9
Implant ureth bulk agent HCPCS L8606	$1,360.20	$2,267.00	$484.25 – $2,073.68	12
Imuglucerase injection HCPCS J1786	not published	$3,965.00	$27.27 – $3,370.25	16
In situ hybridization per specimen initial single probe stain CPT 88365	$141.00	$235.00	$18.25 – $199.75	17
Incision & drainage hematoma/seroma/fluid collection CPT 10140	$1,223.40	$2,039.00	$25.85 – $1,733.15	16
Incision of anal sphincter CPT 46080	not published	not published	$146.30 – $2,745.27	10
Incision of eye CPT 66172	not published	not published	$1,544.49 – $2,348.35	9
Incision of metatarsal CPT 28308	not published	not published	$1,028.47 – $3,340.82	9
Incision of tendon sheath CPT 25000	not published	not published	$242.55 – $1,602.09	10
Incision of tongue fold CPT 41010	not published	not published	$49.50 – $1,482.83	10
Incision of urethra CPT 53020	not published	not published	$49.50 – $2,050.66	10
Incision tendon sheath CPT 26055	not published	not published	$220.00 – $1,602.09	10
Infect ag drug suscept pheno predict CPT 87900	$764.40	$1,274.00	$86.12 – $1,082.90	17
Infect ag genotype na cytomegalovirus CPT 87910	$1,790.40	$2,984.00	$233.48 – $2,536.40	17
Infect ag genotype na hiv-1 other region CPT 87906	$1,768.80	$2,948.00	$90.02 – $2,505.80	17
Infect ag genotype na hiv-1 revr trn/prt CPT 87901	$2,065.80	$3,443.00	$233.48 – $2,926.55	17
Infect ag if hep delta agent CPT 87380	$252.60	$421.00	$16.65 – $357.85	17
Infect ag if legionella pneumophila CPT 87278	$303.00	$505.00	$14.15 – $429.25	16
Infect ag if pneumocystis carinii CPT 87281	$100.20	$167.00	$10.86 – $141.95	17
Infect ag na herpes simplex quant CPT 87530	$385.80	$643.00	$38.85 – $546.55	16
Infect ag na hpv high-risk types CPT 87624	$284.40	$474.00	$31.82 – $402.90	17
Infect ag na influenza r/amp 1st 2 types CPT 87502	$516.60	$861.00	$86.88 – $731.85	17
Infect ag na resp virus 12-25 targets CPT 87633	$2,801.40	$4,669.00	$377.98 – $3,968.65	17
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324	$108.00	$180.00	$10.86 – $153.00	16
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328	$100.20	$167.00	$12.53 – $141.95	16
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329	$76.20	$127.00	$10.86 – $107.95	17
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338	$88.20	$147.00	$13.04 – $124.95	16
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340	$76.20	$127.00	$9.37 – $107.95	17
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341	$93.60	$156.00	$9.37 – $132.60	17
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389	$268.80	$448.00	$21.84 – $380.80	17
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449	$74.40	$124.00	$10.86 – $105.40	16
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425	$108.00	$180.00	$10.86 – $153.00	16
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427	$99.00	$165.00	$10.86 – $140.25	17
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564	$147.00	$245.00	$69.62 – $208.25	16
Infectious agent nucleic acid amplified probe CPT 87798	$189.00	$315.00	$25.51 – $267.75	17
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491	$203.40	$339.00	$25.51 – $288.15	17
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493	$547.80	$913.00	$33.80 – $776.05	17
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483	$2,298.60	$3,831.00	$377.98 – $3,256.35	16
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529	$306.00	$510.00	$31.82 – $433.50	16
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641	$576.00	$960.00	$31.82 – $816.00	17
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556	$306.60	$511.00	$37.80 – $434.35	16
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591	$198.60	$331.00	$25.51 – $281.35	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	$124.15 – $297.50	17
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651	$568.20	$947.00	$31.82 – $804.95	16
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661	$231.00	$385.00	$31.82 – $327.25	17
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507	$454.20	$757.00	$302.80 – $643.45	16
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506	$1,008.00	$1,680.00	$238.51 – $1,428.00	16
Infectious agent nucleic acid quantification bk virus CPT 87799	$385.80	$643.00	$38.85 – $546.55	16
Infectious agent nucleic acid quantification hepatitis b CPT 87517	$385.80	$643.00	$38.85 – $546.55	17
Infectious agent nucleic acid quantification hepatitis c CPT 87522	$346.80	$578.00	$38.85 – $491.30	17
Infectious agent nucleic acid quantification hiv-1 CPT 87536	$754.20	$1,257.00	$77.18 – $1,068.45	17
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631	$951.60	$1,586.00	$129.35 – $1,348.10	17
Infliximab 100 mg intravenous solution HCPCS J1745	$380.80	$1,127.33	$19.63 – $1,192.76	17
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121	$1,062.00	$1,770.00	$12.88 – $98.88	16
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103	$203.20	$254.00	$12.62 – $67.90	16
Influenza dna amp prob addl CPT 87503	$342.00	$570.00	$25.72 – $484.50	17
Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673	$40.00	$50.00	$11.00 – $98.16	15
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642	$377.40	$629.00	$34.32 – $534.65	16
Initiation & management bipap/cpap initial day CPT 94660	$428.40	$714.00	$161.96 – $606.90	15
Inj andexxa, 10 mg HCPCS J7169	$751.80	$1,253.00	$119.15 – $669.80	15
Inj anifrolumab-fnia 1mg HCPCS J0491	$46.00	$58.00	$11.42 – $48.45	16
Inj ceftolozane tazobactam HCPCS J0695	$19.00	$342.63	$5.72 – $19.55	16
Inj cntr knee arthro incl ct/mri CPT 27369	$162.00	$270.00	$67.50 – $420.55	12
Inj cyclophosphamd (ingenus) HCPCS J9073	$2.40	$4.00	$0.50 – $3.40	16
Inj epidural sgl cerv-thor without img CPT 62320	$3,711.60	$6,186.00	$90.97 – $5,258.10	16
Inj epidural sgl lumb-sacral without img CPT 62322	not published	not published	$78.27 – $891.22	10
Inj for ext venography CPT 36005	$306.60	$511.00	$48.02 – $434.35	14
Inj imip 4 cilas 4 releb 2mg HCPCS J0742	$5.40	$9.00	$1.65 – $7.65	16
Inj intralesional <= 7 lsn(s) CPT 11900	$350.40	$584.00	$72.53 – $496.40	12
Inj ivig privigen 500 mg HCPCS J1459	$81.00	$10,283.48	$32.04 – $114.75	16
Inj levocarnitine per 1 gm HCPCS J1955	$494.40	$618.00	$8.71 – $164.99	13
Inj lwr xtr fscl pln blk uni w/wo image CPT 64473	$108.00	$180.00	$45.00 – $153.00	12
Inj melpha hydroch nos 50 mg HCPCS J9245	not published	$2,408.98	$60.55 – $2,047.63	16
Inj mogamulizumab-kpkc, 1 mg HCPCS J9204	$691.20	$864.00	$156.90 – $734.40	16
Inj multihance HCPCS A9577	$31.80	$53.00	$1.10 – $45.05	13
Inj nephrosto/ureterogram w/img exstng access CPT 50431	$2,092.80	$3,488.00	$209.24 – $2,964.80	15
Inj ogivri 10 mg HCPCS Q5114	$242.40	$404.00	$25.44 – $343.40	16
Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120	$1,313.40	$2,189.00	$19.15 – $1,860.65	16
Inj proc ankle arthr CPT 27648	$409.20	$682.00	$27.50 – $579.70	14
Inj proc elbow arthro CPT 24220	$450.00	$750.00	$160.65 – $637.50	12
Inj proc myelogram lumbar CPT 62284	not published	not published	$87.49 – $868.37	8
Inj prohance multipack HCPCS A9576	$10.80	$18.00	$0.89 – $33.19	13
Inj retro urethrocysto CPT 51610	$3,582.00	$5,970.00	$37.95 – $5,074.50	14
Inj secretin synthetic human HCPCS J2850	not published	$1,312.50	$36.75 – $1,115.62	15
Inj secukinumab intrav 1mg HCPCS J3247	$42.80	$53.50	$11.27 – $45.05	16
Inj testosterone cypionate HCPCS J1071	$72.60	$121.00	$0.02 – $14.85	14
Inj w/fluor eval cv device CPT 36598	$551.40	$919.00	$182.17 – $781.15	15
Inj zanidatamab-hrii, 2 mg HCPCS J9276	$44.40	$74.00	$15.81 – $62.90	16
Inj, abilify maintena, 1 mg HCPCS J0401	$34.00	$42.50	$4.59 – $2,189.46	17
Inj, bezlotoxumab, 10 mg HCPCS J0565	$11,010.60	$18,351.00	$25.15 – $164.90	16
Inj, brixadi, 7 days or less HCPCS J0577	$814.80	$1,358.00	$265.59 – $1,154.30	16
Inj, bupivacaine liposome HCPCS J0666	$2.40	$4.00	$0.93 – $3.40	16
Inj, cefepime hcl (b braun) HCPCS J0703	$43.40	$54.25	$3.13 – $45.90	13
Inj, clevidipine butyrate HCPCS C9248	not published	$175.51	$7.43 – $149.18	12
Inj, donanemab-azbt, 2 mg HCPCS J0175	$7.20	$12.00	$2.61 – $10.20	16
Inj, factor x, (human), 1iu HCPCS J7175	$34.20	$57.00	$6.17 – $48.45	16
Inj, focinvez, 1mg HCPCS J1434	$5.40	$9.00	$1.79 – $7.65	16
Inj, lanreotide, (cipla) 1mg HCPCS J1932	not published	$17,682.58	$18.84 – $15,030.19	16
Inj, nithiodote, 3mg / 125mg HCPCS J0211	$3.60	$6.00	$2.02 – $5.10	15
Inj, sutimlimab-jome, 10 mg HCPCS J1302	not published	$4,700.00	$11.91 – $3,995.00	16
Inj, tislelizumab-jsgr HCPCS J9329	$103.20	$172.00	$36.27 – $146.20	16
Inj, tyenne, 1 mg HCPCS Q5135	$12.80	$16.00	$2.79 – $13.60	16
Inj. herceptin hylecta, 10mg HCPCS J9356	$189.60	$316.00	$38.79 – $268.60	16
Inj. inebilizumab-cdon, 1 mg HCPCS J1823	$871.80	$1,453.00	$312.89 – $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	$225.37 – $771.80	16
Inj. teprotumumab-trbw 10 mg HCPCS J3241	$768.00	$1,280.00	$226.79 – $1,088.00	16
Inj., guselkumab, 1 mg HCPCS J1628	$695.20	$869.00	$47.97 – $552.50	16
Inj., lumoxiti, 0.01 mg HCPCS J9313	not published	$66.21	$21.21 – $56.28	15
Inj., meropenem, vaborbactam HCPCS J2186	not published	$413.53	$1.98 – $351.50	15
Inj., plazomicin, 5 mg HCPCS J0291	$85.80	$143.00	$2.21 – $121.55	16
Inj., tildrakizumab, 1 mg HCPCS J3245	$432.80	$541.00	$80.47 – $459.85	16
Inject sacroiliac joint CPT 27096	not published	not published	$163.28 – $999.21	3
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454	$1,505.40	$2,509.00	$251.70 – $2,132.65	15
Injection arthrography hip without anesthesia (both sides) CPT 27093	$450.00	$750.00	$187.50 – $637.50	12
Injection epidural blood patch or clot CPT 62273	$1,156.80	$1,928.00	$52.80 – $1,638.80	16
Injection for arthrography wrist (both sides) CPT 25246	$450.00	$750.00	$172.72 – $637.50	12
Injection for bladder x-ray CPT 51600	$2,055.60	$3,426.00	$35.20 – $2,912.10	14
Injection for hip x-ray CPT 27095	not published	not published	$218.34 – $337.70	3
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350	$450.00	$750.00	$134.81 – $637.50	12
Injection radioactive tracer sentinel node (both sides) CPT 38792	not published	not published	$177.58 – $413.75	8
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260	$2,521.20	$4,202.00	$598.76 – $3,571.70	14
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374	$306.00	$510.00	$34.12 – $433.50	16
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375	$144.60	$241.00	$14.31 – $204.85	16
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376	$136.20	$227.00	$20.55 – $192.95	11
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372	$121.20	$202.00	$13.97 – $171.70	16
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447	$880.80	$1,468.00	$67.10 – $1,247.80	16
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450	$611.40	$1,019.00	$23.10 – $866.15	16
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483	$2,674.80	$4,458.00	$104.54 – $3,789.30	16
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491	$1,071.60	$1,786.00	$136.51 – $1,518.10	12
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490	$2,110.80	$3,518.00	$268.69 – $2,990.30	15
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494	$974.40	$1,624.00	$123.83 – $1,380.40	12
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493	$1,885.20	$3,142.00	$239.89 – $2,670.70	15
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321	$4,189.80	$6,983.00	$98.12 – $5,935.55	16
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323	$3,253.20	$5,422.00	$89.45 – $4,608.70	16
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550	$1,294.20	$2,157.00	$35.20 – $1,833.45	16
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552	$571.20	$952.00	$34.17 – $809.20	16
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553	$647.40	$1,079.00	$37.92 – $917.15	16
Injection, cangrelor HCPCS C9460	not published	$2,112.40	$18.12 – $1,795.54	15
Injection, daratumumab 10 mg HCPCS J9145	$682.80	$6,656.53	$45.06 – $967.30	16
Injection, edaravone, 1 mg HCPCS J1301	$1,485.00	$2,475.00	$13.25 – $69.70	16
Injection, fulvestrant HCPCS J9395	$6,048.60	$10,081.00	$4.25 – $127.10	16
Injection, inclisiran, 1 mg HCPCS J1306	$22.80	$38.00	$7.78 – $32.30	16
Injection, isavuconazonium HCPCS J1833	$3.20	$4.00	$0.92 – $3.40	15
Injection, peramivir HCPCS J2547	$7.40	$9.25	$1.52 – $7.65	15
Injection, renflexis HCPCS Q5104	$228.80	$1,663.70	$17.05 – $243.10	16
Injection, siltuximab HCPCS J2860	$410.40	$684.00	$104.71 – $581.40	16
Injection,onabotulinumtoxina HCPCS J0585	$3,445.20	$5,742.00	$4.10 – $47.60	16
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229	$6,358.40	$9,932.00	$1,703.55 – $6,755.80	16
Ins cath ren art 1st bi CPT 36252	$12,124.80	$20,208.00	$322.01 – $17,176.80	16
Ins picad w subq port 5yr> CPT 36571	not published	not published	$526.12 – $3,240.82	9
Ins pq tunnld ip cath w/img CPT 49418	$8,416.80	$14,028.00	$2,234.51 – $11,923.80	15
Ins subq extnsn pertneal cath CPT 49435	not published	not published	$167.40 – $2,109.94	3
Ins tun cv cath wo subq prt/pm CPT 36558	$2,386.20	$3,977.00	$854.83 – $3,380.45	15
Ins tun cvad 2 cath w/subq port(s) CPT 36566	$5,882.40	$9,804.00	$709.95 – $8,333.40	15
Ins/rpl prph sac/gstr npg/r CPT 64590	not published	not published	$414.72 – $22,080.22	9
Insert cath pleura with image CPT 32557	$2,320.80	$3,868.00	$1,283.30 – $3,287.80	15
Insert cath pleura without image CPT 32556	$2,829.00	$4,715.00	$791.18 – $4,007.75	15
Insert drug delivery implant CPT 11981	$1,447.80	$2,413.00	$83.30 – $2,051.05	16
Insert intrauterine device iud CPT 58300	$607.20	$1,012.00	$18.98 – $860.20	13
Insert tunneled cv cath CPT 36563	not published	not published	$204.75 – $5,411.37	10
Insert vad art access left hrt arterial access CPT 33990	$2,458.80	$4,098.00	$626.23 – $3,483.30	12
Insertion catheter bladder non indwelling CPT 51701	$297.00	$495.00	$28.00 – $420.75	16
Insertion catheter bladder temporary simple CPT 51702	$538.20	$897.00	$30.26 – $762.45	16
Insertion catheter pleural indwelling tunneled with cuff CPT 32550	$8,501.40	$14,169.00	$817.19 – $12,043.65	15
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191	$1,806.60	$3,011.00	$1,204.40 – $5,565.99	15
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556	$1,239.00	$2,065.00	$124.53 – $3,150.80	16
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569	$1,239.00	$2,065.00	$96.13 – $1,755.25	16
Insertion picc without port or pump with imaging guidance=>5y CPT 36573	$1,239.00	$2,065.00	$76.74 – $1,755.25	16
Insertion subcutaneous cardiac rhythm monitor CPT 33285	not published	not published	$5,097.41 – $8,521.36	9
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561	not published	not published	$739.44 – $3,240.82	9
Insitu hybridization auto CPT 88367	$1,438.20	$2,397.00	$135.28 – $2,037.45	17
Insitu hybridization manual CPT 88368	$646.80	$1,078.00	$89.51 – $916.30	17
Insj biomechanical device 22853 CPT 22853	not published	not published	$355.07 – $454.11	3
Instillation anticarcinogenic agent bladder CPT 51720	$1,062.60	$1,771.00	$73.63 – $1,505.35	16
Insulin total CPT 83525	$57.00	$95.00	$10.37 – $80.75	17
Interdiscal perq aspir dx CPT 62267	$2,792.40	$4,654.00	$360.05 – $3,955.90	15
Interferon alfa-2b inj HCPCS J9214	$108.00	$3,303.48	$39.41 – $153.00	12
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027	$3,403.20	$5,672.00	$53.42 – $159.80	15
Interferon beta-1a inj HCPCS J1826	$4,373.40	$7,289.00	$1,998.03 – $6,195.65	15
Intrinsic factor antibody CPT 86340	$96.00	$160.00	$13.68 – $136.00	17
Intro cath dialysis circuit CPT 36901	$3,175.20	$5,292.00	$131.16 – $4,498.20	16
Intro cath dialysis circuit w/pta CPT 36902	$8,154.60	$13,591.00	$195.43 – $11,552.35	16
Intro catheter aorta CPT 36200	$3,157.20	$5,262.00	$122.10 – $4,472.70	14
Intubation endotracheal emergency procedure CPT 31500	$1,051.80	$1,753.00	$79.20 – $1,490.05	16
Ionm in operatng room 15 min CPT 95940	$191.40	$319.00	$44.53 – $271.15	12
Ionm remote/>1 pt or per hr CPT 95941	$1,587.60	$2,646.00	$362.64 – $2,249.10	11
Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966	$5.40	$9.00	$0.28 – $7.65	13
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967	$16.40	$20.50	$0.10 – $5.50	13
Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228	$495.00	$825.00	$115.85 – $313.02	16
Ipratropium bromide non-comp HCPCS J7644	$24.20	$30.25	$0.10 – $25.71	14
Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206	$719.20	$953.00	$1.11 – $377.45	13
Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205	$115.80	$193.00	$41.67 – $164.05	16
Iron CPT 83540	$60.00	$100.00	$5.87 – $85.00	17
Iron binding capacity CPT 83550	$58.80	$98.00	$5.50 – $83.30	17
Iron dextran 50 mg/ml injection solution HCPCS J1750	$99.00	$165.00	$11.43 – $68.20	16
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756	$315.00	$525.00	$0.14 – $12.82	14
Irradiation of blood product each unit reference CPT 86945	$63.60	$106.00	$28.24 – $90.10	15
Irrigation implantable venous access device for drug delivery systems CPT 96523	$147.60	$246.00	$21.43 – $209.10	16
Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227	$156.60	$261.00	$51.71 – $221.85	16
Island pedicle flap graft CPT 15740	not published	not published	$264.00 – $3,357.17	10
Ixabepilone 15 mg intravenous solution HCPCS J9207	$680.40	$3,438.95	$83.78 – $197.20	16
Jak2 targeted sequence analysis CPT 81279	$1,227.60	$2,046.00	$162.98 – $726.75	17
John cunningham antibody CPT 86711	$98.40	$164.00	$15.32 – $139.40	17
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010	$43.80	$73.00	$5.50 – $62.05	17
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885	$62.00	$77.50	$0.19 – $1.66	17
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770	$639.00	$1,065.00	$89.65 – $905.25	16
Kidney img w/bldflw sgl without rx CPT 78707	$797.40	$1,329.00	$124.75 – $1,129.65	16
Kit gene analys d816 variant CPT 81273	$1,229.40	$2,049.00	$109.89 – $1,589.50	17
Kit lead specify 5-6-5 HCPCS C1778	$7,816.20	$13,027.00	$212.50 – $15,937.99	12
Knee Arthroscopy (Cartilage Repair) CPT 29877	not published	not published	$1,536.42 – $3,340.82	9
Knee Arthroscopy (Meniscus Repair) CPT 29881	not published	not published	$597.85 – $3,248.02	10
Knee MRI (with and without contrast) CPT 73723	$3,815.40	$6,359.00	$308.78 – $5,405.15	15
Knee MRI (with contrast) CPT 73722	$2,449.80	$4,083.00	$354.99 – $3,470.55	15
Knee MRI (without contrast) CPT 73721	$2,205.00	$3,675.00	$209.00 – $3,123.75	15
Knee X-ray CPT 73564	$162.00	$270.00	$37.55 – $229.50	15
Knee arthroscopy dx CPT 29870	not published	not published	$869.66 – $3,340.82	9
Knee arthroscopy/surgery CPT 29875	not published	not published	$1,543.75 – $3,340.82	9
Knee arthroscopy/surgery CPT 29876	not published	not published	$1,535.92 – $3,340.82	9
Knee arthroscopy/surgery CPT 29879	not published	not published	$1,254.53 – $3,340.82	9
Knee arthroscopy/surgery CPT 29880	not published	not published	$1,544.41 – $3,340.82	9
Knee arthroscopy/surgery CPT 29882	not published	not published	$597.85 – $3,248.02	10
Knee arthroscopy/surgery CPT 29888	not published	not published	$1,254.18 – $7,355.55	9
Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254	not published	$133.36	$33.34 – $113.36	12
Lactate dehydrogenase (ldh) CPT 83615	$36.00	$60.00	$5.48 – $51.00	17
Lactated ringers intravenous solution HCPCS J7120	$67.00	$83.75	$0.00 – $29.33	14
Lactic acid CPT 83605	$91.20	$152.00	$8.80 – $129.20	17
Lactoferrin fecal qualitative CPT 83630	$198.00	$330.00	$13.54 – $280.50	17
Lactoferrin fecal quant CPT 83631	$284.40	$474.00	$17.80 – $402.90	17
Lam facetec & foramot lumbar CPT 63047	not published	not published	$3,548.06 – $7,355.55	9
Laminotomy single lumbar CPT 63042	not published	not published	$3,712.15 – $7,355.55	9
Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930	$195.20	$23,905.00	$21.50 – $207.40	16
Lap ing hernia repair init CPT 49650	not published	not published	$818.32 – $6,007.35	9
Lap ing hernia repair recur CPT 49651	not published	not published	$1,049.82 – $6,007.35	9
Lap insert tunnel ip cath CPT 49324	not published	not published	$526.46 – $6,007.35	9
Lap radical hyst CPT 58548	not published	not published	$2,562.55 – $7,788.21	3
Laparo cholecystectomy/graph CPT 47563	not published	not published	$1,521.52 – $6,007.35	9
Laparo-vag hyst incl t/o CPT 58552	not published	not published	$1,582.65 – $10,719.92	9
Laparoscopy aspiration CPT 49322	not published	not published	$777.81 – $6,007.35	9
Laparoscopy biopsy CPT 49321	not published	not published	$747.98 – $6,007.35	9
Laparoscopy excise lesions CPT 58662	not published	not published	$1,370.62 – $6,007.35	9
Laparoscopy lysis CPT 58660	not published	not published	$1,343.38 – $6,007.35	9
Laparoscopy remove adnexa CPT 58661	not published	not published	$1,365.27 – $6,007.35	9
Laryngoscop w/vc inj + scope CPT 31571	not published	not published	$207.90 – $3,690.81	10
Laryngoscopy w/bx & op scope CPT 31536	not published	not published	$215.67 – $3,690.81	10
Larynscop w/tumr exc + scope CPT 31541	not published	not published	$270.89 – $3,690.81	10
Laser surgery of prostate CPT 52648	not published	not published	$2,348.16 – $5,234.35	9
Lead capillary CPT 83655	$85.20	$142.00	$10.98 – $120.70	17
Lead ingevity 45cm pfret MRI HCPCS C1898	$1,296.60	$2,161.00	$540.25 – $5,931.20	12
Leg Vein Ultrasound (DVT study, both legs) CPT 93970	$505.80	$843.00	$161.33 – $716.55	16
Leishmania antibody CPT 86717	$209.40	$349.00	$11.11 – $296.65	16
Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787	$609.00	$1,015.00	$253.75 – $862.75	10
Lens iol ant bicnvx 24.0 multi HCPCS V2632	$561.00	$935.00	$107.25 – $1,074.55	11
Lens iol ant chamb 10.5 HCPCS V2630	$322.20	$537.00	$134.25 – $1,074.41	11
Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640	$117.00	$195.00	$1.88 – $30.01	13
Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950	$6,521.40	$10,869.00	$1,072.21 – $2,523.91	17
Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217	$3,070.40	$12,937.45	$98.72 – $2,169.89	17
Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953	$379.80	$633.00	$0.03 – $3.57	13
Levetiracetam therapeutic drug level CPT 80177	$141.00	$235.00	$12.02 – $199.75	17
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956	$610.80	$1,018.00	$0.87 – $95.52	13
Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650	$19.80	$33.00	$4.34 – $28.05	13
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002	$0.20	$0.25	$0.00 – $0.21	12
Lidocaine therapeutic drug level CPT 80176	$226.20	$377.00	$13.32 – $320.45	17
Ligate/transect fallopian tubes 58600 CPT 58600	not published	not published	$1,026.00 – $3,273.80	9
Ligation/biopsy of temporal artery 37609 CPT 37609	not published	not published	$136.40 – $1,621.93	10
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020	$253.60	$317.00	$2.25 – $144.39	13
Lip surgery procedure CPT 40799	$124.20	$207.00	$48.19 – $239.10	14
Lipase CPT 83690	$54.00	$90.00	$5.50 – $76.50	17
Lipoprotein blood quant CPT 83704	$280.20	$467.00	$31.01 – $396.95	16
Lipoprotein direct measurement hdl CPT 83718	$45.00	$75.00	$7.43 – $63.75	17
Lipoprotein direct measurement ldl CPT 83721	$62.40	$104.00	$9.52 – $88.40	17
Lithium therapeutic drug level CPT 80178	$67.20	$112.00	$5.99 – $95.20	17
Liver Function Test CPT 80076	$198.60	$331.00	$7.41 – $281.35	17
Liver ds alys 3 bmrk srm alg CPT 81517	$917.40	$1,529.00	$155.04 – $1,299.65	17
Liver/spleen imag static only CPT 78215	$1,032.60	$1,721.00	$76.19 – $1,462.85	16
Locm 100-199mg/ml iodine,1ml HCPCS Q9965	$10.40	$13.00	$0.61 – $11.05	13
Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060	$66.40	$83.00	$0.29 – $22.00	14
Low back disk surgery CPT 63030	not published	not published	$2,773.79 – $7,355.55	9
Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133	$1,750.20	$2,917.00	$153.92 – $2,479.45	16
Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132	$1,636.80	$2,728.00	$165.60 – $2,318.80	16
Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131	$1,368.00	$2,280.00	$91.94 – $1,938.00	16
Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158	$3,827.40	$6,379.00	$308.78 – $5,422.15	16
Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149	$2,449.80	$4,083.00	$308.78 – $3,470.55	16
Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Lower Back (Lumbar Spine) X-ray CPT 72100	$154.80	$258.00	$34.30 – $219.30	16
Lsh w/t/o uterus above 250 g CPT 58544	not published	not published	$1,466.58 – $10,719.92	9
Lung Function Test (Spirometry) CPT 94010	$301.20	$502.00	$16.50 – $426.70	16
Lung function test (mbc/mvv) CPT 94200	$115.80	$193.00	$9.90 – $164.05	16
Lung perfusion imaging CPT 78580	$1,263.00	$2,105.00	$86.90 – $1,789.25	16
Lurbinectedin 4 mg intravenous solution HCPCS J9223	$400.20	$667.00	$130.78 – $415.97	16
Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896	$87.60	$146.00	$26.51 – $79.16	16
Lymphatics/lymph node imaging CPT 78195	$691.20	$1,152.00	$198.00 – $979.20	16
Lymphocyte transformation mitogen CPT 86353	$453.00	$755.00	$44.47 – $641.75	17
Lysis intranasal synechia 30560 CPT 30560	not published	not published	$38.50 – $509.79	10
M.avium-intra dna amp prob CPT 87561	$523.20	$872.00	$31.82 – $741.20	16
M/phmtrc alys ishquant/semiq CPT 88373	$152.40	$254.00	$50.40 – $215.90	14
M/phmtrc alys ishquant/semiq CPT 88377	$646.80	$1,078.00	$148.16 – $916.30	17
M/phmtrc alysishquant/semiq CPT 88369	$646.80	$1,078.00	$61.44 – $916.30	14
MRA w/cont, abd HCPCS C8900	$3,815.40	$6,359.00	$308.78 – $5,405.15	14
MRA without cont, abd HCPCS C8901	$3,815.40	$6,359.00	$209.00 – $5,405.15	14
MRA without fol w/cont, abd HCPCS C8902	$3,815.40	$6,359.00	$308.78 – $5,405.15	14
MRI breast without cont bi CPT 77047	$2,913.60	$4,856.00	$209.00 – $4,127.60	16
MRI chest without & w/contrast CPT 71552	$3,815.40	$6,359.00	$308.78 – $5,405.15	16
MRI chest without contrast CPT 71550	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
MRI loex nonjt w IV cont CPT 73719	$2,332.80	$3,888.00	$308.78 – $3,304.80	15
MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720	$3,815.40	$6,359.00	$308.78 – $5,405.15	15
MRI lower extremity other than joint without contrast (both sides) CPT 73718	$2,205.00	$3,675.00	$209.00 – $3,123.75	15
MRI orbit fac&nck w IV cont CPT 70542	$3,493.20	$5,822.00	$308.78 – $4,948.70	16
MRI orbit/face/neck without & w/contrast CPT 70543	$3,815.40	$6,359.00	$308.78 – $5,405.15	16
MRI orbit/face/neck without contrast CPT 70540	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
MRI tmj CPT 70336	$2,332.20	$3,887.00	$209.00 – $3,303.95	16
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220	$3,815.40	$6,359.00	$308.78 – $5,405.15	15
MRI upper extremity other than joint without contrast (both sides) CPT 73218	$2,205.00	$3,675.00	$209.00 – $3,123.75	15
MRI upper extremity w/dye CPT 73219	$3,166.80	$5,278.00	$308.78 – $4,486.30	15
MRI without fol w/cont, breast HCPCS C8908	$2,913.60	$4,856.00	$308.78 – $4,127.60	14
Macroscopic exam arthropod CPT 87168	$54.00	$90.00	$3.87 – $76.50	16
Macroscopic exam parasite CPT 87169	$53.40	$89.00	$3.91 – $75.65	16
Magnesium CPT 83735	$39.00	$65.00	$6.08 – $55.25	17
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475	$239.40	$399.00	$0.15 – $1.50	13
Manipulation chest wall demonstration/evaluation subsequent CPT 94668	$80.40	$134.00	$30.66 – $132.72	15
Manipulation chest wall initial demonstration/evaluation CPT 94667	$96.00	$160.00	$56.36 – $136.00	15
Mannitol 12.5 gm/50 ml inj HCPCS J2150	$20.40	$34.00	$8.50 – $28.90	12
Mapping io sentinel lymph node CPT 38900	not published	not published	$210.01 – $2,101.74	3
Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353	$94.80	$158.00	$33.14 – $134.30	16
Marker biop eviva buckle ss HCPCS A4648	$400.80	$668.00	$13.25 – $235.21	12
Mast simple complete CPT 19303	not published	not published	$647.75 – $6,714.82	9
Mastectomy partial CPT 19301	not published	not published	$552.76 – $3,942.82	9
Mastoids complete CPT 70130	$348.60	$581.00	$45.15 – $493.85	15
Mayo a1app alpha 1 antitrypsin phenotype CPT 82104	$96.00	$160.00	$13.11 – $136.00	17
Mayo aathr protein s free CPT 85306	$102.00	$170.00	$13.89 – $144.50	17
Mayo activated protein c resistance assay CPT 85307	$102.60	$171.00	$13.89 – $145.35	17
Mayo adalimumab (humira) therapeutic drug level CPT 80145	$141.00	$235.00	$34.98 – $199.75	16
Mayo alkaline phosphatase isoenzyme CPT 84080	$190.20	$317.00	$13.40 – $269.45	16
Mayo alpha 1 antitrypsin CPT 82103	$66.60	$111.00	$12.19 – $94.35	17
Mayo amikacin trough therapeutic drug level CPT 80150	$237.60	$396.00	$12.10 – $336.60	17
Mayo analysis gene calr common variants exon 9 CPT 81219	$1,227.60	$2,046.00	$110.31 – $726.75	16
Mayo analysis gene jak2 p.val617phe variant CPT 81270	$1,702.80	$2,838.00	$45.38 – $379.95	17
Mayo analysis gene smn1 dosage/deletion CPT 81329	$2,547.60	$4,246.00	$120.56 – $525.30	17
Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229	$14,400.60	$24,001.00	$380.23 – $19,614.60	16
Mayo androstenedione CPT 82157	$144.60	$241.00	$26.55 – $204.85	17
Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164	$74.40	$124.00	$13.24 – $105.40	17
Mayo antithrombin iii antigen CPT 85301	$97.20	$162.00	$9.80 – $137.70	17
Mayo aspergillus fumigatus antibody CPT 86606	$102.60	$171.00	$13.65 – $145.35	17
Mayo avwpr vw factor activity CPT 85397	$415.80	$693.00	$27.99 – $589.05	17
Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469	$189.00	$315.00	$30.88 – $267.75	17
Mayo bart bartonella henselae antibody igg CPT 86611	$102.60	$171.00	$9.23 – $136.85	17
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207	$1,051.20	$1,752.00	$103.86 – $1,489.20	16
Mayo blastomyces antibody immunodiffusion CPT 86612	$80.40	$134.00	$11.70 – $113.90	17
Mayo bordetella pertussis antibody igg CPT 86615	$85.80	$143.00	$11.96 – $121.55	17
Mayo brcmg brucella antibody igm CPT 86622	$70.20	$117.00	$8.10 – $99.45	17
Mayo c1 esterase inhibitor CPT 83883	$96.60	$161.00	$12.33 – $136.85	16
Mayo carnitine total and free quantitative each specimen plasma CPT 82379	$276.00	$460.00	$15.30 – $204.85	16
Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356	$427.80	$713.00	$19.92 – $606.05	17
Mayo cdcom hla class ii typing low resolution one locus each CPT 81376	$1,672.20	$2,787.00	$110.84 – $658.75	17
Mayo ceruloplasmin CPT 82390	$54.00	$90.00	$9.74 – $76.50	17
Mayo chemiluminescent parathyroid related peptide CPT 82397	$129.60	$216.00	$12.81 – $183.60	16
Mayo chikv chikungunya antibodies igg CPT 86790	$119.40	$199.00	$11.68 – $169.15	16
Mayo chlap chlamydia pneumoniae antibody igg CPT 86631	$241.20	$402.00	$10.72 – $341.70	17
Mayo chlap chlamydia pneumoniae antibody igm CPT 86632	$89.40	$149.00	$11.50 – $126.65	17
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230	$764.40	$1,274.00	$105.64 – $1,082.90	17
Mayo chromium CPT 82495	$60.00	$100.00	$6.60 – $85.00	17
Mayo coccidioides antibody CPT 86635	$112.80	$188.00	$10.40 – $159.80	17
Mayo cocou cortisone urine CPT 82542	$108.00	$180.00	$21.20 – $153.00	17
Mayo cortisol free CPT 82530	$84.60	$141.00	$15.15 – $119.85	17
Mayo covid-19 antibody nucleocapsid total CPT 86769	$123.00	$205.00	$12.28 – $174.25	17
Mayo coxiella brunetii (q fever) igg antibody CPT 86638	$115.80	$193.00	$10.99 – $164.05	17
Mayo deoxyribonuclease antibody titer CPT 86215	$93.60	$156.00	$12.02 – $132.60	17
Mayo dhea (dehydroepiandrosterone) CPT 82626	$166.20	$277.00	$22.92 – $235.45	17
Mayo dihydrotestosterone CPT 82642	$239.40	$399.00	$26.55 – $339.15	16
Mayo efpo chloride stool CPT 82438	$89.40	$149.00	$3.30 – $126.65	17
Mayo estriol CPT 82677	$125.40	$209.00	$19.25 – $177.65	17
Mayo estrone CPT 82679	$165.00	$275.00	$14.30 – $233.75	17
Mayo ethosuximide therapeutic drug level CPT 80168	$80.40	$134.00	$14.30 – $113.90	17
Mayo everolimus therapeutic drug level CPT 80169	$141.60	$236.00	$12.45 – $200.60	17
Mayo factor ii CPT 85210	$49.80	$83.00	$4.40 – $70.55	17
Mayo factor vii CPT 85230	$131.40	$219.00	$5.50 – $186.15	17
Mayo factor viii vw factor antigen CPT 85246	$114.60	$191.00	$20.80 – $162.35	17
Mayo factor viii vw factor multimetric analysis CPT 85247	$212.40	$354.00	$20.80 – $300.90	17
Mayo factor viii vw factor ristocetin cofactor CPT 85245	$212.40	$354.00	$20.80 – $300.90	17
Mayo factor x CPT 85260	$131.40	$219.00	$13.20 – $186.15	17
Mayo factor xi CPT 85270	$131.40	$219.00	$13.20 – $186.15	17
Mayo fat/lipids feces quantitative CPT 82710	$110.40	$184.00	$4.42 – $156.40	17
Mayo fbl culture fungi blood CPT 87103	$80.40	$134.00	$13.71 – $113.90	17
Mayo ffspg allergen clam igg CPT 86001	$46.80	$78.00	$6.36 – $66.30	17
Mayo fibrinogen antigen CPT 85385	$78.60	$131.00	$10.90 – $111.35	17
Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171	$141.00	$235.00	$15.92 – $199.75	17
Mayo gamma-globin full gene sequencing CPT 81479	$8,992.20	$14,987.00	$65.25 – $221.85	11
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535	$288.60	$481.00	$31.82 – $385.90	16
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538	$559.20	$932.00	$31.82 – $792.20	16
Mayo hiser histoplasma antibodies immunodiffusion CPT 86698	$81.00	$135.00	$12.51 – $114.75	17
Mayo hla typing a/b/c single antigen CPT 86812	$118.20	$197.00	$13.20 – $167.45	17
Mayo hvdip HIV 1 antibody CPT 86701	$88.20	$147.00	$8.06 – $124.95	17
Mayo hvdip HIV 2 antibody CPT 86702	$90.60	$151.00	$12.26 – $128.35	17
Mayo hydroxyprogesterone 17-d CPT 83498	$108.00	$180.00	$22.55 – $153.00	17
Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520	$67.20	$112.00	$15.66 – $90.10	16
Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317	$97.20	$162.00	$13.59 – $137.70	17
Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300	$141.00	$235.00	$18.87 – $199.75	17
Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316	$102.60	$171.00	$18.87 – $145.35	17
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513	$987.60	$1,646.00	$31.82 – $1,399.10	16
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899	$191.40	$319.00	$14.57 – $271.15	16
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305	$187.20	$312.00	$10.86 – $265.20	17
Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498	$309.60	$516.00	$31.82 – $438.60	17
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563	$189.00	$315.00	$30.88 – $267.75	17
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581	$306.00	$510.00	$31.82 – $433.50	16
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594	$189.00	$315.00	$31.82 – $267.75	16
Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497	$236.40	$394.00	$38.85 – $334.90	17
Mayo infliximab therapeutic drug level CPT 80230	$133.20	$222.00	$34.98 – $188.70	16
Mayo inhab inhibin a CPT 86336	$861.00	$1,435.00	$14.14 – $1,219.75	16
Mayo insft insulin free CPT 83527	$121.20	$202.00	$11.74 – $171.70	17
Mayo insulin antibodies CPT 86337	$85.20	$142.00	$12.10 – $120.70	17
Mayo iodine CPT 83789	$163.80	$273.00	$21.87 – $232.05	16
Mayo itraconazole therapeutic drug level CPT 80189	$140.40	$234.00	$23.86 – $198.90	17
Mayo lacosamide therapeutic drug level CPT 80235	$141.00	$235.00	$24.59 – $199.75	16
Mayo lamotrigine therapeutic drug level CPT 80175	$141.00	$235.00	$12.02 – $199.75	17
Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625	$70.80	$118.00	$11.60 – $100.30	17
Mayo legionella antibody CPT 86713	$181.20	$302.00	$13.88 – $256.70	17
Mayo lipoprotein electrophoresis CPT 83700	$99.00	$165.00	$10.21 – $140.25	17
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617	$99.00	$165.00	$14.05 – $140.25	17
Mayo manganese CPT 83785	$57.00	$95.00	$15.86 – $80.75	16
Mayo metanephrines plasma CPT 83835	$80.40	$134.00	$14.30 – $113.90	17
Mayo mgle voltage-gated calcium channel antibody each CPT 86596	$108.00	$180.00	$10.93 – $153.00	17
Mayo mgrm acetylcholine receptor binding antibody CPT 86041	$240.00	$400.00	$16.19 – $340.00	17
Mayo microsomal antibody liver-kidney CPT 86376	$78.60	$131.00	$8.70 – $111.35	17
Mayo mitotane (lysodren) therapeutic drug level CPT 80299	$141.00	$235.00	$16.83 – $199.75	17
Mayo molecular pathology procedure level 2 apoe genotype CPT 81401	$4,014.60	$6,691.00	$104.75 – $1,656.65	16
Mayo mpl sequence analysis exon 10 CPT 81339	$752.40	$1,254.00	$167.96 – $726.75	16
Mayo muramidase CPT 85549	$96.00	$160.00	$17.00 – $136.00	17
Mayo muscle-specific kinase (musk) antibody CPT 86366	$108.00	$180.00	$16.69 – $153.00	16
Mayo mycophenolic acid therapeutic drug level CPT 80180	$163.80	$273.00	$16.37 – $232.05	17
Mayo myoglobin CPT 83874	$74.40	$124.00	$11.72 – $105.40	17
Mayo nickel CPT 83885	$175.20	$292.00	$12.10 – $248.20	17
Mayo organic acid methylmalonic single quantitative CPT 83921	$108.00	$180.00	$19.24 – $73.95	17
Mayo organic acids qualitative each specimen CPT 83919	$229.20	$382.00	$14.92 – $324.70	17
Mayo oxalate 24 hour urine CPT 83945	$60.00	$100.00	$13.10 – $85.00	17
Mayo parvs parvovirus b19 antibody igg CPT 86747	$75.60	$126.00	$13.63 – $107.10	17
Mayo paval fluorescent antibody screen agna type 1 CPT 86255	$102.00	$170.00	$10.93 – $136.00	17
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476	$306.00	$510.00	$31.82 – $433.50	17
Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598	$295.80	$493.00	$16.31 – $419.05	17
Mayo pntft phenytoin free therapeutic drug level CPT 80186	$62.40	$104.00	$12.48 – $88.40	17
Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110	$55.80	$93.00	$2.20 – $79.05	17
Mayo pregnenolone CPT 84140	$189.60	$316.00	$18.75 – $268.60	17
Mayo prmb primidone therapeutic drug level CPT 80188	$81.00	$135.00	$15.05 – $114.75	17
Mayo proinsulin CPT 84206	$165.00	$275.00	$8.80 – $233.75	17
Mayo psaft prostate specific antigen free CPT 84154	$129.60	$216.00	$16.68 – $183.60	17
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519	$108.00	$180.00	$16.69 – $153.00	16
Mayo rbcme osmotic fragility rbc incubated CPT 85557	$223.80	$373.00	$12.12 – $317.05	17
Mayo receptor assay transferrin soluble CPT 84238	$240.00	$400.00	$24.20 – $340.00	17
Mayo renin CPT 84244	$108.00	$180.00	$13.20 – $153.00	17
Mayo repu protein electrophoresis urine CPT 84166	$241.20	$402.00	$16.17 – $341.70	17
Mayo selenium CPT 84255	$236.40	$394.00	$23.15 – $334.90	16
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322	$91.20	$152.00	$14.06 – $129.20	16
Mayo serotonin CPT 84260	$159.60	$266.00	$28.10 – $226.10	17
Mayo sfgp rickettsia rickettsii antibody igg CPT 86757	$175.80	$293.00	$17.55 – $249.05	17
Mayo sirolimus therapeutic drug level CPT 80195	$102.00	$170.00	$12.45 – $144.50	17
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581	$97.20	$162.00	$40.50 – $137.70	11
Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592	$43.80	$73.00	$3.87 – $62.05	17
Mayo tau phosphorylated 217 each CPT 84393	$67.20	$112.00	$26.50 – $90.10	11
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340	$859.80	$1,433.00	$189.47 – $1,149.20	16
Mayo tgrp testosterone free CPT 84402	$129.60	$216.00	$23.10 – $183.60	17
Mayo tgrp testosterone total CPT 84403	$126.60	$211.00	$23.41 – $179.35	17
Mayo thyroglobulin CPT 84432	$108.60	$181.00	$14.56 – $153.85	17
Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666	$62.40	$104.00	$9.23 – $88.40	17
Mayo ticks babesia microti antibody igg CPT 86753	$118.20	$197.00	$11.24 – $167.45	16
Mayo tulab francisella tularensis antibody igg CPT 86668	$96.60	$161.00	$12.84 – $136.85	17
Mayo valpg valproic acid free therapeutic drug level CPT 80165	$96.00	$160.00	$12.28 – $136.00	17
Mayo vasoactive intestinal peptide CPT 84586	$325.20	$542.00	$32.04 – $460.70	17
Mayo vitamin b-2 (riboflavin) CPT 84252	$187.20	$312.00	$8.80 – $265.20	17
Mayo vitamin b3 (niacin) CPT 84591	$115.80	$193.00	$15.47 – $164.05	16
Mayo vitamin k CPT 84597	$126.60	$211.00	$12.44 – $179.35	16
Mayo zonisamide therapeutic drug level CPT 80203	$141.00	$235.00	$12.02 – $199.75	17
Measurement post void urine by ultrasound CPT 51798	$256.80	$428.00	$15.48 – $363.80	16
Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050	$213.60	$356.00	$0.25 – $0.85	12
Megestrol 20 mg tabs 100 each bottle HCPCS S0179	$6.20	$7.75	$1.25 – $5.35	12
Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175	$9.80	$13.84	$1.50 – $15.69	13
Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182	$108.00	$135.00	$19.74 – $114.75	16
Meropenem 1 gram intravenous solution HCPCS J2185	$77.20	$96.50	$0.27 – $25.18	14
Mesna 100 mg/ml intravenous solution HCPCS J9209	$1,001.60	$1,252.00	$1.00 – $155.29	13
Metabolic Blood Panel (Basic) CPT 80048	$84.60	$141.00	$7.67 – $119.85	17
Metabolic Blood Panel (Comprehensive) CPT 80053	$126.60	$211.00	$9.58 – $179.35	17
Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674	$255.60	$426.00	$1.11 – $3.83	13
Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260	$279.20	$349.00	$1.17 – $16.06	14
Methotrexate sodium 2.5 mg tablet HCPCS J8610	$29.80	$37.25	$0.12 – $12.93	14
Methotrexate therapeutic drug level CPT 80204	$139.80	$233.00	$34.98 – $198.05	16
Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968	$2.60	$3.25	$1.08 – $9.43	15
Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210	$20.20	$25.25	$6.25 – $21.25	13
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212	$1.40	$313.60	$0.25 – $1.30	12
Methylprednisolone 4 mg tablet HCPCS J7509	$22.00	$27.50	$0.07 – $22.95	13
Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010	$0.60	$0.75	$0.08 – $8.61	17
Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919	$2.20	$94.95	$0.09 – $6.54	17
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765	$11.00	$13.75	$0.60 – $11.05	14
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616	$1.20	$2.00	$0.08 – $1.70	13
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836	$4.80	$6.00	$0.02 – $5.10	13
Micafungin 100 mg intravenous solution HCPCS J2248	$7.00	$109.23	$0.16 – $10.28	13
Microdissection manual CPT 88381	$604.20	$1,007.00	$66.25 – $855.95	12
Microsatellite instability CPT 81301	$1,154.40	$1,924.00	$285.59 – $1,635.40	17
Midazolam 1 mg/ml injection solution HCPCS J2250	$11.00	$69.92	$0.10 – $7.19	14
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260	$398.40	$498.00	$0.92 – $249.75	13
Minocycline hydrochloride HCPCS J2265	$1.00	$451.45	$0.36 – $2.88	15
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063	$131.40	$219.00	$43.87 – $186.15	16
Mitomycin 40 mg intravenous solution HCPCS J9280	$1,169.60	$3,159.90	$12.85 – $135.05	16
Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293	not published	$302.75	$15.08 – $257.34	16
Mlh1 gene CPT 81288	$1,123.80	$1,873.00	$174.42 – $1,592.05	16
Mlh1 gene full seq CPT 81292	$399.00	$665.00	$266.00 – $729.43	17
Mog-igg1 antb flo cytmtry ea CPT 86363	$102.00	$170.00	$10.60 – $144.50	17
Monitor reveal linq ii cardiac HCPCS C1764	$15,190.20	$25,317.00	$4,209.25 – $18,874.31	12
Mopath procedure level 1 CPT 81400	$837.60	$1,396.00	$58.01 – $441.15	16
Mopath procedure level 3 CPT 81402	$2,046.60	$3,411.00	$101.16 – $1,739.10	16
Mopath procedure level 5 CPT 81404	$3,109.80	$5,183.00	$176.77 – $2,105.45	16
Mopath procedure level 6 CPT 81405	$5,299.80	$8,833.00	$255.72 – $672.35	16
Mopath procedure level 7 CPT 81406	$8,476.80	$14,128.00	$66.00 – $305.51	16
Mopath procedure level 8 CPT 81407	$1,687.80	$2,813.00	$402.80 – $913.97	16
Mopath procedure level 9 CPT 81408	$3,327.60	$5,546.00	$246.40 – $2,160.00	16
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274	$12.80	$630.00	$3.62 – $16.21	13
Morphine 4 mg/ml injection (wrapper) HCPCS J2270	$19.80	$33.00	$0.38 – $5.11	14
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374	$616.20	$1,027.00	$148.16 – $872.95	17
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361	$665.40	$1,109.00	$105.76 – $942.65	17
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360	$459.60	$766.00	$91.69 – $651.10	17
Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350	$924.00	$1,540.00	$413.33 – $1,309.00	16
Mpl gene analysis common variants CPT 81338	$1,227.60	$2,046.00	$136.33 – $1,739.10	16
Mr safety determination physician/other qhp CPT 76016	$161.40	$269.00	$37.24 – $228.65	15
Mr safety implant elec prepj CPT 76018	$168.60	$281.00	$65.71 – $238.85	15
Mr sfty implt&/fb asmt stf 1 CPT 76014	$45.00	$75.00	$9.02 – $63.75	15
Mr sfty med physics xm cstmz CPT 76017	$444.00	$740.00	$156.65 – $629.00	15
Msh2 gene full seq CPT 81295	$399.00	$665.00	$133.51 – $565.25	17
Msh6 gene full seq CPT 81298	$399.00	$665.00	$253.29 – $673.94	17
Mthfr gene analy common variants CPT 81291	$357.60	$596.00	$51.82 – $506.60	16
Mucopolysaccharides CPT 83864	$223.80	$373.00	$19.80 – $317.05	17
Mumps antibody igg CPT 86735	$108.00	$180.00	$11.84 – $153.00	16
Muscle test cran nerv unilat CPT 95867	$297.00	$495.00	$27.50 – $420.75	16
Muscle test larynx CPT 95865	$1,132.80	$1,888.00	$91.40 – $1,604.80	16
Mycophenolate mofetil 250 mg capsule HCPCS J7517	$34.40	$43.00	$0.10 – $36.55	13
Mycophenolic acid HCPCS J7518	$21.60	$27.00	$0.21 – $22.95	13
Mycoplasma antibody igm CPT 86738	$60.00	$100.00	$12.01 – $79.90	17
Myd88 gene p.leu265pro vrnt CPT 81305	$1,379.40	$2,299.00	$159.07 – $486.20	16
Myelography via inj w/s&i 2+ regions CPT 62305	$1,324.80	$2,208.00	$114.50 – $1,876.80	16
Myelography via inj w/s&i cervical CPT 62302	$1,324.80	$2,208.00	$111.12 – $1,876.80	16
Myelography via inj w/s&i lumbosacral CPT 62304	$1,324.80	$2,208.00	$109.28 – $1,876.80	16
Myelography via inj w/s&i thoracic CPT 62303	$1,324.80	$2,208.00	$112.58 – $1,876.80	16
Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516	$96.60	$161.00	$10.46 – $129.20	16
Nalbuphine 10 mg/ml injection solution HCPCS J2300	$22.20	$37.00	$2.34 – $13.60	13
Nasal/sinus endo spendt remove tiss 31288 CPT 31288	not published	not published	$1,092.71 – $7,127.72	9
Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240	not published	not published	$716.75 – $1,775.61	9
Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254	not published	not published	$1,027.58 – $7,127.72	9
Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255	not published	not published	$1,836.89 – $7,127.72	9
Nasal/sinus endo w/front sinus expl 31276 CPT 31276	not published	not published	$1,245.80 – $7,127.72	9
Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323	$76.20	$17,129.68	$15.15 – $80.75	16
Natriuretic peptide CPT 83880	$287.40	$479.00	$35.60 – $407.15	17
Natural killer cells total count CPT 86357	$335.40	$559.00	$34.22 – $475.15	17
Ndl emg musc 1 xtr/non-limb CPT 95870	$165.00	$275.00	$31.67 – $233.75	16
Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127	$1,750.20	$2,917.00	$153.92 – $2,479.45	16
Neck (Cervical Spine) CT scan (with contrast) CPT 72126	$1,636.80	$2,728.00	$165.60 – $2,318.80	16
Neck (Cervical Spine) CT scan (without contrast) CPT 72125	$1,368.00	$2,280.00	$91.94 – $1,938.00	16
Neck (Cervical Spine) MRI (with and without contrast) CPT 72156	$3,864.00	$6,440.00	$308.78 – $5,474.00	16
Neck (Cervical Spine) MRI (with contrast) CPT 72142	$2,449.80	$4,083.00	$308.78 – $3,470.55	16
Neck (Cervical Spine) MRI (without contrast) CPT 72141	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Neck MRA (blood vessel MRI, with and without contrast) CPT 70549	$3,815.40	$6,359.00	$308.78 – $5,405.15	16
Neck MRA (blood vessel MRI, with contrast) CPT 70548	$2,589.00	$4,315.00	$308.78 – $3,667.75	16
Neck MRA (blood vessel MRI, without contrast) CPT 70547	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Neisseria meningitidis CPT 86741	$223.80	$373.00	$11.96 – $317.05	16
Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710	$115.80	$193.00	$2.25 – $7.65	12
Nerve conduction 7-8 studies CPT 95910	$1,450.20	$2,417.00	$153.85 – $2,054.45	16
Nerve conduction studies 1-2 CPT 95907	$209.40	$349.00	$78.97 – $296.65	16
Nerve conduction studies 11-12 CPT 95912	$2,280.00	$3,800.00	$214.54 – $3,230.00	16
Nerve conduction studies 13+ CPT 95913	$2,693.40	$4,489.00	$240.25 – $3,815.65	16
Nerve conduction studies 3-4 CPT 95908	$415.20	$692.00	$97.46 – $588.20	16
Nerve conduction studies 5-6 CPT 95909	$1,037.40	$1,729.00	$116.82 – $1,469.65	16
Nerve conduction studies 9-10 CPT 95911	$1,864.80	$3,108.00	$186.49 – $2,641.80	16
Neuromuscular junction testing ea nerve any 1 method CPT 95937	$186.60	$311.00	$21.70 – $264.35	16
Neuroplasty nerve of hand or foot 64704 CPT 64704	not published	not published	$809.57 – $2,010.67	9
New Patient Office Visit (level 2) CPT 99202	$216.00	$360.00	$38.86 – $306.00	14
New Patient Office Visit (level 3) CPT 99203	$281.40	$469.00	$59.67 – $398.65	14
New Patient Office Visit (level 4) CPT 99204	$358.80	$598.00	$99.41 – $508.30	14
New Patient Office Visit (level 5) CPT 99205	$526.20	$877.00	$129.29 – $745.45	14
Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404	$2.80	$3.50	$0.05 – $2.55	13
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305	$4.00	$55.45	$0.94 – $4.25	13
Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299	$110.40	$18,345.45	$20.81 – $117.30	16
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298	$385.80	$643.00	$124.91 – $546.55	16
Njx aa&/strd nrv nrvtg si jt CPT 64451	$727.20	$1,212.00	$249.25 – $1,030.20	15
Njx px nfrosgrm &/urtrgrm CPT 50430	$908.40	$1,514.00	$577.11 – $1,286.90	15
Nm imaging bone/joint 3 phase study CPT 78315	$663.60	$1,106.00	$183.01 – $940.10	16
Nm imaging bone/joint whole body CPT 78306	$797.40	$1,329.00	$111.63 – $1,129.65	16
Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472	$945.00	$1,575.00	$112.20 – $1,338.75	16
Nm imaging gastric emptying study CPT 78264	$896.40	$1,494.00	$148.49 – $1,269.90	16
Nm imaging gastrointestinal acute blood loss CPT 78278	$828.60	$1,381.00	$70.40 – $1,173.85	16
Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227	$855.60	$1,426.00	$292.63 – $1,212.10	16
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708	$763.20	$1,272.00	$125.40 – $1,081.20	16
Nm imaging pulmonary ventilation/perfusion CPT 78582	$1,666.20	$2,777.00	$262.00 – $2,360.45	16
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014	$1,193.40	$1,989.00	$196.58 – $1,690.65	16
Nm radiopharmaceutical therapy oral administration CPT 79005	$626.40	$1,044.00	$119.60 – $887.40	16
Npm1 gene CPT 81310	$2,182.20	$3,637.00	$52.38 – $358.70	17
Nras gene variants exon 2&3 CPT 81311	$369.60	$616.00	$246.40 – $523.60	17
Nsl/sins ndsc total CPT 31253	not published	not published	$651.41 – $7,127.72	9
Ntsty modul rad tx dlvr cplx CPT 77386	$2,153.40	$3,589.00	$312.94 – $3,050.65	15
Ntsty modul rad tx dlvr smpl CPT 77385	$1,873.80	$3,123.00	$295.68 – $2,654.55	15
Nuclear Stress Test (Heart) CPT 78452	$2,641.80	$4,403.00	$374.88 – $3,742.55	16
Nudt15 gene common variants CPT 81306	$477.00	$795.00	$264.23 – $675.75	16
Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301	$189.00	$17,121.88	$49.88 – $267.75	16
Observation direct referral from physician office for admission HCPCS G0379	$112.80	$188.00	$31.88 – $631.28	13
Observation per hour HCPCS G0378	$443.40	$739.00	$25.00 – $1,074.19	9
Obstetrics panel CPT 80055	$594.60	$991.00	$13.20 – $842.35	17
Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350	$208.80	$40,625.00	$37.51 – $221.85	16
Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354	$540.60	$901.00	$0.39 – $13.99	14
Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353	$571.20	$15,486.40	$128.54 – $4,665.91	17
Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302	not published	$12,292.25	$56.44 – $3,318.00	15
Olanzapine 10 mg intramuscular solution HCPCS J2359	$6.40	$8.00	$0.55 – $25.00	14
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357	$175.20	$3,052.88	$28.16 – $164.05	16
Onco (ovar) two proteins CPT 81500	$150.60	$251.00	$66.82 – $281.34	16
Ondansetron 4 mg s0119 HCPCS S0119	$228.80	$286.00	$0.17 – $229.50	13
Ondansetron 8 mg disintegrating tablet HCPCS Q0162	$52.20	$87.00	$0.01 – $73.95	13
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405	$45.40	$56.75	$0.06 – $15.05	14
Open bx/exc inguinofem nodes CPT 38531	not published	not published	$539.07 – $3,942.82	9
Ophthalmic mitomycin HCPCS J7315	$1,516.80	$1,896.00	$474.00 – $1,611.60	12
Opn impltj nea sacral nerve CPT 64581	not published	not published	$701.98 – $6,757.50	9
Optx ulnar styloid fracture CPT 25652	not published	not published	$1,051.57 – $7,355.55	9
Oral aprepitant HCPCS J8501	$260.40	$434.00	$1.72 – $48.77	14
Oral everolimus HCPCS J7527	$1,208.40	$2,014.00	$0.87 – $1,711.90	13
Organic acids total quant ea spec CPT 83918	$145.20	$242.00	$21.40 – $205.70	17
Oritavancin 400 mg intravenous solution HCPCS J2407	not published	$58.05	$18.11 – $49.34	16
Oscillation chest wall mechanical per session CPT 94669	$96.00	$160.00	$45.93 – $209.42	15
Osmolality blood CPT 83930	$42.00	$70.00	$3.30 – $59.50	17
Osmolality urine CPT 83935	$42.00	$70.00	$3.30 – $59.50	17
Ot evaluation high complexity patient/family CPT 97167	$272.40	$454.00	$101.56 – $385.90	12
Ot evaluation low complexity patient/family CPT 97165	$272.40	$454.00	$101.56 – $385.90	12
Ot evaluation moderate complexity patient/family CPT 97166	$272.40	$454.00	$101.56 – $385.90	12
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763	$144.60	$241.00	$60.25 – $204.85	12
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760	$173.40	$289.00	$49.66 – $245.65	12
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140	$60.00	$100.00	$23.13 – $85.00	14
Ot re-evaluation patient/family CPT 97168	$105.00	$175.00	$43.75 – $148.75	14
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530	$63.60	$106.00	$14.30 – $90.10	14
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130	$274.80	$458.00	$20.32 – $389.30	14
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129	$274.80	$458.00	$20.95 – $389.30	14
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110	$105.00	$175.00	$9.22 – $148.75	14
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112	$80.40	$134.00	$18.43 – $113.90	14
Ot training self care/home management direct contact each 15 minutes CPT 97535	$64.80	$108.00	$27.00 – $102.94	12
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700	$125.40	$209.00	$0.50 – $22.10	13
Oxaliplatin 5 mg/ml desensitization HCPCS J9263	$40.80	$68.00	$0.05 – $24.31	13
Oxytocin 10 unit/ml injection solution HCPCS J2590	$60.60	$101.00	$3.69 – $12.55	12
PSA (Prostate) Test CPT 84153	$96.60	$161.00	$16.68 – $136.85	17
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267	$47.20	$76.00	$0.09 – $0.87	13
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264	$51.00	$3,450.25	$6.66 – $72.25	16
Paliperidone 117 mg/0.75 ml inj HCPCS J2426	$99.20	$124.00	$9.54 – $2,397.39	17
Palivizumab 50 mg/0.5 ml inj CPT 90378	not published	$6,571.58	$11.00 – $2,958.15	16
Palonosetron hcl HCPCS J2469	$159.20	$199.00	$0.22 – $104.88	13
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430	$1,189.20	$1,982.00	$5.06 – $542.20	13
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303	$283.20	$12,671.13	$109.25 – $401.20	16
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470	$63.40	$79.25	$4.73 – $67.15	12
Papaverin hcl injection HCPCS J2440	$64.00	$80.00	$6.95 – $68.00	12
Parathormone (pth) intact CPT 83970	$204.00	$340.00	$37.44 – $289.00	17
Parathyroid autotransplantation 60512 CPT 60512	not published	not published	$710.48 – $3,303.70	3
Parathyroid planar imaging CPT 78070	$944.40	$1,574.00	$98.19 – $1,337.90	16
Paricalcitol HCPCS J2501	$37.20	$46.50	$0.60 – $24.22	13
Paring/cutting benign hyperkeratotic lesion single CPT 11055	$453.00	$755.00	$22.00 – $641.75	14
Part hymenectomy/revi hymenal ring 56700 CPT 56700	not published	not published	$130.35 – $3,182.86	10
Partial removal of eye fluid CPT 67010	not published	not published	$468.85 – $2,283.12	10
Partial removal of thyroid CPT 60220	not published	not published	$1,085.96 – $6,007.35	9
Partial removal of thyroid CPT 60225	not published	not published	$1,253.84 – $6,007.35	9
Partial removal of toe CPT 28160	not published	not published	$735.87 – $3,340.82	9
Partial thyroid excision CPT 60210	not published	not published	$2,012.86 – $6,007.35	9
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118	$1,099.20	$1,832.00	$1.61 – $1,557.20	12
Passy muir valve metal trach HCPCS L8501	$346.20	$577.00	$144.25 – $579.39	12
Path clin consltj mod 21-40 CPT 80504	$447.60	$746.00	$54.71 – $634.10	16
Path clin consltj sf 5-20 CPT 80503	$198.60	$331.00	$27.31 – $281.35	16
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506	$1,355.20	$12,753.10	$56.41 – $1,276.70	16
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122	$1,333.80	$2,223.00	$82.81 – $1,889.55	16
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111	$10,699.80	$17,833.00	$67.14 – $1,235.90	16
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127	$645.60	$1,076.00	$116.75 – $914.60	16
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108	$2,112.00	$3,520.00	$62.59 – $1,077.80	16
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130	$395.40	$659.00	$87.11 – $560.15	16
Pelvic CT scan (with and without contrast) CPT 72194	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
Pelvic CT scan (with contrast) CPT 72193	$1,368.00	$2,280.00	$153.92 – $1,938.00	16
Pelvic CT scan (without contrast) CPT 72192	$1,226.40	$2,044.00	$91.94 – $1,737.40	16
Pelvic MRI (with and without contrast) CPT 72197	$3,815.40	$6,359.00	$308.78 – $5,405.15	16
Pelvic MRI (with contrast) CPT 72196	$3,442.80	$5,738.00	$308.78 – $4,877.30	16
Pelvic MRI (without contrast) CPT 72195	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Pelvic Ultrasound (complete) CPT 76856	$490.20	$817.00	$84.15 – $694.45	16
Pelvic Ultrasound (limited) CPT 76857	$354.00	$590.00	$35.20 – $501.50	16
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271	$199.20	$13,893.68	$38.07 – $211.65	16
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305	$379.20	$474.00	$2.75 – $22.57	16
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561	$96.00	$160.00	$4.69 – $32.41	16
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540	$144.60	$241.00	$0.50 – $7.97	13
Penile rear tip xtnd 0.5cm HCPCS C2622	$18,010.20	$30,017.00	$4,925.56 – $25,514.45	12
Pentostatin 10 mg intravenous solution HCPCS J9268	not published	$4,962.63	$1,646.79 – $4,218.24	16
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957	$824.40	$1,374.00	$25.67 – $1,167.90	13
Pericardiocentesis wwo imaging CPT 33016	$3,431.40	$5,719.00	$213.32 – $4,861.15	16
Perit-vens shunt pat tst CPT 78291	$1,127.40	$1,879.00	$166.00 – $1,597.15	16
Peritoneal cath sub q resv per CPT 49419	not published	not published	$381.70 – $5,411.37	10
Peritoneogram rs&i CPT 74190	$463.20	$772.00	$59.06 – $656.20	16
Perq dev breast 1st strtctc CPT 19283	$1,787.40	$2,979.00	$91.72 – $2,532.15	16
Perq nl/pl lithotrp cplx>2cm CPT 50081	not published	not published	$3,176.84 – $9,521.33	9
Pertuzu, trastuzu, 10 mg HCPCS J9316	$285.60	$476.00	$39.21 – $404.60	16
Pertuzumab 30 mg/ml desensitization HCPCS J9306	$30.00	$15,841.70	$10.74 – $40.80	16
Pet CT skull-mid thgh initial CPT 78815	$10,513.20	$17,522.00	$777.40 – $14,893.70	15
Pet CT whole body initial CPT 78816	$12,895.20	$21,492.00	$808.81 – $18,268.20	15
Pfc sigma fem post aug sz3 8mm HCPCS C1776	$26,256.60	$43,761.00	$84.25 – $4,976.39	12
Ph body fluid CPT 83986	$27.00	$45.00	$2.20 – $38.25	17
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560	$13.60	$42.73	$4.25 – $30.17	13
Phenobarbital therapeutic drug level CPT 80184	$89.40	$149.00	$13.88 – $126.65	17
Phentolaine mesylate inj HCPCS J2760	$460.00	$575.00	$124.32 – $488.75	16
Phenylephrine 10 mg/ml injection solution HCPCS J2371	$0.04	$11.00	$0.00 – $0.01	12
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165	$722.40	$1,204.00	$0.29 – $51.00	13
Phenytoin total therapeutic drug level CPT 80185	$89.40	$149.00	$12.02 – $126.65	17
Phleb veins 1 extrm 10-20 stab CPT 37765	not published	not published	$846.89 – $3,240.82	9
Phleb veins 1 extrm >20 stab CPT 37766	not published	not published	$1,031.87 – $3,240.82	9
Phlebotomy therapeutic CPT 99195	$331.80	$553.00	$11.00 – $470.05	16
Phosphorus CPT 84100	$37.20	$62.00	$4.30 – $52.70	17
Phosphorus 24 hour urine CPT 84105	$45.00	$75.00	$5.24 – $63.75	17
Phys blood bank serv reactj CPT 86078	$201.60	$336.00	$45.72 – $285.60	17
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430	$34.00	$110.79	$1.72 – $33.15	13
Piflu f-18, dia 1 millicurie HCPCS A9595	$1,033.80	$13,056.70	$301.49 – $4,714.77	15
Pin caspar distraction 12mm HCPCS C1821	$2,681.40	$4,469.00	$1,117.25 – $3,798.65	12
Pinworm exam CPT 87172	$58.80	$98.00	$3.87 – $83.30	16
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543	$115.20	$192.00	$0.68 – $25.13	14
Place gastrostomy tube perc CPT 49440	$3,735.00	$6,225.00	$194.19 – $5,291.25	16
Place right device/marker pros CPT 55876	not published	not published	$218.56 – $1,408.83	9
Place slctv cath subclavian art CPT 36225	$16,897.20	$28,162.00	$2,079.42 – $23,937.70	15
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285	$1,593.00	$2,655.00	$77.78 – $2,256.75	16
Placement nephrostomy catheter (both sides) CPT 50432	$2,483.40	$4,139.00	$237.66 – $3,518.15	15
Placement occlusive device venous/arterial access site post procedure HCPCS G0269	$941.40	$1,569.00	$392.25 – $2,377.06	10
Placement of seton CPT 46020	not published	not published	$192.18 – $2,745.27	10
Placement stent(s) intravascular transcatheter artery initial CPT 37236	$12,780.00	$21,300.00	$420.05 – $18,105.00	16
Platelet aggregation each agent teg CPT 85576	$153.00	$255.00	$22.59 – $216.75	17
Platelet automated CPT 85049	$75.00	$125.00	$3.30 – $106.25	17
Platelet pheresis each unit HCPCS P9034	$1,790.40	$2,984.00	$343.37 – $2,536.40	14
Platelets pheresis leukocytes reduced each unit HCPCS P9035	$1,644.00	$2,740.00	$421.16 – $2,329.00	14
Platelets pheresis pathogen-reduced each unit HCPCS P9073	$1,474.20	$2,457.00	$17.27 – $2,088.45	14
Plc pq device breast ea addl lesion stereo guide CPT 19284	$1,787.40	$2,979.00	$43.55 – $2,532.15	14
Plcmnt ureteral stent pq w/img exstng trct CPT 50693	$4,913.40	$8,189.00	$1,355.34 – $6,960.65	15
Plcmt sft tiss loc pq w/img 1st lsn CPT 10035	$1,473.60	$2,456.00	$77.29 – $2,087.60	16
Plcmt xtn pros evasc rpr per vsl CPT 34709	$2,689.80	$4,483.00	$429.17 – $3,810.55	12
Plethysmography lung volumes/airway resistance CPT 94726	$169.20	$282.00	$44.07 – $311.72	16
Pm device progr eval dual CPT 93280	$276.00	$460.00	$32.24 – $391.00	16
Pml/raralpha 1 breakpoint CPT 81316	$1,114.20	$1,857.00	$188.01 – $1,578.45	17
Pmp22 gene dup/delet CPT 81324	$2,663.40	$4,439.00	$687.76 – $1,741.65	17
Pmp22 gene full sequence CPT 81325	$2,663.40	$4,439.00	$231.13 – $1,741.65	17
Pms2 gene dup/delet variants CPT 81319	$1,523.40	$2,539.00	$184.55 – $2,158.15	17
Pms2 gene full seq analysis CPT 81317	$3,310.80	$5,518.00	$266.00 – $730.62	17
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803	$137.40	$229.00	$23.64 – $194.65	17
Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309	$368.80	$41,375.10	$86.29 – $251.21	16
Positioner proc acufex leg acs HCPCS E0190	$42.00	$70.00	$17.50 – $139.19	11
Post non-seg/spine instrumentation 22840 CPT 22840	not published	not published	$3,526.30 – $3,775.26	2
Potassium 24 hour urine CPT 84133	$34.80	$58.00	$4.29 – $49.30	17
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480	$70.80	$118.00	$0.07 – $0.85	13
Potassium serum/plasma/whole blood CPT 84132	$34.80	$58.00	$4.32 – $49.30	17
Pq dr cath chg w cont s&i CPT 75984	$591.00	$985.00	$19.25 – $837.25	14
Pr application of long arm splint CPT 29105	$304.80	$508.00	$36.85 – $431.80	16
Pr application splint static short arm CPT 29125	$213.00	$355.00	$28.60 – $301.75	16
Pr biopsy skin punch single lesion CPT 11104	$658.20	$1,097.00	$44.47 – $932.45	16
Pr correction hammertoe CPT 28285	not published	not published	$254.65 – $3,248.02	10
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406	$30.00	$50.00	$19.22 – $42.50	15
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332	not published	not published	$158.09 – $3,452.59	10
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597	$269.40	$449.00	$34.69 – $381.65	14
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246	$1,550.40	$2,584.00	$1,017.75 – $2,196.40	15
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420	not published	not published	$44.00 – $1,621.93	10
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404	not published	not published	$88.55 – $1,621.93	10
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750	$1,802.40	$3,004.00	$345.44 – $2,553.40	15
Pr incision & drainage abscess complicated/multiple CPT 10061	$1,108.20	$1,847.00	$57.75 – $1,569.95	16
Pr incision & drainage abscess simple/single CPT 10060	$431.40	$719.00	$25.85 – $611.15	16
Pr incision & drainage abscess vulva/perineal CPT 56405	$2,183.40	$3,639.00	$103.19 – $3,093.15	16
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120	$388.80	$648.00	$33.55 – $550.80	16
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152	$138.00	$230.00	$10.89 – $195.50	14
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718	not published	not published	$1,094.43 – $2,010.67	9
Pr removal drug delivery implant CPT 11982	$1,600.20	$2,667.00	$101.56 – $2,266.95	16
Pr removal foreign body external auditory canal without anesthesia CPT 69200	$276.00	$460.00	$33.00 – $391.00	16
Pr removal intrauterine device CPT 58301	$1,159.80	$1,933.00	$18.98 – $1,643.05	15
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032	$610.80	$1,018.00	$36.30 – $865.30	16
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013	$388.80	$648.00	$52.25 – $550.80	16
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011	$388.80	$648.00	$34.65 – $550.80	16
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001	$388.80	$648.00	$26.95 – $550.80	16
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002	$388.80	$648.00	$39.05 – $550.80	16
Pr robotic surgical system HCPCS S2900	not published	not published	$8,334.76 – $8,334.76	1
Pr tube thoracostomy w/connection to drainage open CPT 32551	$2,476.20	$4,127.00	$269.64 – $3,507.95	15
Pralatrexate injection HCPCS J9307	not published	$11,697.50	$247.91 – $9,942.88	16
Pralidoxime 1 gram solution for injection HCPCS J2730	not published	$204.87	$51.22 – $174.14	12
Prcrd drg 6+yr without anomly CPT 33017	$3,943.80	$6,573.00	$303.07 – $5,587.05	12
Prealbumin CPT 84134	$76.20	$127.00	$13.23 – $107.95	17
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510	$32.40	$54.00	$0.15 – $3.40	13
Prednisone 1 mg tablet HCPCS J7512	$1.00	$1.42	$0.00 – $0.85	14
Pregnancy Ultrasound (complete, after first trimester) CPT 76805	$610.80	$1,018.00	$85.25 – $865.30	16
Pregnancy Ultrasound (first trimester) CPT 76801	$610.80	$1,018.00	$91.94 – $865.30	16
Pregnancy associated plasma protein-a CPT 84163	$133.20	$222.00	$13.65 – $188.70	17
Pressure max expiratory/inspiratory CPT 94799	$154.80	$258.00	$18.28 – $161.10	14
Pretreat rbc absorption reference CPT 86978	$54.00	$90.00	$14.77 – $76.50	15
Pretreat rbc w chem/drugs reference CPT 86970	$298.80	$498.00	$36.62 – $423.30	15
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977	$139.80	$233.00	$15.30 – $198.05	15
Prgrmg dev eval pm/ldls pm CPT 93279	$223.20	$372.00	$32.24 – $316.20	16
Prgrmg eval implantable dfb CPT 93282	$287.40	$479.00	$32.24 – $407.15	16
Prgrmg eval implantable dfb CPT 93283	$360.60	$601.00	$32.24 – $510.85	16
Procalcitonin CPT 84145	$284.40	$474.00	$17.41 – $402.90	17
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780	$16.20	$20.25	$1.14 – $17.00	13
Prochlorperazine maleate 5 mg tablet HCPCS Q0164	$1.20	$2.00	$0.50 – $1.70	12
Proctosigmoidoscopy w/fb remove 45307 CPT 45307	$3,197.40	$5,329.00	$57.54 – $4,529.65	16
Progesterone CPT 84144	$102.60	$171.00	$18.70 – $145.35	17
Prolactin CPT 84146	$102.00	$170.00	$17.58 – $144.50	17
Promethazine hcl injection HCPCS J2550	$26.40	$44.00	$1.70 – $13.60	14
Propofol infusion 10 mg/ml HCPCS J2704	$4.20	$24.93	$0.06 – $0.85	13
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800	$120.80	$151.00	$30.15 – $128.35	12
Prostate biopsy, any mthd HCPCS G0416	$308.40	$514.00	$129.14 – $436.90	14
Prostatectomy (turp) CPT 52601	not published	not published	$1,535.50 – $5,234.35	9
Protamine 10 mg/ml intravenous solution HCPCS J2720	$122.40	$204.00	$1.10 – $7.65	13
Protein c activity CPT 85303	$121.20	$202.00	$12.55 – $171.70	17
Protein electrophoretic fractionation & quantitation serum CPT 84165	$241.20	$402.00	$9.74 – $341.70	17
Protein s total CPT 85305	$75.60	$126.00	$10.53 – $107.10	17
Protein total 24 hour urine CPT 84156	$37.20	$62.00	$3.33 – $52.70	17
Protein total body fluid CPT 84157	$37.20	$62.00	$3.63 – $52.70	17
Protein total serum plasma whole blood CPT 84155	$37.20	$62.00	$3.33 – $52.70	17
Prothrombin complex kcentra HCPCS J7168	$8.20	$10.25	$1.53 – $3.61	15
Prothrombin time substitution plasma fractions each CPT 85611	$60.60	$101.00	$3.57 – $85.85	17
Prp i/hern init block >5 yr CPT 49507	not published	not published	$1,236.70 – $3,633.70	9
Prq av fstl crt uxtr sep acs CPT 36837	$33,250.80	$55,418.00	$9,740.32 – $47,105.30	15
Prq av fstl crtj uxtr 1 acs CPT 36836	$33,250.80	$55,418.00	$6,845.55 – $47,105.30	15
Prq card revasc mi 1 vsl drug-eluting HCPCS C9606	$14,003.40	$23,339.00	$5,561.55 – $19,838.15	11
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032	$76.20	$127.00	$31.75 – $107.95	12
Pt application of modality >=1 area hot/cold packs CPT 97010	$64.80	$108.00	$27.00 – $91.80	12
Pt evaluation high complexity patient/family CPT 97163	$320.40	$534.00	$127.65 – $453.90	12
Pt evaluation low complexity patient/family CPT 97161	$320.40	$534.00	$127.65 – $453.90	12
Pt evaluation moderate complexity patient/family CPT 97162	$320.40	$534.00	$127.65 – $453.90	12
Pt re-evaluation patient/family CPT 97164	$105.00	$175.00	$43.75 – $148.75	14
Pt repositioning canalith procedure(s) per day CPT 95992	$384.00	$640.00	$128.08 – $544.00	11
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283	$76.20	$127.00	$31.75 – $107.95	11
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116	$66.60	$111.00	$9.22 – $94.35	14
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124	$105.00	$175.00	$18.43 – $148.75	14
Pt wheelchair management each 15 minutes CPT 97542	$67.20	$112.00	$28.00 – $95.20	12
Pten gene dup/delet variant CPT 81323	$336.60	$561.00	$132.72 – $476.85	16
Pulse ox continuous overnight monitoring CPT 94762	$360.60	$601.00	$82.01 – $510.85	15
Pulse ox multiple CPT 94761	$97.20	$162.00	$4.25 – $137.70	14
Pulse ox single CPT 94760	$33.00	$55.00	$2.18 – $46.75	14
Puncture arterial withdrawal blood for diagnosis CPT 36600	$43.80	$73.00	$14.30 – $129.03	16
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160	$505.20	$842.00	$26.40 – $715.70	16
Puncture spinal lumbar diagnostic CPT 62270	$1,156.80	$1,928.00	$46.20 – $1,638.80	16
Pyridoxine hcl 100 mg HCPCS J3415	$21.60	$27.00	$2.36 – $22.95	13
Pyruvate CPT 84210	$64.80	$108.00	$8.80 – $91.80	17
Quant diff pulm perf and vent w/imaging CPT 78598	$2,878.80	$4,798.00	$245.43 – $4,078.30	16
Quest t3 uptake CPT 84479	$37.20	$62.00	$5.87 – $52.70	17
Rabies ig heat-treated human im/subq 90376 CPT 90376	$992.40	$1,654.00	$11.00 – $1,405.90	16
Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375	$880.00	$1,100.00	$11.00 – $935.00	17
Radiation physics consult CPT 77336	$413.40	$689.00	$53.90 – $585.65	16
Radiation therapy dose plan CPT 77300	$425.40	$709.00	$40.15 – $602.65	16
Radiation treatment aid(s) CPT 77332	$425.40	$709.00	$60.50 – $602.65	16
Radiation treatment aid(s) CPT 77333	$823.20	$1,372.00	$64.59 – $1,166.20	16
Radiation treatment aid(s) CPT 77334	$846.00	$1,410.00	$100.65 – $1,198.50	16
Radiation treatment delivery CPT 77402	$529.20	$882.00	$23.65 – $749.70	16
Radiation treatment delivery CPT 77412	$952.80	$1,588.00	$48.40 – $1,349.80	16
Radiology port images(s) CPT 77417	$178.20	$297.00	$14.21 – $252.45	14
Radiotherapy dose plan imrt CPT 77301	$2,987.40	$4,979.00	$1,120.61 – $4,232.15	16
Radphm lcl tmr plnr bdy sgl day img CPT 78802	$1,936.80	$3,228.00	$120.98 – $2,743.80	16
Radphm lcl tomogr sgl area sgl day CPT 78803	$2,929.80	$4,883.00	$300.49 – $4,150.55	16
Radphm lcl tumor plr sgl day CPT 78800	$1,202.40	$2,004.00	$94.34 – $1,703.40	16
Ramucirumab 10 mg/ml intravenous solution HCPCS J9308	$187.20	$17,332.88	$46.95 – $265.20	16
Rasburicase 1.5 mg intravenous solution HCPCS J2783	$11,391.60	$18,986.00	$238.37 – $1,160.25	16
Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303	$56,918.40	$71,148.00	$142.13 – $736.10	16
Rbc count only automated CPT 85041	$19.20	$32.00	$2.35 – $27.20	17
Reconstruct shoulder joint CPT 23472	not published	not published	$5,023.39 – $18,935.33	9
Reconstruction of nose CPT 30420	not published	not published	$1,845.56 – $6,091.06	9
Red blood cells each unit HCPCS P9021	$1,855.20	$3,092.00	$33.00 – $2,628.20	16
Red blood cells leukocytes reduced each unit HCPCS P9016	$808.80	$1,348.00	$154.23 – $1,145.80	15
Red blood cells leukocytes reduced irradiated each unit HCPCS P9040	$910.20	$1,517.00	$221.17 – $1,289.45	14
Red blood cells washed each unit HCPCS P9022	$871.80	$1,453.00	$343.14 – $1,235.05	15
Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785	$1,285.80	$2,143.00	$1.91 – $410.83	13
Rem endovas vena cava filter CPT 37193	$12,835.80	$21,393.00	$2,346.68 – $18,184.05	15
Remdesivir 100 mg intravenous powder for solution HCPCS J0248	$17.00	$1,428.70	$4.25 – $17.85	16
Remote 30 day ecg tech supp CPT 93229	$1,414.20	$2,357.00	$84.43 – $2,003.45	14
Removal anal seton other marker 46030 CPT 46030	not published	not published	$79.20 – $1,180.32	10
Removal biliary drg cath CPT 47537	$1,176.00	$1,960.00	$89.12 – $1,666.00	16
Removal central venous catheter tunneled without port/pump CPT 36589	$3,504.00	$5,840.00	$319.83 – $4,964.00	15
Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590	$3,678.60	$6,131.00	$202.50 – $5,211.35	16
Removal cerumen impacted (both sides) CPT 69210	$79.80	$133.00	$23.04 – $113.05	15
Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602	$179.40	$299.00	$29.70 – $254.15	13
Removal embedded foreign body vestibule mouth smpl CPT 40804	$778.20	$1,297.00	$33.55 – $1,102.45	16
Removal foreign body foot subcutaneous right CPT 28190	$824.40	$1,374.00	$33.55 – $1,167.90	16
Removal mamma implant mat 19330 CPT 19330	$3,262.20	$5,437.00	$817.35 – $4,621.45	15
Removal of adenoids CPT 42830	not published	not published	$421.96 – $3,339.23	9
Removal of adenoids CPT 42831	not published	not published	$476.08 – $3,339.23	9
Removal of bone lesion CPT 23140	not published	not published	$191.40 – $3,248.02	10
Removal of breast lesion CPT 19120	not published	not published	$190.30 – $3,833.30	10
Removal of hip foreign body 27087 CPT 27087	$5,009.40	$8,349.00	$71.50 – $7,096.65	16
Removal of hydrocele CPT 55040	not published	not published	$1,012.08 – $3,633.70	9
Removal of hydroceles CPT 55041	not published	not published	$1,465.06 – $3,633.70	9
Removal of implant deep CPT 20680	not published	not published	$188.65 – $2,865.05	10
Removal of knee cartilage CPT 27332	not published	not published	$1,536.32 – $3,340.82	9
Removal of salivary stone 42335 CPT 42335	not published	not published	$172.70 – $3,246.47	10
Removal of sperm cord lesion CPT 55520	not published	not published	$856.21 – $3,551.23	9
Removal of testis CPT 54520	not published	not published	$228.80 – $3,452.59	10
Removal of thyroid CPT 60240	not published	not published	$2,578.86 – $6,007.35	9
Removal of thyroid CPT 60252	not published	not published	$3,019.18 – $6,091.06	9
Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200	$628.20	$1,047.00	$34.10 – $889.95	16
Removal sutr and stapl no anes CPT 15854	$37.20	$62.00	$15.50 – $52.70	12
Removal sutr or stapl no anes CPT 15853	$26.40	$44.00	$11.00 – $37.40	12
Removal tunnled intprtnl cath CPT 49422	$3,192.00	$5,320.00	$266.92 – $4,522.00	16
Removal/replacement ppm generator dual lead system CPT 33228	not published	not published	$518.50 – $10,775.64	9
Remove anal fist complex CPT 46280	not published	not published	$337.15 – $2,745.27	10
Remove anal fist subq CPT 46270	not published	not published	$233.75 – $2,745.27	10
Remove bladder stone CPT 52317	not published	not published	$281.60 – $3,452.59	10
Remove bladder stone CPT 52318	not published	not published	$299.20 – $3,452.59	10
Remove cartilage for graft CPT 20912	not published	not published	$469.46 – $3,664.82	10
Remove epididymis lesion CPT 54830	not published	not published	$819.86 – $3,551.23	9
Remove epididymis lesion CPT 54840	not published	not published	$1,008.60 – $2,109.25	9
Remove eye implant material CPT 67121	not published	not published	$1,093.95 – $2,348.35	9
Remove foreign body from eye CPT 65235	$4,779.60	$7,966.00	$1,085.01 – $6,771.10	15
Remove hip/pelvis lesion 27047 CPT 27047	not published	not published	$59.40 – $2,865.05	10
Remove in/ex hem groups 2+ CPT 46260	not published	not published	$369.60 – $2,745.27	10
Remove int/ext hem 1 group CPT 46255	not published	not published	$288.75 – $2,745.27	10
Remove pilonidal cyst compl CPT 11772	not published	not published	$256.30 – $2,865.05	10
Remove pilonidal cyst exten CPT 11771	not published	not published	$256.30 – $2,865.05	10
Remove prostate regrowth CPT 52630	not published	not published	$1,094.03 – $5,234.35	9
Remove renal tube w/fluoro CPT 50389	$1,830.00	$3,050.00	$577.11 – $2,592.50	15
Remove spine lamina 1/2 scrl CPT 63011	not published	not published	$2,095.42 – $7,355.55	9
Remove stent via transureth CPT 50386	not published	not published	$1,127.68 – $2,109.25	9
Remove tonsils and adenoids CPT 42820	not published	not published	$643.11 – $6,091.06	9
Remove tonsils and adenoids CPT 42821	not published	not published	$774.26 – $3,339.23	9
Remove ventilating tube CPT 69424	not published	not published	$59.25 – $3,246.47	10
Renal function panel CPT 80069	$105.00	$175.00	$7.87 – $148.75	17
Reopen fallopian tube CPT 58350	not published	not published	$165.52 – $5,082.81	9
Repair achilles tendon CPT 27650	not published	not published	$460.90 – $7,151.22	10
Repair bladder defect CPT 57288	not published	not published	$2,011.01 – $5,082.81	9
Repair blood vessel dir lower extr CPT 35226	$1,444.80	$2,408.00	$553.40 – $2,046.80	15
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121	$5,299.20	$8,832.00	$529.26 – $7,507.20	15
Repair dental ellis ii fx CPT 41899	$288.60	$481.00	$35.59 – $408.85	14
Repair eardrum structures CPT 69631	not published	not published	$1,845.67 – $6,091.06	9
Repair elbow w/deb open CPT 24358	not published	not published	$741.48 – $3,340.82	9
Repair extns tendon finger without grft ea CPT 26418	$5,734.80	$9,558.00	$254.65 – $8,124.30	16
Repair eyelid defect CPT 67904	not published	not published	$1,535.52 – $2,402.14	9
Repair finger/hand tendon CPT 26350	$3,430.80	$5,718.00	$404.25 – $4,860.30	16
Repair ing hernia sliding CPT 49525	not published	not published	$349.25 – $3,532.77	10
Repair nasal stenosis CPT 30465	not published	not published	$1,601.31 – $6,091.06	9
Repair of achilles tendon CPT 27654	not published	not published	$524.70 – $7,151.22	10
Repair of nasal septum CPT 30520	not published	not published	$1,310.52 – $3,339.23	9
Repair of ruptured tendon CPT 24342	not published	not published	$572.00 – $7,151.22	10
Repair of thigh muscle CPT 27385	not published	not published	$535.15 – $7,151.22	10
Repair of windpipe defect CPT 31825	not published	not published	$1,085.46 – $3,339.23	9
Repair palate pharynx/uvula CPT 42145	not published	not published	$1,836.94 – $6,091.06	9
Repair rectum & vagina CPT 57250	not published	not published	$1,252.12 – $5,082.81	9
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252	$4,620.00	$7,700.00	$95.15 – $6,545.00	16
Repair upper arm/elbow tendon/muscle ea CPT 24341	not published	not published	$1,358.71 – $7,355.55	9
Repair/graft achilles tendon CPT 27652	not published	not published	$1,246.20 – $7,355.55	9
Replace duod/jej tube perc CPT 49451	$2,860.20	$4,767.00	$77.36 – $4,051.95	16
Replace g-j tube perc CPT 49452	$3,504.00	$5,840.00	$120.76 – $4,964.00	16
Replace g/c tube perc CPT 49450	$2,695.80	$4,493.00	$56.21 – $3,819.05	16
Replace tissue expander w/perm prost 11970 CPT 11970	not published	not published	$560.43 – $7,151.22	10
Reptilase test CPT 85635	$83.40	$139.00	$6.60 – $118.15	17
Resect inferior turbinate CPT 30140	not published	not published	$284.90 – $3,246.47	10
Resect metatarsal tumor CPT 28173	not published	not published	$1,246.33 – $3,340.82	9
Reslizumab 10 mg/ml intravenous solution HCPCS J2786	$34.40	$43.00	$6.91 – $36.55	16
Resp virus 6-11 targets CPT 87632	$1,575.00	$2,625.00	$187.18 – $2,231.25	17
Resuscitation cardiopulmonary CPT 92950	$508.80	$848.00	$269.24 – $720.80	14
Reticulocyte automated CPT 85045	$33.00	$55.00	$3.62 – $46.75	17
Revise hip joint replacement CPT 27134	not published	not published	$6,511.72 – $8,905.42	2
Revise spermatic cord veins CPT 55530	not published	not published	$1,025.76 – $3,551.23	9
Revise spermatic cord veins CPT 55535	not published	not published	$1,101.14 – $6,424.76	9
Revision of bladder neck CPT 52500	not published	not published	$1,253.95 – $3,551.23	9
Revision of calf tendon CPT 27687	not published	not published	$358.05 – $3,248.02	10
Revision of eyelid CPT 67880	not published	not published	$752.84 – $2,402.14	9
Revision of eyelid CPT 67950	not published	not published	$1,085.94 – $2,402.14	9
Revision open av fistula without thromb CPT 36832	not published	not published	$1,544.44 – $5,565.99	9
Rf abltj nrv nrvtg si jt CPT 64625	$3,989.40	$6,649.00	$587.87 – $5,651.65	15
Rheumatoid factor qualitative CPT 86430	$37.80	$63.00	$5.57 – $53.55	17
Rheumatoid factor quantitative CPT 86431	$54.00	$90.00	$5.14 – $76.50	17
Rho d immune globulin inj HCPCS J2790	$622.40	$778.00	$52.14 – $205.90	13
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791	$172.80	$216.00	$3.07 – $183.60	13
Rho(d) immune globulin h, sd HCPCS J2792	not published	$2,872.40	$16.07 – $2,441.54	16
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804	$0.20	$0.25	$0.06 – $0.21	13
Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327	$27.00	$33.75	$9.43 – $28.05	16
Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794	$1,370.40	$2,284.00	$6.93 – $1,301.34	17
Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312	$274.40	$12,419.00	$47.49 – $290.70	16
Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115	$320.40	$8,286.40	$18.55 – $453.90	16
Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123	$207.60	$346.00	$16.74 – $294.10	16
Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119	$7,826.40	$13,044.00	$17.58 – $209.10	16
Rmvl ext fixj sys under anes CPT 20694	not published	not published	$623.04 – $1,647.86	9
Rmvl fecal impaction/fb spx under anes CPT 45915	not published	not published	$42.35 – $1,180.32	10
Rmvl ndwellg tun pleural cath CPT 32552	$2,026.20	$3,377.00	$272.28 – $2,870.45	15
Rmvl ninfct mesh hernia rpr 49623 CPT 49623	not published	not published	$199.10 – $200.35	2
Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319	$87.60	$146.00	$19.43 – $124.10	16
Romiplostim 125 mcg subcutaneous solution HCPCS J2802	$34.60	$43.25	$6.95 – $33.15	16
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111	$7,324.20	$12,207.00	$7.62 – $43.35	16
Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795	$114.60	$191.00	$0.03 – $0.85	13
Rpl non-tun cvc wo sbq prt/pmp CPT 36580	$2,025.00	$3,375.00	$547.03 – $2,868.75	15
Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584	$3,075.00	$5,125.00	$71.65 – $4,356.25	16
Rpl tun cvc wo subq port CPT 36581	$4,692.00	$7,820.00	$204.48 – $6,647.00	16
Rpl tun-cvad w subq port CPT 36582	not published	not published	$301.63 – $3,150.80	10
Rpr aa hrn 1st 3-10 ncr/strn CPT 49594	not published	not published	$751.37 – $6,007.35	9
Rpr aa hrn 1st 3-10 rdc CPT 49593	not published	not published	$577.00 – $6,424.76	9
Rpr aa hrn 1st < 3 cm rdc CPT 49591	not published	not published	$344.03 – $3,633.70	9
Rpr aa hrn 1st < 3 ncr/strn CPT 49592	not published	not published	$478.93 – $6,007.35	9
Rpr aa hrn 1st > 10 rdc CPT 49595	not published	not published	$775.87 – $6,424.76	9
Rpr aa hrn rcr 3-10 rdc CPT 49615	not published	not published	$643.86 – $6,424.76	9
Rpr aa hrn rcr < 3 ncr/strn CPT 49614	not published	not published	$575.68 – $6,007.35	9
Rpr aa hrn rcr < 3 rdc CPT 49613	not published	not published	$424.13 – $3,633.70	9
Rpr parastomal hernia rdc 49621 CPT 49621	not published	not published	$747.73 – $752.54	2
Rubella antibody igg CPT 86762	$67.20	$112.00	$13.05 – $95.20	17
Rubeola antibody igg CPT 86765	$67.20	$112.00	$11.68 – $95.20	17
Russell viper venom diluted CPT 85613	$119.40	$199.00	$8.69 – $169.15	17
Rx metab gen seq alys pnl 6 CPT 81418	$2,427.00	$4,045.00	$831.70 – $3,438.25	16
Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317	$5,043.00	$8,405.00	$22.90 – $63.01	16
Sarscov coronavirus ag ia CPT 87426	$34.80	$58.00	$23.20 – $49.30	17
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975	$1,210.80	$2,018.00	$200.69 – $1,715.30	16
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976	$808.80	$1,348.00	$91.94 – $1,145.80	16
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978	$464.40	$774.00	$134.15 – $657.90	16
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979	$308.40	$514.00	$91.94 – $436.90	16
Scan duplex extracranial arteries unilateral/limited study CPT 93882	$490.20	$817.00	$91.94 – $694.45	16
Scan duplex extremity veins unilateral/limited study CPT 93971	$339.60	$566.00	$91.94 – $481.10	16
Scan duplex lower extremity arteries complete bilateral CPT 93925	$539.40	$899.00	$161.49 – $764.15	16
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926	$429.60	$716.00	$91.94 – $608.60	16
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931	$416.40	$694.00	$91.94 – $589.90	16
Scr c/v cyto,thinlayer,rescr HCPCS G0145	$84.00	$140.00	$24.02 – $119.00	14
Screen cerv/vag thin layer HCPCS G0123	$61.20	$102.00	$18.37 – $86.70	14
Screening Colonoscopy (average risk) HCPCS G0121	not published	not published	$788.29 – $938.75	8
Screening Colonoscopy (high risk) HCPCS G0105	not published	not published	$788.29 – $938.75	8
Screening Mammogram CPT 77067	$205.20	$342.00	$85.50 – $290.70	13
Screening hepatitis b non-obstetric high risk HCPCS G0499	$70.20	$117.00	$20.90 – $99.45	15
Screening prostate cancer PSA HCPCS G0103	$96.00	$160.00	$17.51 – $136.00	14
Screw cortex 2.0 x 10mm HCPCS C1713	$7,264.20	$12,107.00	$2.25 – $1,035.45	12
Sedimentation rate erythrocyte automated CPT 85652	$33.00	$55.00	$2.45 – $46.75	17
Semen analysis w/count CPT 89310	$55.80	$93.00	$7.81 – $79.05	16
Sept9 promoter methylation analysis CPT 81327	$627.00	$1,045.00	$140.82 – $888.25	16
Serpina1 gene CPT 81332	$345.60	$576.00	$39.59 – $489.60	17
Set radiation therapy field CPT 77280	$794.40	$1,324.00	$66.00 – $1,125.40	16
Set radiation therapy field CPT 77290	$1,485.60	$2,476.00	$133.65 – $2,104.60	16
Sho arthrs srg bicp tenodsis CPT 29828	not published	not published	$1,295.17 – $7,355.55	9
Sho arthrs srg capsulorraphy CPT 29806	not published	not published	$846.09 – $7,151.22	10
Sho arthrs srg lmtd dbrdmt CPT 29822	not published	not published	$561.93 – $3,248.02	10
Sho arthrs srg rpr slap les CPT 29807	not published	not published	$867.11 – $7,151.22	10
Sho arthrs srg xtnsv dbrdmt CPT 29823	not published	not published	$597.85 – $3,248.02	10
Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827	not published	not published	$1,701.81 – $7,355.55	9
Shoulder MRI (with and without contrast) CPT 73223	$3,815.40	$6,359.00	$308.78 – $5,405.15	15
Shoulder MRI (with contrast) CPT 73222	$2,449.80	$4,083.00	$441.81 – $3,470.55	15
Shoulder MRI (without contrast) CPT 73221	$2,205.00	$3,675.00	$209.00 – $3,123.75	15
Shoulder X-ray CPT 73030	$118.20	$197.00	$28.59 – $167.45	15
Shunt glaucoma baerveldt 350mm HCPCS C1783	$4,636.80	$7,728.00	$1,257.60 – $6,999.24	12
Sickling rbc CPT 85660	$54.00	$90.00	$3.30 – $76.50	17
Sigmoidoscopy and biopsy CPT 45331	$1,558.20	$2,597.00	$70.04 – $2,207.45	16
Sigmoidoscopy w/fb removal 45332 CPT 45332	not published	not published	$55.00 – $1,180.32	10
Sigmoidoscopy w/tumr remove CPT 45338	$1,558.80	$2,598.00	$134.15 – $2,208.30	16
Signal avg ecg w or without ecg 93278 CPT 93278	$408.60	$681.00	$37.38 – $578.85	15
Sincalide 5 mcg solution for injection HCPCS J2805	$475.20	$594.00	$77.89 – $504.90	13
Sinus CT scan (with and without contrast) CPT 70488	$1,533.00	$2,555.00	$153.92 – $2,171.75	16
Sinus CT scan (with contrast) CPT 70487	$1,368.00	$2,280.00	$147.40 – $1,938.00	16
Sinus CT scan (without contrast) CPT 70486	$1,226.40	$2,044.00	$91.94 – $1,737.40	16
Skin Biopsy CPT 11102	$658.20	$1,097.00	$35.45 – $932.45	14
Skyla, 13.5 mg HCPCS J7301	$1,426.80	$2,378.00	$594.50 – $2,021.30	12
Sling arm deluxe w/pad xs HCPCS A4565	$91.80	$153.00	$12.50 – $48.86	11
Sling suprapubic suburetheral HCPCS C1771	$3,137.40	$5,229.00	$1,307.25 – $4,860.92	12
Sm-153 lexidron ther HCPCS A9604	not published	$8,937.50	$3,575.00 – $7,596.88	14
Smear fluorescent and/or acid fast stain CPT 87206	$24.00	$40.00	$3.30 – $34.00	17
Smear gram stain CPT 87205	$28.80	$48.00	$3.87 – $40.80	17
Smear nasal eosinophil CPT 89190	$27.00	$45.00	$5.25 – $38.25	17
Smear special stain inclusion bodies/parasites CPT 87207	$33.00	$55.00	$4.95 – $46.75	17
Smear wet mount CPT 87210	$33.00	$55.00	$5.28 – $46.75	17
Sodium 24 hour urine CPT 84300	$34.80	$58.00	$4.59 – $49.30	17
Sodium chloride 0.9 % IV bolus HCPCS J7040	$40.40	$50.50	$0.80 – $33.15	13
Sodium chloride 0.9 % IV bolus HCPCS J7050	$52.20	$65.25	$0.41 – $30.60	13
Sodium chloride 0.9 % intravenous solution HCPCS J7030	$58.40	$73.00	$0.00 – $21.71	14
Sodium chloride 3 % ivpb HCPCS J7131	$25.80	$43.00	$0.05 – $0.51	12
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916	$61.20	$76.50	$1.28 – $24.12	13
Sodium serum/plasma/whole blood CPT 84295	$34.80	$58.00	$4.36 – $49.30	17
Sp bone algrft morsel add-on CPT 20930	not published	not published	$788.29 – $1,715.13	2
Special physics consult CPT 77370	$564.00	$940.00	$106.15 – $799.00	16
Special radiation dosimetry CPT 77331	$320.40	$534.00	$63.59 – $453.90	16
Special radiation treatment CPT 77470	$3,791.40	$6,319.00	$40.15 – $5,371.15	16
Special teletx port plan CPT 77321	$1,515.00	$2,525.00	$56.98 – $2,146.25	16
Specific gravity body fluid CPT 84315	$16.80	$28.00	$2.94 – $23.80	16
Spinal bone autograftlocal 20936 CPT 20936	not published	not published	$79.90 – $984.16	2
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328	$1,439.40	$2,399.00	$80.72 – $2,039.15	16
Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060	$281.40	$469.00	$20.90 – $398.65	16
Splint rstrc wrst/cmc right med HCPCS L3923	$97.20	$162.00	$40.50 – $500.44	11
St analysis behavior qualitative voice/resonance CPT 92524	$404.40	$674.00	$131.64 – $572.90	12
St evaluate speech sound production CPT 92522	$404.40	$674.00	$126.20 – $572.90	12
St evaluate speech sound production comprehensive/expressive CPT 92523	$404.40	$674.00	$168.50 – $572.90	12
St evaluation motion fluoroscopic swallow function cine/video CPT 92611	$455.40	$759.00	$46.55 – $645.15	14
St evaluation swallow function CPT 92610	$463.80	$773.00	$42.79 – $657.05	14
St treatment speech individual CPT 92507	$173.40	$289.00	$23.87 – $245.65	14
St treatment swallow dysfunction/oral CPT 92526	$130.20	$217.00	$54.25 – $373.98	12
Stent axios caut enh 15x10mm electrocaut HCPCS C1874	$4,290.60	$7,151.00	$928.50 – $12,894.12	12
Stent bili dbl pgtl 10fx5cm HCPCS C2617	$712.20	$1,187.00	$49.50 – $1,042.23	12
Stent bili rx wallflx 10x80 uncvr HCPCS C1876	$3,802.20	$6,337.00	$1,584.25 – $6,782.80	12
Stent iliac/open or perc/uni/init 37221 CPT 37221	$21,381.00	$35,635.00	$5,385.45 – $30,289.75	15
Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223	$16,307.40	$27,179.00	$3,788.30 – $23,102.15	12
Stent/athrectomy/fem/pop/unilat 37227 CPT 37227	$54,766.80	$91,278.00	$15,525.75 – $77,586.30	15
Str markers specimen anal CPT 81265	$265.20	$442.00	$176.80 – $375.70	16
Strapping of ankle and/or ft 29540 CPT 29540	not published	not published	$22.00 – $157.95	10
Strep a ag ia CPT 87430	$106.20	$177.00	$6.93 – $150.45	17
Strep b dna amp probe CPT 87653	$505.80	$843.00	$31.82 – $716.55	17
Streptozocin injection HCPCS J9320	not published	$783.53	$195.88 – $666.00	12
Stress test pulmonary CPT 94618	$281.40	$469.00	$17.80 – $398.65	16
Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330	$7.60	$9.50	$2.25 – $7.65	12
Sugars single quant CPT 84378	$104.40	$174.00	$10.46 – $147.90	17
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865	$0.40	$0.50	$0.03 – $0.43	13
Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030	$476.80	$596.00	$2.97 – $237.16	13
Support clav 29.6-40.5in med HCPCS L3650	$165.00	$275.00	$68.75 – $362.95	12
Surg dx exam anorectal CPT 45990	not published	not published	$168.51 – $2,823.70	9
Surgical pathology level 1 gross examination only CPT 88300	$36.00	$60.00	$6.03 – $51.00	17
Surgical pathology level 2 gross & microscopic examination CPT 88302	$67.20	$112.00	$9.73 – $95.20	17
Surgical pathology level 3 gross & microscopic examination CPT 88304	$74.40	$124.00	$13.54 – $105.40	17
Surgical pathology level 4 gross & microscopic examination CPT 88305	$169.20	$282.00	$27.80 – $239.70	17
Surgical pathology level 5 gross & microscopic examination CPT 88307	$360.60	$601.00	$36.26 – $510.85	17
Surgical pathology level 6 gross & microscopic examination CPT 88309	$691.20	$1,152.00	$54.70 – $979.20	17
Suscept studies macrobroth dilution ea CPT 87188	$115.80	$193.00	$6.02 – $164.05	17
Susceptibility agar dilution per agent CPT 87181	$34.80	$58.00	$4.31 – $49.30	17
Susceptibility enzyme detection per enzyme CPT 87185	$78.60	$131.00	$4.31 – $111.35	17
Susceptibility mic per plate CPT 87186	$42.00	$70.00	$7.84 – $59.50	17
Sweat collection by iontophoresis CPT 89230	$80.40	$134.00	$3.28 – $113.90	16
Syphilis test non-treponemal antibody quantitative rpr CPT 86593	$65.40	$109.00	$3.99 – $92.65	17
System pacing micra av HCPCS C1786	$6,175.20	$10,292.00	$2,573.00 – $15,838.31	12
System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785	$7,169.40	$11,949.00	$2,486.50 – $22,349.03	12
System sealant biosentry tract HCPCS C2613	$888.00	$1,480.00	$370.00 – $1,258.00	11
T cells absolute cd 4 count CPT 86361	$380.40	$634.00	$24.29 – $538.90	17
T cells absolute cd4/cd8 including ratio CPT 86360	$428.40	$714.00	$42.61 – $606.90	17
T cells total count CPT 86359	$325.20	$542.00	$34.22 – $460.70	17
T3 (triiodothyronine) free CPT 84481	$85.20	$142.00	$15.36 – $120.70	17
T3 (triiodothyronine) total CPT 84480	$70.80	$118.00	$8.80 – $100.30	17
T4 (thyroxine) free CPT 84439	$42.00	$70.00	$8.18 – $59.50	17
T4 (thyroxine) total CPT 84436	$45.00	$75.00	$6.23 – $63.75	17
Tacrolimus 1 mg capsule, immediate-release HCPCS J7507	$42.80	$53.50	$0.11 – $30.60	14
Tacrolimus therapeutic drug level CPT 80197	$121.20	$202.00	$12.45 – $171.70	17
Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349	$28.80	$48.00	$9.04 – $40.80	16
Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055	$123.60	$206.00	$45.85 – $175.10	16
Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187	$8.20	$10.25	$0.22 – $23.04	12
Tape plstc 1inx5yd hosp tb pk HCPCS A4452	$0.60	$1.00	$0.25 – $2.51	12
Target gsa panel hmtlmph neop CPT 81450	$7,146.00	$11,910.00	$400.00 – $850.00	17
Target gsa panel organ/hmtlmph neop CPT 81455	$5,739.00	$9,565.00	$1,618.00 – $3,438.25	17
Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026	$2,828.40	$4,714.00	$987.91 – $4,006.90	16
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481	$785.40	$1,309.00	$76.76 – $1,112.65	17
Tb test cell mediated immunity antigen response gamma interferon CPT 86480	$547.20	$912.00	$56.21 – $775.20	17
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447	$3.60	$6.00	$0.18 – $5.10	16
Tc-99m exametazime diag HCPCS A9521	$1,750.20	$2,917.00	$727.64 – $2,479.45	14
Tc-99m maa HCPCS A9540	$292.80	$488.00	$105.89 – $414.80	11
Tc-99m mebrofenin HCPCS A9537	$327.00	$545.00	$136.25 – $463.25	11
Tc-99m medronate HCPCS A9503	$189.60	$316.00	$79.00 – $268.60	11
Tc-99m non-heu per study dose HCPCS Q9969	$15.00	$25.00	$9.07 – $21.25	14
Tc-99m pentetate dtpa HCPCS A9539	$209.40	$349.00	$78.39 – $296.65	11
Tc-99m pentetate dtpa aerosol HCPCS A9567	$218.40	$364.00	$78.39 – $309.40	11
Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538	$93.60	$156.00	$39.00 – $223.96	11
Tc-99m sestamibi p study dose HCPCS A9500	$725.40	$1,209.00	$302.25 – $1,027.65	11
Tc-99m sulfur colloid HCPCS A9541	$186.00	$310.00	$77.50 – $507.70	11
Tc-99m tilmanocept diag HCPCS A9520	$72.60	$121.00	$30.25 – $2,470.67	11
Telavancin injection HCPCS J3095	$7.20	$12.00	$4.33 – $10.20	16
Telethx isodose plan cplx CPT 77307	$2,237.40	$3,729.00	$219.22 – $3,169.65	16
Telethx isodose plan simple CPT 77306	$1,855.20	$3,092.00	$119.50 – $2,628.20	16
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330	not published	$162.30	$16.87 – $137.96	16
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101	$9,993.00	$17,512.30	$108.74 – $283.90	16
Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105	$156.00	$195.00	$4.67 – $165.75	13
Teriparatide injection HCPCS J3110	$53.80	$67.25	$16.75 – $1,940.51	13
Test stress cardiovascular tracing only CPT 93017	$665.40	$1,109.00	$51.15 – $942.65	16
Tetanus immune globulin inj HCPCS J1670	$1,378.40	$1,723.00	$374.42 – $1,199.22	16
Theophylline therapeutic drug level CPT 80198	$81.00	$135.00	$12.10 – $114.75	17
Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802	$27.00	$45.00	$11.25 – $38.25	11
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803	$20.40	$34.00	$8.50 – $33.67	11
Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411	$38.20	$47.75	$1.15 – $8.47	14
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555	$1,509.00	$2,515.00	$534.56 – $2,137.75	15
Thrombin time CPT 85670	$39.00	$65.00	$5.23 – $55.25	17
Thromboplastin time partial (ptt) substitution fractions each CPT 85732	$96.60	$161.00	$5.87 – $76.50	17
Thromboxane urine CPT 84431	$228.60	$381.00	$16.31 – $323.85	17
Thyroglobulin antibody CPT 86800	$223.20	$372.00	$14.43 – $95.20	17
Thyroid (TSH) Test CPT 84443	$89.40	$149.00	$15.24 – $126.65	17
Thyroid Ultrasound CPT 76536	$315.00	$525.00	$83.98 – $446.25	16
Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270	not published	not published	$3,008.17 – $5,786.51	2
Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240	not published	$4,581.80	$1,178.91 – $3,894.53	16
Thyroxine binding globulin (tbg) CPT 84442	$96.60	$161.00	$11.00 – $136.85	17
Tigecycline injection HCPCS J3243	$6.00	$122.17	$0.24 – $8.50	13
Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273	$334.80	$558.00	$119.18 – $337.45	16
Tissue culture skin/biopsy CPT 88233	$1,296.60	$2,161.00	$127.63 – $1,836.85	17
Tissue exam koh skin/hair/nails CPT 87220	$33.00	$55.00	$3.87 – $46.75	17
Tissue transglutaminase iga CPT 86364	$96.60	$161.00	$10.46 – $136.85	16
Tlh uterus 250 g or less CPT 58570	not published	not published	$771.93 – $10,719.92	9
Tlh uterus over 250 g CPT 58572	not published	not published	$1,649.27 – $10,719.92	9
Tlh w/t/o 250 g or less CPT 58571	not published	not published	$1,452.61 – $10,719.92	9
Tlh w/t/o uterus over 250 g CPT 58573	not published	not published	$1,858.20 – $10,719.92	9
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260	$64.80	$81.00	$0.85 – $32.52	14
Tobramycin peak therapeutic drug level CPT 80200	$112.80	$188.00	$14.63 – $159.80	17
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262	$5,467.80	$9,113.00	$3.60 – $11.88	16
Tomosynthesis breast diagnostic left HCPCS G0279	$123.00	$205.00	$38.75 – $131.75	13
Tomosynthesis breast screen bilateral CPT 77063	$45.00	$75.00	$18.75 – $75.04	14
Tonsillectomy (age 12+) CPT 42826	not published	not published	$679.92 – $3,339.23	9
Tonsillectomy (child under 12) CPT 42825	not published	not published	$564.15 – $6,091.06	9
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351	$96.00	$160.00	$0.59 – $76.37	13
Total Hip Replacement CPT 27130	not published	not published	$5,007.31 – $13,248.33	9
Total Knee Replacement CPT 27447	not published	not published	$5,733.59 – $13,248.33	9
Total tau CPT 84394	$67.20	$112.00	$28.00 – $95.20	11
Toxoplasma antibody igg CPT 86777	$89.40	$149.00	$13.05 – $126.65	17
Toxoplasma antibody igm CPT 86778	$97.20	$162.00	$13.07 – $137.70	17
Tpmt gene com vrnts CPT 81335	$477.00	$795.00	$158.54 – $675.75	16
Tprnl plmt biodegrdabl matrl CPT 55874	not published	not published	$4,395.40 – $5,234.35	9
Trabectedin 1 mg intravenous solution HCPCS J9352	$879.00	$1,465.00	$246.92 – $684.76	16
Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108	$121.20	$202.00	$23.55 – $171.70	13
Transferrin CPT 84466	$56.40	$94.00	$11.57 – $79.90	17
Transfusion blood/blood component(s) CPT 36430	$931.80	$1,553.00	$30.62 – $1,320.05	16
Trastuzumab 150 mg intravenous solution HCPCS J9355	$276.00	$460.00	$47.37 – $279.65	16
Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117	not published	$2,937.75	$30.02 – $170.12	16
Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116	$205.20	$3,633.30	$17.67 – $209.10	16
Tray bonemarrw oncontrol 102mm HCPCS C1830	$553.80	$923.00	$230.75 – $784.55	11
Treat ankle dislocation CPT 27842	$3,430.80	$5,718.00	$130.35 – $4,860.30	16
Treat ectopic pregnancy CPT 59151	not published	not published	$1,499.84 – $6,007.35	9
Treat elbow dislocation CPT 24605	$4,490.40	$7,484.00	$173.25 – $6,361.40	16
Treat finger fracture each CPT 26742	$2,186.40	$3,644.00	$80.85 – $3,097.40	16
Treat fracture of radius CPT 25505	$1,632.60	$2,721.00	$159.50 – $2,312.85	16
Treat fracture of ulna CPT 25535	$3,636.60	$6,061.00	$176.55 – $5,151.85	16
Treat hip dislocation CPT 27252	$4,620.00	$7,700.00	$309.65 – $6,545.00	16
Treat hip dislocation CPT 27257	$5,989.80	$9,983.00	$260.70 – $8,485.55	16
Treat humerus fracture CPT 24535	$2,848.80	$4,748.00	$226.60 – $4,035.80	16
Treat knee dislocation CPT 27552	$3,582.00	$5,970.00	$172.70 – $5,074.50	16
Treat kneecap dislocation CPT 27562	$3,197.40	$5,329.00	$147.95 – $4,529.65	16
Treat kneecap fracture CPT 27524	not published	not published	$446.60 – $7,151.22	10
Treat lower leg joint CPT 27829	not published	not published	$1,094.48 – $7,355.55	9
Treat toe dislocation CPT 28665	$3,197.40	$5,329.00	$229.63 – $4,529.65	15
Treat ulnar fracture CPT 24685	not published	not published	$460.90 – $7,151.22	10
Treat vaginal bleeding CPT 57180	$3,197.40	$5,329.00	$38.50 – $4,529.65	16
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608	not published	not published	$1,105.17 – $7,355.55	9
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609	not published	not published	$1,410.18 – $7,355.55	9
Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607	not published	not published	$966.67 – $7,355.55	9
Treatment incomplete abortion completed surgically any trimester CPT 59812	$8,491.80	$14,153.00	$199.65 – $12,030.05	16
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644	$171.60	$286.00	$28.27 – $243.10	16
Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640	$74.40	$124.00	$31.00 – $209.42	15
Treatment missed abortion completed surgically 1st trimester CPT 59820	$8,491.80	$14,153.00	$829.74 – $12,030.05	15
Treatment of ankle fracture CPT 27792	not published	not published	$1,253.58 – $7,355.55	9
Treatment of ankle fracture CPT 27814	not published	not published	$495.00 – $7,151.22	10
Treatment of ankle fracture CPT 27823	not published	not published	$547.25 – $7,151.22	10
Treatment of choroid lesion CPT 67220	not published	not published	$474.33 – $1,499.40	10
Treatment of fibula fracture CPT 27784	not published	not published	$1,177.72 – $7,355.55	9
Treatment of thigh fracture CPT 27510	$3,352.80	$5,588.00	$348.70 – $4,749.80	16
Treatment of tibia fracture CPT 27758	not published	not published	$556.05 – $12,880.32	10
Treatment of tibia fracture CPT 27759	not published	not published	$1,535.42 – $13,248.33	9
Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347	$265.80	$6,500.00	$88.96 – $376.55	16
Treponema pallidum antibody CPT 86780	$67.20	$112.00	$12.01 – $95.20	17
Trg gene rearrangement anal CPT 81342	$1,051.20	$1,752.00	$182.74 – $443.70	16
Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301	$12.80	$16.00	$0.53 – $13.60	14
Trichinella antibody CPT 86784	$176.40	$294.00	$11.39 – $249.90	17
Triglycerides CPT 84478	$39.00	$65.00	$5.21 – $55.25	17
Trim nail(s) HCPCS G0127	$112.80	$188.00	$47.00 – $159.80	11
Trimethobenzamide hcl inj HCPCS J3250	$77.60	$97.00	$12.74 – $82.45	13
Triptorelin pamoate HCPCS J3315	$2,681.40	$4,469.00	$299.81 – $3,798.65	16
Trluml dil aq o/f can without st CPT 66174	not published	not published	$1,480.73 – $4,142.13	9
Trnscath plc vas stent w/s&i ini vein CPT 37238	$12,780.00	$21,300.00	$294.23 – $18,105.00	16
Trnscath retrv pq vasc fb w/guide CPT 37197	$6,120.00	$10,200.00	$266.53 – $8,670.00	16
Trnscath tx thromblytc artery non-intracrn ini day CPT 37211	$8,554.80	$14,258.00	$356.24 – $12,119.30	16
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060	not published	not published	$268.40 – $1,831.15	10
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061	not published	not published	$817.85 – $2,113.65	10
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000	$4,368.00	$7,280.00	$128.70 – $6,188.00	14
Troponin quantitative CPT 84484	$114.60	$191.00	$10.86 – $162.35	17
Trurl dstrj prst8 tiss rf wv CPT 53854	not published	not published	$2,146.47 – $3,551.23	9
Tte w or without contr, cont ecg HCPCS C8930	$2,588.40	$4,314.00	$683.10 – $3,666.90	14
Tte w or without fol w/con,stres HCPCS C8928	$626.40	$1,044.00	$417.60 – $887.40	14
Tubal Ligation (Laparoscopic) CPT 58670	not published	not published	$761.95 – $6,007.35	9
Tube trach disp innr can 5 xlt HCPCS A7521	$141.00	$235.00	$31.00 – $318.43	12
Tube trach disp innr can 6 xlt HCPCS A4623	$72.60	$121.00	$15.31 – $102.85	12
Tvh >250 gms 58290 CPT 58290	not published	not published	$2,030.59 – $7,614.06	9
Tx closed distal humerus fx CPT 24999	$134.40	$224.00	$34.54 – $247.00	14
Tx closed hip disl traumatic without anes CPT 27250	$3,032.40	$5,054.00	$207.41 – $4,295.90	16
Tx open dstl phlngl fx f/t internal fixation ea CPT 26765	$5,734.80	$9,558.00	$195.80 – $8,124.30	16
Tx open iphlngl jt disl internal fixation sngl CPT 26785	$4,281.00	$7,135.00	$130.35 – $6,064.75	16
Tx phalangeal shaft fx open prox/middle ea CPT 26735	$6,170.40	$10,284.00	$246.40 – $8,741.40	16
Tympanostomy/ven tube/loc/top anes 69433 CPT 69433	not published	not published	$83.05 – $509.79	10
Ugt1a1 gene analy common variants CPT 81350	$1,240.20	$2,067.00	$212.21 – $1,756.95	16
Ultrasound abdomen aorta screening study aaa CPT 76706	$248.40	$414.00	$79.64 – $351.90	16
Ultrasound breast complete CPT 76641	$627.00	$1,045.00	$91.94 – $888.25	15
Ultrasound breast unilateral limited (both sides) CPT 76642	$400.20	$667.00	$54.53 – $566.95	15
Ultrasound chest CPT 76604	$543.60	$906.00	$81.43 – $770.10	16
Ultrasound encephalogram CPT 76506	$552.00	$920.00	$86.08 – $782.00	16
Ultrasound exam k transpl w/doppler CPT 76776	$426.00	$710.00	$91.94 – $603.50	16
Ultrasound fetal biophysical profile without non-stress testing CPT 76819	$385.80	$643.00	$91.94 – $546.55	16
Ultrasound guidance for vascular access CPT 76937	$254.40	$424.00	$28.08 – $360.40	14
Ultrasound guided needle placement supervision & interpretation CPT 76942	$354.00	$590.00	$79.20 – $501.50	14
Ultrasound hips infant dynamic CPT 76885	$516.60	$861.00	$76.13 – $731.85	16
Ultrasound joint complete left CPT 76881	$625.80	$1,043.00	$91.94 – $886.55	15
Ultrasound joint/nonvascular extremity limited left CPT 76882	$557.40	$929.00	$45.40 – $789.65	15
Ultrasound ob >=14wks ea addl gest CPT 76810	$1,906.20	$3,177.00	$81.52 – $2,700.45	14
Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802	$610.80	$1,018.00	$60.46 – $865.30	14
Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815	$321.00	$535.00	$70.40 – $454.75	16
Ultrasound pregnant uterus transvaginal CPT 76817	$441.60	$736.00	$91.94 – $625.60	16
Ultrasound prostate/transrectal CPT 76872	$354.00	$590.00	$91.94 – $501.50	16
Ultrasound retroperitoneal limited CPT 76775	$306.00	$510.00	$83.73 – $433.50	16
Ultrasound scrotum and contents CPT 76870	$490.20	$817.00	$81.40 – $694.45	16
Ultrasound spinal canal and contents CPT 76800	$354.00	$590.00	$91.94 – $501.50	16
Ultrasound transvaginal non obstetric CPT 76830	$354.00	$590.00	$84.15 – $501.50	16
Unlisted CT procedure CPT 76497	$624.00	$1,040.00	$22.37 – $884.00	14
Unlisted hystsc px uterus CPT 58579	not published	not published	$173.93 – $207.13	8
Unlisted laparoscopic procedure 49659 CPT 49659	not published	not published	$3,710.61 – $6,007.35	8
Unlisted laps px bladder CPT 51999	not published	not published	$5,044.50 – $6,007.35	8
Unlisted laps px ureter CPT 50949	not published	not published	$3,076.38 – $6,007.35	8
Unlisted mr procedure CPT 76498	$173.40	$289.00	$76.13 – $245.65	14
Unlisted procedure microbiology CPT 87999	$312.00	$520.00	$70.42 – $442.00	11
Unlisted px abdomen muscskel CPT 22999	not published	not published	$47.54 – $247.00	8
Unlisted px arthroscopy CPT 29999	not published	not published	$207.41 – $247.00	8
Unlisted px foot/toes CPT 28899	not published	not published	$35.35 – $247.00	8
Unlisted px forearm/wrist CPT 25999	$109.20	$182.00	$47.94 – $247.00	14
Unlisted px leg/ankle CPT 27899	$118.20	$197.00	$47.94 – $247.00	14
Unlisted px posterior segmnt CPT 67299	$4,036.20	$6,727.00	$812.53 – $5,717.95	14
Unlisted px tongue flr mouth CPT 41599	$118.20	$197.00	$33.94 – $239.10	14
Unlisted ultrasound procedure CPT 76999	$306.00	$510.00	$30.89 – $433.50	14
Unsched dialysis esrd pt hos HCPCS G0257	$1,776.60	$2,961.00	$313.58 – $2,516.85	14
Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157	$3,864.00	$6,440.00	$308.78 – $5,474.00	16
Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147	$2,224.80	$3,708.00	$308.78 – $3,151.80	16
Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146	$2,205.00	$3,675.00	$209.00 – $3,123.75	16
Upper Endoscopy (EGD, diagnostic) CPT 43235	$1,558.20	$2,597.00	$137.74 – $2,207.45	16
Upper Endoscopy (EGD, with biopsy) CPT 43239	$2,132.40	$3,554.00	$163.44 – $3,020.90	16
Urea nitrogen CPT 84520	$34.80	$58.00	$3.58 – $49.30	17
Urea nitrogen 24 hour urine CPT 84540	$43.80	$73.00	$5.04 – $62.05	16
Urea nitrogen clearance CPT 84545	$103.20	$172.00	$5.50 – $146.20	17
Urethrcystgrphy rtrgrde s&i CPT 74450	$306.60	$511.00	$41.25 – $434.35	16
Urethrocystography void s&i CPT 74455	$306.60	$511.00	$46.75 – $434.35	16
Uric acid blood CPT 84550	$36.00	$60.00	$4.10 – $51.00	17
Uric acid urine CPT 84560	$36.00	$60.00	$2.24 – $51.00	17
Urinalysis (with microscopy) CPT 81001	$36.00	$60.00	$2.87 – $51.00	17
Urinalysis (without microscopy) CPT 81003	$17.40	$29.00	$2.04 – $24.65	17
Urine Culture Test CPT 87086	$84.60	$141.00	$7.32 – $119.85	17
Urine pregnancy test CPT 81025	$39.00	$65.00	$4.40 – $55.25	17
Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358	$70.20	$87.75	$8.20 – $73.95	16
Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357	not published	$514.02	$135.49 – $29,792.22	16
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322	$340.00	$425.00	$44.00 – $796.93	15
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648	$31.20	$52.00	$11.00 – $89.54	14
Vaccine hepatitis a (hepa) adult im CPT 90632	$81.00	$135.00	$11.00 – $286.80	15
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746	$86.40	$108.00	$11.00 – $270.21	15
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739	$168.80	$211.00	$11.00 – $207.78	15
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744	$63.20	$79.00	$11.00 – $110.86	15
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649	$109.20	$182.00	$45.50 – $659.96	12
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686	$12.00	$20.00	$5.00 – $37.15	14
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682	not published	$149.23	$11.00 – $126.85	14
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661	$24.00	$30.00	$7.50 – $49.49	15
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620	$109.60	$137.00	$11.00 – $332.10	14
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734	$108.80	$136.00	$11.00 – $450.98	14
Vaccine mmr live subcutaneous CPT 90707	$64.80	$81.00	$11.00 – $68.85	14
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 – $597.39	15
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677	$192.00	$329.27	$11.00 – $312.90	15
Vaccine polio (ipv) subcutaneous/im CPT 90713	$38.40	$64.00	$11.00 – $54.40	14
Vaccine rabies im CPT 90675	$800.00	$1,000.00	$11.00 – $850.00	17
Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678	not published	$681.75	$11.00 – $1,878.58	14
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380	$1,196.00	$1,495.00	$11.00 – $3,152.20	14
Vaccine td preservative free >= 7 years im CPT 90714	$74.40	$93.00	$11.00 – $100.63	15
Vaccine tdap >=7 years im CPT 90715	$42.40	$53.00	$11.00 – $191.81	15
Vag hyst including t/o CPT 58262	not published	not published	$2,241.84 – $5,082.81	9
Vag hyst w/enterocele repair CPT 58270	not published	not published	$2,295.35 – $5,082.81	9
Vaginal hysterectomy CPT 58260	not published	not published	$2,086.65 – $5,082.81	9
Valproic acid total therapeutic drug level CPT 80164	$96.00	$160.00	$12.28 – $136.00	17
Vancomycin 1,000 mg intravenous injection HCPCS J3373	$0.60	$1.00	$0.02 – $0.85	13
Vancomycin hcl injection HCPCS J3370	$42.00	$70.95	$1.13 – $37.63	12
Vancomycin peak therapeutic drug level CPT 80202	$102.00	$170.00	$12.28 – $144.50	17
Varicella zoster antibody igg CPT 86787	$64.80	$108.00	$11.68 – $91.80	17
Vasectomy CPT 55250	not published	not published	$163.35 – $2,050.66	10
Vasopressin 20 unit/ml intravenous solution HCPCS J2598	$8.00	$10.00	$0.58 – $8.50	13
Vedolizumab 300 mg intravenous solution HCPCS J3380	$74.20	$92.75	$13.46 – $78.20	16
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410	$122.40	$204.00	$34.75 – $173.40	12
Venogram extremity supervision & interpretation unilateral CPT 75820	$989.40	$1,649.00	$41.25 – $1,555.07	16
Ventilator each subsequent day CPT 94003	$428.40	$714.00	$94.69 – $680.70	15
Ventilator initial day CPT 94002	$691.80	$1,153.00	$130.31 – $980.05	15
Version cephalic external CPT 59412	$1,962.60	$3,271.00	$31.88 – $3,273.80	14
Very long chain fatty acids CPT 82726	$315.00	$525.00	$17.91 – $446.25	17
Vinblastine 1 mg/ml intravenous solution HCPCS J9360	$91.20	$152.00	$2.08 – $39.08	13
Vincristine 1 mg/ml intravenous solution HCPCS J9370	$181.60	$264.00	$3.25 – $79.22	13
Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390	$437.40	$729.00	$4.85 – $256.99	13
Virus isolation addl studies ea CPT 87253	$186.60	$311.00	$18.32 – $264.35	17
Vitamin D Test CPT 82306	$145.80	$243.00	$26.84 – $206.55	17
Vitamin b-12 CPT 82607	$89.40	$149.00	$13.68 – $126.65	17
Volume measurement urine timed CPT 81050	$47.40	$79.00	$3.30 – $67.15	16
Vonvendi inj 1 iu vwf:rco HCPCS J7179	$5.40	$9.00	$1.17 – $7.65	16
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465	$706.20	$1,177.00	$0.49 – $50.15	13
Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225	$9,373.80	$15,623.00	$3,159.30 – $13,279.55	16
Warde 1003990 aldosterone CPT 82088	$201.60	$336.00	$28.60 – $285.60	17
Warde 1005020 citrate 24 hour urine CPT 82507	$110.40	$184.00	$25.21 – $156.40	16
Warde 1005055 5-hiaa 24 hour urine CPT 83497	$70.80	$118.00	$11.70 – $100.30	17
Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384	$126.60	$211.00	$22.90 – $169.15	17
Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585	$80.40	$134.00	$13.20 – $113.90	17
Warde 1015200 kappa light chain free CPT 83521	$96.60	$161.00	$15.20 – $136.85	17
Warde 3004000 immunoglobulin subclass 1 CPT 82787	$128.40	$214.00	$7.27 – $181.90	17
Warde 3008005 oligoclonal bands CPT 83916	$138.00	$230.00	$16.50 – $195.50	17
Warde 3016000 west nile virus antibody CPT 86788	$126.60	$211.00	$15.28 – $179.35	17
Warde 3016000 west nile virus antibody igg CPT 86789	$126.60	$211.00	$13.05 – $179.35	17
Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671	$111.60	$186.00	$11.11 – $158.10	16
Warde 3400652 ova & parasites direct smear concentration and id CPT 87177	$84.60	$141.00	$8.07 – $119.85	17
Warde 3400652 smear complex special stain ova/parasites CPT 87209	$158.40	$264.00	$16.31 – $224.40	17
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513	$664.20	$1,107.00	$129.35 – $940.95	16
Warde 3400852 arsenic CPT 82175	$112.80	$188.00	$17.20 – $150.45	16
Warde 3708165 mercury urine CPT 83825	$96.60	$161.00	$13.20 – $136.85	17
Warde acetylcholine receptor blocking antibody CPT 86042	$108.00	$180.00	$16.19 – $153.00	17
Warde actin (smooth muscle) antibody each CPT 86015	$102.00	$170.00	$10.14 – $144.50	17
Warde adenosine deaminase pleural fluid CPT 84311	$54.00	$90.00	$7.35 – $72.25	16
Warde adrenocorticotropic hormone (acth) CPT 82024	$192.60	$321.00	$35.02 – $272.85	17
Warde aldolase CPT 82085	$51.00	$85.00	$8.81 – $72.25	17
Warde amino acids 6 or more quantitative each specimen CPT 82139	$393.00	$655.00	$15.30 – $556.75	17
Warde amiodarone therapeutic drug level CPT 80151	$141.00	$235.00	$16.90 – $199.75	16
Warde analysis gene hfe common variants CPT 81256	$2,381.40	$3,969.00	$59.27 – $2,253.35	17
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206	$1,051.20	$1,752.00	$77.60 – $1,056.55	16
Warde anti-mullerian hormone CPT 82166	$129.60	$216.00	$35.02 – $183.60	16
Warde apolipoprotein b CPT 82172	$67.20	$112.00	$19.13 – $95.20	17
Warde cadmium blood CPT 82300	$124.20	$207.00	$20.90 – $175.95	17
Warde calcitonin CPT 82308	$133.20	$222.00	$23.02 – $188.70	17
Warde calculus (stone) infrared CPT 82365	$97.20	$162.00	$11.00 – $137.70	17
Warde clozapine therapeutic drug level CPT 80159	$141.00	$235.00	$18.27 – $199.75	17
Warde cobalt heavy metal quantitative each nes CPT 83018	$240.00	$400.00	$19.92 – $232.05	17
Warde collagen cross links c-telopeptide CPT 82523	$98.40	$164.00	$16.94 – $139.40	16
Warde complement total hemolytic CPT 86162	$99.00	$165.00	$18.43 – $140.25	17
Warde copper CPT 82525	$64.80	$108.00	$11.25 – $91.80	17
Warde cryoglobulin CPT 82595	$99.00	$165.00	$5.87 – $140.25	17
Warde erythropoietin CPT 82668	$80.40	$134.00	$16.50 – $113.90	17
Warde estrogen fractionated CPT 82671	$298.80	$498.00	$24.20 – $423.30	17
Warde fluorescent antibody screen endomysial iga CPT 86231	$102.00	$170.00	$10.64 – $144.50	17
Warde folic acid rbc CPT 82747	$75.60	$126.00	$16.01 – $107.10	17
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955	$57.00	$95.00	$8.80 – $80.75	17
Warde gastrin CPT 82941	$85.20	$142.00	$15.40 – $120.70	17
Warde growth hormone (hgh) CPT 83003	$81.00	$135.00	$8.80 – $114.75	17
Warde helminth antibody strongyloides igg CPT 86682	$121.20	$202.00	$11.80 – $171.70	16
Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020	$133.80	$223.00	$11.67 – $189.55	17
Warde hepatitis a antibody CPT 86708	$75.60	$126.00	$11.24 – $107.10	17
Warde hepatitis be antibody CPT 86707	$89.40	$149.00	$10.49 – $126.65	17
Warde hepatitis delta agent antibody CPT 86692	$112.80	$188.00	$15.56 – $159.80	17
Warde immunofixation electrophoresis urine CPT 86335	$241.20	$402.00	$11.05 – $341.70	17
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350	$72.00	$120.00	$10.46 – $102.00	17
Warde infectious agent nucleic acid genotype hepatitis c CPT 87902	$2,321.40	$3,869.00	$205.45 – $3,288.65	16
Warde islet cell antibody zinc transporter 8 CPT 86341	$183.60	$306.00	$21.38 – $260.10	17
Warde lipoprotein (a) CPT 83695	$114.60	$191.00	$12.99 – $162.35	17
Warde lipoprotein-associated phospholipase a2 CPT 83698	$181.80	$303.00	$41.73 – $257.55	17
Warde mitochondrial antibody each CPT 86381	$102.00	$170.00	$23.08 – $144.50	16
Warde oxcarbazepine therapeutic drug level CPT 80183	$141.00	$235.00	$12.02 – $199.75	17
Warde pancreatic elastase fecal quantitative CPT 82653	$99.00	$165.00	$20.22 – $140.25	17
Warde protein c antigen CPT 85302	$78.60	$131.00	$10.89 – $111.35	17
Warde sex hormone binding globulin CPT 84270	$119.40	$199.00	$19.71 – $169.15	17
Warde somatomedin CPT 84305	$119.40	$199.00	$19.28 – $169.15	17
Warde t3 (triiodothyronine) reverse CPT 84482	$154.80	$258.00	$14.29 – $219.30	17
Warde thyroid stimulating immunoglobulins CPT 84445	$492.00	$820.00	$22.00 – $697.00	17
Warde topiramate therapeutic drug level CPT 80201	$119.40	$199.00	$10.81 – $169.15	17
Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252	$129.60	$216.00	$23.64 – $183.60	17
Warde viscosity CPT 85810	$80.40	$134.00	$4.40 – $113.90	17
Warde vitamin a CPT 84590	$70.80	$118.00	$10.53 – $100.30	17
Warde vitamin b-1 (thiamine) CPT 84425	$147.60	$246.00	$7.70 – $209.10	17
Warde vitamin b6 (pyridoxine) CPT 84207	$198.00	$330.00	$25.48 – $280.50	17
Warde vitamin c (ascorbic acid) CPT 82180	$72.00	$120.00	$7.70 – $102.00	17
Warde vitamin d (1 25 dihydroxy) CPT 82652	$192.60	$321.00	$34.92 – $272.85	17
Warde vitamin e (alpha-tocopherol) CPT 84446	$102.00	$170.00	$11.00 – $144.50	17
Warde zinc CPT 84630	$62.40	$104.00	$10.33 – $88.40	17
Wbc automated CPT 85048	$31.20	$52.00	$1.38 – $44.20	17
Western blot test CPT 84181	$156.60	$261.00	$15.44 – $221.85	17
Whole mitochondrial genome CPT 81460	$4,943.40	$8,239.00	$1,167.18 – $7,003.15	16
Wound therapy negative pressure per session <= 50 sq cm CPT 97607	$211.20	$352.00	$77.33 – $299.20	11
Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605	$298.80	$498.00	$108.22 – $423.30	14
Wound therapy negative pressure per session > 50 sq cm CPT 97608	$210.00	$350.00	$87.50 – $297.50	11
Wound therapy negative pressure per session > 50 sq cm dme CPT 97606	$336.60	$561.00	$140.25 – $476.85	14
Wrist X-ray CPT 73110	$118.20	$197.00	$30.92 – $167.45	15
X-ray abdomen 1 view CPT 74018	$119.40	$199.00	$23.25 – $169.15	16
X-ray abdomen 2 views CPT 74019	$186.00	$310.00	$28.40 – $263.50	16
X-ray abdomen >=3 views CPT 74021	$186.00	$310.00	$33.25 – $263.50	16
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022	$345.60	$576.00	$42.59 – $489.60	16
X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050	$154.80	$258.00	$31.37 – $219.30	16
X-ray ankle 2 views (both sides) CPT 73600	$99.00	$165.00	$24.81 – $140.25	15
X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040	$782.40	$1,304.00	$110.11 – $1,108.40	15
X-ray bone age studies CPT 77072	$145.80	$243.00	$18.23 – $206.55	16
X-ray bone length studies CPT 77073	$302.40	$504.00	$34.01 – $428.40	16
X-ray bone survey complete CPT 77075	$516.60	$861.00	$72.04 – $731.85	16
X-ray bone survey infant CPT 77076	$292.80	$488.00	$56.86 – $414.80	16
X-ray cervical spine 2-3 views CPT 72040	$129.60	$216.00	$29.15 – $183.60	16
X-ray cervical spine 4-5 views CPT 72050	$222.00	$370.00	$44.68 – $314.50	16
X-ray cervical spine >= 6 views CPT 72052	$257.40	$429.00	$54.27 – $364.65	16
X-ray clavicle complete (both sides) CPT 73000	$118.20	$197.00	$30.35 – $167.45	15
X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270	$385.80	$643.00	$41.25 – $546.55	16
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280	$502.20	$837.00	$71.50 – $711.45	16
X-ray elbow 2 views (both sides) CPT 73070	$105.00	$175.00	$25.58 – $148.75	15
X-ray elbow >= 3 views (both sides) CPT 73080	$129.60	$216.00	$27.96 – $183.60	15
X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220	$253.20	$422.00	$41.25 – $358.70	16
X-ray exam entire spi 4/5 vw CPT 72083	$200.40	$334.00	$56.45 – $283.90	16
X-ray exam entire spi 6/> vw CPT 72084	$241.20	$402.00	$67.41 – $341.70	16
X-ray exam of arm infant CPT 73092	$176.40	$294.00	$29.14 – $249.90	15
X-ray exam of eye sockets CPT 70200	$194.40	$324.00	$37.25 – $275.40	16
X-ray exam of femur 1 CPT 73551	$129.60	$216.00	$32.61 – $183.60	15
X-ray exam of jaw joint CPT 70328	$216.00	$360.00	$25.56 – $306.00	16
X-ray exam of sinuses CPT 70210	$222.00	$370.00	$26.74 – $314.50	16
X-ray exam si joints CPT 72200	$218.40	$364.00	$25.62 – $309.40	16
X-ray exam thorac spine4/>vw CPT 72074	$345.60	$576.00	$34.68 – $489.60	16
X-ray eye detection foreign body (both sides) CPT 70030	$126.60	$211.00	$27.30 – $179.35	15
X-ray facial bones complete > 3 views CPT 70150	$194.40	$324.00	$37.69 – $275.40	16
X-ray femur >=2 views (both sides) CPT 73552	$129.60	$216.00	$38.64 – $183.60	15
X-ray finger(s) >= 2 views (both sides) CPT 73140	$93.60	$156.00	$25.37 – $132.60	15
X-ray foot 2 views (both sides) CPT 73620	$99.00	$165.00	$28.75 – $140.25	15
X-ray forearm 2 views (both sides) CPT 73090	$105.00	$175.00	$30.88 – $148.75	15
X-ray hand 2 views (both sides) CPT 73120	$99.00	$165.00	$29.77 – $140.25	15
X-ray heel/calcaneus > 2 views (both sides) CPT 73650	$97.20	$162.00	$28.65 – $137.70	15
X-ray hip uni w/wo pelvis min 4 views CPT 73503	$134.40	$224.00	$62.76 – $190.40	15
X-ray hip with pelvis when performed bilateral 2 views CPT 73521	$186.00	$310.00	$33.02 – $263.50	16
X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522	$186.00	$310.00	$40.80 – $263.50	16
X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523	$186.00	$310.00	$47.29 – $263.50	16
X-ray hip with pelvis when performed unilateral 1 view left CPT 73501	$105.00	$175.00	$33.82 – $148.75	15
X-ray humerus >= 2 views left CPT 73060	$119.40	$199.00	$28.02 – $169.15	15
X-ray knee 1-2 views (both sides) CPT 73560	$119.40	$199.00	$30.18 – $169.15	15
X-ray knee 3 views (both sides) CPT 73562	$162.00	$270.00	$33.77 – $229.50	15
X-ray knee ap standing bilateral CPT 73565	$136.20	$227.00	$24.67 – $192.95	16
X-ray l/s-spine bend vw only 2-3 vw CPT 72120	$166.20	$277.00	$34.13 – $235.45	16
X-ray lower extremities infant > 2 views (both sides) CPT 73592	$306.00	$510.00	$29.43 – $433.50	15
X-ray lumbosacral spine >= 4 views CPT 72110	$257.40	$429.00	$40.28 – $364.65	16
X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114	$366.60	$611.00	$38.50 – $519.35	16
X-ray mandible complete > 4 views CPT 70110	$198.00	$330.00	$30.25 – $280.50	16
X-ray mandible ltd <4 views CPT 70100	$226.80	$378.00	$27.41 – $321.30	16
X-ray nasal bones complete > 3 views CPT 70160	$118.20	$197.00	$20.90 – $167.45	16
X-ray neck soft tissue CPT 70360	$99.00	$165.00	$19.25 – $140.25	16
X-ray nose to rectum for foreign body child CPT 76010	$108.60	$181.00	$15.95 – $153.85	16
X-ray pelvis 1-2 views CPT 72170	$168.00	$280.00	$19.25 – $238.00	16
X-ray pelvis complete > 3 views CPT 72190	$179.40	$299.00	$33.72 – $254.15	16
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420	$426.00	$710.00	$41.25 – $603.50	16
X-ray ribs 2 views left CPT 71100	$175.20	$292.00	$29.15 – $248.20	16
X-ray ribs 3 views bilateral CPT 71110	$204.00	$340.00	$30.25 – $289.00	16
X-ray ribs w/posterior anterior chest 3 views left CPT 71101	$216.00	$360.00	$29.15 – $306.00	16
X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111	$235.80	$393.00	$30.25 – $334.05	16
X-ray sacroiliac joints >= 3 views CPT 72202	$154.80	$258.00	$27.83 – $219.30	16
X-ray sacrum/coccyx >= 2 views CPT 72220	$119.40	$199.00	$26.99 – $169.15	16
X-ray scapula complete (both sides) CPT 73010	$118.20	$197.00	$31.98 – $167.45	15
X-ray shoulder 1 view (both sides) CPT 73020	$96.00	$160.00	$28.38 – $136.00	15
X-ray sinus tract/fistula/abscess CPT 76080	$502.20	$837.00	$30.25 – $711.45	16
X-ray sinuses paranasal complete > 3 views CPT 70220	$194.40	$324.00	$37.27 – $275.40	16
X-ray skull < 4 views CPT 70250	$154.80	$258.00	$34.97 – $219.30	16
X-ray skull > 4 views complete CPT 70260	$218.40	$364.00	$47.82 – $309.40	16
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250	$268.20	$447.00	$41.25 – $379.95	16
X-ray small intestine follow-through study CPT 74248	$419.40	$699.00	$65.37 – $594.15	14
X-ray spine single view CPT 72020	$105.00	$175.00	$23.54 – $148.75	16
X-ray sternoclavicular joint(s) > 3 views CPT 71130	$253.80	$423.00	$20.90 – $359.55	16
X-ray sternum > 2 views CPT 71120	$129.60	$216.00	$20.90 – $183.60	16
X-ray surgical specimen CPT 76098	$536.40	$894.00	$20.58 – $759.90	16
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230	$610.80	$1,018.00	$50.60 – $865.30	16
X-ray temporomandibular joint open/closed mouth bilateral CPT 70330	$194.40	$324.00	$30.25 – $275.40	16
X-ray thoracic spine 2 views CPT 72070	$154.80	$258.00	$34.03 – $219.30	16
X-ray thoracic spine 3 views CPT 72072	$186.00	$310.00	$34.68 – $263.50	16
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081	$453.00	$755.00	$32.54 – $641.75	16
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082	$218.40	$364.00	$51.96 – $309.40	16
X-ray tibia/fibula 2 views (both sides) CPT 73590	$112.80	$188.00	$26.49 – $159.80	15
X-ray toe(s) > 2 views (both sides) CPT 73660	$93.60	$156.00	$20.13 – $132.60	15
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246	$520.80	$868.00	$73.15 – $737.80	16
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240	$520.80	$868.00	$71.50 – $737.80	16
X-ray wrist 2 views (both sides) CPT 73100	$99.00	$165.00	$29.71 – $140.25	15
Xcapsl ctrc rmvl cplx w/ecp CPT 66987	not published	not published	$1,337.83 – $4,142.13	8
Xcapsl ctrc rmvl cplx wo ecp CPT 66982	not published	not published	$1,410.32 – $2,348.35	9
Xcapsl ctrc rmvl insj 1+ CPT 66991	not published	not published	$696.24 – $5,312.69	9
Xcapsl ctrc rmvl w/ecp CPT 66988	not published	not published	$1,337.83 – $4,142.13	8
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040	not published	not published	$195.25 – $1,831.15	10
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485	not published	$67.84	$0.96 – $57.66	13
Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486	$146.40	$183.00	$4.31 – $155.55	13
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400	not published	$4,000.00	$4.98 – $1,700.00	16
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	$1,069.60	$1,337.00	$0.70 – $333.99	14
_afb id by dna probe rflx ast CPT 87149	$315.00	$525.00	$18.18 – $446.25	17
_afb org id by sequencing rflx ast-sendout CPT 87153	$1,823.40	$3,039.00	$51.36 – $2,583.15	17
_fragile x methylation-sendout CPT 81244	$475.80	$793.00	$22.86 – $674.05	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.