healthcosts.net

UPMC Somerset

225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168

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 $66.60 $111.00 $11.87 – $83.25 12
#acylcarnitineprfl CPT 82017 $36.00 $60.00 $11.83 – $45.00 12
#afb mycobacteria suscep. #1 CPT 87190 $41.40 $69.00 $7.22 – $51.75 12
#bac vag cand-c. albicans naa CPT 87481 $195.60 $326.00 $34.68 – $87.75 12
#cf-97variants CPT 81220 $3,216.00 $5,360.00 $489.81 – $4,020.00 12
#cmvcul-virus inoculation shell CPT 87254 $109.80 $183.00 $5.95 – $123.75 12
#covid19rsv-rsv CPT 87634 $390.60 $651.00 $54.41 – $488.25 12
#coxa-coxsackie a serotype a16 CPT 86658 $72.60 $121.00 $9.14 – $90.75 12
#creutz-prot.,western blot CPT 84182 $147.60 $246.00 $27.00 – $184.50 12
#fecal-sodium CPT 84302 $24.60 $41.00 $4.80 – $30.75 12
#flow interp 9 - 15 markers CPT 88188 $55.20 $92.00 $32.11 – $154.82 12
#pnh-flow cytometry interp CPT 88187 $165.60 $276.00 $59.38 – $207.00 12
11-desoxycortisol - sendout CPT 82634 $148.20 $247.00 $19.25 – $80.25 12
17-hydroxypregnenolone CPT 84143 $49.20 $82.00 $22.55 – $61.50 12
17-ketosteroids CPT 83586 $46.20 $77.00 $12.65 – $57.75 12
2d tee w or without fol w/con,in HCPCS C8925 $1,450.80 $2,418.00 $428.08 – $1,813.50 11
2nd order venous cath CPT 36012 $5,583.60 $9,306.00 $125.95 – $6,913.50 12
3-d radiotherapy plan CPT 77295 $5,005.80 $8,343.00 $369.68 – $6,257.25 12
3d recon without postprocess indpndt CPT 76376 $1,242.60 $2,071.00 $10.46 – $288.61 11
5' nucleotidase - sendout CPT 83915 $56.40 $94.00 $11.02 – $70.50 12
88334 ap bill cytologic exam each additional site CPT 88334 $86.40 $144.00 $11.25 – $108.00 12
99397 periodic comp preventive med 65+ years est CPT 99397 $176.40 $294.00 $23.00 – $220.50 9
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 $856.80 $1,428.00 $37.76 – $881.25 11
Abd aorta w/runoff s&i CPT 75630 $5,906.40 $9,844.00 $178.23 – $7,383.00 12
Abd paracentesis/w/o image guide 49082 CPT 49082 $1,641.00 $2,735.00 $59.98 – $2,051.25 12
Abd/low ext cath 1st CPT 36245 $4,321.20 $7,202.00 $717.91 – $5,401.50 11
Abd/low ext cath 2nd CPT 36246 $4,321.20 $7,202.00 $748.03 – $5,401.50 11
Abd/low ext cath 3rd CPT 36247 $4,321.20 $7,202.00 $891.16 – $5,401.50 11
Abd/low ext cath addl CPT 36248 $4,321.20 $7,202.00 $53.44 – $5,401.50 12
Abdominal CT scan (with and without contrast) CPT 74170 $1,424.40 $2,374.00 $128.22 – $888.14 12
Abdominal CT scan (with contrast) CPT 74160 $1,424.40 $2,374.00 $103.50 – $732.91 12
Abdominal CT scan (without contrast) CPT 74150 $876.00 $1,460.00 $89.12 – $624.29 12
Abdominal MRI (with and without contrast) CPT 74183 $2,713.80 $4,523.00 $337.08 – $2,009.77 12
Abdominal MRI (with contrast) CPT 74182 $2,713.80 $4,523.00 $337.08 – $3,392.25 12
Abdominal MRI (without contrast) CPT 74181 $1,656.00 $2,760.00 $174.85 – $1,141.28 12
Abdominal Ultrasound (complete) CPT 76700 $394.20 $657.00 $66.12 – $273.02 12
Abdominal Ultrasound (limited) CPT 76705 $394.20 $657.00 $43.12 – $198.49 12
Abdominal paracentesis w/image guidance CPT 49083 $1,225.20 $2,042.00 $92.76 – $1,531.50 12
Abdominoplasty 15830 CPT 15830 $3,040.80 $5,068.00 $1,107.36 – $1,195.84 2
Ablate arrhythmia add on CPT 93655 $6,913.20 $11,522.00 $345.55 – $8,641.50 11
Ablate bone tumor(s) cryo perq 20983 CPT 20983 $18,135.00 $30,225.00 $4,374.18 – $22,668.75 12
Ablate bone tumor(s) perq CPT 20982 $12,743.40 $21,239.00 $892.40 – $15,929.25 12
Ablate heart dysrhythm focus CPT 93650 $8,922.00 $14,870.00 $437.02 – $11,152.50 12
Ablate inf turbinate submuc 30802 CPT 30802 not published not published $41.80 – $1,412.22 8
Ablate pulm tumor perq crybl CPT 32994 $9,977.40 $16,629.00 $3,656.32 – $12,471.75 12
Ablate pulm tumor perq rf CPT 32998 $14,655.00 $24,425.00 $892.40 – $18,318.75 12
Ablation cardiac vagal inputs atrium CPT 93799 $1,960.80 $3,268.00 $20.90 – $352.50 11
Ablation cryo abd perit om CPT 49999 $3,136.80 $5,228.00 $18.40 – $3,921.00 11
Ablation cryo adrenal tumor CPT 60699 $138.60 $231.00 not published 0
Ablation cryo pq liver tumor(s) CPT 47383 $14,653.80 $24,423.00 $892.40 – $18,317.25 12
Ablation of upper extremity nerves rf CPT 64999 $961.20 $1,602.00 $18.40 – $1,201.50 11
Abortion (mpr) CPT 59866 $571.80 $953.00 $204.81 – $714.75 12
Abscess drain retroperitoneal surg code CPT 49406 $3,637.20 $6,062.00 $190.99 – $4,546.50 12
Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 $5,737.80 $9,563.00 $83.28 – $7,172.25 11
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 $3.00 $5.00 $0.05 – $3.75 10
Acetaminophen 120 mg rectal suppository HCPCS A9270 $9.00 $15.00 $5.91 – $17.41 8
Acetaminophen level CPT 80143 $159.60 $266.00 $13.08 – $199.50 12
Acetazolamide 500 mg solution for injection HCPCS J1120 $25.80 $43.00 $10.44 – $50.08 10
Acetone qualitative CPT 82009 $17.40 $29.00 $4.47 – $21.75 12
Acetylcholine receptor modulating antibody CPT 86043 $93.60 $156.00 $4.45 – $117.00 11
Acetylcholinesterase assay CPT 82013 $44.40 $74.00 $11.00 – $55.50 12
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 $12.60 $21.00 $0.34 – $3.86 10
Acne surgery 10040 CPT 10040 $265.20 $442.00 $18.40 – $331.50 11
Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 $432.00 $720.00 $116.72 – $540.00 9
Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 $290.40 $484.00 $91.29 – $363.00 9
Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 $390.00 $650.00 $96.41 – $487.50 12
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 $52.80 $88.00 $5.06 – $66.00 10
Acute hepatitis panel CPT 80074 $310.20 $517.00 $47.07 – $340.50 14
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 $0.60 $1.00 $0.04 – $1.38 10
Adenosine 3 mg/250 ml bag for osm HCPCS J0153 $6.00 $10.00 $0.56 – $1.66 10
Adenovirus ag ia CPT 87301 $24.00 $40.00 $8.41 – $30.00 12
Adenovirus antibody,serum - quest CPT 86603 $46.20 $77.00 $12.72 – $57.75 12
Adh-sendout CPT 84588 $123.00 $205.00 $33.54 – $153.75 12
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 $44.40 $74.00 $0.63 – $3.00 9
Administration chemotherapy IV infusion each additional hour CPT 96415 $197.40 $329.00 $31.11 – $246.75 12
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 $197.40 $329.00 $67.17 – $246.75 12
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 $608.40 $1,014.00 $137.28 – $760.50 12
Administration chemotherapy IV push single/initial substance/drug CPT 96409 $526.20 $877.00 $101.42 – $657.75 12
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 $568.20 $947.00 $34.94 – $710.25 12
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 $285.00 $475.00 $55.25 – $356.25 12
Administration immunization 1 vaccine CPT 90471 $115.20 $192.00 $0.70 – $67.85 11
Administration immunization each additional component CPT 90461 $40.20 $67.00 $7.13 – $50.25 10
Administration immunization each additional vaccine CPT 90472 $67.80 $113.00 $0.34 – $27.00 9
Administration immunization first component each vaccine CPT 90460 $115.20 $192.00 $13.89 – $144.00 10
Administration vaccine hepatitis b HCPCS G0010 $99.00 $165.00 $3.88 – $123.75 11
Administration vaccine influenza virus HCPCS G0008 $12.60 $21.00 $7.23 – $43.99 11
Administration vaccine pneumococcal HCPCS G0009 $72.60 $121.00 $7.45 – $43.99 11
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 $3,735.60 $6,226.00 $23.09 – $2,918.25 11
Adrenal cortex & medulla img CPT 78075 $4,242.60 $7,071.00 $41.98 – $5,303.25 12
Aep neurodiagnostic i&r CPT 92653 $583.80 $973.00 $62.36 – $729.75 12
Air injection into abdomen 49400 CPT 49400 $1,285.20 $2,142.00 $52.80 – $1,606.50 12
Albumin (human), 25%, 50ml HCPCS P9047 $99.00 $165.00 $0.34 – $157.32 9
Albumin (microalbumin) 24 hour urine quantitative CPT 82043 $29.40 $49.00 $5.71 – $30.75 14
Albumin body fluid quantitative each specimen CPT 82042 $40.20 $67.00 $1.66 – $50.25 12
Albumin serum plasma or whole blood CPT 82040 $25.80 $43.00 $3.65 – $31.50 14
Albuterol non-comp con HCPCS J7611 $28.80 $48.00 $0.17 – $1.50 10
Aldesleukin injection HCPCS J9015 $3,330.60 $5,551.00 $1,286.53 – $5,724.83 11
Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 $14,398.80 $23,998.00 $1,297.86 – $17,998.50 11
Alkaline phosphatase CPT 84075 $25.80 $43.00 $5.12 – $26.25 14
Allergen alpha lactalbumin ige CPT 86008 $100.20 $167.00 $13.89 – $125.25 12
Allergen egg white ige CPT 86003 $30.00 $50.00 $5.16 – $37.50 12
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 $378.00 $630.00 $5.41 – $236.25 11
Alpha-fetoprotein afp-l3 frac & total CPT 82107 $326.40 $544.00 $63.66 – $408.00 12
Alpha-fetoprotein amniotic CPT 82106 $62.40 $104.00 $16.80 – $78.00 12
Alpha-fetoprotein tumor marker CPT 82105 $85.20 $142.00 $16.57 – $84.75 12
Alprostadil for injection HCPCS J0270 $151.80 $253.00 $3.16 – $109.50 9
Alt/sgpt CPT 84460 $27.00 $45.00 $5.24 – $26.25 14
Alteplase 100 mg infusion from pyxis vial HCPCS J2997 $5,280.00 $8,800.00 $29.63 – $94.45 11
Aluminum - quest CPT 82108 $128.40 $214.00 $25.18 – $160.50 12
Alveoloplasty each quadrant CPT 41874 not published not published $217.89 – $3,338.92 6
Alys cplx sp/pn npgt w/prgrm CPT 95972 $369.60 $616.00 $71.24 – $462.00 12
Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 $3.60 $6.00 $0.34 – $2.43 10
Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 $7.80 $13.00 $0.34 – $10.34 10
Amiodarone 50 mg/ml intravenous solution HCPCS J0282 $0.60 $1.00 $0.34 – $30.38 10
Amitriptyline (elavil) -sendout CPT 80335 $63.00 $105.00 $9.03 – $78.75 12
Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 $298.20 $497.00 $8.17 – $372.75 11
Ammonia CPT 82140 $74.40 $124.00 $5.00 – $79.50 14
Amniocentesis therapeutic CPT 59001 $1,034.40 $1,724.00 $142.41 – $1,293.00 12
Amniocentesisdiagnostic 59000 CPT 59000 $1,511.40 $2,519.00 $55.00 – $1,889.25 12
Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 $4,150.20 $6,917.00 $321.20 – $5,187.75 12
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 $28.80 $48.00 $1.01 – $46.00 10
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 $185.40 $309.00 $2.02 – $21.48 11
Ampicillin 1 gram solution for injection HCPCS J0290 $16.20 $27.00 $0.34 – $25.41 10
Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 $43.20 $72.00 $0.34 – $15.09 10
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 $502.20 $837.00 $91.60 – $627.75 11
Amputate thigh through femur 27590 CPT 27590 $2,126.40 $3,544.00 $734.45 – $793.13 2
Amputation leg thr tib/fib 27880 CPT 27880 $2,446.80 $4,078.00 $842.66 – $909.99 2
Amputation of lower leg CPT 27882 $1,417.20 $2,362.00 $555.20 – $599.56 2
Amputation toe interphalangeal joint CPT 28825 not published not published $535.81 – $3,340.51 7
Amputation toe metatarsophalangeal joint CPT 28820 not published not published $596.93 – $3,340.51 7
Amylase CPT 82150 $37.80 $63.00 $5.00 – $40.50 14
An cholangiogram percutaneous compl CPT 47531 $7,069.80 $11,783.00 $85.71 – $8,837.25 12
An fluoro guide for cvp CPT 77001 $450.00 $750.00 $53.20 – $201.75 12
Ana ds-dna CPT 86226 $44.40 $74.00 $11.96 – $55.50 12
Anal pressure record CPT 91122 $954.00 $1,590.00 $47.15 – $1,192.50 12
Anal/urinary muscle study CPT 51785 $587.40 $979.00 $55.20 – $734.25 12
Analysis gene f2 20210g>a variant CPT 81240 $380.40 $634.00 $59.07 – $475.50 12
Analysis gene f5 leiden variant CPT 81241 $424.80 $708.00 $72.27 – $531.00 12
Analysis tumor CPT 88358 $337.20 $562.00 $23.72 – $421.50 11
Anaplsma phgcytophlm amp prb CPT 87468 $70.80 $118.00 $13.84 – $88.50 12
Anca screen with reflex to titer -quest CPT 86021 $83.40 $139.00 $5.50 – $104.25 12
Androstanediol CPT 82154 $103.80 $173.00 $28.49 – $129.75 12
Angio balloon ctrl dialysis seg add-on CPT 36907 $3,240.60 $5,401.00 $112.62 – $4,050.75 12
Angio tib/peroneal/init ves/unila 37228 CPT 37228 $17,281.80 $28,803.00 $892.40 – $21,602.25 12
Angio trnslmnl balloon same artery ea addl CPT 37247 $2,162.40 $3,604.00 $159.14 – $2,703.00 12
Angio trnslmnl balloon same artery ini CPT 37246 $12,116.40 $20,194.00 $320.94 – $15,145.50 12
Angio trnslmnl balloon same vein ea addl CPT 37249 $1,862.40 $3,104.00 $135.41 – $2,328.00 12
Angio trnslmnl balloon same vein ini CPT 37248 $12,394.80 $20,658.00 $275.98 – $15,493.50 12
Angioplasty fem/pop unilat 37224 CPT 37224 $17,281.80 $28,803.00 $892.40 – $21,602.25 12
Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 $8,640.60 $14,401.00 $196.07 – $10,800.75 11
Angioplasty/iliac/init ves/unilat 37220 CPT 37220 $16,320.60 $27,201.00 $892.40 – $20,400.75 12
Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 $175.80 $293.00 $0.34 – $1.90 9
Anidulafungin injection HCPCS J0348 $114.00 $190.00 $0.52 – $142.50 10
Ankle X-ray CPT 73610 $188.40 $314.00 $21.54 – $235.50 12
Ankle arthroscopy/surgery CPT 29898 not published not published $828.50 – $3,340.51 7
Annual Physical, Established Patient (age 18-39) CPT 99395 $148.20 $247.00 $23.00 – $185.25 9
Annual Physical, Established Patient (age 40-64) CPT 99396 $148.20 $247.00 $23.00 – $185.25 9
Annual Physical, New Patient (age 18-39) CPT 99385 $154.80 $258.00 $23.00 – $193.50 9
Annual Physical, New Patient (age 40-64) CPT 99386 $154.80 $258.00 $23.00 – $193.50 9
Anogenital exam child w imag CPT 99170 $684.60 $1,141.00 $100.35 – $855.75 12
Anora (draw only) CPT 99001 $24.00 $40.00 $3.49 – $14.22 9
Anoscopy control bleeding 46614 CPT 46614 $3,812.40 $6,354.00 $70.63 – $4,765.50 12
Anoscopy remove fb 46608 CPT 46608 $2,551.20 $4,252.00 $77.41 – $3,189.00 12
Ant instr 2-3 vert segm 22845 CPT 22845 not published not published $789.21 – $2,979.81 4
Ant/post colporrhap/enterocele rpr 57265 CPT 57265 not published not published $892.40 – $5,082.34 7
Anti-inhibitor HCPCS J7198 $1,248.00 $2,080.00 $2.39 – $982.50 11
Antibody bacterium, not elsewhere specified CPT 86609 $72.00 $120.00 $9.04 – $90.00 12
Antibody elution rbc reference CPT 86860 $203.40 $339.00 $9.29 – $254.25 12
Antibody htlv-i CPT 86687 $46.20 $77.00 $8.98 – $57.75 12
Antibody htlv/hiv confirm test CPT 86689 $107.40 $179.00 $19.13 – $134.25 12
Antibody id rbc panel CPT 86870 $403.20 $672.00 $9.29 – $504.00 12
Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 $102.60 $171.00 $5.50 – $128.25 12
Antibody influenza virus CPT 86710 $75.60 $126.00 $9.51 – $94.50 12
Antibody lymphocytic choriomeningitis CPT 86727 $46.20 $77.00 $12.72 – $36.00 12
Antibody screen rbc CPT 86850 $70.20 $117.00 $8.92 – $73.50 12
Antibody tetanus CPT 86774 $82.20 $137.00 $10.38 – $102.75 12
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 $1,152.00 $1,920.00 $1.48 – $720.00 11
Antinuclear antibodies CPT 86038 $67.80 $113.00 $11.95 – $61.50 13
Antinuclear antibodies titer CPT 86039 $63.00 $105.00 $11.03 – $37.50 13
Antiphosphatidylserine antibody CPT 86148 $89.40 $149.00 $11.27 – $111.75 12
Antistreptolysin o titer CPT 86060 $41.40 $69.00 $7.00 – $51.75 13
Antithrombin iii activity CPT 85300 $60.00 $100.00 $10.34 – $75.00 12
Antithymocyte globuln rabbit HCPCS J7511 $639.60 $1,066.00 $358.92 – $999.37 11
Apheresis plasma CPT 36514 $5,519.40 $9,199.00 $82.50 – $6,899.25 12
Appendectomy CPT 44950 $869.40 $1,449.00 $246.52 – $5,948.85 12
Appendectomy add-on 44955 CPT 44955 not published not published $86.16 – $3,260.58 4
Appendix Removal (Laparoscopic) CPT 44970 $1,580.40 $2,634.00 $570.59 – $5,562.36 7
Appl cast figure-of-eight CPT 29049 $613.80 $1,023.00 $53.90 – $892.40 12
Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 $49.80 $83.00 $14.54 – $62.25 13
Application finger splntstatic 29130 CPT 29130 $226.20 $377.00 $55.20 – $282.75 12
Application long leg splint 29505 CPT 29505 $789.00 $1,315.00 $40.70 – $986.25 12
Application lower leg splint 29515 CPT 29515 $520.80 $868.00 $38.50 – $651.00 12
Application of forearm cast 29075 CPT 29075 $370.80 $618.00 $50.05 – $892.40 12
Application of long arm cast 29065 CPT 29065 $440.40 $734.00 $46.75 – $892.40 12
Application of long leg cast 29345 CPT 29345 $520.80 $868.00 $128.80 – $892.40 12
Application of paste boot 29580 CPT 29580 $496.20 $827.00 $88.00 – $620.25 12
Application short leg cast 29405 CPT 29405 $520.80 $868.00 $55.55 – $892.40 12
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 not published not published $219.71 – $1,883.29 7
Applicator tag rfid localizer 12gx7cm HCPCS C1819 $168.60 $281.00 $110.66 – $2,040.33 9
Apply forearm splintdynamic 29126 CPT 29126 $239.40 $399.00 $28.60 – $299.25 12
Apply hand/wrist cast 29085 CPT 29085 $520.80 $868.00 $30.25 – $892.40 12
Apply interstit radiat compl CPT 77778 $2,441.40 $4,069.00 $211.54 – $3,051.75 12
Apply intrcav radiat compl CPT 77763 $1,959.60 $3,266.00 $184.98 – $2,449.50 12
Apply of finger splint 29131 CPT 29131 $370.80 $618.00 $30.48 – $463.50 12
Apply short leg castambul type 29425 CPT 29425 $520.80 $868.00 $57.75 – $892.40 12
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 $13.80 $23.00 $1.62 – $17.25 11
Aquaporin-4 antibody cba each CPT 86052 $66.60 $111.00 $5.06 – $83.25 12
Aquaporin-4 antibody elisa CPT 86051 $58.80 $98.00 $4.84 – $73.50 12
Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 $579.60 $966.00 $1.86 – $724.50 11
Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 $35.40 $59.00 $7.07 – $15.75 11
Arterial blood draw/perc 36620 CPT 36620 $667.80 $1,113.00 $41.04 – $892.40 12
Artery x-rays adrenal gland CPT 75731 $3,476.40 $5,794.00 $25.88 – $4,345.50 12
Artery x-rays adrenals CPT 75733 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Artery x-rays arm/leg 75710-26 CPT 75710 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Artery x-rays arms/legs 75716-26 CPT 75716 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Artery x-rays chest CPT 75756 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Artery x-rays lung CPT 75741 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Artery x-rays lung CPT 75746 $3,476.40 $5,794.00 $17.25 – $4,345.50 12
Artery x-rays lungs CPT 75743 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Artery x-rays spine CPT 75705 $9,796.20 $16,327.00 $25.88 – $12,245.25 12
Artery xray each vessel 7577426 CPT 75774 $1,365.60 $2,276.00 $25.88 – $1,707.00 12
Artery xray of abdomen 75726-26 CPT 75726 $9,796.20 $16,327.00 $25.88 – $12,245.25 12
Artery xrays of pelvis 75736 26 CPT 75736 $9,796.20 $16,327.00 $25.88 – $12,245.25 12
Artery-vein nonautograft CPT 36830 $9,842.40 $16,404.00 $616.82 – $11,390.25 12
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 not published not published $625.02 – $2,655.58 4
Arthrd ant ntrbdy cervical CPT 22551 not published not published $892.40 – $13,247.10 7
Arthrd cmbn 1ntrspc lumbar CPT 22633 not published not published $1,690.38 – $18,933.57 7
Arthrd pst tq 1ntrspc lum CPT 22630 not published not published $1,150.00 – $18,933.57 7
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 $817.20 $1,362.00 $40.76 – $1,021.50 12
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 $453.60 $756.00 $18.40 – $892.40 12
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 $948.00 $1,580.00 $46.59 – $1,185.00 12
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 $453.60 $756.00 $18.40 – $1,258.10 12
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 $817.20 $1,362.00 $54.80 – $1,021.50 12
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 $453.60 $756.00 $19.80 – $892.40 12
Arthrodesis subtalar CPT 28725 not published not published $803.41 – $12,266.97 8
Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 not published not published $420.70 – $1,217.12 3
Asp & inj w/heparin pleurx cath CPT 32999 $1,434.00 $2,390.00 $18.40 – $1,792.50 11
Asp core fat pad CPT 17999 $1,589.40 $2,649.00 $18.40 – $1,986.75 11
Asp pq spinal cord cyst/syrinx CPT 62268 $2,037.60 $3,396.00 $539.52 – $2,547.00 11
Aspir/inj thyroid cyst 60300 CPT 60300 $924.60 $1,541.00 $40.49 – $1,155.75 12
Aspirate bladder/sprapubic cath 51102 CPT 51102 $6,756.00 $11,260.00 $169.77 – $8,445.00 12
Aspirate pleura without imaging 32554 CPT 32554 $1,861.20 $3,102.00 $293.09 – $2,326.50 12
Aspirate/inj ganglion cyst 20612 CPT 20612 $401.40 $669.00 $42.76 – $892.40 12
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 $2,304.60 $3,841.00 $65.76 – $2,880.75 12
Assay alkaline phosphatase CPT 84078 $44.40 $74.00 $5.80 – $53.25 12
Assay of chloramphenicol CPT 82415 $45.60 $76.00 $12.52 – $57.00 12
Assay of corticosterone CPT 82528 $49.20 $82.00 $7.70 – $61.50 12
Assay of galactose CPT 82760 $41.40 $69.00 $8.80 – $51.75 12
Assay of interleukin-6 (il-6) CPT 83529 $87.60 $146.00 $7.25 – $109.50 12
Assay of lap enzyme CPT 83670 $34.80 $58.00 $9.70 – $43.50 12
Assay of osteocalcin CPT 83937 $150.60 $251.00 $29.50 – $188.25 12
Assay of procainamide w/metab CPT 80192 $61.20 $102.00 $16.55 – $76.50 12
Assay of prostaglandin CPT 84150 $211.80 $353.00 $12.10 – $264.75 12
Assay of salicylate CPT 80179 $159.60 $266.00 $13.08 – $199.50 12
Assay of thiocyanate CPT 84430 $42.60 $71.00 $5.28 – $53.25 12
Assay of urine sulfate CPT 84392 $27.60 $46.00 $3.85 – $24.75 12
Assay toxin or antitoxin CPT 87230 $110.40 $184.00 $19.51 – $138.00 13
Assess aphasia/interp/rpt/per hr 96105 CPT 96105 $214.20 $357.00 $34.50 – $267.75 12
Assess cyst contrast inject CPT 49424 $1,304.40 $2,174.00 $34.32 – $1,630.50 12
Assist-bilat spinal disk surgery add-on 63035 CPT 63035 not published not published $209.43 – $2,120.42 4
Ast/sgot CPT 84450 $25.80 $43.00 $5.12 – $26.25 14
Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 $318.00 $530.00 $48.59 – $397.50 11
Athrectomy fem/pop/unilateral 37225 CPT 37225 $17,281.80 $28,803.00 $892.40 – $21,602.25 12
Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 $24,161.40 $40,269.00 $892.40 – $30,201.75 12
Atropine 0.1 mg/ml injection syringe HCPCS J0461 $6.60 $11.00 $0.09 – $0.75 10
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 $7,900.20 $13,167.00 $212.98 – $9,782.25 11
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 $17,602.20 $29,337.00 $892.40 – $21,794.25 12
Autologous blood process CPT 86890 $201.60 $336.00 $85.45 – $176.42 11
Automated diff wbc count CPT 85004 $32.40 $54.00 $6.39 – $40.50 12
Av fistula revision CPT 36833 $9,842.40 $16,404.00 $892.40 – $12,303.00 12
Av fuse uppr arm basilic CPT 36819 $9,842.40 $16,404.00 $294.17 – $5,153.69 12
Av fuse uppr arm cephalic CPT 36818 $9,842.40 $16,404.00 $892.40 – $12,303.00 12
Av fusion direct any site CPT 36821 $5,832.00 $9,720.00 $276.45 – $3,000.76 12
Av fusion/forearm vein 36820 CPT 36820 $9,842.40 $16,404.00 $680.67 – $12,303.00 12
Avelumab 20 mg/ml intravenous solution HCPCS J9023 $112.20 $187.00 $54.63 – $140.25 11
Avul nail plate addl CPT 11732 $370.80 $618.00 $28.32 – $463.50 12
Avulsion nail plate partial/complete simple single nail plate CPT 11730 $520.80 $868.00 $28.32 – $892.40 12
Azacitidine injection HCPCS J9025 $351.00 $585.00 $0.41 – $33.75 10
Azithromycin 500 mg intravenous solution HCPCS J0456 $6.00 $10.00 $0.34 – $41.44 10
Aztreonam 1 gram solution for injection HCPCS J0457 $21.60 $36.00 $1.25 – $20.25 10
B cells total count CPT 86355 $210.00 $350.00 $37.28 – $262.50 12
Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 $28.20 $47.00 $3.70 – $181.22 11
Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 $43.80 $73.00 $10.77 – $143.52 10
Bacterial meningitis antigen CPT 86403 $42.60 $71.00 $11.40 – $53.25 12
Bacterial vaginosis pcr CPT 87801 $390.60 $651.00 $42.68 – $488.25 12
Balloon dilate urtrl strix CPT 50706 $3,457.20 $5,762.00 $175.74 – $4,321.50 11
Bartonella dna pcr-sendout CPT 87471 $195.60 $326.00 $34.68 – $244.50 12
Basiliximab HCPCS J0480 $2,629.20 $4,382.00 $1,475.42 – $4,686.85 11
Bcg live 50 mg intravesical suspension HCPCS J9030 $97.80 $163.00 $1.99 – $122.25 10
Belatacept 250 mg intravenous solution HCPCS J0485 $581.40 $969.00 $3.55 – $726.75 11
Belimumab 120 mg intravenous solution HCPCS J0490 $1,225.80 $2,043.00 $53.08 – $459.75 11
Bendamustine 100 mg intravenous powder for solution HCPCS J9033 $1,782.60 $2,971.00 $1.86 – $556.50 11
Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 $370.80 $618.00 $13.36 – $463.50 11
Benign lesion paring 2-4 CPT 11056 $364.20 $607.00 $32.65 – $892.40 12
Benign lesion paring 4+ CPT 11057 $435.60 $726.00 $42.83 – $892.40 12
Benztropine 1 mg/ml injection solution HCPCS J0515 $43.80 $73.00 $7.74 – $19.07 10
Beta 2 glycoprotein 1 antibody iga CPT 86146 $142.20 $237.00 $25.16 – $177.75 12
Beta-2 microglobulin CPT 82232 $81.60 $136.00 $15.99 – $74.25 12
Beta-amyloid 1-40 CPT 82233 $94.80 $158.00 $55.14 – $118.50 9
Beta-amyloid 1-42 CPT 82234 $94.80 $158.00 $55.14 – $118.50 9
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 $6.60 $11.00 $2.36 – $9.16 10
Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 $119.40 $199.00 $67.00 – $149.25 11
Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 $104.40 $174.00 $27.58 – $130.50 11
Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 $91.80 $153.00 $24.96 – $114.75 11
Bilateral n block inj occipital 64405 CPT 64405 $496.20 $827.00 $38.50 – $892.40 12
Bilateral n block inj trigeminal 64400 CPT 64400 $452.40 $754.00 $14.30 – $892.40 12
Bile duct endoscopy add-on 47550 CPT 47550 $7,502.40 $12,504.00 $168.97 – $9,378.00 11
Biliary endo perq dx w/speci CPT 47552 $9,768.60 $16,281.00 $258.75 – $12,210.75 12
Biliary endoscopy thru skin CPT 47554 $11,428.80 $19,048.00 $828.50 – $14,286.00 12
Biliary endoscopy thru skin CPT 47555 $4,714.20 $7,857.00 $258.75 – $5,892.75 12
Biliary endoscopy thru skin CPT 47556 $18,827.40 $31,379.00 $247.50 – $23,534.25 12
Bilicheck CPT 88720 $25.20 $42.00 $4.96 – $31.50 12
Bilirubin direct CPT 82248 $25.20 $42.00 $4.96 – $26.25 13
Bilirubin total CPT 82247 $25.20 $42.00 $4.96 – $26.25 14
Biopsy abdominal mass CPT 49180 $2,461.20 $4,102.00 $89.07 – $3,076.50 12
Biopsy bone trocar/needle superficial CPT 20220 $2,461.20 $4,102.00 $69.30 – $3,076.50 12
Biopsy cervixsingle/multiple 57500 CPT 57500 not published not published $72.73 – $895.85 8
Biopsy muscle percutaneous needle CPT 20206 $2,461.20 $4,102.00 $62.03 – $3,076.50 12
Biopsy needle liver percutaneous CPT 47000 $6,913.20 $11,522.00 $98.61 – $990.44 12
Biopsy needle lymph node superficial CPT 38505 $2,461.20 $4,102.00 $74.17 – $3,076.50 12
Biopsy of penis 54100 CPT 54100 not published not published $38.50 – $1,544.70 8
Biopsy of prostate CPT 55700 $3,295.80 $5,493.00 $98.45 – $907.25 12
Biopsy of salivary gland 42400 CPT 42400 $2,198.40 $3,664.00 $38.50 – $2,748.00 12
Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 $2,304.60 $3,841.00 $117.75 – $1,767.00 12
Biopsy vaginal mucosa xtnsv CPT 57105 $5,680.20 $9,467.00 $77.00 – $7,100.25 12
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 $4,644.60 $7,741.00 $69.65 – $5,805.75 12
Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 $4,592.40 $7,654.00 $243.10 – $5,740.50 12
Biopsy/removal lymph nodes CPT 38525 not published not published $171.60 – $3,650.76 8
Biospy of bladder CPT 53899 $2,136.60 $3,561.00 $18.40 – $2,670.75 11
Bis xtracell fluid analysis CPT 93702 $271.20 $452.00 $71.13 – $339.00 12
Bivalirudin HCPCS J0583 $585.00 $975.00 $0.17 – $45.00 10
Bladder irrigate/lavage/instill 51700 CPT 51700 $819.00 $1,365.00 $31.57 – $1,023.75 12
Bld prd mix CPT 86965 $201.60 $336.00 $47.27 – $252.00 11
Bleomycin 15 unit solution for injection HCPCS J9040 $34.20 $57.00 $10.10 – $466.15 10
Blind interatrial shunt ide HCPCS C9758 $39,788.40 $66,314.00 $6,926.94 – $49,735.50 11
Bln 1.2 mono emrg 15x1.2 HCPCS C1725 $6,126.60 $10,211.00 $110.66 – $763.32 9
Bln 30frx10mmx12cm renal nephromax HCPCS C1726 $661.80 $1,103.00 $369.78 – $760.16 9
Bln inpact admiral 4x150x130cm HCPCS C2623 $7,575.60 $12,626.00 $4,419.10 – $9,469.50 9
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 $5,022.00 $8,370.00 $141.00 – $792.93 8
Block paracervical nrv CPT 64435 $948.00 $1,580.00 $35.20 – $1,185.00 12
Blood Clotting (PT/INR) Test CPT 85610 $22.20 $37.00 $4.00 – $26.25 14
Blood Clotting (PTT) Test CPT 85730 $34.80 $58.00 $5.94 – $38.25 14
Blood Count (CBC) Test CPT 85025 $44.40 $74.00 $6.00 – $50.25 14
Blood Count (CBC) Test (without differential) CPT 85027 $37.80 $63.00 $6.39 – $40.50 14
Blood Culture Test CPT 87040 $57.00 $95.00 $10.20 – $71.25 12
Blood draw capillary 36416 CPT 36416 $7.80 $13.00 $0.02 – $9.75 9
Blood gases ph venous CPT 82800 $60.00 $100.00 $10.87 – $75.00 12
Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 $22.20 $37.00 $3.63 – $18.00 13
Blood occult feces colorectal neoplasm screening qualitative CPT 82270 $18.00 $30.00 $3.13 – $20.25 13
Blood occult peroxidase activity qualitative gastric CPT 82271 $27.00 $45.00 $3.99 – $33.75 12
Blood smear interpretation CPT 85060 $85.80 $143.00 $5.83 – $107.25 10
Blood smear microscopic w manual differential wbc count CPT 85007 $20.40 $34.00 $3.75 – $17.25 14
Blood split unit HCPCS P9011 $192.60 $321.00 $49.68 – $240.75 12
Blood typing abo CPT 86900 $155.40 $259.00 $2.96 – $27.00 13
Blood typing ag donor ea ag CPT 86902 $403.20 $672.00 $3.10 – $504.00 12
Blood typing rbc ag non abo/rh ea CPT 86905 $639.00 $1,065.00 $3.61 – $504.00 12
Blood typing rh (d) CPT 86901 $57.60 $96.00 $2.96 – $60.00 13
Blood, l/r, irradiated HCPCS P9056 $441.00 $735.00 $33.00 – $551.25 11
Bone Density Scan (DEXA) CPT 77080 $262.80 $438.00 $22.05 – $161.04 12
Bone imaging multiple areas CPT 78305 $1,228.80 $2,048.00 $57.50 – $1,536.00 12
Bone marrow biopsyneedle/trocar 38221 CPT 38221 $2,080.80 $3,468.00 $76.80 – $2,601.00 12
Bone marrow imaging body CPT 78104 $1,228.80 $2,048.00 $63.25 – $1,536.00 12
Bone marrow imaging ltd CPT 78102 $1,228.80 $2,048.00 $44.85 – $1,536.00 12
Bone marrow imaging mult CPT 78103 $1,228.80 $2,048.00 $82.22 – $1,536.00 12
Bone marrow interpretation CPT 85097 $3,124.80 $5,208.00 $4.25 – $771.03 12
Bone marrow;aspiration only 38220 CPT 38220 $2,080.80 $3,468.00 $60.15 – $1,494.71 12
Bone survey-lead poisoning CPT 77074 $262.80 $438.00 $34.75 – $328.50 12
Bone/joint imaging ltd area CPT 78300 $1,228.80 $2,048.00 $47.73 – $1,536.00 12
Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 $94.80 $158.00 $16.83 – $118.50 13
Borrelia miyamotoi amp prb CPT 87478 $70.80 $118.00 $13.84 – $88.50 12
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 $961.80 $1,603.00 $2.27 – $57.35 10
Bowel imaging CPT 78290 $1,228.80 $2,048.00 $51.75 – $1,536.00 12
Br punct aspir ea add, l CPT 19001 $497.40 $829.00 $22.43 – $621.75 12
Brace wrist classic lft sm HCPCS L3908 $75.00 $125.00 $25.00 – $177.87 10
Brach/thor cath 1st CPT 36215 $4,321.20 $7,202.00 $189.20 – $5,401.50 12
Brach/thor cath 2nd CPT 36216 $2,881.20 $4,802.00 $125.95 – $3,601.50 12
Brach/thor cath 3rd CPT 36217 $3,135.00 $5,225.00 $332.28 – $3,918.75 12
Brach/thor cath addl CPT 36218 $4,249.20 $7,082.00 $53.06 – $5,311.50 12
Brachy source yttrium-90 HCPCS C2616 $39,612.00 $66,020.00 $8,579.63 – $49,515.00 11
Brachytx isodose complex CPT 77318 $942.60 $1,571.00 $125.86 – $1,178.25 12
Brachytx isodose intermed CPT 77317 $991.80 $1,653.00 $92.74 – $1,239.75 12
Brachytx isodose plan simple CPT 77316 $817.20 $1,362.00 $71.15 – $1,021.50 12
Braf gene CPT 81210 $1,013.40 $1,689.00 $157.50 – $1,266.75 12
Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 $2,854.80 $4,758.00 $337.08 – $3,568.50 12
Brain MRA (blood vessel MRI, with contrast) CPT 70545 $2,854.80 $4,758.00 $307.52 – $3,568.50 12
Brain MRA (blood vessel MRI, without contrast) CPT 70544 $1,741.80 $2,903.00 $187.06 – $959.98 12
Brain MRI (with and without contrast) CPT 70553 $2,854.80 $4,758.00 $309.35 – $3,568.50 12
Brain MRI (with contrast) CPT 70552 $2,854.80 $4,758.00 $309.35 – $3,568.50 12
Brain MRI (without contrast) CPT 70551 $1,741.80 $2,903.00 $115.38 – $1,125.38 12
Brain flow imaging only CPT 78610 $1,574.40 $2,624.00 $39.10 – $1,968.00 12
Brain image 4+ views CPT 78605 $1,574.40 $2,624.00 $62.10 – $1,968.00 12
Brain image < 4 views CPT 78600 $1,228.80 $2,048.00 $66.12 – $1,536.00 12
Brain image w/flow 4 + views CPT 78606 $1,574.40 $2,624.00 $67.85 – $1,968.00 12
Brain image w/flow < 4 views CPT 78601 $1,228.80 $2,048.00 $80.50 – $1,536.00 12
Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 $2,087.40 $3,479.00 $152.78 – $2,609.25 12
Breast punct aspir cyst, bil CPT 19000 $924.60 $1,541.00 $40.15 – $1,155.75 12
Breath recording infant CPT 94772 $1,793.40 $2,989.00 $151.80 – $2,241.75 12
Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 $6,781.20 $11,302.00 $89.64 – $8,476.50 11
Bronch ebus ivntj perph les 31654 CPT 31654 $1,015.20 $1,692.00 $60.45 – $1,269.00 12
Bronch ebus samplng 1/2 node CPT 31652 $4,452.00 $7,420.00 $208.90 – $5,565.00 12
Bronch ebus samplng 3/> node CPT 31653 $8,557.20 $14,262.00 $227.65 – $10,696.50 12
Bronch thermoplsty 1 lobe CPT 31660 $8,245.80 $13,743.00 $188.54 – $10,307.25 12
Bronch thermoplsty 2/> lobes CPT 31661 $8,245.80 $13,743.00 $199.18 – $10,307.25 12
Bronchial allergy tests CPT 95070 $2,043.60 $3,406.00 $23.65 – $2,554.50 12
Bronchial challenge CPT 94070 $650.40 $1,084.00 $13.11 – $813.00 12
Bronchoscopy bronch stents CPT 31636 $8,245.80 $13,743.00 $205.50 – $10,307.25 12
Bronchoscopy dilate w/stent CPT 31631 $8,245.80 $13,743.00 $235.12 – $10,307.25 12
Bronchoscopy w/biopsy(s) 31625 CPT 31625 $2,168.40 $3,614.00 $173.59 – $2,710.50 12
Bronchoscopy w/fb removal 31635 CPT 31635 $3,848.40 $6,414.00 $193.76 – $4,810.50 12
Bronchoscopy w/markers CPT 31626 $8,245.80 $13,743.00 $623.10 – $10,307.25 12
Bronchoscopy/lung bx addl 31632 CPT 31632 $2,794.80 $4,658.00 $55.54 – $3,493.50 12
Bronchoscopy/lung bx each 31628 CPT 31628 $4,452.00 $7,420.00 $193.38 – $5,565.00 12
Bronchoscopy/needle bx addl 31633 CPT 31633 $1,959.60 $3,266.00 $35.55 – $2,449.50 12
Bronchoscopy/needle bx each 31629 CPT 31629 $4,452.00 $7,420.00 $206.13 – $5,565.00 12
Budesonide non-comp unit HCPCS J7626 $2.40 $4.00 $0.67 – $216.51 10
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 $0.60 $1.00 $0.34 – $0.75 11
Bundled special stain group 1 microorganisms CPT 88312 $116.40 $194.00 $7.86 – $145.50 12
Bundled special stain group 2 CPT 88313 $78.60 $131.00 $6.18 – $65.45 12
Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 $1.20 $2.00 $0.01 – $0.75 9
Buprenorphine X-ray over 100 mg HCPCS Q9992 $806.40 $1,344.00 $452.52 – $2,016.42 11
Buprenorphine hydrochloride HCPCS J0592 $9.00 $15.00 $1.77 – $9.75 10
Buprenorphine oral 1mg HCPCS J0571 $2.40 $4.00 $0.24 – $0.75 9
Bur rotalink 2.15mm HCPCS C1724 $9,807.60 $16,346.00 $521.01 – $4,583.48 9
Butorphanol tartrate 1 mg HCPCS J0595 $4.80 $8.00 $0.34 – $14.74 10
Bx bone trocar/ndl deep CPT 20225 $2,458.80 $4,098.00 $107.80 – $3,073.50 12
Bx breast 1st lesion mr imag CPT 19085 $2,087.40 $3,479.00 $178.31 – $2,609.25 12
Bx breast 1st lesion strtctc CPT 19081 $2,087.40 $3,479.00 $163.13 – $2,609.25 12
Bx breast add lesion Ultrasound imag CPT 19084 $1,042.80 $1,738.00 $72.73 – $1,303.50 12
Bx breast add lesion mr imag CPT 19086 $1,042.80 $1,738.00 $78.83 – $1,303.50 12
Bx breast add lesion strtctc CPT 19082 $1,135.20 $1,892.00 $77.42 – $1,419.00 12
Bx breast pq tomo guide CPT 19499 $7,249.80 $12,083.00 $18.40 – $9,062.25 11
Bx liver with other CPT 47001 $247.80 $413.00 $97.71 – $105.52 2
Bx muscle CPT 20200 $250.80 $418.00 $90.38 – $97.60 2
Bx of cervix w/scope leep 57460 CPT 57460 not published not published $164.78 – $3,031.30 8
Bx pancreas pq ndl CPT 48102 $2,080.80 $3,468.00 $539.52 – $2,601.00 12
Bx perianal mass CPT 46999 $2,348.40 $3,914.00 $18.40 – $2,935.50 11
Bx pleura pq ndl CPT 32400 $2,080.80 $3,468.00 $89.14 – $2,601.00 12
Bx prst8 ndl sat sampling CPT 55706 not published not published $600.48 – $3,550.91 7
Bx spinal cord pq ndl CPT 62269 $2,080.80 $3,468.00 $539.52 – $2,601.00 11
Bx thigh/knee soft tiss supf 27323 CPT 27323 $1,439.40 $2,399.00 $165.60 – $178.83 2
Bx thyroid/percutan core needle 60100 CPT 60100 $924.60 $1,541.00 $72.05 – $841.80 12
Bx vag mucos smpl (sep proc) CPT 57100 $1,452.00 $2,420.00 $65.99 – $1,815.00 12
Bx vulva or perineum/1 lesion 56605 CPT 56605 $1,452.00 $2,420.00 $61.06 – $1,815.00 12
Bx vulva or perineum/ea add lesion 56606 CPT 56606 $312.00 $520.00 $30.14 – $390.00 12
Bx/curett of cervix w/scope 57454 CPT 57454 $615.60 $1,026.00 $116.53 – $892.40 12
Bx/exc lymph node/open/deep cervic 38510 CPT 38510 $1,159.20 $1,932.00 $149.60 – $3,650.76 8
Bx/exc lymph node/open/superfic 38500 CPT 38500 $666.60 $1,111.00 $240.68 – $3,650.76 7
Bypass temp external fem-fem CPT 37799 $2,304.60 $3,841.00 $18.40 – $2,880.75 11
C motor evoked lwr limbs CPT 95929 $1,258.80 $2,098.00 $69.39 – $1,573.50 12
C motor evoked uppr limbs CPT 95928 $1,258.80 $2,098.00 $64.29 – $1,573.50 12
C motor evoked upr&lwr limbs CPT 95939 $2,029.20 $3,382.00 $292.74 – $2,536.50 12
C-1 esterase, berinert HCPCS J0597 $2,302.20 $3,837.00 $74.68 – $2,877.75 11
C-Section Delivery (full care) CPT 59510 $10,034.40 $16,724.00 $50.26 – $12,543.00 11
C-peptide CPT 84681 $120.00 $200.00 $20.57 – $131.25 12
C-reactive protein CPT 86140 $29.40 $49.00 $3.00 – $27.00 13
C-reactive protein high sensitivity CPT 86141 $72.60 $121.00 $11.58 – $90.75 12
C1 esterase inhibitor func - sendout CPT 86161 $66.60 $111.00 $11.86 – $83.25 12
CT 3d report other modality w/workstation CPT 76377 $607.80 $1,013.00 $27.34 – $759.75 11
CT Angiogram of Abdomen and Pelvis CPT 74174 $2,985.60 $4,976.00 $246.12 – $768.10 12
CT Angiogram of the Chest (for blood clot) CPT 71275 $1,424.40 $2,374.00 $141.37 – $783.06 12
CT Angiogram of the Head CPT 70496 $1,294.80 $2,158.00 $168.02 – $1,618.50 12
CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 $2,985.60 $4,976.00 $246.12 – $634.65 12
CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 $2,985.60 $4,976.00 $221.64 – $501.96 12
CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 $2,213.40 $3,689.00 $116.23 – $403.50 12
CT angio hrt w/3d image CPT 75574 $1,424.40 $2,374.00 $163.03 – $562.36 12
CT angio pelvis CPT 72191 $1,424.40 $2,374.00 $168.02 – $757.69 12
CT colonography screening CPT 74263 $689.40 $1,149.00 $228.15 – $861.75 11
CT guid parench tis ablat CPT 77013 $835.80 $1,393.00 $548.56 – $1,044.75 9
CT guidance for needle placement CPT 77012 $914.40 $1,524.00 $97.66 – $468.73 12
CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 $1,524.60 $2,541.00 $11.50 – $1,905.75 12
CT heart w/evaluation of calcium without contrast CPT 75571 $127.20 $212.00 $38.99 – $107.43 12
CT hrt c+ strux cgen hrt ds CPT 75573 $1,424.40 $2,374.00 $238.49 – $1,780.50 12
CT hrt w/3d image CPT 75572 $1,424.40 $2,374.00 $194.38 – $1,780.50 12
CT limited or localized follow-up study CPT 76380 $624.60 $1,041.00 $60.95 – $780.75 12
CT lower extremity w/contrast (both sides) CPT 73701 $1,424.40 $2,374.00 $94.88 – $1,780.50 12
CT lower extremity without contrast (both sides) CPT 73700 $876.00 $1,460.00 $90.90 – $1,095.00 12
CT lwr extremity w/o&w/dye CPT 73702 $1,424.40 $2,374.00 $106.38 – $1,780.50 12
CT neck soft tissue w/contrast CPT 70491 $1,294.80 $2,158.00 $94.88 – $1,618.50 12
CT neck soft tissue without & w/contrast CPT 70492 $1,294.80 $2,158.00 $106.38 – $1,618.50 12
CT neck soft tissue without contrast CPT 70490 $796.80 $1,328.00 $87.82 – $558.68 12
CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 $1,294.80 $2,158.00 $148.35 – $1,618.50 12
CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 $796.80 $1,328.00 $100.37 – $996.00 12
CT orbit/sella/fossa w/wo contrast CPT 70482 $1,294.80 $2,158.00 $168.02 – $1,618.50 12
CT scan for therapy guide CPT 77014 $1,276.80 $2,128.00 $78.05 – $1,596.00 12
CT t-spine w /wo contrast CPT 72130 $1,424.40 $2,374.00 $156.40 – $1,780.50 12
CT thoracic spine w/contrast CPT 72129 $1,424.40 $2,374.00 $100.62 – $1,780.50 12
CT thoracic spine without contrast CPT 72128 $876.00 $1,460.00 $100.37 – $1,095.00 12
CT thorax low dose for lung screening without contrast CPT 71271 $190.20 $317.00 $67.79 – $166.48 12
CT upper extremity w/contrast (both sides) CPT 73201 $1,424.40 $2,374.00 $94.88 – $1,780.50 12
CT upper extremity without contrast (both sides) CPT 73200 $876.00 $1,460.00 $90.90 – $1,095.00 12
CT uppr extremity w/o&w/dye CPT 73202 $1,424.40 $2,374.00 $106.38 – $1,780.50 12
Ca screen;flexi sigmoidscope HCPCS G0104 not published not published $88.04 – $938.66 6
Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 $1,397.40 $2,329.00 $193.55 – $1,746.75 11
Cable cath 22-pin diag HCPCS C1730 $2,526.60 $4,211.00 $101.99 – $1,296.90 9
Cad breast MRI w/r&i HCPCS C8937 $150.60 $251.00 $87.85 – $188.25 9
Cadd pump refill CPT 96521 $501.60 $836.00 $119.69 – $627.00 12
Caffeine citrate 20 mg/ml inj for po HCPCS J0706 $7.20 $12.00 $0.67 – $5.63 9
Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 $939.60 $1,566.00 $82.01 – $529.50 11
Calcium 24 hour urine CPT 82340 $30.60 $51.00 $5.96 – $30.75 12
Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 $0.60 $1.00 $0.04 – $0.75 10
Calcium ionized CPT 82330 $69.60 $116.00 $9.73 – $87.00 12
Calcium total CPT 82310 $25.80 $43.00 $5.10 – $32.25 14
Calprotectin fecal CPT 83993 $99.00 $165.00 $19.40 – $123.75 12
Canakinumab injection HCPCS J0638 $10,902.60 $18,171.00 $140.18 – $13,628.25 11
Candida dna CPT 87480 $112.20 $187.00 $19.82 – $140.25 12
Cannula ercp contour 5-4-3 tip HCPCS C1889 $289.80 $483.00 $96.60 – $362.25 8
Canthotomy 67715 CPT 67715 $3,228.00 $5,380.00 $246.51 – $4,035.00 12
Cap trach decann 15mm HCPCS C1750 $1,737.00 $2,895.00 $51.80 – $2,200.25 8
Car seat/bed test 60 minutes CPT 94780 $87.00 $145.00 $23.83 – $108.75 12
Carbamazepine free -sendout CPT 80161 $67.20 $112.00 $13.08 – $84.00 12
Carbamazepine total therapeutic drug level CPT 80156 $103.80 $173.00 $14.40 – $129.75 14
Carbohydrate urine - sendout CPT 84377 $21.00 $35.00 $5.44 – $26.25 12
Carbon dioxide CPT 82374 $24.60 $41.00 $4.82 – $30.75 14
Carboplatin 10 mg/ml desensitization HCPCS J9045 $0.60 $1.00 $0.34 – $286.40 10
Carboxyhemoglobin quantitative CPT 82375 $63.00 $105.00 $6.16 – $78.75 12
Carcinoembryonic ag (cea) CPT 82378 $96.60 $161.00 $17.00 – $62.25 13
Card MRI veloc flow mapping CPT 75565 $321.60 $536.00 $25.44 – $525.29 11
Cardiac MRI w/stress img CPT 75559 $3,422.40 $5,704.00 $289.27 – $4,278.00 12
Cardiac Stress Test CPT 93015 $414.00 $690.00 $96.25 – $517.50 12
Cardiac perf planar mult/ef/wm CPT 78454 $4,242.60 $7,071.00 $127.59 – $380.51 12
Cardiac perf planar sgl/ef/wm CPT 78453 $4,242.60 $7,071.00 $95.30 – $281.86 12
Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 $4,242.60 $7,071.00 $130.35 – $324.73 12
Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 $209.40 $349.00 $37.85 – $261.75 12
Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 $209.40 $349.00 $11.68 – $261.75 12
Cardiac shunt imaging CPT 78428 $1,228.80 $2,048.00 $86.25 – $1,536.00 12
Cardiolipin antibody iga CPT 86147 $146.40 $244.00 $25.16 – $156.75 12
Cardioversion elective electrical conversion arrhythmia external CPT 92960 $2,001.00 $3,335.00 $95.70 – $2,501.25 12
Cardioversion/elective/internal 92961 CPT 92961 $865.20 $1,442.00 $197.06 – $1,081.50 12
Carfilzomib 10 mg intravenous solution HCPCS J9047 $1,876.80 $3,128.00 $23.00 – $390.75 11
Carmustine 100 mg intravenous powder for solution HCPCS J9050 $1,582.20 $2,637.00 $57.58 – $238.46 11
Carotene CPT 82380 $46.80 $78.00 $9.12 – $58.50 12
Carotid Artery Ultrasound (Duplex) CPT 93880 $788.40 $1,314.00 $137.24 – $610.50 12
Carpal Tunnel Release Surgery CPT 64721 not published not published $330.00 – $1,861.73 8
Cataract Surgery CPT 66984 not published not published $662.78 – $2,930.19 8
Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 $364.20 $607.00 $63.80 – $580.21 9
Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 $3,341.40 $5,569.00 $806.10 – $4,176.75 9
Cath ablt clsfast 7fx100cmx HCPCS C1888 $2,271.00 $3,785.00 $635.96 – $2,838.75 8
Cath ablt rx lasr 2.0mm turbo HCPCS C1885 $5,082.00 $8,470.00 $1,128.72 – $6,352.50 9
Cath acuity innr ic130 6f 63cm HCPCS C1887 $5,546.40 $9,244.00 $77.11 – $233.25 9
Cath acunav ge 10frx90cm HCPCS C1759 $8,475.60 $14,126.00 $1,109.54 – $2,831.55 9
Cath adherent clot 10mm 6f 10 HCPCS C1757 $4,761.60 $7,936.00 $64.19 – $635.18 9
Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 $559.80 $933.00 $367.42 – $1,906.12 9
Cath bi-dir df smarttouch HCPCS C1732 $8,232.00 $13,720.00 $1,534.24 – $5,441.92 9
Cath blazer dx/20 2-10-2 space HCPCS C1731 $3,710.40 $6,184.00 $1,094.01 – $3,729.00 9
Cath combo lt&rt heart w/inj/s CPT 93453 $8,719.20 $14,532.00 $892.40 – $10,899.00 12
Cath cv dl inj 7fx16cm HCPCS C1751 $2,185.20 $3,642.00 $21.80 – $471.57 9
Cath del ampltz 12f 45d 80cm HCPCS C1893 $379.20 $632.00 $71.72 – $1,030.24 9
Cath groshong MRI 8fr plstc port HCPCS C1788 $1,597.20 $2,662.00 $262.40 – $1,309.38 8
Cath hawkone s directional HCPCS C1714 $7,639.20 $12,732.00 $427.62 – $5,234.25 9
Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 $7,522.20 $12,537.00 $597.63 – $2,589.75 9
Cath left heart transseptal punc CPT 93462 $3,816.00 $6,360.00 $188.15 – $4,770.00 11
Cath left heart/lv gram CPT 93452 $5,240.40 $8,734.00 $892.40 – $6,550.50 12
Cath lt/rt pulm art CPT 36014 $9,800.40 $16,334.00 $125.95 – $12,250.50 12
Cath malecot 28fr 4-wing ltx HCPCS C1729 $2,099.40 $3,499.00 $7.48 – $171.90 9
Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 $13,558.20 $22,597.00 $3,570.96 – $16,947.75 8
Cath place 1st order venous 36011 CPT 36011 $3,910.20 $6,517.00 $125.95 – $4,841.25 12
Cath plc art ang/grft lt/rt hr CPT 93461 $7,636.80 $12,728.00 $892.40 – $9,546.00 12
Cath plc art/angio/rt hrt cath CPT 93456 $5,873.40 $9,789.00 $892.40 – $7,341.75 12
Cath plc art/grft/angio right hrt CPT 93457 $6,685.80 $11,143.00 $892.40 – $8,357.25 12
Cath right heart w/o2 sat & card CPT 93451 $4,762.80 $7,938.00 $892.40 – $5,953.50 12
Cath right hrt mnpul art CPT 36013 $1,847.40 $3,079.00 $125.95 – $2,309.25 12
Cath segmntl pulm art CPT 36015 $4,567.80 $7,613.00 $125.95 – $5,709.75 12
Cath steerable flex adv 12f HCPCS C1766 $5,464.80 $9,108.00 $59.27 – $2,460.00 9
Cath stripping venous s&i CPT 75901 $1,564.20 $2,607.00 $97.54 – $1,955.25 11
Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 $548.40 $914.00 $57.20 – $892.40 12
Catheter declot mechanical CPT 36596 $2,472.00 $4,120.00 $47.30 – $3,090.00 12
Catheter insert artery CPT 36625 $391.20 $652.00 $90.75 – $489.00 12
Catheter stripping venous CPT 36595 $6,231.60 $10,386.00 $193.97 – $7,789.50 12
Catheterization collection of specimen single patient all places of service HCPCS P9612 $145.80 $243.00 $4.89 – $10.50 12
Cathj umbilical vein dx/ther nb CPT 36510 $425.40 $709.00 $46.75 – $531.75 12
Cauterization chemical granulation tissue CPT 17250 $354.00 $590.00 $28.40 – $442.50 12
Cdna analysis for variants CPT 81403 $1,070.40 $1,784.00 $129.92 – $1,338.00 12
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 $8.40 $14.00 $0.34 – $2.63 10
Cefepime 1 gram solution for injection HCPCS J0692 $8.40 $14.00 $0.67 – $14.48 10
Cefoxitin 1 gram intravenous solution HCPCS J0694 $19.80 $33.00 $0.34 – $26.72 10
Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 $147.00 $245.00 $0.34 – $4.23 11
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 $3.00 $5.00 $0.34 – $13.08 10
Ceftazidime and avibactam HCPCS J0714 $237.00 $395.00 $51.00 – $296.25 11
Ceftriaxone 1 gram solution for injection HCPCS J0696 $37.20 $62.00 $0.34 – $43.50 10
Cell count body fluid CPT 89050 $33.00 $55.00 $4.66 – $41.25 12
Cell count w differential body fluid CPT 89051 $40.80 $68.00 $5.54 – $51.00 12
Cell function assay w/stim CPT 86352 $490.20 $817.00 $85.62 – $612.75 12
Cell marker study CPT 88182 $116.40 $194.00 $7.90 – $187.13 12
Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 $882.60 $1,471.00 $16.43 – $1,103.25 11
Cerebrospinal fld flw imag CPT 78645 $1,475.40 $2,459.00 $121.00 – $1,827.00 12
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 $3,431.40 $5,719.00 $3.87 – $4,289.25 11
Cervical or vaginal cancer screening g0101 HCPCS G0101 $172.80 $288.00 $43.64 – $216.00 11
Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 $9.00 $15.00 $5.05 – $78.37 11
Change cystostomy tube simple CPT 51705 $1,728.00 $2,880.00 $30.80 – $2,160.00 12
Change g-tube to g-j perc CPT 49446 $6,196.80 $10,328.00 $138.42 – $7,746.00 12
Change nephroureteral cath CPT 50387 $4,905.00 $8,175.00 $892.40 – $6,131.25 12
Change of ureter tube/stent CPT 50688 $3,457.20 $5,762.00 $142.12 – $4,321.50 12
Change of windpipe airway 31502 CPT 31502 $463.80 $773.00 $92.00 – $579.75 12
Change stent via transureth CPT 50385 $6,593.40 $10,989.00 $892.40 – $8,241.75 12
Change ureter stent percut CPT 50382 $4,696.80 $7,828.00 $892.40 – $5,871.00 12
Chemo adm cns w/lmbr punct CPT 96450 $2,903.40 $4,839.00 $84.33 – $3,629.25 12
Chemo ia push tecnique CPT 96420 $2,376.60 $3,961.00 $4.90 – $2,970.75 12
Chemotherapy injection 96542 CPT 96542 $288.00 $480.00 $41.17 – $360.00 12
Chemotx admn pertl cav impl CPT 96446 $1,071.00 $1,785.00 $18.81 – $1,338.75 12
Chest 2 vws w oblique CPT 71048 $262.80 $438.00 $15.25 – $328.50 12
Chest CT scan (with and without contrast) CPT 71270 $1,424.40 $2,374.00 $119.03 – $1,780.50 12
Chest CT scan (with contrast) CPT 71260 $1,424.40 $2,374.00 $100.62 – $748.17 13
Chest CT scan (without contrast) CPT 71250 $876.00 $1,460.00 $95.56 – $641.23 12
Chest X-ray CPT 71046 $188.40 $314.00 $11.67 – $37.75 12
Chest X-ray (single view) CPT 71045 $188.40 $314.00 $6.37 – $25.50 12
Chest apical lordotic proj CPT 71047 $188.40 $314.00 $14.83 – $235.50 12
Chg pr pul rehab for copd patients CPT 94626 $133.20 $222.00 $30.07 – $166.50 12
Chg radiologic exam esophagus double contrast CPT 74221 $427.80 $713.00 $38.79 – $127.09 12
Chlamydia culture CPT 87110 $109.80 $183.00 $19.38 – $137.25 12
Chlamydia type CPT 87140 $31.20 $52.00 $3.30 – $39.00 12
Chlnggrphy intraop addl s&i CPT 74301 $134.40 $224.00 $46.00 – $168.00 10
Chloride CPT 82435 $23.40 $39.00 $4.55 – $24.75 14
Chloride 24 hour urine CPT 82436 $29.40 $49.00 $5.68 – $27.00 12
Chloroprocaine hcl injection HCPCS J2401 $0.60 $1.00 $0.02 – $0.75 10
Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 $178.20 $297.00 $8.75 – $140.81 10
Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 $16.80 $28.00 $3.75 – $25.27 10
Chlorpromazine 100 mg tablet HCPCS Q0161 $8.40 $14.00 $0.31 – $0.75 9
Cholangiogram percutaneous compl CPT 47532 $7,069.80 $11,783.00 $193.84 – $8,837.25 12
Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 $1,026.60 $1,711.00 $55.33 – $1,283.25 10
Cholecystostomy complete w/supervision & interpretation CPT 47490 $4,714.20 $7,857.00 $217.35 – $5,892.75 12
Cholesterol CPT 82465 $22.20 $37.00 $4.30 – $26.25 14
Cholesterol (Lipid) Test CPT 80061 $87.60 $146.00 $13.24 – $96.75 14
Cholesterol body fluid CPT 84999 $49.80 $83.00 $1.93 – $31.50 9
Cholinesterase CPT 82480 $40.80 $68.00 $6.60 – $51.00 12
Chorion biopsy CPT 59015 $1,511.40 $2,519.00 $64.90 – $1,889.25 12
Chrom analysis CPT 88273 $126.00 $210.00 $24.41 – $157.50 12
Chromo high res and frag x - sendout CPT 81243 $329.40 $549.00 $50.19 – $411.75 13
Chromosome analys amniotic CPT 88269 $627.00 $1,045.00 $171.64 – $783.75 12
Chromosome analysis 15-20 cell count CPT 88262 $897.60 $1,496.00 $124.02 – $1,122.00 12
Chromosome karyotype study CPT 88280 $120.60 $201.00 $33.08 – $150.75 12
Chronic urticaria - sendout CPT 86343 $24.60 $41.00 $8.74 – $30.75 12
Chylomicron screen, bf - sendout CPT 82664 $222.60 $371.00 $43.15 – $278.25 12
Cidofovir injection HCPCS J0740 $118.20 $197.00 $49.83 – $546.29 11
Cilastatin sodium injection HCPCS J0743 $19.80 $33.00 $4.04 – $24.45 10
Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 $25.80 $43.00 $9.43 – $21.00 11
Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 $6,678.60 $11,131.00 $894.37 – $2,504.25 9
Clip ligating vesolock lg HCPCS C1760 $1,380.60 $2,301.00 $105.54 – $831.20 9
Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 $777.60 $1,296.00 $34.65 – $972.00 12
Closed carpo/metacarpal disl thumb w/manip CPT 26641 $1,420.80 $2,368.00 $42.35 – $1,776.00 12
Closed tx humerus fx w/manip 24505 CPT 24505 $2,055.00 $3,425.00 $179.30 – $2,568.75 12
Closed tx humerus fx with manip 23605 CPT 23605 $2,055.00 $3,425.00 $203.50 – $2,568.75 12
Closed tx humerus fx without manip 23600 CPT 23600 $447.60 $746.00 $128.15 – $892.40 12
Closed tx metatarsophalangeal jnt disl without anes CPT 28630 $520.80 $868.00 $59.95 – $651.00 12
Closed tx orbit without manipulj CPT 21400 $1,663.80 $2,773.00 $130.76 – $2,079.75 12
Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 $2,055.00 $3,425.00 $260.70 – $2,568.75 12
Closed tx septal&nose fx CPT 21337 $3,971.40 $6,619.00 $47.30 – $4,964.25 12
Closed tx sesamoid fx 28530 CPT 28530 $759.00 $1,265.00 $102.87 – $948.75 12
Closed tx/acetabululm without manip 27220 CPT 27220 $759.00 $1,265.00 $226.41 – $1,172.75 12
Closed tx/talus fracture without manip 28430 CPT 28430 $327.60 $546.00 $122.10 – $546.42 12
Closure enterostomy lg/sm intestine anast 44626 CPT 44626 $4,242.60 $7,071.00 $1,492.18 – $1,611.41 2
Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 $1,663.80 $2,773.00 $52.25 – $2,079.75 12
Closure paravalvlr leak pq CPT 33999 $5,734.80 $9,558.00 $18.40 – $7,168.50 11
Clot factor xii hageman CPT 85280 $97.80 $163.00 $14.30 – $67.50 12
Clot factor xiii fibrin stab CPT 85290 $82.20 $137.00 $8.80 – $102.75 12
Cls tx of heel fracture w/manip 28405 CPT 28405 $759.00 $1,265.00 $226.41 – $1,956.15 12
Clsd tx bimalleol ank fx without manip 27808 CPT 27808 $1,212.00 $2,020.00 $226.41 – $1,515.00 12
Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 $327.60 $546.00 $18.40 – $409.50 12
Clsd tx clav dislc without manip 23520 CPT 23520 $2,055.00 $3,425.00 $73.70 – $2,568.75 12
Clsd tx clavicle dislocation without manip 23540 CPT 23540 $819.60 $1,366.00 $69.30 – $1,024.50 12
Clsd tx coccygeal fracture 27200 CPT 27200 $327.60 $546.00 $51.15 – $409.50 12
Clsd tx dist fib fx w/manip 27788 CPT 27788 $1,225.20 $2,042.00 $174.90 – $1,531.50 12
Clsd tx elbow dislocation child 24640 CPT 24640 $370.80 $618.00 $58.30 – $892.40 12
Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 $3,354.00 $5,590.00 $469.29 – $4,192.50 12
Clsd tx fracture of radius 25500 CPT 25500 $366.60 $611.00 $55.20 – $892.40 12
Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 $2,055.00 $3,425.00 $182.60 – $2,568.75 12
Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 $520.80 $868.00 $125.95 – $892.40 12
Clsd tx fx radius/ulna w/manip 25565 CPT 25565 $2,055.00 $3,425.00 $220.55 – $2,568.75 12
Clsd tx fx radius/ulna without manip 25560 CPT 25560 $930.00 $1,550.00 $125.95 – $1,162.50 12
Clsd tx hip disloc without anes 27265 CPT 27265 $1,272.60 $2,121.00 $226.41 – $1,590.75 12
Clsd tx humeral fract without manip 24530 CPT 24530 $759.00 $1,265.00 $135.85 – $948.75 12
Clsd tx humerus fract without manip 24500 CPT 24500 $759.00 $1,265.00 $123.20 – $948.75 12
Clsd tx mandibular fx without manip 21450 CPT 21450 $669.60 $1,116.00 $148.50 – $892.40 12
Clsd tx metatarsal fracture w/manip 28475 CPT 28475 $759.00 $1,265.00 $129.80 – $948.75 12
Clsd tx nose fx without manip 21310 CPT 21310 $819.60 $1,366.00 $478.10 – $1,024.50 9
Clsd tx of ankle fracture w/manip 28435 CPT 28435 $2,440.80 $4,068.00 $159.50 – $3,051.00 12
Clsd tx patella disloc without anes 27560 CPT 27560 $1,225.20 $2,042.00 $112.20 – $1,531.50 12
Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 $2,322.60 $3,871.00 $216.70 – $2,903.25 12
Clsd tx radius fracture w/manip 24655 CPT 24655 $2,055.00 $3,425.00 $130.35 – $2,568.75 12
Clsd tx shoulder dislc/fx 23665 CPT 23665 $2,055.00 $3,425.00 $172.70 – $2,568.75 12
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 $2,055.00 $3,425.00 $165.55 – $2,568.75 12
Clsd tx temporomandibular dislocat 21480 CPT 21480 $1,225.20 $2,042.00 $31.88 – $1,531.50 12
Clsd tx toe dislocation without anes28660 CPT 28660 $520.80 $868.00 $53.35 – $651.00 12
Clsd tx trimall ankle fx w/manip 27818 CPT 27818 $2,055.00 $3,425.00 $262.90 – $2,568.75 12
Clsd tx trimall ankle fx without manip 27816 CPT 27816 $488.40 $814.00 $226.41 – $892.40 12
Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 $759.00 $1,265.00 $216.70 – $948.75 12
Clsd tx wrist carpal fx without manip 25630 CPT 25630 $370.80 $618.00 $92.00 – $892.40 12
Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 $520.80 $868.00 $128.80 – $892.40 12
Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 $597.60 $996.00 $226.41 – $892.40 12
Clsd tx wrist ulnar styloid fx 25650 CPT 25650 $520.80 $868.00 $128.80 – $892.40 12
Clsd tx/clavicular fx without manip 23500 CPT 23500 $819.60 $1,366.00 $77.55 – $1,024.50 12
Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 $370.80 $618.00 $52.80 – $463.50 12
Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 $844.20 $1,407.00 $226.41 – $1,055.25 12
Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 $2,319.00 $3,865.00 $434.50 – $2,898.75 12
Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 $370.80 $618.00 $60.50 – $463.50 12
Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 $370.80 $618.00 $73.15 – $892.40 12
Clsd tx/grt hum tube fx without manip 23620 CPT 23620 $993.00 $1,655.00 $172.70 – $1,241.25 12
Clsd tx/metacar/interphal artic fx 26740 CPT 26740 $370.80 $618.00 $42.90 – $892.40 12
Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 $470.40 $784.00 $76.45 – $892.40 12
Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 $808.20 $1,347.00 $116.60 – $1,010.25 12
Clsd tx/metatarsal fx without manip 28470 CPT 28470 $520.80 $868.00 $92.95 – $892.40 12
Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 not published not published $132.84 – $3,091.88 8
Clsd tx/patellar fx without manip 27520 CPT 27520 $759.00 $1,265.00 $144.10 – $948.75 12
Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 $366.60 $611.00 $61.60 – $892.40 12
Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 $370.80 $618.00 $92.00 – $892.40 12
Clsd tx/scapular fx without manip 23570 CPT 23570 $496.20 $827.00 $80.30 – $620.25 12
Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 $2,184.60 $3,641.00 $152.90 – $2,730.75 12
Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 $445.80 $743.00 $110.33 – $892.40 12
Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 $856.20 $1,427.00 $108.90 – $1,070.25 12
Clsd/ulnar fx/prox end without manip 24670 CPT 24670 $494.40 $824.00 $110.00 – $892.40 12
Cltx carpl scphd fx w/mnpj CPT 25624 $2,440.80 $4,068.00 $170.50 – $3,051.00 12
Cltx gr hmrl tbrs fx w/mnpj CPT 23625 $2,055.00 $3,425.00 $172.70 – $2,568.75 12
Cltx hum epcndylr fx wo mnpj CPT 24560 $856.20 $1,427.00 $122.10 – $1,070.25 12
Cltx humrl cndylr fx wo mnpj CPT 24576 $759.00 $1,265.00 $122.10 – $948.75 12
Cltx lunate dislc w/mnpj CPT 25690 $2,055.00 $3,425.00 $250.80 – $2,568.75 12
Cltx post ankle fx CPT 27767 $1,642.80 $2,738.00 $203.85 – $2,053.50 12
Cmbn ant pst colprhy CPT 57260 not published not published $892.40 – $5,082.34 7
Cmv pcr-sendout CPT 87496 $195.60 $326.00 $8.38 – $45.74 12
Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 $8,040.00 $13,400.00 $2.63 – $2,010.00 11
Coagulation time activated teg CPT 85347 $13.20 $22.00 $4.23 – $12.00 12
Cold agglutinin screen (arc) CPT 86156 $45.00 $75.00 $5.50 – $56.25 12
Cold agglutinin titer CPT 86157 $45.00 $75.00 $7.96 – $56.25 12
Colectomy partial w/anastomosis 44140 CPT 44140 $5,395.80 $8,993.00 $1,263.80 – $1,364.78 2
Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 $3,279.60 $5,466.00 $1,169.56 – $1,263.01 2
Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 $4,815.60 $8,026.00 $1,697.48 – $1,833.11 2
Colectomy/end colost/close dis seg 44143 CPT 44143 $4,608.00 $7,680.00 $1,549.47 – $1,673.27 2
Colistimethate sodium inj HCPCS J0770 $16.80 $28.00 $1.68 – $45.36 10
Collection blood specimen from completely implantable venous access device CPT 36591 $155.40 $259.00 $31.08 – $194.25 12
Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 $537.00 $895.00 $38.42 – $210.00 12
Collection of venous blood by venipuncture CPT 36415 $7.80 $13.00 $0.02 – $9.82 12
Colonoscopy (diagnostic) CPT 45378 $1,330.80 $2,218.00 $198.55 – $869.21 12
Colonoscopy (with biopsy) CPT 45380 not published not published $247.96 – $1,124.11 8
Colonoscopy (with polyp removal) CPT 45385 $1,666.80 $2,778.00 $294.89 – $1,237.50 12
Colonoscopy submucous njx CPT 45381 not published not published $234.53 – $1,124.11 8
Colonoscopy thru stoma spx CPT 44388 not published not published $160.08 – $892.40 8
Colonoscopy w/ablation CPT 45388 not published not published $356.32 – $1,213.93 6
Colonoscopy w/balloon dilat CPT 45386 not published not published $255.45 – $1,348.86 8
Colonoscopy w/control bleed CPT 45382 $2,019.60 $3,366.00 $279.40 – $2,524.50 12
Colpocleisis (le forte type) 57120 CPT 57120 not published not published $858.73 – $5,082.34 7
Colpopexy intraperitoneal CPT 57283 not published not published $892.40 – $7,613.36 7
Colporrhapy/vag injury sut/non ob 57200 CPT 57200 $6,660.60 $11,101.00 $144.65 – $8,325.75 12
Colposcopy vulva 56820 CPT 56820 $378.00 $630.00 $84.96 – $892.40 12
Colposcopy w/biopsy of cervix 57455 CPT 57455 $615.60 $1,026.00 $111.85 – $892.40 12
Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 $1,452.00 $2,420.00 $124.06 – $1,815.00 12
Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 $378.00 $630.00 $43.45 – $671.60 12
Compatibility test each unit antiglobulin technique CPT 86922 $203.40 $339.00 $23.10 – $254.25 12
Compatibility test each unit electronic CPT 86923 $203.40 $339.00 $23.10 – $254.25 11
Compatibility test each unit immediate spin technique CPT 86920 $203.40 $339.00 $23.10 – $254.25 12
Complement antigen each component c3 CPT 86160 $66.60 $111.00 $11.86 – $63.75 12
Complex repair trunk 1.1-2.5cm 13120 CPT 13120 $1,927.80 $3,213.00 $66.00 – $2,409.75 12
Complex repair trunk 2.6-7.5cm 13101 CPT 13101 $1,357.20 $2,262.00 $491.80 – $1,696.50 12
Complx repair enel 1.1-2.5 cm 13151 CPT 13151 $1,332.60 $2,221.00 $194.70 – $1,665.75 12
Complx repair enel 2.6-7.5 cm 13152 CPT 13152 $1,212.00 $2,020.00 $577.75 – $1,515.00 12
Complx repair enel addl 5cm/< 13153 CPT 13153 $319.20 $532.00 $136.24 – $471.73 11
Complx repair fccmnaxghf 13131 CPT 13131 $911.40 $1,519.00 $78.10 – $1,139.25 12
Complx repair fccmnaxghf 13132 CPT 13132 $1,212.00 $2,020.00 $577.75 – $1,515.00 12
Complx repair fccmnaxghf 13133 CPT 13133 $1,089.00 $1,815.00 $123.87 – $1,361.25 11
Complx repair sal addl 5 cm/> 13122 CPT 13122 $828.60 $1,381.00 $83.78 – $1,035.75 11
Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 $1,927.80 $3,213.00 $66.00 – $2,409.75 12
Complx repair trunk addl 5cm/< 13102 CPT 13102 $741.60 $1,236.00 $72.07 – $927.00 11
Concentration infection agents any type CPT 87015 $38.40 $64.00 $6.60 – $48.00 12
Condylomata destruction 56420 CPT 56420 $831.60 $1,386.00 $55.55 – $1,039.50 12
Conization of cervix CPT 57520 not published not published $232.65 – $3,031.30 8
Conjugated estrogens 25 mg solution for injection HCPCS J1410 $220.80 $368.00 $59.08 – $392.06 11
Consultation pathology during surgery CPT 88329 $78.60 $131.00 $6.84 – $98.25 12
Consultation pathology during surgery cytological exam initial site CPT 88333 $1,472.40 $2,454.00 $18.41 – $1,840.50 12
Consultation pathology during surgery frozen section each additional block CPT 88332 $112.20 $187.00 $8.96 – $140.25 12
Consultation pathology during surgery frozen section first tissue block CPT 88331 $337.20 $562.00 $8.62 – $199.91 12
Consultation/report referred material w/preparation of slides CPT 88323 $116.40 $194.00 $11.91 – $183.70 12
Consultation/report referred slides prepared elsewhere CPT 88321 $163.20 $272.00 $37.05 – $132.96 12
Contrast exam abdominl aorta 75625-26 CPT 75625 $5,906.40 $9,844.00 $31.62 – $7,383.00 12
Contrast exam thoracic aorta CPT 75600 $5,906.40 $9,844.00 $18.98 – $7,383.00 12
Contrast exam thoracic aorta 75605-26 CPT 75605 $9,796.20 $16,327.00 $31.62 – $12,245.25 12
Contrast x-ray gallbladder CPT 74290 $427.80 $713.00 $25.88 – $534.75 12
Contrast x-ray of ankle CPT 73615 $896.40 $1,494.00 $31.62 – $1,120.50 12
Contrast x-ray of elbow CPT 73085 $814.20 $1,357.00 $31.62 – $1,017.75 12
Contrast x-ray of hip CPT 73525 $814.20 $1,357.00 $54.62 – $1,017.75 12
Contrast x-ray of knee joint CPT 73580 $896.40 $1,494.00 $18.98 – $1,120.50 12
Contrast x-ray of wrist CPT 73115 $896.40 $1,494.00 $31.62 – $1,120.50 12
Control nosebleed pack+caut 30905 CPT 30905 $992.40 $1,654.00 $87.45 – $1,240.50 12
Control of nosebleed ant comp 30903 CPT 30903 $896.40 $1,494.00 $44.55 – $1,120.50 12
Control of nosebleedantersmpl 30901 CPT 30901 $520.80 $868.00 $29.70 – $892.40 12
Control oropharyngeal hemorr/simp 42960 CPT 42960 $1,349.40 $2,249.00 $87.45 – $1,686.75 12
Conv gtube to jtube CPT 44373 $3,848.40 $6,414.00 $196.35 – $4,810.50 12
Conversion ext bil drg cath CPT 47535 $7,502.40 $12,504.00 $209.58 – $9,378.00 12
Convert nephrostomy catheter CPT 50434 $4,953.00 $8,255.00 $596.34 – $6,191.25 12
Coombs direct CPT 86880 $75.00 $125.00 $5.32 – $60.00 12
Coombs indirect qualitative each reagent red cell reference CPT 86885 $336.00 $560.00 $5.65 – $420.00 12
Coombs indirect titer reference CPT 86886 $203.40 $339.00 $5.12 – $254.25 12
Copper cu 64 dotatate diag HCPCS A9592 $2,083.80 $3,473.00 $418.66 – $2,604.75 10
Copper intrauterine device HCPCS J7300 $651.00 $1,085.00 $365.32 – $877.05 10
Cor hlx vlgs double osteot CPT 28299 not published not published $1,220.21 – $7,354.86 7
Cor hlx vlgs dstl mtar osteo CPT 28296 not published not published $828.50 – $3,340.51 7
Core ndl bx lng/med perq CPT 32408 $3,199.80 $5,333.00 $133.56 – $3,999.75 12
Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 $21,789.60 $36,316.00 $4,577.64 – $27,237.00 8
Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 $6,234.00 $10,390.00 $892.40 – $7,792.50 12
Coronary angio/lv gram/lt heart CPT 93458 $4,655.40 $7,759.00 $892.40 – $4,696.50 11
Coronary angio/lv gram/rt&lt heart CPT 93460 $6,549.60 $10,916.00 $892.40 – $8,187.00 12
Coronary art/grft angio s&i CPT 93455 $5,553.60 $9,256.00 $892.40 – $6,942.00 12
Coronary catheterization w/angiography supervision & interpretation CPT 93454 $4,739.40 $7,899.00 $892.40 – $5,924.25 12
Correct bunion/keller/mcbride/mayo 28292 CPT 28292 not published not published $329.45 – $3,093.35 8
Corrj halux rigdus without implt CPT 28289 not published not published $352.61 – $3,093.35 8
Cortisol total am CPT 82533 $82.20 $137.00 $12.00 – $75.00 13
Cosyntropin 0.25 mg solution for injection HCPCS J0834 $63.60 $106.00 $3.37 – $209.59 10
Counseling smoke cess interm >10mins CPT 99407 $52.20 $87.00 $21.26 – $65.25 12
Coveredge 32 lead kit 40cm 48 HCPCS C1897 $4,535.40 $7,559.00 $420.22 – $5,669.25 8
Covid-19 administration immunization im inj 1st/only component CPT 90480 $24.00 $40.00 $14.00 – $42.74 10
Crbrospnl fld flw imag cistern CPT 78630 $1,574.40 $2,624.00 $93.72 – $1,968.00 12
Creat artery-vein fistula autograft 36825 CPT 36825 $9,842.40 $16,404.00 $892.40 – $12,303.00 12
Create eardrum opening CPT 69436 not published not published $108.35 – $1,412.22 8
Creatine kinase CPT 82550 $33.00 $55.00 $6.44 – $36.75 14
Creatine kinase mb CPT 82553 $58.80 $98.00 $11.09 – $73.50 12
Creatinine CPT 82565 $25.80 $43.00 $5.07 – $32.25 14
Creatinine 24 hour urine CPT 82570 $25.80 $43.00 $5.12 – $26.25 14
Creatinine clearance urine CPT 82575 $55.20 $92.00 $9.35 – $60.00 14
Critical care 30-74 minutes CPT 99291 $2,304.00 $3,840.00 $166.79 – $1,149.75 12
Critical care each additional 30 minutes CPT 99292 $1,152.00 $1,920.00 $70.93 – $1,440.00 12
Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 $147.00 $245.00 $82.49 – $183.75 11
Cryoprecipitate each unit HCPCS P9012 $72.60 $121.00 $47.65 – $90.75 12
Cryptosporidium antigen CPT 87272 $66.60 $111.00 $8.41 – $83.25 12
Crystal identification light microscopy CPT 89060 $52.80 $88.00 $7.24 – $66.00 12
Csf leakage imaging CPT 78650 $4,242.60 $7,071.00 $62.10 – $5,303.25 12
Cta abdomen without & /or w/contrast CPT 74175 $1,424.40 $2,374.00 $168.02 – $757.69 12
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 $1,424.40 $2,374.00 $168.02 – $831.10 12
Cta lower extremity without & w/contrast (both sides) CPT 73706 $1,424.40 $2,374.00 $216.86 – $1,780.50 12
Cta neck without &/or w/contrast CPT 70498 $1,294.80 $2,158.00 $168.02 – $1,618.50 12
Cta upper extremity w &/or without contrast left CPT 73206 $1,424.40 $2,374.00 $216.86 – $1,780.50 12
Ctrl nosebld postir subsq 30906 CPT 30906 $1,852.80 $3,088.00 $87.45 – $2,316.00 12
Culture aerobic additional method definitive id each CPT 87077 $45.60 $76.00 $7.10 – $36.75 14
Culture afb any source CPT 87116 $61.20 $102.00 $8.25 – $76.50 12
Culture anaerobic additional method definitive id each CPT 87076 $45.60 $76.00 $7.99 – $57.00 12
Culture anaerobic except blood CPT 87075 $52.80 $88.00 $9.36 – $66.00 14
Culture bact stool aero addl path ea CPT 87046 $52.80 $88.00 $2.87 – $66.00 12
Culture body fluid CPT 87070 $48.00 $80.00 $6.90 – $58.50 14
Culture fungi definitive id mold CPT 87107 $57.00 $95.00 $10.20 – $71.25 12
Culture fungi definitive id yeast CPT 87106 $57.00 $95.00 $10.20 – $71.25 12
Culture fungi other (except blood) CPT 87102 $46.80 $78.00 $8.31 – $58.50 13
Culture fungi skin/hair/nail CPT 87101 $43.20 $72.00 $7.62 – $54.00 12
Culture mycobacteria definitive id each isolate CPT 87118 $81.00 $135.00 $14.44 – $101.25 12
Culture mycoplasma any source CPT 87109 $86.40 $144.00 $15.21 – $108.00 12
Culture screening strep group a CPT 87081 $37.80 $63.00 $5.20 – $47.25 14
Culture typing immunologic CPT 87147 $29.40 $49.00 $3.30 – $26.25 12
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 $459.00 $765.00 $91.52 – $573.75 12
Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 $195.60 $326.00 $34.68 – $244.50 12
Culture urine each isolate CPT 87088 $45.60 $76.00 $8.00 – $42.00 13
Curette/treat cornea CPT 65435 $1,345.80 $2,243.00 $61.55 – $1,682.25 12
Cutter lead HCPCS C1773 $1,505.40 $2,509.00 $298.08 – $939.75 9
Cv line/pic reposition CPT 36597 $2,472.00 $4,120.00 $63.95 – $3,090.00 12
Cv stress test i&r only 93018 CPT 93018 $66.00 $110.00 $16.84 – $142.85 11
Cv stress test/supervision only 93016 CPT 93016 $85.80 $143.00 $24.09 – $107.25 11
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 $3.60 $6.00 $0.34 – $1.84 10
Cyclic citrullinated peptide antibody CPT 86200 $72.60 $121.00 $12.80 – $42.00 12
Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 $439.20 $732.00 $0.48 – $138.75 11
Cyclophosphamide 25 mg capsule HCPCS J8530 $7.80 $13.00 $0.72 – $3.72 10
Cyclosporine 2 hour CPT 80158 $119.40 $199.00 $17.84 – $149.25 12
Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 $7.80 $13.00 $1.35 – $72.58 10
Cyclosporine modified 25 mg capsule HCPCS J7515 $2.40 $4.00 $0.34 – $2.74 10
Cyclosporine oral 100 mg HCPCS J7502 $10.20 $17.00 $1.35 – $10.97 10
Cystatin c CPT 82610 $94.20 $157.00 $16.72 – $117.75 12
Cystine urine quantitative CPT 82131 $116.40 $194.00 $22.71 – $93.75 12
Cysto/uretero w/lithotripsy CPT 52356 not published not published $304.12 – $5,233.86 7
Cystogram >= 3 views supervision & interpretation CPT 74430 $896.40 $1,494.00 $24.73 – $1,120.50 12
Cystoscopy & ureter catheter CPT 52005 $6,144.60 $10,241.00 $127.60 – $791.20 12
Cystoscopy (Bladder Scope) CPT 52000 $1,815.60 $3,026.00 $82.50 – $970.50 12
Cystoscopy and treatment CPT 52214 not published not published $199.65 – $3,288.18 8
Cystoscopy and treatment CPT 52224 not published not published $168.85 – $3,288.18 8
Cystoscopy and treatment CPT 52234 not published not published $237.60 – $3,288.18 8
Cystoscopy and treatment CPT 52235 not published not published $297.01 – $3,288.18 8
Cystoscopy and treatment CPT 52240 not published not published $495.55 – $4,846.62 8
Cystoscopy and treatment CPT 52276 not published not published $272.61 – $1,953.01 8
Cystoscopy and treatment CPT 52310 $784.80 $1,308.00 $141.90 – $981.00 12
Cystoscopy chemodenervation CPT 52287 not published not published $143.81 – $1,953.01 8
Cystoscopy removal of clots CPT 52001 not published not published $250.91 – $3,288.18 8
Cystostomy cystotomy w/drainage 51040 CPT 51040 $3,276.00 $5,460.00 $289.60 – $4,095.00 12
Cystouretero & or pyeloscope CPT 52351 $4,730.40 $7,884.00 $667.07 – $5,913.00 12
Cystouretero w/renal strict CPT 52346 not published not published $888.70 – $5,233.86 7
Cystourethroscop/calib/dilat stric 52281 CPT 52281 $2,428.80 $4,048.00 $118.25 – $722.42 12
Cystourethroscopy w/biopsy(s) 52204 CPT 52204 not published not published $135.85 – $1,953.01 8
Cytarabine 20 mg/ml injection solution HCPCS J9100 $0.60 $1.00 $0.34 – $26.50 10
Cyto/molecular report CPT 88291 $57.60 $96.00 $10.52 – $72.00 11
Cytomegalovirus (cmv) antibody igg CPT 86644 $81.00 $135.00 $14.22 – $100.50 12
Cytomegalovirus (cmv) antibody igm CPT 86645 $94.20 $157.00 $16.65 – $101.25 12
Cytopath c/v index add-on CPT 88155 $34.20 $57.00 $7.15 – $42.75 12
Cytopath fl nongyn filter CPT 88106 $91.20 $152.00 $2.88 – $72.39 12
Cytopath smear oth prep screen & interp CPT 88161 $54.60 $91.00 $10.12 – $70.68 13
Cytopath smear other source CPT 88160 $54.60 $91.00 $2.88 – $72.74 12
Cytopath smear other source CPT 88162 $116.40 $194.00 $5.46 – $145.50 12
Cytopath tbs c/v manual CPT 88164 $36.60 $61.00 $7.87 – $45.75 12
Cytopathology cellular enhancement technique non-gyn CPT 88112 $265.20 $442.00 $47.45 – $218.54 12
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 $110.40 $184.00 $26.30 – $80.25 12
Cytopathology cervical/vaginal thin layer manual screening CPT 88142 $115.20 $192.00 $17.60 – $60.75 12
Cytopathology concentration technique smears & interpretation CPT 88108 $85.80 $143.00 $4.60 – $98.25 12
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 $78.60 $131.00 $7.47 – $98.25 12
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 $132.00 $220.00 $5.70 – $165.00 11
Cytopathology fna adequacy evaluation first episode each site CPT 88172 $337.20 $562.00 $19.98 – $421.50 12
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 $223.80 $373.00 $25.06 – $130.00 12
Dacarbazine 100 mg intravenous solution HCPCS J9130 $19.20 $32.00 $3.37 – $35.64 10
Dactinomycin 0.5 mg intravenous solution HCPCS J9120 $1,624.80 $2,708.00 $25.10 – $375.00 11
Dalbavancin 500 mg intravenous solution HCPCS J0875 $1,067.40 $1,779.00 $11.76 – $1,334.25 11
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 $267.00 $445.00 $0.03 – $0.75 10
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 $387.60 $646.00 $32.40 – $484.50 11
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 $2,322.00 $3,870.00 $2.90 – $144.75 11
Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 $19.80 $33.00 $3.70 – $21.70 11
Dch glucoscan CPT 82948 $19.80 $33.00 $2.20 – $24.75 12
Dch pulmonary stress test CPT 94621 $650.40 $1,084.00 $68.89 – $813.00 12
Dch validity tests CPT 81002 $25.20 $42.00 $3.44 – $9.00 12
Deamidated gliadin antibody iga CPT 86258 $58.80 $98.00 $4.84 – $73.50 12
Debr musc/fascia 20sq cm/< 11043 CPT 11043 $1,965.00 $3,275.00 $36.30 – $2,456.25 12
Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 $1,488.00 $2,480.00 $32.23 – $1,860.00 12
Debride nail1-5 11720 CPT 11720 $232.20 $387.00 $17.13 – $290.25 12
Debride skin bone at fx site CPT 11012 $3,515.40 $5,859.00 $777.16 – $4,394.25 12
Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 $2,073.00 $3,455.00 $723.67 – $781.49 2
Debride skn/sq/musc/abd wall 11004 CPT 11004 $1,539.00 $2,565.00 $532.42 – $574.96 2
Debridement (>20 cm) charge pt CPT 97598 $483.60 $806.00 $12.72 – $604.50 12
Debridement bone <= 20 sq cm CPT 11044 $2,320.80 $3,868.00 $36.30 – $2,901.00 12
Debridement subcutaneous tissue <= 20 sq cm CPT 11042 $1,580.40 $2,634.00 $36.30 – $1,975.50 12
Debridement/bone/20 sq cm or less 11046 CPT 11046 $147.00 $245.00 $51.00 – $55.07 2
Debridement/bone/ea add 20 sq cm 11047 CPT 11047 not published not published $60.95 – $934.04 4
Decalcification CPT 88311 $124.80 $208.00 $7.12 – $156.00 13
Decitabine 50 mg intravenous solution HCPCS J0894 $1,026.60 $1,711.00 $1.22 – $75.00 10
Declotting thrombolytic agent implanted vas access device 36 CPT 36593 $740.40 $1,234.00 $27.57 – $925.50 12
Decompress small bowel CPT 44021 $3,899.40 $6,499.00 $920.12 – $993.64 2
Decompression of tibia nerve CPT 28035 not published not published $321.20 – $1,861.73 8
Deferoxamine 500 mg solution for injection HCPCS J0895 $20.40 $34.00 $3.03 – $19.04 10
Degarelix 120 mg subcutaneous solution HCPCS J9155 $457.20 $762.00 $4.41 – $237.75 11
Delivery of placenta 59414 CPT 59414 $3,786.60 $6,311.00 $93.96 – $4,733.25 12
Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 $8,864.40 $14,774.00 $440.18 – $11,080.50 11
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 $1,127.40 $1,879.00 $19.76 – $1,179.75 11
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 $734.40 $1,224.00 $25.85 – $918.00 11
Des thora aorta rpr without left sub art 33881 CPT 33881 $9,807.60 $16,346.00 $1,150.00 – $12,259.50 11
Design mlc device for imrt CPT 77338 $1,479.60 $2,466.00 $251.64 – $1,849.50 12
Desmopressin 4 mcg/ml injection solution HCPCS J2597 $49.20 $82.00 $3.37 – $7.50 11
Desoxycorticosterone CPT 82633 $67.20 $112.00 $30.62 – $84.00 12
Destroy cervthor facet jnt 64633 CPT 64633 $2,606.40 $4,344.00 $629.15 – $3,258.00 12
Destroy cth facet jnt addl 64634 CPT 64634 $2,099.40 $3,499.00 $60.74 – $2,624.25 12
Destroy internal hemorrhoids destroy 46930 CPT 46930 $1,522.80 $2,538.00 $90.63 – $1,903.50 12
Destroy premlg lesns;1st lesn 17000 CPT 17000 $520.80 $868.00 $22.00 – $1,061.45 12
Destruction 2-14 lesions 17003 CPT 17003 $72.60 $121.00 $4.67 – $90.75 12
Destruction benign lesions < 14 lesions CPT 17110 not published not published $53.90 – $741.75 8
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 $2,908.20 $4,847.00 $614.63 – $3,635.25 12
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 $2,224.80 $3,708.00 $52.82 – $2,781.00 12
Destruction premal lesions 15/> 17004 CPT 17004 $532.80 $888.00 $128.03 – $666.00 12
Device intraute mirena HCPCS J7298 $693.60 $1,156.00 $389.23 – $1,018.67 10
Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 $188.40 $314.00 $20.33 – $235.50 12
Dexametha opth insert 0.1 mg HCPCS J1096 $354.00 $590.00 $85.10 – $442.50 11
Dexamethasone 4 mg tablet HCPCS J8540 $0.60 $1.00 $0.02 – $0.75 10
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 $4.20 $7.00 $0.09 – $1.84 10
Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 $328.80 $548.00 $62.43 – $175.50 11
Dhea-s (dehydroepiand sulfate) CPT 82627 $113.40 $189.00 $21.00 – $141.75 13
Diab manage trn ind/group HCPCS G0109 $16.80 $28.00 $11.03 – $55.20 11
Diabetes (HbA1c) Test CPT 83036 $49.20 $82.00 $7.00 – $57.75 14
Diag laparo separate proc 49320 CPT 49320 $853.80 $1,423.00 $312.81 – $337.80 2
Diagnostic Mammogram (both breasts) CPT 77066 $310.20 $517.00 $72.86 – $387.75 11
Diagnostic Mammogram (one breast) CPT 77065 $349.80 $583.00 $55.92 – $117.57 11
Diagnostic anoscopy spx 46600 CPT 46600 $432.60 $721.00 $22.00 – $540.75 12
Diagnostic laryngoscopy 31505 CPT 31505 $432.60 $721.00 $90.23 – $540.75 12
Diagnostic laryngoscopy 31575 CPT 31575 $956.40 $1,594.00 $75.90 – $1,195.50 12
Diagnostic radio unlisted proc CPT 76499 $170.40 $284.00 $48.69 – $213.00 11
Dialysis circuit perm vascular embolization 36909 CPT 36909 $2,160.60 $3,601.00 $160.23 – $2,700.75 12
Dialysis one evaluation CPT 90945 $970.80 $1,618.00 $40.25 – $1,213.50 12
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 $9.60 $16.00 $1.01 – $7.35 10
Dicyclomine injection HCPCS J0500 $25.20 $42.00 $3.31 – $28.97 10
Diffusing capacity CPT 94729 $970.20 $1,617.00 $35.88 – $224.25 12
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 $85.80 $143.00 $0.67 – $10.92 10
Digoxin immune fab 40 mg intravenous solution HCPCS J1162 $2,869.80 $4,783.00 $1,272.38 – $5,168.23 11
Digoxin total therapeutic drug level CPT 80162 $96.00 $160.00 $11.00 – $120.00 13
Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 $89.40 $149.00 $9.43 – $60.00 10
Dilat xst trc ndurlgc px CPT 50436 $9,487.80 $15,813.00 $93.56 – $11,859.75 12
Dilat xst trc new access rcs CPT 50437 $11,311.20 $18,852.00 $156.38 – $14,139.00 12
Dilate biliary duct/ampulla CPT 47542 $2,304.60 $3,841.00 $120.24 – $2,880.75 12
Dilate ic vasospasm ea add vsl diff territory CPT 61642 $1,269.00 $2,115.00 $233.91 – $1,586.25 10
Dilate ic vasospasm ea add vsl same territory CPT 61641 $1,269.00 $2,115.00 $116.97 – $1,571.25 10
Dilate ic vasospasm init CPT 61640 $3,609.60 $6,016.00 $333.04 – $4,469.25 10
Dilate urethra stricture CPT 53600 $534.00 $890.00 $22.00 – $892.40 12
Diltiazem 5 mg/ml intravenous solution HCPCS J1163 $12.60 $21.00 $0.03 – $1.50 10
Dimenhydrinate injection HCPCS J1240 $6.60 $11.00 $1.31 – $10.39 10
Dimethyl sulfoxide 50% 50 ml HCPCS J1212 $7.80 $13.00 $4.38 – $748.85 11
Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 $0.60 $1.00 $0.24 – $0.75 9
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 $1.80 $3.00 $0.34 – $2.41 10
Disability dlco CPT 94727 $886.80 $1,478.00 $25.23 – $58.17 12
Disaccharidases CPT 82657 $112.80 $188.00 $15.55 – $141.00 12
Discography cerv/thor spine CPT 72285 $4,030.20 $6,717.00 $41.40 – $5,037.75 12
Dissolve clot heart vessel CPT 92975 $1,274.40 $2,124.00 $290.39 – $2,048.08 11
Dist revas ligation hemo CPT 36838 $9,842.40 $16,404.00 $892.40 – $12,303.00 12
Dna antibody native/double stranded CPT 86225 $76.80 $128.00 $13.58 – $45.75 12
Dna gardnerella CPT 87510 $112.20 $187.00 $17.64 – $140.25 12
Dna probe chlamydia CPT 87490 $82.20 $137.00 $22.49 – $102.75 12
Dna probe gc CPT 87590 $97.20 $162.00 $18.86 – $121.50 12
Dna trichomonas CPT 87660 $112.20 $187.00 $19.82 – $140.25 12
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 $2.40 $4.00 $0.34 – $16.71 10
Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 $35.40 $59.00 $0.63 – $40.61 10
Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 $1.20 $2.00 $0.34 – $0.90 10
Doppler echo complete CPT 93320 $471.00 $785.00 $47.60 – $203.12 12
Doppler intravascular pressure flow initial vessel CPT 93571 $3,046.80 $5,078.00 $187.75 – $3,808.50 10
Doppler upper/lower extremity arteries complete bilateral CPT 93923 $1,091.40 $1,819.00 $64.19 – $192.77 12
Doppler upper/lower extremity arteries limited bilateral CPT 93922 $547.20 $912.00 $40.82 – $410.25 12
Dornase alfa non-comp unit HCPCS J7639 $30.60 $51.00 $11.13 – $60.43 10
Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 $679.80 $1,133.00 $99.23 – $849.75 11
Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 $157.80 $263.00 $0.34 – $112.85 10
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 $255.00 $425.00 $15.15 – $108.47 11
Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 $15.60 $26.00 $0.11 – $9.00 10
Drain blood from under nail 11740 CPT 11740 $370.80 $618.00 $26.40 – $892.40 12
Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 $2,253.00 $3,755.00 $203.36 – $2,816.25 12
Drain cath image guided visceral pq CPT 49405 $3,637.20 $6,062.00 $190.71 – $4,546.50 12
Drain cerebro spinal fluid 62272 CPT 62272 $1,951.80 $3,253.00 $40.70 – $2,439.75 12
Drain finger abscess;simple 26010 CPT 26010 $265.20 $442.00 $29.15 – $892.40 12
Drain lower leg lesion 27603 CPT 27603 not published not published $97.35 – $2,728.62 8
Drain neck/chest lesion 21501 CPT 21501 $5,874.00 $9,790.00 $97.35 – $7,342.50 12
Drain thigh/knee lesion 27301 CPT 27301 $7,173.60 $11,956.00 $97.35 – $8,967.00 12
Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 $924.60 $1,541.00 $29.15 – $892.40 12
Drainage ext aud canal abscess 69020 CPT 69020 $2,184.60 $3,641.00 $38.50 – $2,730.75 12
Drainage external ear complex 69005 CPT 69005 $4,498.20 $7,497.00 $151.23 – $5,622.75 12
Drainage external ear simple 69000 CPT 69000 $924.60 $1,541.00 $47.30 – $1,155.75 12
Drainage mouth roof lesion CPT 42000 $837.00 $1,395.00 $22.00 – $1,046.25 12
Drainage of arm bursa 23931 CPT 23931 $2,080.80 $3,468.00 $43.45 – $2,601.00 12
Drainage of kidney lesion CPT 50390 $2,461.20 $4,102.00 $100.70 – $3,076.50 12
Drainage of mouth lesion CPT 41008 $3,971.40 $6,619.00 $25.85 – $4,964.25 12
Drainage of nose lesion int 30000 CPT 30000 $649.80 $1,083.00 $56.10 – $892.40 12
Drainage of nose lesion sept 30020 CPT 30020 $1,624.20 $2,707.00 $80.85 – $2,030.25 12
Drainage of rectal abscess CPT 45005 $1,522.80 $2,538.00 $103.40 – $1,903.50 12
Drainage of urethra abscess 53060 CPT 53060 $2,685.60 $4,476.00 $42.35 – $3,357.00 12
Dress/debrid prtl-thick burn l 16030 CPT 16030 $1,324.20 $2,207.00 $126.59 – $1,655.25 12
Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 $528.60 $881.00 $92.00 – $660.75 12
Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 $408.60 $681.00 $22.00 – $510.75 12
Drill hole implt ventricular cath/device 61107 CPT 61107 $1,723.80 $2,873.00 $332.56 – $2,154.75 11
Drng hand tendon sheath 26020 CPT 26020 $4,150.20 $6,917.00 $139.15 – $5,187.75 12
Drng of eyelid abscess 67700 CPT 67700 $770.40 $1,284.00 $165.27 – $963.00 12
Drng of finger abscess comp 26011 CPT 26011 $2,080.80 $3,468.00 $88.00 – $2,601.00 12
Drng of scrotum abscess 55100 CPT 55100 $2,080.80 $3,468.00 $38.50 – $2,601.00 12
Drng salivary gland simple 42300 CPT 42300 $3,678.60 $6,131.00 $56.10 – $4,598.25 12
Droperidol 2.5 mg/ml injection solution HCPCS J1790 $2.40 $4.00 $1.35 – $7.63 10
Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 $640.80 $1,068.00 $129.70 – $708.00 8
Drug admin & hemodynmic meas CPT 93463 $2,304.60 $3,841.00 $68.23 – $2,880.75 11
Drug assay caffeine CPT 80155 $99.00 $165.00 $14.09 – $123.75 12
Drug assay posaconazole CPT 80187 $57.00 $95.00 $15.01 – $71.25 12
Drug assay vedolizumab CPT 80280 $83.40 $139.00 $21.38 – $104.25 12
Drug assay voriconazole CPT 80285 $190.80 $318.00 $15.01 – $238.50 12
Drug of abuse screen urine CPT 80305 $32.40 $54.00 $10.29 – $40.50 12
Drug test def 1-7 classes HCPCS G0480 $294.00 $490.00 $18.50 – $82.05 12
Drug test def 15-21 classes HCPCS G0482 $436.80 $728.00 $114.85 – $546.00 12
Drug test def 22+ classes HCPCS G0483 $634.20 $1,057.00 $148.87 – $792.75 11
Drug test def 8-14 classes HCPCS G0481 $345.00 $575.00 $85.08 – $431.25 12
Drug test prsmv instrmnt CPT 80306 $44.40 $74.00 $13.71 – $55.50 12
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 $212.40 $354.00 $51.23 – $128.25 13
Drvvt confirm - quest CPT 85597 $91.80 $153.00 $17.78 – $114.75 12
Dstrj nulyt agt gnclr nrv CPT 64624 $5,661.00 $9,435.00 $220.06 – $7,076.25 12
Ductogram sgl duct CPT 77053 $547.80 $913.00 $44.83 – $684.75 12
Dup scan/hemodialysis access 93990 CPT 93990 $375.60 $626.00 $88.14 – $469.50 12
Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 $797.40 $1,329.00 $73.25 – $351.03 12
Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 $819.60 $1,366.00 $137.24 – $1,024.50 12
Duplex scan bilateral study 93985 CPT 93985 $692.40 $1,154.00 $120.50 – $865.50 12
Duplex scan unilateral study 93986 CPT 93986 $375.60 $626.00 $75.75 – $469.50 12
Durvalumab 50 mg/ml intravenous solution HCPCS J9173 $241.20 $402.00 $46.20 – $301.50 11
Dx bronchoscope/brush 31623 CPT 31623 $2,168.40 $3,614.00 $148.66 – $2,710.50 12
Dx bronchoscope/lavage 31624 CPT 31624 $2,168.40 $3,614.00 $148.66 – $2,710.50 12
Dx bronchoscope/wash 31622 CPT 31622 $2,168.40 $3,614.00 $147.25 – $2,710.50 12
Dx gastr intub w/asp spec CPT 43754 $861.60 $1,436.00 $116.50 – $1,077.00 12
Dxa bone density axl vrt fx CPT 77085 $239.40 $399.00 $25.58 – $299.25 12
E equine encephalitis igg CPT 86652 $73.80 $123.00 $13.03 – $92.25 12
EKG (Electrocardiogram) CPT 93000 $247.80 $413.00 $19.22 – $65.79 13
ER Visit (level 1, minor) CPT 99281 $391.20 $652.00 $10.78 – $489.00 12
ER Visit (level 2) CPT 99282 $570.60 $951.00 $36.28 – $713.25 12
ER Visit (level 3) CPT 99283 $887.40 $1,479.00 $62.31 – $1,109.25 12
ER Visit (level 4) CPT 99284 $1,320.00 $2,200.00 $104.86 – $405.97 12
ER Visit (level 5, high severity) CPT 99285 $1,828.80 $3,048.00 $152.61 – $584.52 12
Ear irrigation 69209 CPT 69209 $214.80 $358.00 $8.30 – $892.40 12
Ecg 12 lead tracing only CPT 93005 $247.80 $413.00 $11.50 – $181.50 13
Ecg external < 48 hours recording CPT 93225 $752.40 $1,254.00 $20.07 – $231.00 12
Ecg external < 48 hours scanning analysis w/report CPT 93226 $259.20 $432.00 $43.74 – $222.75 13
Ecg external > 48 hours up to 7 days recording CPT 93242 $72.00 $120.00 $10.01 – $90.00 12
Ecg external >7 days up to 15 days recording CPT 93246 $72.00 $120.00 $9.61 – $90.00 12
Echo exam of eye CPT 76529 $197.40 $329.00 $41.20 – $246.75 12
Echo exam of fetal heart CPT 76825 $1,823.40 $3,039.00 $21.85 – $2,279.25 12
Echo exam of fetal heart CPT 76826 $875.40 $1,459.00 $29.67 – $1,094.25 12
Echo exam of fetal heart CPT 76827 $424.80 $708.00 $42.03 – $531.00 12
Echo exam of fetal heart CPT 76828 $424.80 $708.00 $23.62 – $531.00 12
Echo exam uterus 76831- CPT 76831 $819.60 $1,366.00 $100.41 – $1,024.50 12
Echo guide for amniocentesis CPT 76946 $295.80 $493.00 $21.39 – $369.75 12
Echo guide for artery repair CPT 76936 $539.40 $899.00 $101.49 – $701.76 12
Echo guide for transfusion CPT 76941 $434.40 $724.00 $54.33 – $543.00 12
Echo guide villus sampling CPT 76945 $355.80 $593.00 $54.33 – $444.75 12
Echo stress CPT 93350 $1,737.60 $2,896.00 $53.48 – $933.78 12
Echo tee probe placement image acquisition interpretation & report CPT 93312 $1,875.00 $3,125.00 $152.87 – $1,194.00 12
Echo transesophageal CPT 93313 $58.80 $98.00 $10.51 – $11.35 2
Echo transesophageal CPT 93315 $1,737.60 $2,896.00 $196.42 – $2,172.00 12
Echo transesophageal intraop CPT 93318 $1,737.60 $2,896.00 $222.03 – $2,172.00 11
Echo transthoracic CPT 93303 $1,737.60 $2,896.00 $109.25 – $2,172.00 12
Echo transthoracic CPT 93304 $1,737.60 $2,896.00 $24.73 – $2,172.00 12
Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 $841.20 $1,402.00 $109.25 – $621.58 12
Echocardiogram (Heart Ultrasound) CPT 93306 $2,311.20 $3,852.00 $112.86 – $396.39 12
Echocardiography doppler color flow mapping CPT 93325 $418.20 $697.00 $12.21 – $242.77 12
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 $2,457.00 $4,095.00 $181.15 – $813.41 11
Echocardiography transthoracic 2d followup/limited CPT 93308 $841.20 $1,402.00 $24.73 – $270.02 12
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 $1,378.20 $2,297.00 $258.45 – $1,722.75 11
Echocardiograpy doppler follow up/limited study CPT 93321 $303.60 $506.00 $17.72 – $129.33 12
Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 $130.20 $217.00 $44.37 – $162.75 11
Eeg 41-60 minutes 95812-26 CPT 95812 $790.80 $1,318.00 $42.82 – $988.50 12
Eeg during surgery CPT 95955 $363.60 $606.00 $83.41 – $454.50 12
Eeg monitor/record/awake/drowsy 95816 CPT 95816 $615.00 $1,025.00 $15.53 – $768.75 13
Eeg over 1 hour 95813 - 26 CPT 95813 $907.80 $1,513.00 $48.90 – $1,134.75 12
Eeg recording awake and asleep CPT 95819 $951.60 $1,586.00 $15.53 – $1,189.50 13
Eeg wo vid ea 12-26hr unmntr CPT 95708 $1,773.60 $2,956.00 $115.00 – $2,217.00 11
Eeg/cerebral death evaluation only 95824 -26 CPT 95824 $1,177.80 $1,963.00 $49.70 – $1,472.25 11
Eeg/record in coma or sleep only 95822 CPT 95822 $548.40 $914.00 $21.85 – $685.50 12
Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 $185.40 $309.00 $13.38 – $231.75 11
Egd Ultrasound fine needle bx/aspir CPT 43242 $694.80 $1,158.00 $277.43 – $892.40 12
Egd dilate stricture CPT 43245 not published not published $180.20 – $1,808.55 8
Egd esophagogastrc fndoplsty CPT 43210 $12,753.60 $21,256.00 $300.36 – $15,942.00 12
Egd guide wire insertion CPT 43248 not published not published $637.56 – $965.27 7
Egd remove foreign body CPT 43247 $2,019.60 $3,366.00 $191.43 – $2,524.50 12
Egd remove lesion snare CPT 43251 not published not published $208.28 – $1,808.55 8
Egfr gene com variants CPT 81235 $1,875.60 $3,126.00 $121.96 – $2,344.50 12
Ehrlicha chaffeensis amp prb CPT 87484 $70.80 $118.00 $13.84 – $88.50 12
Electroconvulsive therapy 90870 CPT 90870 $736.20 $1,227.00 $45.00 – $920.25 12
Electrocorticography durng sx CPT 95829 $881.40 $1,469.00 $13.11 – $1,101.75 11
Electrode stimulation brain CPT 95961 $2,346.60 $3,911.00 $43.33 – $2,933.25 11
Electrolyte panel CPT 80051 $45.60 $76.00 $6.92 – $51.00 14
Electron microscopy diagnostic CPT 88348 $1,472.40 $2,454.00 $20.12 – $1,323.75 12
Electrophys map 3d add-on CPT 93613 $4,608.60 $7,681.00 $204.44 – $5,760.75 9
Electrophysiology evaluation CPT 93620 $6,361.20 $10,602.00 $892.40 – $7,951.50 12
Electrophysiology evaluation CPT 93621 $7,534.80 $12,558.00 $206.08 – $9,418.50 9
Electrophysiology evaluation CPT 93622 $378.60 $631.00 $248.49 – $2,827.72 10
Electrophysiology evaluation CPT 93641 $3,223.80 $5,373.00 $496.80 – $4,029.75 10
Electrophysiology evaluation CPT 93642 $3,064.20 $5,107.00 $472.13 – $3,830.25 12
Elotuzumab 300 mg intravenous solution HCPCS J9176 $1,749.60 $2,916.00 $4.32 – $1,640.25 11
Emb without cervical dilation 58100 CPT 58100 $378.00 $630.00 $56.10 – $839.50 12
Embedded ip cath exit-site 49436 CPT 49436 $432.00 $720.00 $175.50 – $189.52 2
Embo or occlude vascular arterial s&i CPT 37242 $25,921.80 $43,203.00 $449.83 – $32,402.25 12
Embo or occlude vascular hemorrhage s&i CPT 37244 $22,274.40 $37,124.00 $625.66 – $27,843.00 12
Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 $22,274.40 $37,124.00 $536.36 – $27,843.00 12
Embo or occlude vascular venous s&i CPT 37241 $22,274.40 $37,124.00 $402.84 – $27,843.00 12
Embolization s&i CPT 75894 $5,940.60 $9,901.00 $108.15 – $7,425.75 12
Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 $247.80 $413.00 $25.88 – $309.75 12
Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 $270.60 $451.00 $28.75 – $365.45 12
Emg cranial nerve bilateral CPT 95868 $612.60 $1,021.00 $29.28 – $765.75 12
Emg needle test 1-extremity CPT 95860 $222.60 $371.00 $20.12 – $278.25 12
Emg needle test 4-extremities CPT 95864 $270.60 $451.00 $33.35 – $477.51 12
Emg thor paraspinal without t1/t2 CPT 95869 $543.60 $906.00 $8.96 – $679.50 12
Encephalitis, california igg/igm CPT 86651 $73.80 $123.00 $13.03 – $92.25 12
Encephalitis, st louis igg/igm CPT 86653 $73.80 $123.00 $13.03 – $92.25 12
Encephalitis, western equine igg/igm CPT 86654 $73.80 $123.00 $13.03 – $92.25 12
Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 $7,047.00 $11,745.00 $892.40 – $8,808.75 12
Endo cath bile duct s&i CPT 74328 $525.00 $875.00 $175.94 – $656.25 10
Endo cath panc duct s&i CPT 74329 $797.40 $1,329.00 $175.94 – $996.75 10
Endo cholangiopancreatograph CPT 43262 $4,546.20 $7,577.00 $165.60 – $5,682.75 12
Endocerv curettage w/scope 57456 CPT 57456 $615.60 $1,026.00 $104.51 – $892.40 12
Endocervical curettage 57505 CPT 57505 $1,381.20 $2,302.00 $24.20 – $1,726.50 12
Endoluminal bx biliary tree CPT 47543 $2,354.40 $3,924.00 $151.04 – $2,943.00 12
Endoluminl ivus oct c 1st CPT 92978 $3,046.80 $5,078.00 $124.57 – $3,808.50 11
Endoluminl ivus oct c ea CPT 92979 $3,046.80 $5,078.00 $62.63 – $3,808.50 10
Endoscopic injection/implant CPT 51715 not published not published $204.26 – $3,288.18 8
Endoscopy maxillary sinus CPT 31267 not published not published $828.50 – $7,127.06 7
Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 not published not published $453.07 – $1,775.44 7
Endovas iliac a device addon CPT 34808 $9,316.20 $15,527.00 $225.38 – $11,645.25 11
Endovasc rpr a-biiliac endogft 34705 CPT 34705 $7,465.20 $12,442.00 $987.62 – $9,331.50 11
Endovasc tempory vessel occl CPT 61623 $22,601.40 $37,669.00 $892.40 – $28,251.75 12
Endovenous laser vein addon 36479 CPT 36479 $3,149.40 $5,249.00 $162.98 – $3,936.75 11
Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 $2,527.80 $4,213.00 $22.23 – $2,106.75 11
Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 $74.40 $124.00 $0.59 – $9.79 10
Entamoeba histolytica ag eia - sendout CPT 87337 $66.60 $111.00 $11.84 – $83.25 12
Enterectomy small intestine addl 44121 CPT 44121 $644.40 $1,074.00 $225.41 – $243.42 2
Enterectomy small intestine single 44120 CPT 44120 $2,237.40 $3,729.00 $1,152.29 – $1,244.36 2
Enteroenterostomy fusion 44130 CPT 44130 $3,469.20 $5,782.00 $1,241.68 – $1,340.89 2
Enzyme histochemistry CPT 88319 $1,472.40 $2,454.00 $8.52 – $1,840.50 12
Ep & ablate supravent arrhyt CPT 93653 $30,975.00 $51,625.00 $691.16 – $38,718.75 12
Ep & ablate ventric tachy CPT 93654 $30,975.00 $51,625.00 $892.40 – $38,718.75 12
Ep induct arrhy by elect pacing CPT 93618 $2,447.40 $4,079.00 $206.25 – $3,059.25 12
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 $11,590.20 $19,317.00 $17.85 – $55.84 11
Epidrm a-grft face/nck/hf/g 15115 CPT 15115 $3,834.60 $6,391.00 $774.79 – $4,793.25 12
Epidural/lumbar/sacral/ea add level64484 CPT 64484 $2,398.80 $3,998.00 $65.56 – $2,998.50 12
Epinephrine 1 mg/ml im kit - adult HCPCS J0169 $118.20 $197.00 $0.34 – $1.36 10
Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 $6.60 $11.00 $0.48 – $6.75 10
Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 $0.60 $1.00 $0.34 – $52.38 10
Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 $5,964.60 $9,941.00 $50.26 – $7,455.75 12
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 $641.40 $1,069.00 $8.45 – $24.75 11
Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 $264.60 $441.00 $7.41 – $16.50 11
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 $31.20 $52.00 $1.01 – $29.46 10
Epstein barr early antigen antibody CPT 86663 $76.80 $128.00 $12.97 – $92.25 12
Epstein barr nuclear antigen antibody CPT 86664 $86.40 $144.00 $15.11 – $107.25 12
Epstein barr viral capsid antigen antibody igm CPT 86665 $103.20 $172.00 $17.93 – $126.75 12
Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 $1,060.20 $1,767.00 $12.59 – $1,325.25 11
Ercp biliary & pancreas CPT 74330 $1,026.60 $1,711.00 $175.94 – $1,283.25 10
Ercp lithotripsy calculi CPT 43265 $7,247.40 $12,079.00 $722.42 – $9,059.25 12
Ercp remove duct calculi 43264 CPT 43264 $4,546.20 $7,577.00 $722.42 – $5,682.75 12
Ercp w/specimen collection CPT 43260 $4,546.20 $7,577.00 $471.50 – $5,682.75 12
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 $820.80 $1,368.00 $88.45 – $528.75 11
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 $82.80 $138.00 $7.74 – $43.68 10
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 $120.00 $200.00 $11.92 – $93.73 10
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 $3.00 $5.00 $0.22 – $0.75 10
Esoph egd dilation <30 mm CPT 43249 not published not published $621.62 – $1,953.05 7
Esoph fundoplasty lap 43327 CPT 43327 $3,781.20 $6,302.00 $787.53 – $850.45 2
Esoph imped funct test > 1hr CPT 91038 $1,121.40 $1,869.00 $50.51 – $1,394.25 12
Esoph imped function test CPT 91037 $603.00 $1,005.00 $70.90 – $753.75 12
Esophageal dilat s&i CPT 74360 $504.60 $841.00 $94.73 – $630.75 12
Esophagoscopy balloon <30mm CPT 43220 $2,361.00 $3,935.00 $122.47 – $2,951.25 12
Esophagoscopy flex remove fb CPT 43215 $2,361.00 $3,935.00 $518.65 – $2,951.25 12
Esophagoscopy/flex/diagnostic 43200 CPT 43200 $1,509.00 $2,515.00 $102.82 – $1,886.25 12
Esophagus motility study CPT 91010 $972.00 $1,620.00 $18.98 – $1,215.00 12
Establish access to aorta CPT 36160 $2,670.60 $4,451.00 $130.35 – $3,306.75 12
Establish access to artery CPT 36100 $1,699.20 $2,832.00 $51.70 – $2,124.00 12
Established Patient Office Visit (level 1) CPT 99211 $97.80 $163.00 $8.22 – $32.39 11
Established Patient Office Visit (level 2) CPT 99212 $174.00 $290.00 $15.00 – $77.25 11
Established Patient Office Visit (level 3) CPT 99213 $240.60 $401.00 $17.35 – $82.05 11
Established Patient Office Visit (level 4) CPT 99214 $271.80 $453.00 $22.63 – $122.27 11
Established Patient Office Visit (level 5) CPT 99215 $678.00 $1,130.00 $26.02 – $697.50 11
Estradiol total CPT 82670 $142.20 $237.00 $21.50 – $177.75 14
Estrogens total-sendout CPT 82672 $110.40 $184.00 $15.31 – $138.00 13
Ethylene glycol -sendout CPT 82693 $28.80 $48.00 $10.45 – $36.00 12
Etonogestrel implant system HCPCS J7307 $693.60 $1,156.00 $346.80 – $1,097.04 10
Etoposide 20 mg/ml intravenous solution HCPCS J9181 $102.00 $170.00 $0.34 – $7.67 10
Etoposide 50 mg cap HCPCS J8560 $45.00 $75.00 $25.25 – $107.51 10
Euglobulin lysis CPT 85360 $30.60 $51.00 $5.50 – $38.25 12
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 $496.80 $828.00 $68.83 – $621.00 12
Evaluation of speech fluency 92521 CPT 92521 $508.20 $847.00 $80.61 – $635.25 11
Evaluation psychiatric diagnostic CPT 90791 $669.00 $1,115.00 $30.19 – $447.75 12
Evasc prlng admn rx agnt 1st CPT 61650 $3,609.60 $6,016.00 $366.91 – $4,512.00 11
Evasc prlng admn rx agnt add CPT 61651 $1,269.00 $2,115.00 $155.83 – $1,586.25 11
Evasc repair of iliac artery; endograft 34718 CPT 34718 $17,281.80 $28,803.00 $708.88 – $21,602.25 11
Evasc rpr a-ao ndgft 34701 CPT 34701 $7,465.20 $12,442.00 $795.28 – $9,331.50 11
Evasc rpr a-biiliac ndgft rptr CPT 34706 $8,133.60 $13,556.00 $1,487.29 – $10,167.00 11
Evasc rpr a-iliac ndgft 34717 CPT 34717 $9,316.20 $15,527.00 $254.77 – $11,645.25 11
Evasc rpr a-unilac ndgft 34703 CPT 34703 $7,465.20 $12,442.00 $896.82 – $9,331.50 11
Evasc rpr ilio-iliac ndgft CPT 34707 $7,465.20 $12,442.00 $741.91 – $9,331.50 11
Evoked potential visual not glaucoma CPT 95930 $572.40 $954.00 $69.62 – $715.50 12
Evoked potentials upper limbs CPT 95925 $339.00 $565.00 $18.98 – $423.75 12
Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 $877.20 $1,462.00 $285.76 – $1,544.70 8
Exam of vagina w/scope 57420 CPT 57420 $615.60 $1,026.00 $89.90 – $892.40 12
Exc abd les sc 3 cm/> CPT 22903 $1,144.80 $1,908.00 $418.59 – $2,728.62 7
Exc abdl tum deep < 5 cm CPT 22900 $1,464.00 $2,440.00 $538.27 – $581.28 2
Exc arm/elbo les sc >=3cm 24071 CPT 24071 not published not published $594.81 – $2,946.64 7
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 $2,184.60 $3,641.00 $86.35 – $2,730.75 12
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 $2,184.60 $3,641.00 $97.90 – $2,730.75 12
Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 $2,184.60 $3,641.00 $59.95 – $2,730.75 12
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 not published not published $46.75 – $779.70 8
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 $406.20 $677.00 $39.60 – $1,544.70 8
Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 $718.80 $1,198.00 $133.10 – $2,728.62 8
Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 $969.00 $1,615.00 $51.15 – $1,211.25 12
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 $1,651.80 $2,753.00 $71.50 – $2,064.75 12
Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 $2,184.60 $3,641.00 $128.70 – $2,730.75 12
Exc benign feenlm >4.0cm 11446 CPT 11446 $3,515.40 $5,859.00 $130.35 – $4,394.25 12
Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 $464.40 $774.00 $95.15 – $1,544.70 8
Exc benign tal 0.5 < cm 11400 CPT 11400 $1,341.60 $2,236.00 $41.25 – $1,135.50 12
Exc feenl mal+mrg 0.6-1 11641 CPT 11641 not published not published $102.30 – $892.40 8
Exc feenl mal+mrg 2.1-3 11643 CPT 11643 not published not published $210.28 – $1,544.70 8
Exc hidradenitis ing simpl 11462 CPT 11462 $621.60 $1,036.00 $191.34 – $2,728.62 8
Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 not published not published $132.00 – $2,728.62 8
Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 not published not published $89.10 – $892.40 8
Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 $508.20 $847.00 $94.05 – $892.40 8
Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 not published not published $138.05 – $892.40 8
Exc malig feenl 1.1-2 11642 CPT 11642 $477.00 $795.00 $148.50 – $892.40 8
Exc malig feenl <0.5cm 11640 CPT 11640 not published not published $84.70 – $892.40 8
Exc malig snhfg 0.5cm or less 11620 CPT 11620 $315.00 $525.00 $115.40 – $124.62 2
Exc malig snhfg 2.1-3 cm 11623 CPT 11623 $550.20 $917.00 $124.85 – $1,544.70 8
Exc prtl bn phlnx toe CPT 28124 not published not published $798.54 – $3,340.51 7
Exc rect tum transanal part CPT 45171 not published not published $871.95 – $2,823.44 7
Exc skn hdrdnt ax complex CPT 11451 $846.00 $1,410.00 $314.45 – $339.57 2
Exc skn hdrdnt ax smpl/ntrm CPT 11450 $652.80 $1,088.00 $248.04 – $267.86 2
Exc snhfg mal+mrg >4 cm 11626 CPT 11626 not published not published $264.00 – $2,728.62 8
Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 not published not published $59.40 – $1,544.70 8
Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 not published not published $41.25 – $1,544.70 8
Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 $1,164.60 $1,941.00 $424.83 – $2,728.62 7
Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 not published not published $601.48 – $1,668.12 7
Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 $1,087.80 $1,813.00 $399.78 – $431.72 2
Exc tendon sheath or cap lesion 26160 CPT 26160 not published not published $559.88 – $1,647.71 7
Exc thigh/knee tum dep 5cm/> CPT 27339 $3,514.80 $5,858.00 $716.38 – $773.62 2
Exc thrombosed hemorrhoid 46320 CPT 46320 $1,522.80 $2,538.00 $44.00 – $1,903.50 12
Exc tmr sft tiss shldr subq <3cm CPT 23075 $849.60 $1,416.00 $313.03 – $338.04 2
Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 not published not published $270.60 – $1,544.70 8
Exc vagina lesion 57135 CPT 57135 not published not published $157.30 – $3,031.30 8
Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 $480.60 $801.00 $166.62 – $2,728.62 8
Exchange biliary drg cath CPT 47536 $7,502.40 $12,504.00 $132.20 – $9,378.00 12
Exchange drainage catheter CPT 49423 $6,913.20 $11,522.00 $64.68 – $8,641.50 12
Exchange nephrostomy cath CPT 50435 $2,685.60 $4,476.00 $312.43 – $3,357.00 12
Excise pharynx lesion CPT 42808 not published not published $59.95 – $3,091.88 8
Excise subq tumor/abd wall <3 cm 22902 CPT 22902 not published not published $606.88 – $1,668.12 7
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 $2,184.60 $3,641.00 $72.05 – $2,730.75 12
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 $348.00 $580.00 $41.25 – $1,544.70 8
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 $2,184.60 $3,641.00 $59.40 – $2,730.75 12
Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 $2,925.00 $4,875.00 $129.25 – $3,656.25 12
Excision graft extremity CPT 35903 $504.00 $840.00 $520.11 – $561.67 2
Excision lesion mouth roof CPT 42106 not published not published $174.71 – $3,091.88 8
Excision of anal lesion(s) CPT 46922 not published not published $119.17 – $2,614.54 8
Excision of gum lesion CPT 41826 not published not published $130.35 – $3,091.88 8
Excision of gum lesion 41825 CPT 41825 not published not published $121.65 – $3,091.88 8
Excision of tongue lesion CPT 41112 not published not published $234.03 – $3,091.88 8
Excision of uvula CPT 42140 not published not published $264.01 – $3,338.92 7
Excision olecranon bursa CPT 24105 $2,271.60 $3,786.00 $206.25 – $3,093.35 12
Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 not published not published $692.02 – $1,668.12 7
Exercise tst brncspsm w/ecg CPT 94617 $275.40 $459.00 $37.06 – $344.25 12
Exercise tst brncspsm wo ecg CPT 94619 $112.80 $188.00 $35.07 – $141.00 12
Exercise w/hemodynamic meas CPT 93464 $2,715.00 $4,525.00 $94.14 – $3,393.75 11
Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 $2,055.00 $3,425.00 $130.35 – $2,568.75 12
Expl lap celiotomy w/wo bx 49000 CPT 49000 $1,389.00 $2,315.00 $726.88 – $784.96 2
Exploration retroperitoneal area 49010 CPT 49010 $2,465.40 $4,109.00 $873.07 – $942.83 2
Explore adrenal gland w or without biopsy 60540 CPT 60540 $2,817.00 $4,695.00 $1,017.72 – $1,099.04 2
Explore parathyroid glands CPT 60500 $1,307.40 $2,179.00 $373.32 – $5,639.87 12
Explore penetrating wnd/extremity 20103 CPT 20103 $5,344.20 $8,907.00 $767.96 – $6,680.25 12
Explore scrotum CPT 55110 not published not published $138.60 – $3,288.18 8
Explore/repair chest 32110 CPT 32110 $7,908.00 $13,180.00 $692.88 – $9,885.00 11
Explore/treat finger joint CPT 26080 $4,131.00 $6,885.00 $172.70 – $5,163.75 12
External chromosome analysis 20-25 cells CPT 88264 $1,033.80 $1,723.00 $142.92 – $1,292.25 12
External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 $1,028.40 $1,714.00 $142.07 – $1,285.50 12
Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 $100.20 $167.00 $17.72 – $83.25 12
F-18 fdg pet diag HCPCS A9552 $537.60 $896.00 $352.84 – $672.00 8
F-18 florbetapir less than or equal to 10 mci HCPCS A9586 $12,351.00 $20,585.00 $1,539.53 – $15,438.75 10
F-18 fluciclovine per mci HCPCS A9588 $1,588.80 $2,648.00 $265.74 – $1,986.00 10
F-18 sodium fluoride HCPCS A9580 $640.80 $1,068.00 $306.81 – $801.00 8
Facial bones <3 CPT 70140 $188.40 $314.00 $20.83 – $235.50 12
Factor ix CPT 85250 $96.60 $161.00 $5.50 – $65.25 12
Factor ix recombinant nos HCPCS J7195 $2,040.00 $3,400.00 $1.83 – $637.50 11
Factor viii CPT 85240 $91.20 $152.00 $14.30 – $61.50 12
Factor viii recomb novoeight HCPCS J7182 $2,592.00 $4,320.00 $1.25 – $1,620.00 11
Factor viii recombinant nos HCPCS J7192 $2,280.00 $3,800.00 $1.59 – $356.25 11
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 $1,620.60 $2,701.00 $19.34 – $2,025.75 11
Fat/lipids feces qualitative CPT 82705 $25.80 $43.00 $5.04 – $32.25 12
Fatty acids nonesterified CPT 82725 $94.80 $158.00 $13.18 – $118.50 13
Feeding tube reposition CPT 74355 $447.60 $746.00 $158.20 – $559.50 10
Fem/popl revasc w/stent CPT 37226 $17,281.80 $28,803.00 $892.40 – $21,602.25 12
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 $35.40 $59.00 $0.34 – $1.73 10
Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 $58.80 $98.00 $0.85 – $73.50 11
Ferritin CPT 82728 $68.40 $114.00 $12.00 – $73.50 14
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 $42.00 $70.00 $0.32 – $38.25 11
Fetal biophys profile w/nst 76818 CPT 76818 $394.20 $657.00 $66.80 – $492.75 12
Fetal chrom aneuploidy gsa panel CPT 81420 $1,644.00 $2,740.00 $531.93 – $2,055.00 12
Fetal contract stress test 59020 - 26 CPT 59020 $555.60 $926.00 $33.55 – $694.50 12
Fetal cord puncture prenatal CPT 59012 $1,034.40 $1,724.00 $55.00 – $1,293.00 12
Fetal fibronectin CPT 82731 $326.40 $544.00 $22.00 – $408.00 12
Fetal fluid drainage w/us CPT 59074 $1,034.40 $1,724.00 $287.00 – $1,293.00 12
Fetal hemoglobin (kleihauer betke) CPT 85460 $40.20 $67.00 $7.64 – $50.25 12
Fetal hemoglobin rosette CPT 85461 $48.00 $80.00 $9.25 – $60.00 12
Fetal non stress test CPT 59025 $752.40 $1,254.00 $5.43 – $940.50 12
Fetal shunt placement w/us CPT 59076 $1,034.40 $1,724.00 $287.11 – $1,293.00 12
Fibrin degradation d dimer quantitative CPT 85379 $51.60 $86.00 $10.06 – $64.50 12
Fibrin degradation products CPT 85362 $34.20 $57.00 $6.81 – $42.75 12
Fibrin degrade semiquant CPT 85378 $34.80 $58.00 $9.61 – $43.50 12
Fibrinogen activity CPT 85384 $49.20 $82.00 $9.61 – $61.50 12
Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 $33.00 $55.00 $3.30 – $41.25 12
Fibrinolytic antiplasmin CPT 85410 $40.20 $67.00 $7.62 – $50.25 12
Fibrinolytic plasminogen CPT 85415 $87.00 $145.00 $16.98 – $108.75 12
Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 $33.00 $55.00 $5.50 – $41.25 12
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 $188.40 $314.00 $0.81 – $48.00 11
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 $262.80 $438.00 $0.30 – $328.50 11
Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 $328.80 $548.00 $0.37 – $411.00 11
Filter spider fx 3mmx320cm HCPCS C1884 $6,785.40 $11,309.00 $1,041.08 – $8,481.75 9
Filter vena cava fem denali HCPCS C1880 $4,507.80 $7,513.00 $463.80 – $3,102.87 8
Fine needle asp without image guide 10021 CPT 10021 $1,056.00 $1,760.00 $68.46 – $892.40 12
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 $231.60 $386.00 $55.01 – $289.50 12
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 $2,287.20 $3,812.00 $84.41 – $2,859.00 12
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 $1,152.60 $1,921.00 $36.49 – $1,440.75 12
Fix g/colon tube w/device CPT 49460 $2,977.20 $4,962.00 $39.56 – $3,721.50 12
Fl exam g/colon tube w contrast CPT 49465 $1,728.00 $2,880.00 $26.11 – $2,160.00 12
Flecainide (tambocor)-sendout CPT 80181 $124.20 $207.00 $13.08 – $155.25 12
Flexible Sigmoidoscopy CPT 45330 $1,158.00 $1,930.00 $58.47 – $1,447.50 12
Flow cytometry interp 16 or more CPT 88189 $208.80 $348.00 $97.55 – $261.00 12
Flow cytometry marker each additional CPT 88185 $175.20 $292.00 $10.51 – $76.50 12
Flow cytometry one marker technical component CPT 88184 $664.80 $1,108.00 $40.85 – $831.00 12
Floxuridine injection HCPCS J9200 $2,184.00 $3,640.00 $217.41 – $4,128.02 11
Flt3 gene CPT 81245 $598.20 $997.00 $146.01 – $747.75 12
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 $2.40 $4.00 $1.01 – $149.65 11
Fludarabine 50 mg intravenous solution HCPCS J9185 $81.00 $135.00 $33.67 – $75.00 11
Fluorescent antibody titer dna CPT 86256 $66.60 $111.00 $5.00 – $83.25 14
Fluoroestradiol f 18 HCPCS A9591 $1,491.00 $2,485.00 $27.51 – $1,863.75 10
Fluoroguide for spine inject 77003-26 CPT 77003 $990.00 $1,650.00 $32.42 – $1,237.50 12
Fluoroguide needle placement CPT 77002 $1,011.60 $1,686.00 $41.02 – $1,264.50 12
Fluoroscopy up to 1 hour CPT 76000 $497.40 $829.00 $13.22 – $621.75 12
Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 $0.60 $1.00 $0.34 – $19.04 10
Fmri brain by phys/psych CPT 70555 $1,741.80 $2,903.00 $163.82 – $2,177.25 11
Fmri brain by tech CPT 70554 $1,741.80 $2,903.00 $163.82 – $2,177.25 12
Fna bx w/ct gdn 1st les CPT 10009 $2,080.80 $3,468.00 $102.33 – $2,601.00 12
Fna bx w/ct gdn ea addl CPT 10010 $314.40 $524.00 $74.79 – $393.00 12
Fna bx w/mr gdn 1st les CPT 10011 $1,498.20 $2,497.00 $75.31 – $1,872.75 11
Fna bx w/mr gdn ea addl CPT 10012 $296.40 $494.00 $75.31 – $370.50 11
Folic acid CPT 82746 $75.00 $125.00 $12.00 – $80.25 14
Folic acid 5 mg/ml injection solution HCPCS J1808 $3.00 $5.00 $0.06 – $2.25 10
Follow-up angiography CPT 75898 $3,476.40 $5,794.00 $151.34 – $4,345.50 12
Fomepizole 1 gram/ml intravenous solution HCPCS J1451 $600.00 $1,000.00 $6.22 – $492.75 11
Fondaparinux sodium HCPCS J1652 $87.60 $146.00 $0.72 – $18.00 10
Foot X-ray CPT 73630 $188.40 $314.00 $13.22 – $235.50 12
Forensic cytopathology CPT 88125 $116.40 $194.00 $0.35 – $145.50 11
Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 $534.00 $890.00 $150.73 – $667.50 12
Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 $200.40 $334.00 $0.10 – $18.75 10
Foscarnet sodium injection HCPCS J1455 $0.60 $1.00 $0.34 – $16.08 11
Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 $12.00 $20.00 $0.67 – $13.08 9
Fracture assessment via dxa CPT 77086 $170.40 $284.00 $16.69 – $213.00 12
Freeing of bowel adhesion 44005 CPT 44005 $1,998.60 $3,331.00 $1,029.52 – $1,111.78 2
Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 $120.00 $200.00 $33.00 – $150.00 12
Fructosamine glycated protein CPT 82985 $85.20 $142.00 $16.56 – $106.50 12
Fundus photography with i&r 92250 CPT 92250 $247.80 $413.00 $24.27 – $309.75 12
Furosemide 10 mg/ml injection solution HCPCS J1938 $2.40 $4.00 $0.02 – $3.00 10
Fusion of big toe joint CPT 28750 not published not published $306.35 – $6,810.69 8
Fusion of big toe joint CPT 28755 not published not published $234.85 – $6,810.69 8
Fusion of foot bones CPT 28730 not published not published $366.30 – $12,266.97 8
Fusion of foot bones CPT 28735 not published not published $425.70 – $12,266.97 8
Fusion of foot bones CPT 28740 not published not published $892.40 – $7,354.86 7
G-esoph reflx tst w/electrod CPT 91035 $1,109.40 $1,849.00 $276.13 – $1,386.75 12
G-tube reposition CPT 43761 $978.00 $1,630.00 $103.87 – $1,222.50 12
Ga-67 gallium 0.1 mci HCPCS A9556 $114.60 $191.00 $58.94 – $179.32 8
Ga-68 gallium 68 dotatate HCPCS A9587 $217.80 $363.00 $46.07 – $272.25 10
Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 $4.80 $8.00 $0.28 – $6.00 9
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 $2.40 $4.00 $1.43 – $4.69 9
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 $8.40 $14.00 $5.01 – $17.11 9
Gallbladder Removal (Laparoscopic) CPT 47562 $8,289.60 $13,816.00 $626.06 – $5,562.36 12
Gallium illuccix 1 millicure HCPCS A9596 $2,235.60 $3,726.00 $422.80 – $2,794.50 10
Gamma globulin 1 cc inj HCPCS J1460 $31.20 $52.00 $3.83 – $49.03 11
Gamma glutamyltransferase CPT 82977 $36.60 $61.00 $7.12 – $34.50 14
Gammaglobulin iga CPT 82784 $51.00 $85.00 $9.19 – $58.50 12
Gammaglobulin ige CPT 82785 $82.80 $138.00 $16.27 – $103.50 12
Gammaplex injection HCPCS J1557 $6.00 $10.00 $3.37 – $63.68 11
Gamunex-c/gammaked HCPCS J1561 $7.80 $13.00 $4.38 – $48.96 11
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 $3.60 $6.00 $0.34 – $63.04 10
Gardner vag dna quant CPT 87512 $232.80 $388.00 $29.29 – $291.00 12
Gastric motility studies CPT 91020 $972.00 $1,620.00 $137.93 – $1,215.00 12
Gastric mucosa imaging CPT 78261 $1,228.80 $2,048.00 $51.75 – $1,536.00 12
Gastroesophageal reflux study CPT 78262 $1,228.80 $2,048.00 $37.38 – $1,536.00 12
Gastroesophageal reflux test CPT 91034 $1,115.40 $1,859.00 $132.87 – $1,394.25 12
Gated heart multiple CPT 78473 $1,228.80 $2,048.00 $261.05 – $1,536.00 12
Gemcitabine 1 gram intravenous solution HCPCS J9201 $0.60 $1.00 $0.34 – $238.26 10
Generator emblem MRI sicd subq HCPCS C1722 $29,232.00 $48,720.00 $9,744.00 – $41,140.40 8
Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 $1.80 $3.00 $0.34 – $11.37 10
Gentamicin peak therapeutic drug level CPT 80170 $117.00 $195.00 $13.20 – $146.25 12
Ghs HIV antibody CPT 86703 $57.60 $96.00 $13.54 – $72.00 14
Ghs IV inf sq injection, on-body injector CPT 96377 $108.00 $180.00 $19.79 – $135.00 11
Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 $309.60 $516.00 $155.92 – $414.00 11
Ghs IV infusion casirivimab/imdevimab HCPCS M0243 $309.60 $516.00 $203.20 – $414.00 11
Ghs IV infusion sotrovimab HCPCS M0247 $1,135.20 $1,892.00 $203.20 – $828.00 11
Ghs IV thrombolytics - cerebral CPT 37195 $1,295.40 $2,159.00 $233.34 – $1,619.25 12
Ghs abscess perianal iandd CPT 46050 $1,158.00 $1,930.00 $83.23 – $1,447.50 12
Ghs abscess postoperative iandd complex CPT 10180 $3,515.40 $5,859.00 $168.52 – $4,394.25 12
Ghs acetylcholinesterase, rbc CPT 82482 $34.80 $58.00 $9.70 – $43.50 12
Ghs alcohol, methyl (methanol)-medtox CPT 84600 $115.80 $193.00 $12.01 – $144.75 12
Ghs alpha thalasemia, 7 deletions CPT 81257 $591.60 $986.00 $101.06 – $739.50 12
Ghs antibodies (torch) igm CPT 86694 $81.00 $135.00 $14.22 – $65.25 12
Ghs aspiration bladder - needle CPT 51100 $446.40 $744.00 $32.98 – $558.00 12
Ghs bladder cath - complex-foley CPT 51703 $871.20 $1,452.00 $82.07 – $1,089.00 12
Ghs central line insert < age 5, failed CPT 36555 $3,229.80 $5,383.00 $129.62 – $4,037.25 12
Ghs change cysto/gastrost CPT 43762 $824.40 $1,374.00 $34.21 – $1,030.50 12
Ghs chemo >8 hrs CPT 96416 $580.80 $968.00 $148.68 – $726.00 12
Ghs chemo IV push, ea addtl CPT 96411 $526.20 $877.00 $58.18 – $657.75 12
Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 $195.60 $326.00 $34.68 – $244.50 12
Ghs cl tx knee disl; wo anesth CPT 27550 $1,961.40 $3,269.00 $172.70 – $2,451.75 12
Ghs cl tx metacarpophal disloc without anes CPT 26700 $370.80 $618.00 $42.90 – $463.50 12
Ghs closd tx interphalang jt disloc w/ma CPT 26770 $366.60 $611.00 $40.15 – $458.25 12
Ghs closed reduction ankle dislocation CPT 27840 $819.60 $1,366.00 $98.45 – $1,024.50 12
Ghs closed tx bimalleolar fracture w/manip CPT 27810 $2,055.00 $3,425.00 $539.52 – $2,568.75 12
Ghs closed tx radiocarpal disloc w manip CPT 25660 $466.80 $778.00 $114.40 – $892.40 12
Ghs closed tx tibial fracture w/manip CPT 27752 $2,055.00 $3,425.00 $256.85 – $2,568.75 12
Ghs closure surg wound/dehiscence-13160 CPT 13160 $2,785.80 $4,643.00 $268.40 – $3,482.25 12
Ghs clsd red med malleolus fx w manip CPT 27762 $2,266.80 $3,778.00 $539.52 – $2,833.50 12
Ghs clsd red med malleolus fx without manip CPT 27760 $831.60 $1,386.00 $226.41 – $1,039.50 12
Ghs clsd tx frac distal tibia w/manipulation CPT 27825 $2,319.00 $3,865.00 $722.42 – $2,898.75 12
Ghs conjunctiva foreign body-embed bil CPT 65210 $606.00 $1,010.00 $120.84 – $892.40 12
Ghs conjunctiva foreign body-superf bil CPT 65205 $279.00 $465.00 $55.20 – $892.40 12
Ghs corneal fb with slit lamp bilat CPT 65222 $396.00 $660.00 $28.60 – $727.95 12
Ghs corneal fb without slit lamp bilat CPT 65220 $606.00 $1,010.00 $29.15 – $887.80 12
Ghs cricothyroidotomy CPT 31605 $777.60 $1,296.00 $185.56 – $972.00 12
Ghs diphtheria toxoid ab igg CPT 86648 $85.20 $142.00 $15.03 – $106.50 12
Ghs dislocation elbow closed treatment CPT 24600 $856.20 $1,427.00 $112.75 – $1,070.25 12
Ghs ed peritoneal lavage w guidance if performed CPT 49084 $2,660.40 $4,434.00 $85.38 – $3,325.50 12
Ghs ed rmvl or bivalving cast CPT 29700 $370.80 $618.00 $92.00 – $463.50 11
Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 $2,461.20 $4,102.00 $101.39 – $3,076.50 12
Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 $284.40 $474.00 $147.68 – $355.50 11
Ghs epidermal shaving diameter >2.0 cm CPT 11303 $1,341.60 $2,236.00 $51.70 – $1,677.00 12
Ghs excision ingrown nail CPT 11765 $484.80 $808.00 $55.00 – $606.00 12
Ghs eyelid foreign body-embedded - bil CPT 67938 $1,359.60 $2,266.00 $174.00 – $1,699.50 12
Ghs fb removal - incisional CPT 10121 $2,674.80 $4,458.00 $71.50 – $3,343.50 12
Ghs fb removal - non-incisional CPT 20520 $2,080.80 $3,468.00 $68.75 – $2,601.00 12
Ghs fb removal foot - deep - left CPT 28192 $2,925.00 $4,875.00 $71.50 – $3,656.25 12
Ghs fb removal from muscle - complicated CPT 20525 $3,737.40 $6,229.00 $132.00 – $4,671.75 12
Ghs fish cytogen CPT 88271 $153.00 $255.00 $15.03 – $191.25 12
Ghs fish hybrid in situ 100-300 CPT 88275 $366.60 $611.00 $35.91 – $458.25 12
Ghs flow volume loop CPT 94375 $366.60 $611.00 $20.75 – $99.00 12
Ghs gastric intub aspiration lavage CPT 43753 $403.20 $672.00 $18.16 – $892.40 12
Ghs hcv amplificaiton CPT 87521 $195.60 $326.00 $34.68 – $244.50 12
Ghs histoplasma antigen CPT 87385 $74.40 $124.00 $9.29 – $41.25 12
Ghs i and d abscess/hematoma scrotum CPT 54700 $5,452.20 $9,087.00 $42.35 – $6,815.25 12
Ghs i and d perirectal abscess 46040 CPT 46040 $3,564.60 $5,941.00 $119.35 – $4,455.75 12
Ghs i and d pilonidal cyst complex CPT 10081 $1,341.60 $2,236.00 $123.75 – $1,677.00 12
Ghs i and d pilonidal cyst simple CPT 10080 $924.60 $1,541.00 $39.60 – $1,155.75 12
Ghs incision thrombosed ext hemorrhoid CPT 46083 $520.80 $868.00 $45.10 – $892.40 12
Ghs inf midline insertion CPT 36140 $4,321.20 $7,202.00 $105.24 – $5,401.50 12
Ghs inhibitor screen CPT 85335 $65.40 $109.00 $8.30 – $81.75 12
Ghs init tx 1st degree burn CPT 16000 $378.60 $631.00 $19.80 – $473.25 12
Ghs inj neurolytic other perph nerve CPT 64640 $1,231.20 $2,052.00 $80.85 – $1,539.00 12
Ghs inj transforaminal cerv ea add bil CPT 64480 $1,362.60 $2,271.00 $77.37 – $1,703.25 12
Ghs inj transforaminal cerv single bil CPT 64479 $2,647.20 $4,412.00 $118.55 – $3,309.00 12
Ghs insertion of needle - bone CPT 36680 $550.80 $918.00 $54.45 – $688.50 12
Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 $1,212.00 $2,020.00 $101.20 – $1,515.00 12
Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 $2,075.40 $3,459.00 $101.20 – $2,594.25 12
Ghs intermed repair over 30 cm - 12037 CPT 12037 $3,189.00 $5,315.00 $101.20 – $3,986.25 12
Ghs intro needle/intracath vein - 36000 CPT 36000 $2,304.60 $3,841.00 $8.89 – $892.40 12
Ghs irrigate corpora cavernosa for priapism CPT 54220 $745.80 $1,243.00 $229.55 – $932.25 12
Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 $724.20 $1,207.00 $34.65 – $905.25 12
Ghs layer closure 2.5 cm or less - 12031 CPT 12031 $520.80 $868.00 $26.95 – $651.00 12
Ghs layer closure 2.5 cm or less - 12041 CPT 12041 $520.80 $868.00 $26.95 – $651.00 12
Ghs layer closure 2.5cm or less - 12051 CPT 12051 $520.80 $868.00 $34.65 – $651.00 12
Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 $520.80 $868.00 $52.25 – $892.40 12
Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 $819.00 $1,365.00 $39.05 – $1,023.75 12
Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 $819.00 $1,365.00 $52.25 – $1,023.75 12
Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 $1,212.00 $2,020.00 $51.15 – $1,515.00 12
Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 $1,212.00 $2,020.00 $53.35 – $1,515.00 12
Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 $1,200.60 $2,001.00 $67.65 – $1,500.75 12
Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 $993.00 $1,655.00 $101.20 – $1,241.25 12
Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 $993.00 $1,655.00 $101.20 – $1,241.25 12
Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 $1,927.80 $3,213.00 $101.20 – $2,409.75 12
Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 $1,272.60 $2,121.00 $101.20 – $1,590.75 12
Ghs layered repair over 3.0 cm -12057 CPT 12057 $1,272.60 $2,121.00 $101.20 – $1,590.75 12
Ghs layered repair over 30.0 cm -12047 CPT 12047 $2,925.00 $4,875.00 $101.20 – $3,656.25 12
Ghs mbp CPT 83873 $87.00 $145.00 $16.50 – $108.75 12
Ghs moderate sedation < 5 yr, 30 min CPT 99151 $759.00 $1,265.00 $20.92 – $948.75 11
Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 $468.60 $781.00 $81.93 – $585.75 11
Ghs moderate sedation ea addtl 15 min CPT 99153 $831.60 $1,386.00 $9.16 – $102.75 11
Ghs moderate sedation ea addtl 15 min, other CPT 99157 $235.80 $393.00 $50.94 – $294.75 11
Ghs myocardial strain img spckl track CPT 93356 $306.60 $511.00 $8.08 – $383.25 11
Ghs nailbed repair/nail removal CPT 11760 $1,236.60 $2,061.00 $25.30 – $1,545.75 12
Ghs nerve blk intercostal, ea addtl level CPT 64421 $2,184.60 $3,641.00 $47.85 – $2,730.75 12
Ghs nerve blk intercostal, single level CPT 64420 $2,184.60 $3,641.00 $47.85 – $2,730.75 12
Ghs nerve block brachial plexus CPT 64415 $1,815.00 $3,025.00 $38.50 – $2,268.75 12
Ghs nerve block celiac plexus CPT 64530 $2,512.80 $4,188.00 $59.40 – $3,141.00 12
Ghs nerve block sciatic nerve CPT 64445 $2,184.60 $3,641.00 $25.85 – $2,730.75 12
Ghs nerve block suprascapular CPT 64418 $1,976.40 $3,294.00 $38.50 – $2,470.50 12
Ghs ng placement w fluoro guidance CPT 43752 $2,304.60 $3,841.00 $75.50 – $2,880.75 11
Ghs o2 saturation CPT 82810 $53.40 $89.00 $9.66 – $66.75 12
Ghs opcc repair cvp w subq port CPT 36576 $3,535.80 $5,893.00 $191.51 – $4,419.75 12
Ghs opcc repair cvp without subq port CPT 36575 $1,992.00 $3,320.00 $41.04 – $2,490.00 12
Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 $97.80 $163.00 $22.95 – $122.25 12
Ghs ot sensory integrative tech/15min CPT 97533 $96.00 $160.00 $24.92 – $120.00 11
Ghs pacing - transcutaneous CPT 92953 $1,755.00 $2,925.00 $124.43 – $2,193.75 12
Ghs paravert facet/nerve cerv ea add bil CPT 64492 $595.20 $992.00 $57.04 – $817.99 11
Ghs paravert facet/nerve lumb ea add bil CPT 64495 $750.00 $1,250.00 $48.77 – $937.50 11
Ghs path - pap (papanicolau) smear - vagina CPT 88141 $91.20 $152.00 $6.53 – $93.75 12
Ghs peritonsillar abscess i andd CPT 42700 $1,225.20 $2,042.00 $68.20 – $1,531.50 12
Ghs picc line insert < 5 CPT 36568 $2,060.40 $3,434.00 $97.24 – $2,575.50 12
Ghs plngl fx pm cl CPT 26725 $520.80 $868.00 $84.70 – $840.65 12
Ghs ppd (tb intradermal) CPT 86580 $85.80 $143.00 $5.50 – $29.25 13
Ghs pr without cont pulse ox CPT 94625 $133.20 $222.00 $26.33 – $166.50 12
Ghs prostatic acid phosphatase (mayo) CPT 84066 $49.20 $82.00 $9.55 – $61.50 12
Ghs protoporphyrins fract CPT 84202 $72.60 $121.00 $14.19 – $90.75 12
Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 $44.40 $74.00 $7.70 – $55.50 12
Ghs quinidine CPT 80194 $103.80 $173.00 $14.43 – $129.75 12
Ghs refill of implantable pump CPT 95990 $774.60 $1,291.00 $41.58 – $968.25 12
Ghs removal intranasal foreign body CPT 30300 $328.80 $548.00 $24.75 – $892.40 12
Ghs removal pharyngeal foreign body CPT 42809 $550.80 $918.00 $55.20 – $892.40 12
Ghs repair extensor tendon hand, ea tendon CPT 26410 $2,055.00 $3,425.00 $243.65 – $2,568.75 12
Ghs repair tendon ext forearm/wrist ea CPT 25270 $4,150.20 $6,917.00 $892.40 – $5,187.75 12
Ghs reticulocyte count CPT 85044 $22.20 $37.00 $4.26 – $27.75 12
Ghs semen analysis fert CPT 89320 $88.80 $148.00 $8.64 – $111.00 12
Ghs sensitivity (per antimicro) CPT 87184 $42.00 $70.00 $7.39 – $47.25 13
Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 $819.60 $1,366.00 $101.20 – $1,024.50 12
Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 $1,230.60 $2,051.00 $101.20 – $1,538.25 12
Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 $965.40 $1,609.00 $101.20 – $1,206.75 12
Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 $2,079.60 $3,466.00 $101.20 – $2,599.50 12
Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 $808.20 $1,347.00 $52.25 – $1,010.25 12
Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 $808.20 $1,347.00 $53.35 – $1,010.25 12
Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 $808.20 $1,347.00 $67.65 – $1,010.25 12
Ghs simple repair over 30 cm - 12007 CPT 12007 $660.00 $1,100.00 $101.20 – $892.40 12
Ghs simple repair over 30 cm - 12018 CPT 12018 $660.00 $1,100.00 $101.20 – $1,000.63 12
Ghs somatosensory testing lower extremit CPT 95926 $720.60 $1,201.00 $37.33 – $900.75 12
Ghs somatosensory testing upper & lower limbs CPT 95938 $1,077.00 $1,795.00 $212.05 – $1,346.25 12
Ghs sphenopalatine ganglion block CPT 64505 $2,380.80 $3,968.00 $59.95 – $2,976.00 12
Ghs strapping shoulder - 29240 CPT 29240 $346.20 $577.00 $21.45 – $432.75 12
Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 $147.60 $246.00 $9.82 – $184.50 12
Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 $522.00 $870.00 $47.63 – $652.50 12
Ghs superficial wnd dehis w packing12021 CPT 12021 $1,272.60 $2,121.00 $129.80 – $1,590.75 12
Ghs superficial wnd dehiscence simp12020 CPT 12020 $759.00 $1,265.00 $103.40 – $948.75 12
Ghs tracheostomy emergency - transtracheal CPT 31603 $5,073.00 $8,455.00 $225.73 – $6,341.25 12
Ghs tx distal phalangeal fx with manipulation CPT 26755 $415.80 $693.00 $80.30 – $892.40 12
Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 $1,961.40 $3,269.00 $226.41 – $2,451.75 12
Ghs urine, porphyrins quant CPT 84120 $75.00 $125.00 $8.25 – $93.75 12
Ghs vaginal delivery only CPT 59409 $4,464.60 $7,441.00 $50.26 – $5,580.75 12
Ghs veeg 12-26 hr intmt mont CPT 95715 $1,773.60 $2,956.00 $500.80 – $2,217.00 11
Gi inhouse confirmation CPT 87045 $52.80 $88.00 $6.90 – $66.00 13
Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 $1,191.00 $1,985.00 $606.61 – $1,654.65 12
Giardia lamblia antibody CPT 86674 $81.60 $136.00 $10.33 – $102.00 12
Glassia injection HCPCS J0257 $384.00 $640.00 $5.58 – $480.00 11
Glucagon 1 mg solution for injection HCPCS J1610 $168.00 $280.00 $57.58 – $182.45 11
Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 $167.40 $279.00 $54.55 – $148.99 11
Glucagon plasma - sendout CPT 82943 $72.60 $121.00 $14.12 – $90.75 12
Glucose 1 hr post dose CPT 82950 $24.00 $40.00 $4.70 – $25.50 12
Glucose blood by monitoring device cleared by fda for home use CPT 82962 $19.20 $32.00 $2.20 – $24.00 12
Glucose blood quantitative CPT 82947 $21.00 $35.00 $3.89 – $26.25 14
Glucose body fluid CPT 82945 $21.00 $35.00 $3.89 – $26.25 12
Glucose monitoring continual min 72hr pt CPT 95249 $90.60 $151.00 $33.06 – $113.25 12
Glucose tolerance test (gtt) 3 specimens CPT 82951 $94.20 $157.00 $12.72 – $81.75 12
Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 $20.40 $34.00 $3.60 – $15.75 12
Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 $11.40 $19.00 $0.34 – $0.75 11
Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 $299.40 $499.00 $10.93 – $374.25 11
Gonadotropin follicle stimulating hormone (fsh) CPT 83001 $94.20 $157.00 $17.50 – $100.50 14
Gonadotropin luteinizing hormone (lh) CPT 83002 $94.20 $157.00 $17.00 – $100.50 14
Goserelin 10.8 mg subcutaneous implant HCPCS J9202 $1,591.80 $2,653.00 $203.70 – $733.67 11
Graft axiofill 1000mg HCPCS J3590 $29.40 $49.00 $16.50 – $36.75 9
Graft xenmtrx sft rect 19x28cm HCPCS C2625 $461.40 $769.00 $116.20 – $728.60 8
Granisetron hcl injection HCPCS J1626 $6.00 $10.00 $0.19 – $32.64 10
Great toe with reduction 28495 CPT 28495 $759.00 $1,265.00 $83.05 – $948.75 12
Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 $3,764.40 $6,274.00 $1,814.47 – $1,959.45 2
Gu dilat ureter/urethra s&i CPT 74485 $4,154.40 $6,924.00 $89.44 – $5,193.00 12
Guid loc target vol rad tx CPT 77387 $300.60 $501.00 $15.73 – $375.75 11
Guide wire threaded 1.4x150mm HCPCS C1769 $2,162.40 $3,604.00 $23.23 – $283.77 9
Guide worley csg 9fx50cm std HCPCS C1892 $92.40 $154.00 $35.05 – $302.31 9
Guided cath fluid drainage 10030 CPT 10030 $4,608.60 $7,681.00 $137.81 – $5,760.75 12
Gw stiffened micro access kit HCPCS C1894 $1,252.80 $2,088.00 $10.63 – $250.79 9
H pylori (c-13) breath CPT 83013 $340.80 $568.00 $66.11 – $426.00 12
HIV prep, ftc/tdf 200/300mg HCPCS J0750 $36.60 $61.00 $0.34 – $1.73 11
Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 $30.60 $51.00 $4.40 – $51.41 10
Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 $12.00 $20.00 $0.34 – $11.50 10
Hand X-ray CPT 73130 $188.40 $314.00 $13.22 – $235.50 12
Handle/convey/speciman/office-lab 99000 CPT 99000 $23.40 $39.00 $4.26 – $27.00 9
Haptoglobin quantitative CPT 83010 $64.20 $107.00 $12.00 – $80.25 13
Hast w/i&r phys/qhp CPT 94452 $275.40 $459.00 $25.43 – $344.25 12
Hast w/oxygen titrate CPT 94453 $226.80 $378.00 $37.76 – $283.50 12
Hba1/hba2 gene dup/del vrnts CPT 81269 $438.00 $730.00 $127.05 – $547.50 12
Hbb full gene sequence CPT 81364 $1,172.40 $1,954.00 $203.76 – $1,465.50 12
Hc i-131 sodium iodide cap dx per mci HCPCS A9528 $184.20 $307.00 $120.90 – $303.25 8
Hc nm kidney imaging with flow CPT 78701 $1,228.80 $2,048.00 $63.25 – $357.57 12
Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 $1,800.00 $3,000.00 $204.06 – $2,250.00 11
Hc pet myocardial imaging metabolic eval single study CPT 78459 $4,972.20 $8,287.00 $1,232.17 – $6,215.25 11
Hc transcatheter placement and sbsq removal cepd perq CPT 33370 $3,046.80 $5,078.00 $55.03 – $3,808.50 11
Hcg qualitative CPT 84703 $39.00 $65.00 $7.43 – $48.75 14
Hcg quantitative CPT 84702 $76.20 $127.00 $4.00 – $58.50 14
Hdr rdncl ntrstl/icav brchtx CPT 77770 $2,553.60 $4,256.00 $142.93 – $3,192.00 12
Hdr rdncl ntrstl/icav brchtx CPT 77771 $2,553.60 $4,256.00 $260.32 – $3,192.00 12
Hdr rdncl ntrstl/icav brchtx CPT 77772 $2,553.60 $4,256.00 $411.57 – $3,192.00 12
Hdr rdncl skn surf brachytx CPT 77767 $598.20 $997.00 $110.71 – $747.75 12
Hdr rdncl skn surf brachytx CPT 77768 $598.20 $997.00 $182.07 – $747.75 12
Head CT scan (with and without contrast) CPT 70470 $1,300.20 $2,167.00 $115.00 – $1,618.50 12
Head CT scan (with contrast) CPT 70460 $1,294.80 $2,158.00 $92.00 – $1,618.50 12
Head CT scan (without contrast) CPT 70450 $1,105.20 $1,842.00 $89.12 – $996.00 12
Heart infarct image CPT 78466 $1,228.80 $2,048.00 $64.40 – $1,536.00 12
Helicobacter pylori antibody igm CPT 86677 $61.20 $102.00 $16.65 – $76.50 13
Hematocrit CPT 85014 $12.60 $21.00 $2.35 – $15.75 13
Hematopoietic nuclear tx CPT 79403 $918.60 $1,531.00 $101.60 – $1,148.25 12
Hemin 350 mg intravenous powder for solution HCPCS J1640 $6,247.80 $10,413.00 $13.73 – $7,809.75 11
Hemodialysis one evaluation CPT 90935 $1,081.80 $1,803.00 $189.75 – $1,352.25 12
Hemoglobin CPT 85018 $12.60 $21.00 $2.35 – $15.75 14
Hemoglobin fetal qualitative CPT 83033 $18.00 $30.00 $7.18 – $22.50 12
Hemoglobin methemoglobin quantitative CPT 83050 $45.00 $75.00 $3.30 – $56.25 12
Hemoglobin plasma CPT 83051 $37.80 $63.00 $3.85 – $47.25 12
Hemophilus influenza antibdy CPT 86684 $88.80 $148.00 $15.65 – $111.00 12
Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 $2,925.00 $4,875.00 $50.60 – $3,656.25 12
Hepagam b im injection HCPCS J1571 $586.80 $978.00 $43.10 – $96.00 11
Heparin assay CPT 85520 $66.60 $111.00 $7.18 – $83.25 12
Heparin bolus from bag HCPCS J1644 $9.60 $16.00 $0.21 – $1.56 10
Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 $1.20 $2.00 $0.02 – $1.50 11
Hepatectomy removal of liver 47120 CPT 47120 $4,246.20 $7,077.00 $2,196.46 – $2,371.96 2
Hepatitis a antibody igm CPT 86709 $64.20 $107.00 $11.13 – $79.50 12
Hepatitis b core antibody igm CPT 86705 $65.40 $109.00 $11.64 – $73.50 12
Hepatitis b core antibody total CPT 86704 $69.60 $116.00 $11.91 – $83.25 14
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 $105.60 $176.00 $11.00 – $134.19 12
Hepatitis b surface antibody CPT 86706 $59.40 $99.00 $10.62 – $55.50 14
Hepatitis c antibody CPT 86803 $108.00 $180.00 $14.10 – $135.00 14
Hepatobiliary system imaging CPT 78226 $1,228.80 $2,048.00 $107.51 – $446.10 12
Hernia Repair (Inguinal) CPT 49505 $1,696.80 $2,828.00 $349.25 – $3,364.54 8
Herpes simplex 1 ag if CPT 87274 $66.60 $111.00 $8.41 – $83.25 12
Herpes simplex type 1 antibody igg CPT 86695 $76.80 $128.00 $13.03 – $92.25 12
Herpes simplex type 2 antibody igg CPT 86696 $109.80 $183.00 $19.13 – $134.25 12
Herpes simplex virus isolation CPT 87255 $189.00 $315.00 $33.46 – $213.75 12
Heterophile antibodies screening CPT 86308 $29.40 $49.00 $5.12 – $36.75 13
Hhv-6 dna quant CPT 87533 $232.80 $388.00 $29.29 – $291.00 12
Hip X-ray CPT 73502 $188.40 $314.00 $19.34 – $235.50 12
Histamine CPT 83088 $149.40 $249.00 $14.30 – $186.75 12
Histochemical stains add-on CPT 88314 $126.00 $210.00 $9.88 – $157.50 12
Hiv-1 ag ia CPT 87390 $87.00 $145.00 $10.50 – $108.75 13
Hizentra injection HCPCS J1559 $25.80 $43.00 $14.20 – $32.25 11
Hla class i high defin qual CPT 86832 $1,800.60 $3,001.00 $140.47 – $2,250.75 12
Hla class i phenotype qual CPT 86830 $531.60 $886.00 $89.39 – $664.50 12
Hla class i semiquant panel CPT 86834 $1,989.00 $3,315.00 $353.38 – $2,486.25 12
Hla class ii high defin qual CPT 86833 $1,812.00 $3,020.00 $127.70 – $2,265.00 12
Hla class ii phenotype qual CPT 86831 $455.40 $759.00 $76.62 – $569.25 12
Hla class ii semiquant panel CPT 86835 $1,797.00 $2,995.00 $319.18 – $2,246.25 12
Hla i & ii typing hr CPT 81378 $749.40 $1,249.00 $341.53 – $936.75 12
Hla i & ii typing lr CPT 81370 $2,323.80 $3,873.00 $397.42 – $2,904.75 12
Hla i typing 1 locus hr CPT 81380 $384.00 $640.00 $175.17 – $480.00 12
Hla i typing complete hr CPT 81379 $727.20 $1,212.00 $331.46 – $909.00 12
Hla i typing complete lr CPT 81372 $2,332.80 $3,888.00 $265.20 – $2,916.00 12
Hla i typing high res 1 allele grp ea CPT 81381 $981.60 $1,636.00 $113.54 – $1,227.00 12
Hla ii typing 1 loc hr CPT 81382 $714.60 $1,191.00 $122.24 – $317.25 12
Hla ii typing ag equiv lr CPT 81375 $797.40 $1,329.00 $218.16 – $996.75 12
Hla typing a b or c CPT 86813 $322.80 $538.00 $57.32 – $403.50 12
Hla x-match noncytotoxc addl CPT 86826 $203.40 $339.00 $33.75 – $254.25 12
Hla x-math non-cytotoxic CPT 86825 $608.40 $1,014.00 $101.23 – $760.50 12
Hlth bhv ivntj fam 1st 30 CPT 96167 $96.60 $161.00 $28.12 – $120.75 12
Hlth bhv ivntj grp 1st 30 CPT 96164 $76.80 $128.00 $5.52 – $96.00 12
Homocysteine CPT 83090 $91.20 $152.00 $17.71 – $114.00 12
Homogenization tissue CPT 87176 $12.60 $21.00 $5.80 – $15.75 12
Homovanillic acid (hva) CPT 83150 $81.00 $135.00 $8.25 – $101.25 12
Hpv types 16 & 18 only CPT 87625 $225.00 $375.00 $31.96 – $281.25 12
Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 $33.00 $55.00 $0.36 – $41.25 10
Hydralazine 20 mg/ml injection solution HCPCS J0360 $25.20 $42.00 $0.34 – $10.87 10
Hydration IV infusion each additional hour CPT 96361 $108.00 $180.00 $9.90 – $135.00 12
Hydration IV infusion initial 31minutes - 1 hour CPT 96360 $522.00 $870.00 $34.79 – $582.00 12
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 $22.20 $37.00 $6.06 – $21.31 10
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 $22.80 $38.00 $0.10 – $0.75 10
Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 $17.40 $29.00 $1.84 – $21.75 10
Hydrxycorticsterds 17- (17-ohcs) CPT 83491 $65.40 $109.00 $7.70 – $81.75 12
Hysterosalpingography s&i CPT 74740 $547.80 $913.00 $30.48 – $684.75 12
Hysteroscopy biopsy CPT 58558 not published not published $577.87 – $3,273.50 7
Hysteroscopy dx sep proc CPT 58555 not published not published $191.70 – $3,031.30 8
Hysteroscopy remove myoma CPT 58561 not published not published $828.50 – $5,082.34 7
I & d vag hematoma non-ob 57023 CPT 57023 $3,515.40 $5,859.00 $320.61 – $4,394.25 12
I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 $3,971.40 $6,619.00 $98.45 – $4,964.25 12
I-123 iobenguane diag HCPCS A9582 $12,202.20 $20,337.00 $1,770.34 – $15,252.75 10
I-123 ioflupane diag HCPCS A9584 $8,455.20 $14,092.00 $1,374.14 – $10,569.00 10
I-123 sod iodide diag per 100 uci HCPCS A9516 $139.20 $232.00 $91.36 – $212.86 8
I-131 iobenguane sulf diag mibg HCPCS A9508 $7,450.80 $12,418.00 $456.01 – $9,313.50 8
I-131 sod iodide sol diag per mci HCPCS A9529 $114.60 $191.00 $66.85 – $143.25 8
I131 iodide cap, rx HCPCS A9517 $184.20 $307.00 $22.90 – $230.25 10
I131 iodide sol, rx HCPCS A9530 $52.20 $87.00 $20.67 – $65.25 10
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 $171.60 $286.00 $21.16 – $214.50 12
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $325.20 $542.00 $12.57 – $406.50 12
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 $397.80 $663.00 $13.52 – $331.50 12
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 $522.00 $870.00 $43.23 – $485.25 12
IV inj ra drug dx study CPT 78808 $1,228.80 $2,048.00 $65.39 – $1,536.00 12
Iaadi respiratory synctial virus CPT 87280 $75.00 $125.00 $9.42 – $93.75 12
Iadna legionella pneumophila amplified probe tq CPT 87541 $195.60 $326.00 $24.61 – $244.50 12
Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 $105.00 $175.00 $26.94 – $282.31 10
Ibuprofen injection HCPCS J1741 $150.00 $250.00 $1.58 – $123.75 10
Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 $37.80 $63.00 $9.76 – $186.08 11
Icatibant injection HCPCS J1744 $1,016.40 $1,694.00 $129.09 – $324.75 11
Icd cobalt xt dr MRI is1 df1 HCPCS C1721 $36,540.60 $60,901.00 $12,180.20 – $51,117.81 8
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 $45,067.20 $75,112.00 $15,022.40 – $56,334.00 8
Icd crtp serena MRI HCPCS C2621 $24,360.60 $40,601.00 $6,080.35 – $30,450.75 8
Icd reliance df4 ib 64cm HCPCS C1895 $18,804.00 $31,340.00 $4,575.73 – $23,505.00 8
Ifosfamide 1 gram intravenous solution HCPCS J9208 $64.20 $107.00 $0.34 – $193.95 10
Igh@ var region somatic mutation analy CPT 81263 $1,702.80 $2,838.00 $291.08 – $2,128.50 12
Ihc/icc per specimen each additional single antibody stain CPT 88341 $157.20 $262.00 $28.46 – $101.25 12
Ihc/icc per specimen each multiplex antibody stain CPT 88344 $664.80 $1,108.00 $17.10 – $152.54 12
Ihc/icc per specimen initial single antibody stain CPT 88342 $337.20 $562.00 $38.81 – $128.59 13
Iliac revasc add-on 37222 CPT 37222 $8,640.60 $14,401.00 $182.87 – $10,800.75 11
Iliac/fem angio cath insert HCPCS G0278 $2,881.20 $4,802.00 $9.51 – $3,601.50 10
Immune complex assay CPT 86332 $88.80 $148.00 $24.09 – $111.00 12
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 $678.00 $1,130.00 $2.36 – $45.31 11
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 $5,101.20 $8,502.00 $6.40 – $47.53 11
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $116.40 $194.00 $20.57 – $145.50 12
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $116.40 $194.00 $20.57 – $145.50 12
Immunodiff gel qual ea antigen/ab CPT 86331 $66.60 $111.00 $8.80 – $83.25 12
Immunofixation electrophoresis serum CPT 86334 $126.60 $211.00 $22.08 – $156.00 12
Immunofluorescence per specimen each additional single antibody stain CPT 88350 $195.60 $326.00 $13.83 – $244.50 12
Immunofluorescence per specimen initial single antibody stain CPT 88346 $664.80 $1,108.00 $17.59 – $138.00 12
Immunoglobulin assay CPT 86023 $69.60 $116.00 $12.32 – $87.00 12
Immunology procedure CPT 86849 $605.40 $1,009.00 $8.17 – $756.75 9
Impl neurostim electr perc CPT 63650 $12,736.80 $21,228.00 $410.25 – $15,921.00 12
Implant open hernia repair w/mesh 49568 CPT 49568 $632.40 $1,054.00 $91.00 – $195.00 9
Implant tcat pulm vlv perq CPT 33477 $10,503.00 $17,505.00 $913.78 – $13,128.75 11
In situ hybridization per specimen each additional single probe stain CPT 88364 $339.00 $565.00 $43.57 – $423.75 12
In situ hybridization per specimen initial single probe stain CPT 88365 $337.20 $562.00 $13.27 – $421.50 12
In-111 autol wbc diag per dose HCPCS A9570 $6,806.40 $11,344.00 $1,021.08 – $8,508.00 10
In-111 capromab pendet HCPCS A9507 $16,003.80 $26,673.00 $2,086.93 – $20,004.75 8
In-111 ibritumomab tiux dx HCPCS A9542 $14,202.00 $23,670.00 $790.04 – $17,752.50 10
In-111 oxyquinolin per 0.5 mci HCPCS A9547 $6,806.40 $11,344.00 $536.56 – $8,508.00 10
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $3,424.80 $5,708.00 $29.90 – $4,281.00 10
In-111 pentetreotide HCPCS A9572 $18,255.00 $30,425.00 $1,895.46 – $22,818.75 10
Incision & drainage hematoma/seroma/fluid collection CPT 10140 $2,080.80 $3,468.00 $25.85 – $2,601.00 12
Incision of achilles tendon CPT 27605 $4,284.60 $7,141.00 $200.27 – $5,355.75 12
Incision of achilles tendon CPT 27606 not published not published $262.90 – $3,093.35 8
Incision of anal sphincter CPT 46080 not published not published $146.30 – $2,614.54 8
Incision of bile duct 47420 CPT 47420 $5,571.60 $9,286.00 $1,257.67 – $1,358.16 2
Incision of breast lesion CPT 19020 $2,715.60 $4,526.00 $80.30 – $3,394.50 12
Incision of foot fascia CPT 28008 $4,272.00 $7,120.00 $150.15 – $5,340.00 12
Incision of foot tendon 28234 CPT 28234 not published not published $123.75 – $1,525.80 8
Incision of heel bone CPT 28300 not published not published $722.42 – $7,354.86 7
Incision of hip tendon CPT 27000 $4,284.60 $7,141.00 $130.35 – $5,355.75 12
Incision of hip tendons CPT 27006 $5,605.80 $9,343.00 $207.90 – $7,007.25 12
Incision of metatarsal CPT 28308 not published not published $722.42 – $3,340.51 7
Incision of metatarsals CPT 28309 not published not published $287.10 – $6,810.69 8
Incision of tendon & muscle CPT 23405 $9,067.20 $15,112.00 $722.42 – $11,334.00 12
Incision of thigh tendon CPT 27306 $8,561.40 $14,269.00 $130.35 – $10,701.75 12
Incision of thigh tendons CPT 27307 $8,561.40 $14,269.00 $155.10 – $10,701.75 12
Incision of tongue fold CPT 41010 not published not published $49.50 – $1,412.22 8
Incision tendon sheath CPT 26055 not published not published $220.00 – $1,525.80 8
Incisn windpipe CPT 31600 $1,051.20 $1,752.00 $285.33 – $308.13 2
Induced ab 1+ vag sup w/dlv fetus CPT 59855 $5,949.60 $9,916.00 $366.39 – $7,437.00 11
Infect ag drug suscept pheno predict CPT 87900 $724.80 $1,208.00 $128.83 – $906.00 12
Infect ag eia influenza a or b ea CPT 87400 $51.60 $86.00 $6.70 – $64.50 12
Infect ag genotype na hiv-1 other region CPT 87906 $716.40 $1,194.00 $127.22 – $895.50 12
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $1,431.00 $2,385.00 $254.45 – $1,788.75 12
Infect ag ia direct hiv-1 antgn CPT 87806 $182.40 $304.00 $21.93 – $228.00 12
Infect ag if nos ea CPT 87299 $90.60 $151.00 $11.29 – $113.25 12
Infect ag if varicella zoster CPT 87290 $75.00 $125.00 $9.42 – $93.75 12
Infect ag na hep b amp CPT 87516 $126.60 $211.00 $24.61 – $158.25 12
Infect ag na herpes simplex quant CPT 87530 $102.60 $171.00 $30.05 – $128.25 12
Infect ag na hpv high-risk types CPT 87624 $195.60 $326.00 $31.96 – $185.25 12
Infect ag na influenza r/amp 1st 2 types CPT 87502 $532.80 $888.00 $94.68 – $666.00 12
Infect ag na orthopoxvirus amp prb each CPT 87593 $195.60 $326.00 $0.02 – $244.50 11
Infect ag na resp virus 12-25 targets CPT 87633 $2,317.80 $3,863.00 $411.91 – $2,897.25 12
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $43.80 $73.00 $8.41 – $54.75 12
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $66.60 $111.00 $11.84 – $83.25 12
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $80.40 $134.00 $10.09 – $100.50 12
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $57.00 $95.00 $10.21 – $58.50 14
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $57.00 $95.00 $10.21 – $71.25 13
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $135.00 $225.00 $23.80 – $168.75 13
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $66.60 $111.00 $8.41 – $31.50 12
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $66.60 $111.00 $8.41 – $83.25 12
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $66.60 $111.00 $11.84 – $83.25 12
Infectious agent nucleic acid amplified probe CPT 87798 $195.60 $326.00 $23.19 – $222.75 13
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $195.60 $326.00 $23.19 – $113.25 13
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $207.60 $346.00 $36.84 – $259.50 13
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $3,829.20 $6,382.00 $292.38 – $4,786.50 12
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $195.60 $326.00 $24.61 – $244.50 12
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $195.60 $326.00 $34.68 – $244.50 12
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $195.60 $326.00 $23.19 – $113.25 13
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $75.00 $125.00 $39.04 – $93.75 12
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $84.60 $141.00 $49.21 – $144.80 12
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $210.00 $350.00 $122.15 – $262.50 12
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $195.60 $326.00 $24.61 – $244.50 12
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $195.60 $326.00 $34.68 – $244.50 12
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $876.60 $1,461.00 $292.38 – $1,095.75 12
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $553.20 $922.00 $184.48 – $691.50 12
Infectious agent nucleic acid quantification bk virus CPT 87799 $238.80 $398.00 $30.05 – $143.25 12
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $238.80 $398.00 $42.34 – $196.50 12
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $243.00 $405.00 $39.65 – $298.50 13
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $474.60 $791.00 $84.10 – $593.25 13
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $793.80 $1,323.00 $140.96 – $992.25 12
Infliximab 100 mg intravenous solution HCPCS J1745 $700.20 $1,167.00 $30.78 – $356.25 11
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 $300.00 $500.00 $20.21 – $375.00 11
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $567.60 $946.00 $16.59 – $709.50 11
Influenza dna amp prob addl CPT 87503 $105.00 $175.00 $25.72 – $131.25 12
Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 $93.60 $156.00 $11.00 – $37.50 10
Infuse radioactive materials CPT 77750 $624.60 $1,041.00 $54.74 – $780.75 12
Initiation & management bipap/cpap initial day CPT 94660 $627.00 $1,045.00 $39.40 – $783.75 12
Inj anifrolumab-fnia 1mg HCPCS J0491 $1,522.80 $2,538.00 $6.90 – $1,903.50 11
Inj brixadi, more than 7 day HCPCS J0578 $2,846.40 $4,744.00 $678.21 – $3,558.00 11
Inj calcitriol per 0.1 mcg HCPCS J0636 $5.40 $9.00 $1.68 – $3.75 9
Inj cefazolin (wg crit care) HCPCS J0687 $3.00 $5.00 $0.44 – $3.00 11
Inj cefazolin sodium, hikma HCPCS J0688 $4.80 $8.00 $0.63 – $3.75 11
Inj ceftolozane tazobactam HCPCS J0695 $94.80 $158.00 $3.28 – $118.50 11
Inj cntr knee arthro incl ct/mri CPT 27369 $186.60 $311.00 $38.24 – $349.54 11
Inj crotalidae im f(ab')2 eq HCPCS J0841 $792.00 $1,320.00 $444.44 – $1,045.15 11
Inj cyclophosphamd (ingenus) HCPCS J9073 $87.60 $146.00 $0.77 – $109.50 11
Inj disk cerv-thor ea lev CPT 62291 $1,878.60 $3,131.00 $88.00 – $2,348.25 12
Inj dx for sinogram CPT 20501 $2,304.60 $3,841.00 $38.50 – $2,880.75 12
Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 $1,723.20 $2,872.00 $13.19 – $2,154.00 11
Inj epidural sgl cerv-thor without img CPT 62320 $1,920.60 $3,201.00 $90.97 – $2,400.75 12
Inj for ext venography CPT 36005 $1,152.60 $1,921.00 $48.02 – $1,440.75 12
Inj for mammo ductogram CPT 19030 $306.60 $511.00 $55.20 – $383.25 11
Inj glofitamab gxbm, 2.5 mg HCPCS J9286 $612.60 $1,021.00 $343.77 – $2,767.88 11
Inj heparin, pfizer, 1000u HCPCS J1643 $3.00 $5.00 $0.15 – $5.31 10
Inj herzuma 10 mg HCPCS Q5113 $841.20 $1,402.00 $46.77 – $1,051.50 11
Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 $1,230.00 $2,050.00 $40.45 – $1,537.50 11
Inj imip 4 cilas 4 releb 2mg HCPCS J0742 $183.60 $306.00 $1.80 – $229.50 11
Inj ivig privigen 500 mg HCPCS J1459 $5,274.00 $8,790.00 $5.72 – $50.74 11
Inj levocarnitine per 1 gm HCPCS J1955 $4.20 $7.00 $0.67 – $62.93 10
Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 $540.60 $901.00 $119.71 – $675.75 11
Inj multihance HCPCS A9577 $3.00 $5.00 $1.74 – $12.81 9
Inj nephrosto/ureterogram w/img exstng access CPT 50431 $1,266.00 $2,110.00 $108.14 – $1,582.50 12
Inj ogivri 10 mg HCPCS Q5114 $564.00 $940.00 $39.89 – $705.00 11
Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 $3,925.20 $6,542.00 $30.02 – $4,906.50 11
Inj peritoneal venous shunt CPT 49427 $1,665.60 $2,776.00 $48.71 – $2,082.00 11
Inj proc ankle arthr CPT 27648 $405.60 $676.00 $27.50 – $507.00 12
Inj proc elbow arthro CPT 24220 $461.40 $769.00 $40.25 – $576.75 11
Inj proc lumbr disk ea lvl CPT 62290 $3,214.20 $5,357.00 $167.89 – $4,017.75 12
Inj proc myelogram lumbar CPT 62284 $518.40 $864.00 $87.49 – $685.40 12
Inj proc sialogram CPT 42550 $612.60 $1,021.00 $37.95 – $892.40 12
Inj progesterone per 50 mg HCPCS J2675 $1.80 $3.00 $0.67 – $2.91 10
Inj retro urethrocysto CPT 51610 $504.00 $840.00 $37.95 – $630.00 12
Inj scleros sol mult veins CPT 36471 $1,728.00 $2,880.00 $100.23 – $2,160.00 12
Inj scleros sol sgl vein CPT 36470 $1,108.20 $1,847.00 $10.29 – $1,385.25 12
Inj secukinumab intrav 1mg HCPCS J3247 $253.80 $423.00 $6.79 – $317.25 11
Inj teclistamab cqyv 0.5 mg HCPCS J9380 $3,345.00 $5,575.00 $12.44 – $475.50 11
Inj tedizolid phosphate HCPCS J3090 $184.20 $307.00 $0.07 – $230.25 11
Inj testosterone cypionate HCPCS J1071 $12.60 $21.00 $0.03 – $13.50 10
Inj thiotepa nos 1 mg HCPCS J9342 $450.00 $750.00 $10.43 – $446.25 11
Inj w/fluor eval cv device CPT 36598 $417.00 $695.00 $66.70 – $521.25 12
Inj(s) sclerosant spider veins limb/trunk CPT 36468 $602.40 $1,004.00 $151.44 – $753.00 11
Inj, brixadi, 7 days or less HCPCS J0577 $533.40 $889.00 $169.56 – $666.75 11
Inj, bupivacaine liposome HCPCS J0666 $13.20 $22.00 $0.81 – $16.50 11
Inj, cefepime hcl (b braun) HCPCS J0703 $17.40 $29.00 $3.28 – $14.25 10
Inj, cefiderocol, 10 mg HCPCS J0699 $131.40 $219.00 $0.90 – $164.25 11
Inj, factor x, (human), 1iu HCPCS J7175 $6.60 $11.00 $3.70 – $9.78 11
Inj, lanreotide, (cipla) 1mg HCPCS J1932 $10,671.00 $17,785.00 $29.54 – $13,338.75 11
Inj, levothyroxine, freskabi HCPCS J0651 $10.20 $17.00 $3.51 – $10.50 11
Inj, releuko 1 mcg HCPCS Q5125 $190.80 $318.00 $0.24 – $238.50 11
Inj, sezaby, 1 mg HCPCS J2561 $79.80 $133.00 $0.57 – $99.75 11
Inj, sutimlimab-jome, 10 mg HCPCS J1302 $52.20 $87.00 $7.36 – $65.25 11
Inj, tyenne, 1 mg HCPCS Q5135 $58.20 $97.00 $1.95 – $72.75 11
Inj. fe derisomaltose 10 mg HCPCS J1437 $194.40 $324.00 $18.57 – $243.00 11
Inj. herceptin hylecta, 10mg HCPCS J9356 $561.00 $935.00 $49.22 – $701.25 11
Inj. mycophenolate mofetil HCPCS J7519 $64.20 $107.00 $0.36 – $54.00 10
Inj. teprotumumab-trbw 10 mg HCPCS J3241 $9,829.20 $16,382.00 $251.03 – $12,286.50 11
Inj., benralizumab, 1 mg HCPCS J0517 $3,405.60 $5,676.00 $109.17 – $4,257.00 11
Inj., meropenem, vaborbactam HCPCS J2186 $129.60 $216.00 $2.16 – $162.00 11
Inj., tildrakizumab, 1 mg HCPCS J3245 $10,342.20 $17,237.00 $117.23 – $12,927.75 11
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 $1,420.80 $2,368.00 $115.35 – $1,776.00 12
Injection arthrography hip without anesthesia (both sides) CPT 27093 $461.40 $769.00 $55.20 – $576.75 11
Injection carpal tunnel therapeutic (both sides) CPT 20526 $596.40 $994.00 $54.76 – $745.50 12
Injection during cath supravalvular aortography CPT 93567 $1,728.00 $2,880.00 $44.46 – $2,160.00 11
Injection epidural blood patch or clot CPT 62273 $1,192.80 $1,988.00 $52.80 – $1,491.00 12
Injection for arthrography wrist (both sides) CPT 25246 $471.00 $785.00 $40.25 – $588.75 11
Injection for bladder x-ray CPT 51600 $585.00 $975.00 $35.20 – $539.52 12
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $461.40 $769.00 $128.80 – $892.40 11
Injection for spleen x-ray CPT 38200 $788.40 $1,314.00 $80.85 – $985.50 12
Injection for ureter x-ray CPT 50684 $1,540.80 $2,568.00 $49.23 – $1,926.00 12
Injection for ureter x-ray CPT 50690 $1,540.80 $2,568.00 $47.30 – $1,926.00 12
Injection into brain canal CPT 61055 $961.20 $1,602.00 $116.05 – $1,201.50 12
Injection into spinal artery CPT 62294 $1,852.80 $3,088.00 $112.70 – $2,316.00 12
Injection of sinus tract CPT 20500 $2,046.00 $3,410.00 $38.50 – $2,557.50 12
Injection radioactive tracer sentinel node (both sides) CPT 38792 $837.60 $1,396.00 $67.73 – $1,047.00 11
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 $2,647.20 $4,412.00 $452.01 – $3,309.00 11
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 $522.00 $870.00 $34.12 – $485.25 12
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 $108.00 $180.00 $14.31 – $98.25 12
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $108.00 $180.00 $7.84 – $135.00 9
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 $171.60 $286.00 $13.97 – $155.25 12
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $2,346.60 $3,911.00 $67.10 – $2,933.25 12
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $948.00 $1,580.00 $23.10 – $1,185.00 12
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 $2,647.20 $4,412.00 $104.54 – $3,309.00 12
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $1,318.80 $2,198.00 $56.07 – $1,648.50 11
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $1,456.20 $2,427.00 $268.69 – $1,820.25 12
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $1,318.80 $2,198.00 $47.82 – $1,648.50 11
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $1,318.80 $2,198.00 $239.89 – $1,648.50 12
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 $2,048.40 $3,414.00 $98.12 – $2,560.50 12
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 $2,048.40 $3,414.00 $89.45 – $2,560.50 12
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 $894.60 $1,491.00 $35.20 – $1,118.25 12
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 $396.60 $661.00 $34.17 – $495.75 12
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 $766.20 $1,277.00 $37.92 – $957.75 12
Injection, cangrelor HCPCS C9460 $572.40 $954.00 $10.98 – $561.75 11
Injection, daratumumab 10 mg HCPCS J9145 $85.20 $142.00 $33.86 – $106.50 11
Injection, fulvestrant HCPCS J9395 $115.80 $193.00 $5.05 – $11.25 11
Injection, inclisiran, 1 mg HCPCS J1306 $1,348.80 $2,248.00 $5.15 – $1,686.00 11
Injection, isavuconazonium HCPCS J1833 $229.20 $382.00 $0.40 – $273.00 11
Injection, renflexis HCPCS Q5104 $451.80 $753.00 $26.73 – $564.75 11
Injection, siltuximab HCPCS J2860 $3,603.00 $6,005.00 $67.66 – $1,125.75 11
Injection,onabotulinumtoxina HCPCS J0585 $380.40 $634.00 $6.33 – $475.50 11
Ins cath ren art 1st bi CPT 36252 $6,300.60 $10,501.00 $322.01 – $7,875.75 12
Ins cath ren art 1st uni CPT 36251 $6,300.60 $10,501.00 $247.21 – $7,875.75 12
Ins cath ren art 2nd+ bi CPT 36254 $6,300.60 $10,501.00 $371.55 – $7,875.75 12
Ins cath ren art 2nd+ uni CPT 36253 $10,450.20 $17,417.00 $344.41 – $13,062.75 12
Ins cerv dilator (sep proc) CPT 59200 $678.00 $1,130.00 $50.26 – $847.50 11
Ins icd gen exist sgl lead CPT 33240 $34,428.60 $57,381.00 $892.40 – $43,035.75 12
Ins left heart vent thor inscn ecmo CPT 33988 $2,046.60 $3,411.00 $534.26 – $2,558.25 11
Ins lv lead exist pm/icd CPT 33224 $15,540.60 $25,901.00 $892.40 – $19,425.75 12
Ins mark abd/pel for right perq CPT 49411 $4,079.40 $6,799.00 $173.93 – $5,099.25 12
Ins mark thor for right perq CPT 32553 $4,211.40 $7,019.00 $852.84 – $5,264.25 12
Ins picad w subq port 5yr> CPT 36571 $4,201.80 $7,003.00 $885.98 – $5,252.25 12
Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 $1,992.00 $3,320.00 $82.85 – $2,490.00 12
Ins pm gen w/exist mlt leads CPT 33221 $41,511.60 $69,186.00 $445.46 – $51,889.50 12
Ins pq tunnld ip cath w/img CPT 49418 $11,758.20 $19,597.00 $892.40 – $14,697.75 12
Ins tun cv cath wo subq prt/pm CPT 36557 $6,966.60 $11,611.00 $774.79 – $8,708.25 12
Ins tun cv cath wo subq prt/pm CPT 36558 $4,201.80 $7,003.00 $774.79 – $3,415.50 12
Ins tun intraperit dia cath CPT 49421 $4,714.20 $7,857.00 $212.58 – $5,892.75 12
Ins vag brachytx device CPT 57156 $1,102.80 $1,838.00 $224.29 – $1,378.50 12
Ins/rpl ldless pm right vent w img & eval CPT 33274 $24,161.40 $40,269.00 $304.48 – $30,201.75 12
Ins/rpl pm gen exist dual lead CPT 33213 $15,540.60 $25,901.00 $892.40 – $19,425.75 12
Ins/rpl pm gen exist sgl lead CPT 33212 $18,185.40 $30,309.00 $331.10 – $22,731.75 12
Ins/rpl pm w/tv ld atrl CPT 33206 $25,170.00 $41,950.00 $778.52 – $31,462.50 10
Ins/rpl wireless pulm art sensor incl s&i CPT 33289 $43,233.60 $72,056.00 $205.01 – $54,042.00 12
Insert cannula vein-to-vein hemodialysis CPT 36800 $6,966.60 $11,611.00 $163.43 – $8,708.25 12
Insert cath pleura with image CPT 32557 $10,384.20 $17,307.00 $758.91 – $12,980.25 12
Insert drug delivery implant CPT 11981 $254.40 $424.00 $83.30 – $892.40 12
Insert hepatic shunt (tips) CPT 37182 $11,241.60 $18,736.00 $928.92 – $14,052.00 11
Insert intrauterine device iud CPT 58300 $254.40 $424.00 $18.98 – $318.00 11
Insert picvad cath CPT 36570 $4,201.80 $7,003.00 $885.98 – $5,252.25 12
Insert pm/icd lead dual CPT 33217 $11,583.60 $19,306.00 $693.50 – $14,479.50 12
Insert sq defib electrode CPT 33271 $12,994.80 $21,658.00 $326.64 – $16,243.50 12
Insert swan-ganz cath CPT 93503 $2,472.00 $4,120.00 $224.88 – $3,090.00 12
Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 $8,004.00 $13,340.00 $885.98 – $10,005.00 12
Insert tunneled cv cath CPT 36560 $8,004.00 $13,340.00 $885.98 – $10,005.00 12
Insert tunneled cv cath CPT 36563 $8,004.00 $13,340.00 $369.02 – $10,005.00 12
Insert vad art access left hrt arterial access CPT 33990 $2,497.20 $4,162.00 $250.55 – $3,121.50 11
Insert/repl sq defib w/eltrd CPT 33270 $48,933.60 $81,556.00 $397.50 – $61,167.00 12
Insertion catheter bladder non indwelling CPT 51701 $558.60 $931.00 $28.00 – $698.25 12
Insertion catheter bladder temporary simple CPT 51702 $640.20 $1,067.00 $30.26 – $194.25 12
Insertion catheter pleural indwelling tunneled with cuff CPT 32550 $8,638.80 $14,398.00 $892.40 – $10,798.50 12
Insertion intra aortic balloon assist device percutaneous CPT 33967 $3,600.00 $6,000.00 $280.47 – $4,500.00 11
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 $9,498.60 $15,831.00 $892.40 – $11,873.25 12
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 $2,732.40 $4,554.00 $78.78 – $1,417.56 12
Insertion of catheter vein CPT 36481 $3,023.40 $5,039.00 $372.68 – $3,779.25 12
Insertion of catheter vein CPT 36500 $4,608.60 $7,681.00 $38.50 – $5,760.75 12
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 $25,401.60 $42,336.00 $509.38 – $31,752.00 11
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 $24,630.00 $41,050.00 $507.30 – $30,787.50 11
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 $5,751.00 $9,585.00 $386.35 – $11,554.28 11
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 $2,472.00 $4,120.00 $96.13 – $3,090.00 12
Insertion picc without port or pump with imaging guidance=>5y CPT 36573 $3,925.80 $6,543.00 $76.74 – $4,907.25 12
Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 $11,583.60 $19,306.00 $392.35 – $14,479.50 12
Insertion subcutaneous cardiac rhythm monitor CPT 33285 $17,281.80 $28,803.00 $892.40 – $21,602.25 12
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 $8,004.00 $13,340.00 $308.67 – $10,005.00 12
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 $48,933.60 $81,556.00 $892.40 – $61,167.00 12
Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 $11,583.60 $19,306.00 $181.39 – $14,479.50 12
Insitu hybridization (fish) CPT 88366 $664.80 $1,108.00 $53.80 – $831.00 12
Insitu hybridization auto CPT 88367 $664.80 $1,108.00 $115.70 – $831.00 12
Insitu hybridization manual CPT 88368 $664.80 $1,108.00 $72.86 – $831.00 12
Insj biomechanical device 22853 CPT 22853 not published not published $173.20 – $355.07 4
Inst fibrinolysis agent ini day CPT 32561 $157.20 $262.00 $62.94 – $67.97 2
Inst fibrinolysis agent sbsq d CPT 32562 $139.20 $232.00 $55.99 – $60.46 2
Inst via cath agent pleurds CPT 32560 $2,146.80 $3,578.00 $457.84 – $2,683.50 12
Instillation anticarcinogenic agent bladder CPT 51720 $587.40 $979.00 $73.63 – $892.40 12
Insulin total CPT 83525 $57.60 $96.00 $11.00 – $72.00 13
Int hrhc lig 2+hroid without img CPT 46946 $581.40 $969.00 $357.51 – $386.08 2
Interdiscal perq aspir dx CPT 62267 $1,930.20 $3,217.00 $360.05 – $2,412.75 12
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 $4,959.00 $8,265.00 $31.52 – $4,365.75 11
Intracard echo interv w/s&i CPT 93662 $927.00 $1,545.00 $234.16 – $1,158.75 10
Intracran angioplsty w/stent CPT 61635 $8,401.80 $14,003.00 $1,048.34 – $10,402.50 10
Intracranial angioplasty CPT 61630 $7,673.40 $12,789.00 $970.84 – $9,501.00 10
Intracranial complete study CPT 93886 $481.20 $802.00 $131.27 – $601.50 12
Intracranial limited study CPT 93888 $238.80 $398.00 $58.08 – $306.13 12
Intranasal biopsy 30100 CPT 30100 not published not published $42.35 – $1,412.22 8
Intraoral i+d tongue/floor lingual 41000 CPT 41000 $1,663.80 $2,773.00 $42.35 – $2,079.75 12
Intrauterine transfusion ftl CPT 36460 $846.00 $1,410.00 $412.63 – $1,671.13 12
Intraventricular pacing CPT 93612 $8,922.00 $14,870.00 $206.25 – $11,152.50 12
Intrinsic factor antibody CPT 86340 $85.20 $142.00 $14.90 – $106.50 12
Intro cath dialysis circuit CPT 36901 $2,317.80 $3,863.00 $131.16 – $2,897.25 12
Intro cath dialysis circuit w/pta CPT 36902 $12,150.60 $20,251.00 $195.43 – $15,188.25 12
Intro cath dialysis circuit w/stent plcmnt CPT 36903 $25,053.60 $41,756.00 $267.53 – $31,317.00 12
Intro cath svc/ivc CPT 36010 $2,426.40 $4,044.00 $125.95 – $3,004.50 12
Intro catheter aorta CPT 36200 $4,321.20 $7,202.00 $122.10 – $5,401.50 12
Intro long gi tube CPT 44500 $1,788.00 $2,980.00 $21.64 – $2,235.00 12
Intro long gi tube w/mult fluo CPT 74340 $423.60 $706.00 $144.73 – $529.50 10
Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 $6,337.80 $10,563.00 $61.81 – $7,922.25 11
Intrvasc Ultrasound noncoronary addl vessel CPT 37253 $5,288.40 $8,814.00 $48.97 – $6,610.50 11
Intubation endotracheal emergency procedure CPT 31500 $463.80 $773.00 $79.20 – $892.40 12
Iodine i-123 sod iodide mil HCPCS A9509 $753.00 $1,255.00 $494.22 – $941.25 8
Ionm in operatng room 15 min CPT 95940 $264.00 $440.00 $22.59 – $330.00 11
Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 $1.20 $2.00 $0.43 – $1.62 9
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 $0.60 $1.00 $0.14 – $2.10 9
Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 $511.80 $853.00 $172.48 – $639.75 11
Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 $7.80 $13.00 $1.35 – $281.30 10
Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 $169.80 $283.00 $27.56 – $212.25 11
Iron CPT 83540 $32.40 $54.00 $6.39 – $31.50 14
Iron binding capacity CPT 83550 $44.40 $74.00 $5.00 – $47.25 13
Iron dextran 50 mg/ml injection solution HCPCS J1750 $10.20 $17.00 $5.72 – $18.11 11
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 $7.20 $12.00 $0.23 – $5.25 10
Irrigation implantable venous access device for drug delivery systems CPT 96523 $136.80 $228.00 $21.43 – $171.00 12
Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 $92.40 $154.00 $51.85 – $115.50 11
Ivc venogram s&i CPT 75825 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Ivp w/wo kub w/wo tomography CPT 74400 $427.80 $713.00 $31.62 – $203.92 12
Ixabepilone 15 mg intravenous solution HCPCS J9207 $3,484.80 $5,808.00 $128.93 – $1,452.00 11
J-tube placement CPT 44015 $556.80 $928.00 $132.08 – $142.63 2
John cunningham antibody CPT 86711 $37.80 $63.00 $16.69 – $47.25 12
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 $42.00 $70.00 $5.50 – $52.50 12
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 $3.60 $6.00 $0.29 – $0.75 11
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 $394.20 $657.00 $56.35 – $263.82 12
Kidney function study CPT 78725 $1,228.80 $2,048.00 $47.26 – $285.49 12
Kidney imag w/bld flow multi CPT 78709 $1,574.40 $2,624.00 $99.63 – $513.18 12
Kidney imaging morphology CPT 78700 $1,228.80 $2,048.00 $47.73 – $1,536.00 12
Kidney img w/bldflw sgl without rx CPT 78707 $1,574.40 $2,624.00 $79.35 – $466.13 12
Kit gene analys d816 variant CPT 81273 $721.80 $1,203.00 $86.37 – $902.25 12
Knee Arthroscopy (Meniscus Repair) CPT 29881 not published not published $597.85 – $3,093.35 8
Knee MRI (with and without contrast) CPT 73723 $2,713.80 $4,523.00 $543.29 – $3,392.25 12
Knee MRI (with contrast) CPT 73722 $2,713.80 $4,523.00 $353.91 – $3,392.25 12
Knee MRI (without contrast) CPT 73721 $1,656.00 $2,760.00 $309.35 – $2,070.00 12
Knee X-ray CPT 73564 $262.80 $438.00 $25.78 – $328.50 12
Knee arthroscopy/surgery CPT 29880 not published not published $892.40 – $3,340.51 7
Knee arthroscopy/surgery CPT 29882 not published not published $597.85 – $3,093.35 8
Knee arthroscopy/surgery CPT 29888 not published not published $828.50 – $7,354.86 7
Kras gene variants exon 2 CPT 81275 $697.80 $1,163.00 $173.78 – $872.25 12
L/s ratio fetal lung CPT 83661 $79.80 $133.00 $21.73 – $99.75 12
Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 $7.80 $13.00 $0.11 – $0.75 10
Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 $2.40 $4.00 $0.34 – $0.75 9
Lactate dehydrogenase (ldh) CPT 83615 $30.60 $51.00 $5.98 – $29.25 14
Lactic acid CPT 83605 $58.80 $98.00 $8.00 – $73.50 13
Lactoferrin fecal qualitative CPT 83630 $99.60 $166.00 $13.54 – $124.50 12
Lam facetc/frmt arthrd lum 1 CPT 63052 not published not published $106.74 – $268.24 3
Lam facetec & foramot lumbar CPT 63047 not published not published $892.40 – $7,354.86 7
Laminotomy single lumbar CPT 63042 not published not published $892.40 – $7,354.86 7
Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 $18,264.00 $30,440.00 $33.71 – $11,760.00 11
Lanthanum carbonate oral 5mg HCPCS J0607 $7.20 $12.00 $0.02 – $2.25 9
Lap inc hern repair comp 49655 CPT 49655 $909.60 $1,516.00 not published 0
Lap inc hernia repair 49654 CPT 49654 $2,228.40 $3,714.00 not published 0
Lap ing hernia repair init CPT 49650 $1,126.20 $1,877.00 $411.32 – $5,562.36 7
Lap ing hernia repair recur CPT 49651 not published not published $892.40 – $6,006.79 7
Lap insert tunnel ip cath CPT 49324 $1,267.20 $2,112.00 $364.45 – $393.57 2
Lap paraesoph her rpr w/mesh CPT 43282 not published not published $1,594.11 – $10,718.93 7
Lap revision perm ip cath CPT 49325 $979.20 $1,632.00 $389.31 – $420.42 2
Lap vent/abd hern proc comp 49653 CPT 49653 $2,441.40 $4,069.00 not published 0
Lap vent/abd hernia repair 49652 CPT 49652 $1,966.80 $3,278.00 not published 0
Laparo cholecystectomy/graph CPT 47563 not published not published $892.40 – $6,006.79 7
Laparo partial nephrectomy CPT 50543 $4,511.40 $7,519.00 $1,150.00 – $10,718.93 12
Laparo proc abdm/per/oment 49329 CPT 49329 $4,308.00 $7,180.00 $1,614.93 – $6,006.79 6
Laparo radical nephrectomy CPT 50545 $2,357.40 $3,929.00 $1,253.89 – $1,354.08 2
Laparoscopic nephrectomy CPT 50546 $2,110.80 $3,518.00 $1,132.12 – $1,222.58 2
Laparoscopy adrenalectomy CPT 60650 $3,313.20 $5,522.00 $1,126.93 – $1,216.97 2
Laparoscopy aspiration CPT 49322 not published not published $777.81 – $6,006.79 7
Laparoscopy biopsy CPT 49321 $905.40 $1,509.00 $326.11 – $5,562.36 7
Laparoscopy excise lesions CPT 58662 $1,830.00 $3,050.00 $673.24 – $5,562.36 7
Laparoscopy remove adnexa CPT 58661 not published not published $892.40 – $6,006.79 7
Laparoscopy splenectomy CPT 38120 $2,479.20 $4,132.00 $1,000.46 – $1,080.40 2
Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 $2,514.60 $4,191.00 $129.80 – $3,143.25 12
Laryngoscopy w/biopsy CPT 31535 not published not published $722.42 – $3,795.91 7
Laryngoscopy w/bx & op scope CPT 31536 not published not published $215.67 – $3,515.06 8
Laryngoscopy w/exc of tumor CPT 31540 not published not published $247.38 – $3,515.06 8
Laryngoscopy w/fb removal CPT 31530 $3,505.20 $5,842.00 $666.05 – $4,381.50 12
Larynscop w/tumr exc + scope CPT 31541 not published not published $270.89 – $3,515.06 8
Laser surgery of prostate CPT 52648 not published not published $892.40 – $5,233.86 7
Lead acuity x4 spiral l 86cm HCPCS C1900 $9,999.00 $16,665.00 $2,298.86 – $12,498.75 8
Lead capillary CPT 83655 $62.40 $104.00 $10.00 – $78.00 14
Lead ingevity 45cm pfret MRI HCPCS C1898 $2,715.00 $4,525.00 $757.49 – $3,393.75 8
Leg Vein Ultrasound (DVT study, both legs) CPT 93970 $819.60 $1,366.00 $53.16 – $416.37 12
Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 $60.00 $100.00 $0.67 – $20.46 10
Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 $3,087.60 $5,146.00 $577.44 – $1,730.32 11
Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 $7,358.40 $12,264.00 $151.85 – $338.25 11
Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 $7.80 $13.00 $0.04 – $1.36 10
Levetiracetam therapeutic drug level CPT 80177 $33.60 $56.00 $13.09 – $42.00 12
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 $1.20 $2.00 $0.34 – $36.43 10
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 $4.20 $7.00 $0.00 – $5.25 9
Lidocaine therapeutic drug level CPT 80176 $104.40 $174.00 $14.30 – $130.50 12
Lig/band angioaccess av fistula CPT 37607 $12,573.60 $20,956.00 $151.22 – $3,000.76 12
Ligate oviduct(s) add-on 58611 CPT 58611 $3,814.20 $6,357.00 $50.26 – $4,767.75 11
Ligation/biopsy of temporal artery 37609 CPT 37609 $4,489.80 $7,483.00 $136.40 – $5,612.25 12
Ligation/major artery/extremity 37618 CPT 37618 $1,497.00 $2,495.00 $376.34 – $2,630.20 11
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 $0.60 $1.00 $0.34 – $55.07 10
Lipase CPT 83690 $40.80 $68.00 $5.00 – $42.75 14
Lipoprotein blood quant CPT 83704 $172.20 $287.00 $23.99 – $215.25 12
Lipoprotein direct measurement hdl CPT 83718 $42.00 $70.00 $7.00 – $27.75 13
Lipoprotein direct measurement ldl CPT 83721 $54.00 $90.00 $9.09 – $33.75 12
Lithium therapeutic drug level CPT 80178 $46.80 $78.00 $6.54 – $58.50 14
Lithotripsy transluminal coronary percutaneous CPT 92972 $5,071.20 $8,452.00 $50.64 – $6,339.00 10
Liver Function Test CPT 80076 $54.00 $90.00 $8.08 – $56.25 14
Liver abs/cyst dr opn 1-2 stge CPT 47010 $2,376.00 $3,960.00 $1,144.16 – $1,235.58 2
Liver ds alys 3 bmrk srm alg CPT 81517 $68.40 $114.00 $39.79 – $497.52 11
Liver imag w/vasclr flow CPT 78202 $1,800.00 $3,000.00 $57.50 – $2,250.00 12
Liver imaging CPT 78201 $4,242.60 $7,071.00 $53.48 – $5,303.25 12
Liver/spleen imag static only CPT 78215 $1,228.80 $2,048.00 $53.48 – $1,536.00 12
Liver/spleen imag w/vasclr flow CPT 78216 $1,228.80 $2,048.00 $70.72 – $1,536.00 12
Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 not published not published $358.05 – $3,093.35 8
Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 $15,780.00 $26,300.00 $80.19 – $19,725.00 11
Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 $1.80 $3.00 $0.34 – $16.28 10
Low back disk surgery CPT 63030 not published not published $892.40 – $7,354.86 7
Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 $1,424.40 $2,374.00 $156.40 – $1,780.50 12
Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 $1,424.40 $2,374.00 $108.10 – $1,780.50 12
Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 $876.00 $1,460.00 $100.37 – $1,095.00 12
Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 $2,713.80 $4,523.00 $309.35 – $3,392.25 12
Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 $2,713.80 $4,523.00 $309.35 – $3,392.25 12
Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 $1,656.00 $2,760.00 $215.28 – $2,070.00 12
Lower Back (Lumbar Spine) X-ray CPT 72100 $272.40 $454.00 $25.88 – $328.50 12
Lumbar Spinal Fusion (single level) CPT 22612 not published not published $892.40 – $18,933.57 7
Lumbar diskogram s&i CPT 72295 $4,030.20 $6,717.00 $41.40 – $5,037.75 12
Lung Function Test (Spirometry) CPT 94010 $346.20 $577.00 $10.35 – $247.50 12
Lung function test (mbc/mvv) CPT 94200 $155.40 $259.00 $6.21 – $76.51 12
Lung perfusion imaging CPT 78580 $1,228.80 $2,048.00 $54.62 – $1,536.00 12
Lurbinectedin 4 mg intravenous solution HCPCS J9223 $4,770.00 $7,950.00 $82.52 – $5,962.50 11
Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 $6,976.20 $11,627.00 $28.98 – $2,906.25 11
Lutetium lu 177 dotatat ther HCPCS A9513 $616.20 $1,027.00 $163.69 – $770.25 10
Lutetium lu 177 vipivotide HCPCS A9607 $27,310.20 $45,517.00 $95.57 – $15,325.57 11
Lymphatics/lymph node imaging CPT 78195 $1,574.40 $2,624.00 $149.50 – $1,968.00 12
Lymphocyte transformation mitogen CPT 86353 $272.40 $454.00 $48.45 – $340.50 12
Lymphocytotoxicity assay CPT 86805 $1,055.40 $1,759.00 $48.48 – $1,319.25 12
M/phmtrc alys ishquant/semiq CPT 88373 $177.00 $295.00 $24.45 – $221.25 12
M/phmtrc alys ishquant/semiq CPT 88377 $337.20 $562.00 $92.24 – $421.50 12
M/phmtrc alysishquant/semiq CPT 88369 $166.20 $277.00 $30.23 – $207.75 12
MRA aorta thoracic w/wo contrast CPT 71555 $191.40 $319.00 $125.62 – $1,157.96 11
MRA chest w IV cont HCPCS C8909 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
MRA chest wo IV cont HCPCS C8910 $1,656.00 $2,760.00 $163.82 – $2,070.00 11
MRA chest wwo IV cont HCPCS C8911 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
MRA pelvis w IV cont HCPCS C8918 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
MRA pelvis wo IV cont HCPCS C8919 $1,656.00 $2,760.00 $163.82 – $2,070.00 11
MRA w/cont, abd HCPCS C8900 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
MRA w/cont, lwr ext HCPCS C8912 $2,713.80 $4,523.00 $258.45 – $3,392.25 10
MRA without cont, abd HCPCS C8901 $1,656.00 $2,760.00 $163.82 – $2,070.00 11
MRA without cont, lwr ext HCPCS C8913 $1,656.00 $2,760.00 $163.82 – $2,070.00 10
MRA without fol w/cont, abd HCPCS C8902 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
MRA without fol w/cont, lwr ext HCPCS C8914 $2,713.80 $4,523.00 $258.45 – $3,392.25 10
MRA without fol w/cont, pelvis HCPCS C8920 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
MRI breast c- unilateral CPT 77046 $480.60 $801.00 $101.16 – $600.75 12
MRI breast without cont bi CPT 77047 $480.60 $801.00 $100.56 – $600.75 12
MRI cardiac morph & func wo IV cont CPT 75557 $1,656.00 $2,760.00 $228.15 – $2,070.00 12
MRI cardiac morph & func wwo IV cont CPT 75561 $2,713.80 $4,523.00 $337.08 – $3,392.25 12
MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 $4,837.20 $8,062.00 $442.54 – $6,046.50 12
MRI chest w IV cont CPT 71551 $4,837.20 $8,062.00 $359.03 – $6,046.50 12
MRI chest without & w/contrast CPT 71552 $2,713.80 $4,523.00 $337.08 – $3,392.25 12
MRI chest without contrast CPT 71550 $1,656.00 $2,760.00 $228.15 – $2,070.00 12
MRI fetal ea addl gestation CPT 74713 $652.20 $1,087.00 $85.34 – $815.25 11
MRI fetal sngl/1st gestation CPT 74712 $1,656.00 $2,760.00 $163.82 – $2,070.00 12
MRI guid ndl plc s&i CPT 77021 $1,431.00 $2,385.00 $231.22 – $1,788.75 12
MRI loex nonjt w IV cont CPT 73719 $2,713.80 $4,523.00 $353.91 – $3,392.25 12
MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 $2,713.80 $4,523.00 $309.35 – $3,392.25 12
MRI lower extremity other than joint without contrast (both sides) CPT 73718 $1,656.00 $2,760.00 $295.39 – $2,070.00 12
MRI orbit fac&nck w IV cont CPT 70542 $2,854.80 $4,758.00 $337.08 – $3,568.50 12
MRI orbit/face/neck without & w/contrast CPT 70543 $2,854.80 $4,758.00 $337.08 – $3,568.50 12
MRI orbit/face/neck without contrast CPT 70540 $1,741.80 $2,903.00 $228.15 – $2,177.25 12
MRI tmj CPT 70336 $1,656.00 $2,760.00 $228.15 – $2,070.00 12
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 $2,713.80 $4,523.00 $309.35 – $3,392.25 12
MRI upper extremity other than joint without contrast (both sides) CPT 73218 $1,656.00 $2,760.00 $295.39 – $2,070.00 12
MRI upper extremity w/dye CPT 73219 $2,713.80 $4,523.00 $353.91 – $3,392.25 12
MRI w/cont, breast, bi HCPCS C8906 $2,713.80 $4,523.00 $258.45 – $3,392.25 10
MRI w/cont, breast, uni HCPCS C8903 $1,294.80 $2,158.00 $126.51 – $1,618.50 10
MRI without fol w/cont, breast HCPCS C8908 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
MRI without fol w/cont, brst, un HCPCS C8905 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
Macroscopic exam arthropod CPT 87168 $24.00 $40.00 $2.99 – $30.00 12
Macroscopic exam parasite CPT 87169 $24.00 $40.00 $3.02 – $30.00 12
Magnesium CPT 83735 $40.20 $67.00 $6.62 – $42.00 14
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 $1.80 $3.00 $0.34 – $0.80 10
Magnetic image bone marrow CPT 77084 $1,656.00 $2,760.00 $228.15 – $2,070.00 12
Mammosite ced HCPCS C1728 $120.00 $200.00 $78.76 – $1,599.65 9
Manipulation chest wall demonstration/evaluation subsequent CPT 94668 $248.40 $414.00 $30.14 – $310.50 12
Manipulation chest wall initial demonstration/evaluation CPT 94667 $248.40 $414.00 $41.16 – $310.50 12
Manual diff wbc count b-coat CPT 85009 $19.20 $32.00 $4.95 – $24.00 12
Map tachycard site(s) CPT 93609 $3,363.00 $5,605.00 $257.40 – $4,203.75 11
Mapping functional cort/subcort ea add'l hr CPT 95962 $744.00 $1,240.00 $43.33 – $930.00 11
Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 $138.00 $230.00 $19.87 – $172.50 11
Marker biop eviva buckle ss HCPCS A4648 $1,213.20 $2,022.00 $3.20 – $116.42 8
Mast mod rad CPT 19307 $3,126.00 $5,210.00 $1,112.96 – $1,201.89 2
Mastoids complete CPT 70130 $262.80 $438.00 $31.62 – $328.50 12
Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 $73.80 $123.00 $14.29 – $92.25 12
Mayo aathr protein s free CPT 85306 $77.40 $129.00 $15.14 – $96.75 12
Mayo activated protein c resistance assay CPT 85307 $77.40 $129.00 $15.14 – $96.75 12
Mayo adalimumab (humira) therapeutic drug level CPT 80145 $85.80 $143.00 $21.38 – $107.25 12
Mayo alcohol definitive assay volatile screen CPT 80320 $40.80 $68.00 $7.12 – $51.00 12
Mayo alkaline phosphatase isoenzyme CPT 84080 $42.00 $70.00 $10.37 – $52.50 12
Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 $61.20 $102.00 $15.60 – $76.50 9
Mayo alpha 1 antitrypsin CPT 82103 $67.80 $113.00 $13.29 – $84.75 12
Mayo amikacin trough therapeutic drug level CPT 80150 $109.20 $182.00 $12.10 – $136.50 12
Mayo analysis gene jak2 p.val617phe variant CPT 81270 $529.80 $883.00 $60.54 – $318.00 12
Mayo analysis gene smn1 dosage/deletion CPT 81329 $792.60 $1,321.00 $82.82 – $990.75 12
Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 $6,701.40 $11,169.00 $813.74 – $8,376.75 12
Mayo androstenedione CPT 82157 $148.20 $247.00 $25.00 – $185.25 13
Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 $74.40 $124.00 $14.43 – $78.00 12
Mayo antithrombin iii antigen CPT 85301 $55.20 $92.00 $10.69 – $69.00 12
Mayo aspergillus fumigatus antibody CPT 86606 $83.40 $139.00 $14.88 – $104.25 12
Mayo avwpr vw factor activity CPT 85397 $156.00 $260.00 $28.93 – $84.00 12
Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 $70.80 $118.00 $13.84 – $88.50 12
Mayo bart bartonella henselae antibody igg CPT 86611 $56.40 $94.00 $10.06 – $70.50 12
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 $837.60 $1,396.00 $101.60 – $1,047.00 12
Mayo blastomyces antibody immunodiffusion CPT 86612 $72.00 $120.00 $12.75 – $90.00 12
Mayo bordetella pertussis antibody igg CPT 86615 $73.80 $123.00 $13.03 – $92.25 12
Mayo brcmg brucella antibody igm CPT 86622 $49.80 $83.00 $8.82 – $62.25 12
Mayo c1 esterase inhibitor CPT 83883 $124.80 $208.00 $9.54 – $60.75 12
Mayo carnitine total and free quantitative each specimen plasma CPT 82379 $85.80 $143.00 $11.83 – $107.25 12
Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 $706.80 $1,178.00 $120.80 – $321.75 12
Mayo ceruloplasmin CPT 82390 $54.60 $91.00 $10.62 – $68.25 12
Mayo chemiluminescent parathyroid related peptide CPT 82397 $72.00 $120.00 $9.90 – $90.00 12
Mayo chikv chikungunya antibodies igg CPT 86790 $72.00 $120.00 $9.04 – $90.00 12
Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 $66.00 $110.00 $10.87 – $82.50 12
Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 $71.40 $119.00 $12.53 – $89.25 12
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 $833.40 $1,389.00 $115.13 – $1,041.75 12
Mayo chromium CPT 82495 $102.60 $171.00 $6.60 – $128.25 12
Mayo coccidioides antibody CPT 86635 $64.20 $107.00 $11.33 – $45.75 12
Mayo cocou cortisone urine CPT 82542 $122.40 $204.00 $21.20 – $153.00 12
Mayo cortisol free CPT 82530 $85.20 $142.00 $16.51 – $82.50 12
Mayo covid-19 antibody nucleocapsid total CPT 86769 $123.00 $205.00 $12.28 – $105.75 12
Mayo coxiella brunetii (q fever) igg antibody CPT 86638 $67.80 $113.00 $11.98 – $84.75 12
Mayo cyanide CPT 82600 $98.40 $164.00 $18.70 – $123.00 12
Mayo deoxyribonuclease antibody titer CPT 86215 $74.40 $124.00 $13.09 – $93.00 12
Mayo dhea (dehydroepiandrosterone) CPT 82626 $127.80 $213.00 $23.10 – $159.75 12
Mayo efpo chloride stool CPT 82438 $25.20 $42.00 $3.30 – $31.50 12
Mayo estriol CPT 82677 $122.40 $204.00 $19.25 – $153.00 12
Mayo estrone CPT 82679 $126.60 $211.00 $14.30 – $158.25 12
Mayo ethosuximide therapeutic drug level CPT 80168 $117.00 $195.00 $14.30 – $146.25 12
Mayo everolimus therapeutic drug level CPT 80169 $34.80 $58.00 $13.56 – $43.50 12
Mayo factor ii CPT 85210 $66.00 $110.00 $4.40 – $82.50 12
Mayo factor v CPT 85220 $90.60 $151.00 $5.50 – $113.25 12
Mayo factor vii CPT 85230 $91.20 $152.00 $5.50 – $114.00 12
Mayo factor viii vw factor antigen CPT 85246 $116.40 $194.00 $22.67 – $79.50 12
Mayo factor viii vw factor multimetric analysis CPT 85247 $116.40 $194.00 $22.67 – $145.50 12
Mayo factor viii vw factor ristocetin cofactor CPT 85245 $116.40 $194.00 $22.67 – $79.50 12
Mayo factor x CPT 85260 $91.20 $152.00 $13.20 – $114.00 12
Mayo factor xi CPT 85270 $91.20 $152.00 $13.20 – $61.50 12
Mayo fat/lipids feces quantitative CPT 82710 $85.80 $143.00 $4.42 – $107.25 12
Mayo fbl culture fungi blood CPT 87103 $114.00 $190.00 $13.71 – $142.50 12
Mayo ffspg allergen clam igg CPT 86001 $43.80 $73.00 $6.36 – $54.75 12
Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 $55.80 $93.00 $13.21 – $69.75 13
Mayo gamma-globin full gene sequencing CPT 81479 $201.00 $335.00 $75.20 – $240.75 9
Mayo hemosiderin qualitative urine CPT 83070 $24.00 $40.00 $3.30 – $30.00 12
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 $195.60 $326.00 $24.61 – $244.50 12
Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 $77.40 $129.00 $13.62 – $41.25 12
Mayo hla typing a/b/c single antigen CPT 86812 $144.60 $241.00 $13.20 – $180.75 12
Mayo hvdip HIV 1 antibody CPT 86701 $49.20 $82.00 $8.79 – $48.00 13
Mayo hvdip HIV 2 antibody CPT 86702 $75.60 $126.00 $13.36 – $94.50 13
Mayo hydroxyprogesterone 17-d CPT 83498 $137.40 $229.00 $20.50 – $171.75 13
Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 $87.60 $146.00 $12.11 – $37.50 12
Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 $83.40 $139.00 $14.82 – $81.75 12
Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 $116.40 $194.00 $20.57 – $145.50 12
Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 $1,221.60 $2,036.00 $20.57 – $145.50 12
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 $89.40 $149.00 $11.27 – $111.75 12
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 $66.60 $111.00 $11.84 – $83.25 12
Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 $195.60 $326.00 $34.68 – $244.50 12
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 $76.20 $127.00 $19.45 – $95.25 12
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 $195.60 $326.00 $24.61 – $244.50 12
Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 $259.20 $432.00 $42.34 – $298.50 12
Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 $516.60 $861.00 $43.64 – $645.75 12
Mayo infliximab therapeutic drug level CPT 80230 $85.80 $143.00 $21.38 – $107.25 12
Mayo inhab inhibin a CPT 86336 $87.00 $145.00 $10.94 – $108.75 12
Mayo insulin antibodies CPT 86337 $119.40 $199.00 $12.10 – $149.25 12
Mayo itraconazole therapeutic drug level CPT 80189 $54.60 $91.00 $20.04 – $68.25 12
Mayo lacosamide therapeutic drug level CPT 80235 $69.60 $116.00 $15.01 – $87.00 12
Mayo lamotrigine therapeutic drug level CPT 80175 $33.60 $56.00 $13.09 – $42.00 13
Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 $65.40 $109.00 $12.10 – $81.75 12
Mayo leptospira antibody igm CPT 86720 $58.80 $98.00 $16.01 – $73.50 12
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 $86.40 $144.00 $15.31 – $60.00 12
Mayo manganese CPT 83785 $135.60 $226.00 $16.63 – $169.50 12
Mayo metanephrines plasma CPT 83835 $86.40 $144.00 $13.00 – $78.75 13
Mayo mgle voltage-gated calcium channel antibody each CPT 86596 $93.60 $156.00 $7.73 – $117.00 12
Mayo mgrm acetylcholine receptor binding antibody CPT 86041 $93.60 $156.00 $6.81 – $117.00 11
Mayo microsomal antibody liver-kidney CPT 86376 $81.00 $135.00 $7.91 – $90.00 14
Mayo mitotane (lysodren) therapeutic drug level CPT 80299 $381.60 $636.00 $15.30 – $168.00 13
Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 $495.60 $826.00 $96.11 – $619.50 12
Mayo muramidase CPT 85549 $94.80 $158.00 $18.08 – $118.50 12
Mayo muscle-specific kinase (musk) antibody CPT 86366 $93.60 $156.00 $6.81 – $117.00 11
Mayo mycophenolic acid therapeutic drug level CPT 80180 $46.20 $77.00 $17.84 – $57.75 12
Mayo myoglobin CPT 83874 $65.40 $109.00 $12.77 – $81.75 12
Mayo nickel CPT 83885 $89.40 $149.00 $12.10 – $111.75 12
Mayo organic acid methylmalonic single quantitative CPT 83921 $107.40 $179.00 $20.02 – $134.25 12
Mayo oxalate 24 hour urine CPT 83945 $73.80 $123.00 $14.28 – $67.50 12
Mayo parvs parvovirus b19 antibody igg CPT 86747 $83.40 $139.00 $14.85 – $104.25 12
Mayo paval fluorescent antibody screen agna type 1 CPT 86255 $66.60 $111.00 $11.91 – $60.75 12
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 $195.60 $326.00 $34.68 – $244.50 12
Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 $91.80 $153.00 $17.78 – $114.75 12
Mayo pntft phenytoin free therapeutic drug level CPT 80186 $98.40 $164.00 $13.60 – $123.00 12
Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 $43.20 $72.00 $2.20 – $54.00 12
Mayo pregnenolone CPT 84140 $314.40 $524.00 $20.43 – $130.50 12
Mayo prmb primidone therapeutic drug level CPT 80188 $118.80 $198.00 $16.40 – $148.50 12
Mayo proinsulin CPT 84206 $135.60 $226.00 $8.80 – $169.50 12
Mayo psaft prostate specific antigen free CPT 84154 $93.60 $156.00 $18.17 – $117.00 12
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 $93.60 $156.00 $12.90 – $117.00 12
Mayo receptor assay transferrin soluble CPT 84238 $186.00 $310.00 $24.20 – $232.50 12
Mayo renin CPT 84244 $112.20 $187.00 $12.00 – $100.50 13
Mayo repu protein electrophoresis urine CPT 84166 $91.20 $152.00 $17.62 – $114.00 12
Mayo selenium CPT 84255 $129.60 $216.00 $17.91 – $162.00 12
Mayo serotonin CPT 84260 $157.20 $262.00 $30.62 – $196.50 12
Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 $107.40 $179.00 $19.13 – $67.50 12
Mayo sirolimus therapeutic drug level CPT 80195 $98.40 $164.00 $13.56 – $123.00 12
Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 $24.00 $40.00 $4.00 – $27.75 14
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 $1,206.60 $2,011.00 $146.56 – $1,508.25 12
Mayo tgrp testosterone free CPT 84402 $128.40 $214.00 $25.17 – $160.50 13
Mayo tgrp testosterone total CPT 84403 $130.80 $218.00 $25.52 – $163.50 14
Mayo thyroglobulin CPT 84432 $81.00 $135.00 $15.88 – $101.25 13
Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 $56.40 $94.00 $10.06 – $70.50 12
Mayo ticks babesia microti antibody igg CPT 86753 $69.60 $116.00 $8.69 – $40.50 12
Mayo vasoactive intestinal peptide CPT 84586 $178.80 $298.00 $34.92 – $223.50 12
Mayo vitamin b-2 (riboflavin) CPT 84252 $102.60 $171.00 $8.80 – $128.25 12
Mayo vitamin b3 (niacin) CPT 84591 $86.40 $144.00 $11.97 – $108.00 12
Mayo vitamin k CPT 84597 $69.60 $116.00 $9.63 – $87.00 12
Measurement post void urine by ultrasound CPT 51798 $151.80 $253.00 $11.48 – $66.00 12
Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 $50.40 $84.00 $0.31 – $29.25 9
Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 $5.40 $9.00 $0.67 – $15.69 10
Meropenem 1 gram intravenous solution HCPCS J2185 $17.40 $29.00 $0.42 – $9.60 10
Mesna 100 mg/ml intravenous solution HCPCS J9209 $3.60 $6.00 $0.34 – $114.94 10
Metabolic Blood Panel (Basic) CPT 80048 $55.20 $92.00 $8.36 – $57.75 14
Metabolic Blood Panel (Comprehensive) CPT 80053 $68.40 $114.00 $10.43 – $54.75 14
Methadone injection HCPCS J1230 $23.40 $39.00 $3.48 – $22.83 10
Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 $1.80 $3.00 $0.34 – $10.91 10
Methotrexate sodium 2.5 mg tablet HCPCS J8610 $1.80 $3.00 $0.19 – $7.08 10
Methotrexate therapeutic drug level CPT 80204 $124.20 $207.00 $27.06 – $97.50 12
Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 $133.20 $222.00 $0.53 – $17.25 11
Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 $18.00 $30.00 $2.02 – $22.75 10
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 $160.20 $267.00 $0.50 – $200.25 9
Methylprednisolone 4 mg tablet HCPCS J7509 $1.20 $2.00 $0.11 – $0.94 10
Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 $11.40 $19.00 $0.07 – $6.00 11
Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 $40.80 $68.00 $0.09 – $3.00 11
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 $0.60 $1.00 $0.34 – $1.99 10
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 $1.80 $3.00 $0.12 – $2.25 10
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 $0.60 $1.00 $0.02 – $0.75 10
Micafungin 100 mg intravenous solution HCPCS J2248 $112.20 $187.00 $0.26 – $3.92 10
Microdissection laser CPT 88380 $135.00 $225.00 $50.39 – $168.75 10
Microdissection manual CPT 88381 $284.40 $474.00 $126.71 – $355.50 11
Midazolam 1 mg/ml injection solution HCPCS J2250 $7.80 $13.00 $0.15 – $2.74 10
Middle cerebral artery echo CPT 76821 $239.40 $399.00 $54.80 – $299.25 12
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 $190.20 $317.00 $26.20 – $237.75 11
Mitomycin 40 mg intravenous solution HCPCS J9280 $758.40 $1,264.00 $3.70 – $20.35 11
Mitomycin instillation HCPCS J9281 $14,202.00 $23,670.00 $208.53 – $17,752.50 11
Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 $10.20 $17.00 $5.72 – $23.88 11
Mnt subs tx for change dx HCPCS G0270 $59.40 $99.00 $12.82 – $74.25 10
Monitor reveal linq ii cardiac HCPCS C1764 $13,107.60 $21,846.00 $2,335.05 – $16,384.50 8
Mopath procedure level 1 CPT 81400 $138.60 $231.00 $44.87 – $163.50 12
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 $10.20 $17.00 $0.34 – $13.05 10
Morphine 4 mg/ml injection (wrapper) HCPCS J2270 $12.00 $20.00 $0.34 – $5.41 10
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 $1.80 $3.00 $0.34 – $8.75 10
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 $337.20 $562.00 $99.14 – $421.50 12
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 $664.80 $1,108.00 $71.46 – $831.00 12
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 $337.20 $562.00 $40.80 – $421.50 12
Mr safety determination physician/other qhp CPT 76016 $161.40 $269.00 $14.20 – $201.75 11
Mr safety implant elec prepj CPT 76018 $168.60 $281.00 $25.06 – $210.75 11
Mr sfty implt&/fb asmt stf 1 CPT 76014 $45.00 $75.00 $3.44 – $56.25 11
Mr sfty med physics xm cstmz CPT 76017 $444.00 $740.00 $59.74 – $555.00 11
Mr spectroscopy CPT 76390 $559.20 $932.00 $60.95 – $1,055.70 12
Mra, w/o&w/dye, spinal canal HCPCS C8933 $2,713.80 $4,523.00 $258.45 – $3,392.25 11
Mra, w/o&w/dye, upper extr HCPCS C8936 $2,713.80 $4,523.00 $258.45 – $3,392.25 10
Mthfr gene analy common variants CPT 81291 $378.60 $631.00 $45.84 – $473.25 12
Mumps antibody igg CPT 86735 $91.20 $152.00 $9.15 – $90.75 12
Muscle test cran nerv unilat CPT 95867 $441.00 $735.00 $16.50 – $551.25 12
Muscle test larynx CPT 95865 $222.60 $371.00 $20.54 – $278.25 12
Mycophenolate mofetil 250 mg capsule HCPCS J7517 $10.20 $17.00 $0.16 – $3.94 10
Mycophenolic acid HCPCS J7518 $2.40 $4.00 $0.34 – $4.91 10
Mycoplasma antibody igm CPT 86738 $74.40 $124.00 $13.08 – $93.00 12
Myelogphy 2/> spine regions CPT 72270 $1,450.80 $2,418.00 $44.85 – $1,813.50 12
Myelography l-s spine CPT 72265 $1,450.80 $2,418.00 $37.95 – $1,813.50 12
Myelography neck spine CPT 72240 $1,450.80 $2,418.00 $42.26 – $1,813.50 12
Myelography thoracic spine CPT 72255 $1,450.80 $2,418.00 $42.26 – $1,813.50 12
Myelography via inj w/s&i 2+ regions CPT 62305 $1,496.40 $2,494.00 $114.50 – $1,870.50 12
Myelography via inj w/s&i cervical CPT 62302 $1,496.40 $2,494.00 $111.12 – $1,870.50 12
Myelography via inj w/s&i lumbosacral CPT 62304 $1,496.40 $2,494.00 $109.28 – $1,870.50 12
Myelography via inj w/s&i thoracic CPT 62303 $1,496.40 $2,494.00 $112.58 – $1,870.50 12
Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 $58.80 $98.00 $8.08 – $73.50 12
Myocrd img pet 1 std w/ct CPT 78429 $5,639.40 $9,399.00 $12.44 – $7,049.25 11
Myocrd img pet 1std rst/strs CPT 78491 $5,639.40 $9,399.00 $1,222.28 – $7,049.25 11
Myocrd img pet 2rtracer CT CPT 78433 $10,748.40 $17,914.00 $1,107.97 – $13,435.50 11
Myocrd img pet mlt rst&strs CPT 78492 $5,639.40 $9,399.00 $1,314.51 – $7,049.25 11
Myocrd img pet rst/strs w/ct CPT 78430 $5,639.40 $9,399.00 $12.45 – $7,049.25 11
N block inj hypogas plxs CPT 64517 $2,755.80 $4,593.00 $115.47 – $3,444.75 12
N-invas est c ffr sw aly cta CPT 75580 $1,919.40 $3,199.00 $292.60 – $2,399.25 11
Nalbuphine 10 mg/ml injection solution HCPCS J2300 $2.40 $4.00 $1.35 – $3.70 10
Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 $9.60 $16.00 $0.08 – $2.25 10
Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 not published not published $704.62 – $1,775.44 7
Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 not published not published $828.50 – $7,127.06 7
Nasal/sinus endo w/front sinus expl 31276 CPT 31276 not published not published $828.50 – $7,127.06 7
Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 not published not published $402.49 – $1,775.44 7
Nasopharyngoscopy w/endoscope CPT 92511 $605.40 $1,009.00 $125.40 – $756.75 12
Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 $328.20 $547.00 $15.27 – $220.50 11
Natriuretic peptide CPT 83880 $199.20 $332.00 $37.94 – $249.00 13
Natural killer cells total count CPT 86357 $210.00 $350.00 $37.28 – $262.50 12
Navigational bronchoscopy 31627 CPT 31627 $1,062.00 $1,770.00 $66.56 – $1,993.29 11
Ndl emg musc 1 xtr/non-limb CPT 95870 $247.80 $413.00 $19.85 – $309.75 12
Ndl insj without njx 1 or 2 musc CPT 20560 $54.60 $91.00 $14.28 – $68.25 11
Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 $1,294.80 $2,158.00 $156.40 – $1,618.50 12
Neck (Cervical Spine) CT scan (with contrast) CPT 72126 $1,294.80 $2,158.00 $108.10 – $1,618.50 12
Neck (Cervical Spine) CT scan (without contrast) CPT 72125 $796.80 $1,328.00 $95.56 – $996.00 12
Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 $2,854.80 $4,758.00 $309.35 – $3,568.50 12
Neck (Cervical Spine) MRI (with contrast) CPT 72142 $2,854.80 $4,758.00 $309.35 – $3,568.50 12
Neck (Cervical Spine) MRI (without contrast) CPT 72141 $1,741.80 $2,903.00 $228.15 – $2,177.25 12
Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 $2,854.80 $4,758.00 $337.08 – $3,568.50 12
Neck MRA (blood vessel MRI, with contrast) CPT 70548 $2,854.80 $4,758.00 $307.52 – $3,568.50 12
Neck MRA (blood vessel MRI, without contrast) CPT 70547 $1,741.80 $2,903.00 $228.15 – $2,177.25 12
Neck spine disk surgery CPT 63020 not published not published $892.40 – $7,354.86 7
Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 $8.40 $14.00 $0.34 – $1.84 9
Nephrectomy open 50220 CPT 50220 $15,304.80 $25,508.00 $714.15 – $3,969.00 11
Nerve conduction 7-8 studies CPT 95910 $177.60 $296.00 $62.25 – $249.53 12
Nerve conduction studies 1-2 CPT 95907 $177.60 $296.00 $33.21 – $222.00 12
Nerve conduction studies 11-12 CPT 95912 $328.20 $547.00 $81.82 – $410.25 12
Nerve conduction studies 13+ CPT 95913 $328.20 $547.00 $91.63 – $411.34 12
Nerve conduction studies 3-4 CPT 95908 $177.60 $296.00 $40.04 – $222.00 12
Nerve conduction studies 5-6 CPT 95909 $177.60 $296.00 $48.28 – $222.00 12
Nerve conduction studies 9-10 CPT 95911 $328.20 $547.00 $72.31 – $410.25 12
Neurolysis celiac plexus CPT 64680 $3,025.20 $5,042.00 $80.85 – $3,781.50 12
New Patient Office Visit (level 2) CPT 99202 $214.80 $358.00 $19.26 – $100.71 11
New Patient Office Visit (level 3) CPT 99203 $441.00 $735.00 $24.60 – $147.00 11
New Patient Office Visit (level 4) CPT 99204 $610.80 $1,018.00 $26.90 – $193.76 11
New Patient Office Visit (level 5) CPT 99205 $814.80 $1,358.00 $28.87 – $999.75 11
Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 $13.80 $23.00 $0.04 – $0.75 10
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 $0.60 $1.00 $0.34 – $1.49 10
Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 $186.60 $311.00 $19.19 – $233.25 11
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 $435.60 $726.00 $76.99 – $544.50 11
Njx aa&/strd nrv nrvtg si jt CPT 64451 $2,537.40 $4,229.00 $114.23 – $3,171.75 12
Njx interlaminar crv/thrc CPT 62325 $2,149.80 $3,583.00 $96.08 – $2,687.25 12
Njx interlaminar lmbr/sac CPT 62327 $2,149.80 $3,583.00 $87.09 – $2,687.25 12
Njx px nfrosgrm &/urtrgrm CPT 50430 $1,266.00 $2,110.00 $346.93 – $1,582.50 12
Nm imaging bone/joint 3 phase study CPT 78315 $1,228.80 $2,048.00 $136.85 – $1,536.00 12
Nm imaging bone/joint whole body CPT 78306 $1,228.80 $2,048.00 $70.72 – $467.48 12
Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 $1,228.80 $2,048.00 $70.15 – $1,086.75 12
Nm imaging gastric emptying study CPT 78264 $1,228.80 $2,048.00 $57.10 – $497.77 12
Nm imaging gastrointestinal acute blood loss CPT 78278 $1,228.80 $2,048.00 $44.85 – $1,536.00 12
Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 $1,574.40 $2,624.00 $206.06 – $1,968.00 12
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 $1,574.40 $2,624.00 $79.35 – $485.58 12
Nm imaging pulmonary ventilation/perfusion CPT 78582 $1,574.40 $2,624.00 $228.63 – $1,968.00 12
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 $1,228.80 $2,048.00 $100.39 – $1,536.00 12
Nm radiopharmaceutical therapy oral administration CPT 79005 $791.40 $1,319.00 $43.46 – $989.25 12
Non-card vasc flow imaging CPT 78445 $1,228.80 $2,048.00 $34.65 – $1,536.00 12
Noninv pace analysis CPT 93724 $1,002.00 $1,670.00 $50.97 – $1,252.50 12
Npm1 gene CPT 81310 $890.40 $1,484.00 $51.59 – $1,113.00 12
Nps surg dilat eust tube bi CPT 69706 not published not published $2,230.74 – $6,090.50 7
Npsy fam hlth interv ea addl 15 min CPT 96168 $181.80 $303.00 $14.19 – $227.25 10
Npsy grp hlth intrv ea addl 15 min CPT 96165 $76.80 $128.00 $2.56 – $96.00 10
Npsy tst eval phsy/qhp 1st hr CPT 96132 $244.80 $408.00 $101.39 – $109.49 2
Npsy tst eval phsy/qhp ea l hr CPT 96133 $182.40 $304.00 $72.09 – $77.85 2
Nr lnr acclrtr tx max 5 sessions CPT 77373 $9,337.20 $15,562.00 $1,100.00 – $11,671.50 12
Nsl/sins ndsc sphn tiss rmvl CPT 31259 not published not published $300.07 – $7,127.06 7
Nsl/sins ndsc tot w/sphendt CPT 31257 not published not published $283.03 – $7,127.06 7
Ntsty modul rad tx dlvr cplx CPT 77386 $1,765.20 $2,942.00 $278.34 – $2,206.50 11
Ntsty modul rad tx dlvr smpl CPT 77385 $1,765.20 $2,942.00 $292.39 – $2,206.50 11
Nuclear Stress Test (Heart) CPT 78452 $4,242.60 $7,071.00 $238.25 – $551.13 12
Nuclear exam of tear flow CPT 78660 $1,228.80 $2,048.00 $66.12 – $1,536.00 12
Nuclear rx IV admin CPT 79101 $791.40 $1,319.00 $42.81 – $989.25 12
Nuclear rx intra-arterial CPT 79445 $742.20 $1,237.00 $109.33 – $927.75 12
Ob Ultrasound nuchal meas 1 gest CPT 76813 $394.20 $657.00 $58.40 – $492.75 12
Ob Ultrasound nuchal meas add-on CPT 76814 $175.20 $292.00 $30.35 – $219.00 12
Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 $123.60 $206.00 $39.36 – $154.50 11
Observation direct referral from physician office for admission HCPCS G0379 $420.00 $700.00 $50.26 – $631.22 10
Observation per hour HCPCS G0378 $111.60 $186.00 $27.31 – $139.50 9
Obstetrics panel CPT 80055 $310.80 $518.00 $13.20 – $388.50 12
Obtaining screen pap smear HCPCS Q0091 $24.60 $41.00 $9.90 – $30.75 11
Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 $1,182.60 $1,971.00 $38.77 – $1,478.25 11
Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 $29.40 $49.00 $0.61 – $8.94 10
Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 $4,066.20 $6,777.00 $170.53 – $2,590.50 11
Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 $72.00 $120.00 $34.01 – $75.75 11
Olanzapine 10 mg intramuscular solution HCPCS J2359 $30.00 $50.00 $0.68 – $15.00 10
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 $830.40 $1,384.00 $33.10 – $1,038.00 11
Oncoprotein dcp CPT 83951 $233.40 $389.00 $63.66 – $291.75 12
Ondansetron 8 mg disintegrating tablet HCPCS Q0162 $21.60 $36.00 $0.01 – $15.75 9
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 $0.60 $1.00 $0.09 – $11.21 10
Open bx/exc inguinofem nodes CPT 38531 not published not published $269.01 – $3,942.46 7
Open thrombectomy of av fistula without revision 36831 CPT 36831 $9,842.40 $16,404.00 $847.38 – $12,303.00 12
Opn exc/dst ntra-abd CPT 49189 $8,653.20 $14,422.00 $765.57 – $6,215.88 10
Opn exc/dstr ntra-abd 5 cm/< CPT 49186 $6,780.00 $11,300.00 $430.54 – $4,870.30 10
Optx clavicular fx w/int fix CPT 23515 not published not published $828.50 – $7,354.86 7
Oral aprepitant HCPCS J8501 $52.20 $87.00 $2.73 – $65.25 10
Oral everolimus HCPCS J7527 $6.00 $10.00 $1.35 – $5.74 10
Organic acids total quant ea spec CPT 83918 $36.00 $60.00 $20.94 – $45.00 12
Oritavancin 400 mg intravenous solution HCPCS J2407 $696.00 $1,160.00 $17.15 – $724.50 11
Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 $702.00 $1,170.00 $193.67 – $959.74 9
Orthopantogram CPT 70355 $188.40 $314.00 $12.04 – $235.50 11
Oscillation chest wall mechanical per session CPT 94669 $419.40 $699.00 $23.88 – $524.25 12
Osmolality blood CPT 83930 $33.00 $55.00 $3.00 – $41.25 13
Osmolality urine CPT 83935 $34.20 $57.00 $3.30 – $37.50 12
Ot evaluation high complexity patient/family CPT 97167 $363.00 $605.00 $49.53 – $453.75 11
Ot evaluation low complexity patient/family CPT 97165 $226.80 $378.00 $49.53 – $283.50 11
Ot evaluation moderate complexity patient/family CPT 97166 $303.60 $506.00 $29.13 – $379.50 11
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $60.60 $101.00 $34.48 – $75.75 12
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $60.60 $101.00 $23.13 – $62.25 13
Ot re-evaluation patient/family CPT 97168 $138.60 $231.00 $32.64 – $173.25 12
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $80.40 $134.00 $14.30 – $69.89 13
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $114.60 $191.00 $12.79 – $143.25 12
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $114.60 $191.00 $13.38 – $143.25 12
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $73.80 $123.00 $9.22 – $55.50 13
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $96.00 $160.00 $18.43 – $74.25 13
Ot training self care/home management direct contact each 15 minutes CPT 97535 $97.20 $162.00 $23.30 – $121.50 11
Oth resp proc, group HCPCS G0239 $304.80 $508.00 $9.33 – $381.00 11
Oth resp proc, indiv HCPCS G0238 $54.60 $91.00 $13.62 – $68.25 11
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 $13.80 $23.00 $0.79 – $3.00 10
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $3.00 $5.00 $0.08 – $17.37 10
Oxytocin 10 unit/ml injection solution HCPCS J2590 $7.20 $12.00 $0.34 – $1.84 9
P-32 chromic phos ther per mci HCPCS A9564 $894.00 $1,490.00 $477.13 – $1,117.50 8
PSA (Prostate) Test CPT 84153 $115.20 $192.00 $18.17 – $137.25 14
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $1.20 $2.00 $0.13 – $0.75 10
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $963.60 $1,606.00 $10.43 – $1,066.50 11
Paliperidone 117 mg/0.75 ml inj HCPCS J2426 $1,391.40 $2,319.00 $13.28 – $1,588.50 11
Palonosetron hcl HCPCS J2469 $24.00 $40.00 $0.36 – $59.47 10
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $5.40 $9.00 $1.01 – $392.38 10
Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 $5,536.20 $9,227.00 $1,477.33 – $1,595.37 2
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 $197.40 $329.00 $110.77 – $246.75 11
Papaverin hcl injection HCPCS J2440 $12.00 $20.00 $2.65 – $12.00 9
Parathormone (pth) intact CPT 83970 $209.40 $349.00 $40.80 – $228.00 13
Parathyrd planar w/spect&ct CPT 78072 $1,574.40 $2,624.00 $285.29 – $1,968.00 11
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 $3,900.00 $6,500.00 $1,314.51 – $1,419.54 2
Parathyroid autotransplantation 60512 CPT 60512 $575.40 $959.00 $226.02 – $244.08 2
Parathyroid planar imaging CPT 78070 $1,228.80 $2,048.00 $71.88 – $1,536.00 12
Parathyroid planar img w/tomo spect CPT 78071 $1,228.80 $2,048.00 $235.35 – $1,536.00 12
Paricalcitol HCPCS J2501 $9.00 $15.00 $0.77 – $9.24 10
Paring/cutting benign hyperkeratotic lesion single CPT 11055 $288.60 $481.00 $22.00 – $892.40 12
Part hymenectomy/revi hymenal ring 56700 CPT 56700 not published not published $130.35 – $3,031.30 8
Part removal of metatarsal CPT 28110 not published not published $293.11 – $3,093.35 8
Part removal of metatarsal 28112 CPT 28112 not published not published $251.90 – $3,093.35 8
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 not published not published $288.75 – $3,093.35 8
Partial removal foot fascia CPT 28060 not published not published $215.05 – $3,093.35 8
Partial removal of esophagus 43117 CPT 43117 $11,446.20 $19,077.00 $3,032.94 – $3,275.27 2
Partial removal of rib CPT 21600 $1,800.60 $3,001.00 $541.47 – $584.73 2
Partial removal of thyroid CPT 60220 $958.20 $1,597.00 $273.69 – $5,562.36 12
Partial removal of thyroid CPT 60225 $1,260.00 $2,100.00 $359.15 – $5,562.36 12
Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 $2,652.60 $4,421.00 $968.97 – $1,046.39 2
Path clin consltj sf 5-20 CPT 80503 $98.40 $164.00 $10.87 – $123.00 12
Pdgfra gene CPT 81314 $1,189.80 $1,983.00 $227.94 – $1,487.25 12
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 $6,417.60 $10,696.00 $58.81 – $8,022.00 11
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 $3,924.60 $6,541.00 $72.38 – $4,905.75 11
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 $4,174.80 $6,958.00 $105.27 – $5,218.50 11
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 $4,300.20 $7,167.00 $150.99 – $5,375.25 11
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 $2,087.40 $3,479.00 $98.14 – $2,609.25 11
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 $2,499.60 $4,166.00 $87.79 – $3,124.50 11
Pegloticase 8 mg/ml intravenous solution HCPCS J2507 $17,178.60 $28,631.00 $413.23 – $10,500.00 11
Pelvic CT scan (with and without contrast) CPT 72194 $1,424.40 $2,374.00 $117.88 – $862.88 12
Pelvic CT scan (with contrast) CPT 72193 $1,424.40 $2,374.00 $99.47 – $718.56 12
Pelvic CT scan (without contrast) CPT 72192 $876.00 $1,460.00 $77.62 – $632.05 12
Pelvic MRI (with and without contrast) CPT 72197 $2,713.80 $4,523.00 $337.08 – $2,105.25 12
Pelvic MRI (with contrast) CPT 72196 $2,713.80 $4,523.00 $233.91 – $3,392.25 12
Pelvic MRI (without contrast) CPT 72195 $1,656.00 $2,760.00 $228.15 – $941.15 12
Pelvic Ultrasound (complete) CPT 76856 $394.20 $657.00 $53.48 – $348.75 12
Pelvic Ultrasound (limited) CPT 76857 $394.20 $657.00 $21.85 – $266.25 12
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 $850.20 $1,417.00 $30.62 – $1,062.75 11
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 $2,425.80 $4,043.00 $4.32 – $22.50 11
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $96.00 $160.00 $9.68 – $103.50 11
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $30.00 $50.00 $0.79 – $2.67 10
Penile injection CPT 54235 $403.80 $673.00 $136.71 – $504.75 12
Pentamidine non-comp unit HCPCS J2545 $99.60 $166.00 $30.30 – $172.61 10
Pentobarbital sodium inj HCPCS J2515 $42.00 $70.00 $3.29 – $18.00 9
Pentostatin 10 mg intravenous solution HCPCS J9268 $1,609.20 $2,682.00 $766.33 – $2,608.16 11
Perc cryo ablate renal tum CPT 50593 $20,125.80 $33,543.00 $6,374.74 – $25,157.25 12
Perc d-e cor revasc chro add HCPCS C9608 $402.60 $671.00 $264.24 – $4,716.01 9
Perc d-e cor revasc chro sin HCPCS C9607 $24,161.40 $40,269.00 $2,121.19 – $30,201.75 11
Perc d-e cor revasc t cabg b HCPCS C9605 $9,788.40 $16,314.00 $2,121.19 – $12,235.50 9
Perc d-e cor revasc t cabg s HCPCS C9604 $15,411.00 $25,685.00 $2,121.19 – $19,263.75 11
Perc d-e cor stent ather br HCPCS C9603 $9,788.40 $16,314.00 $2,121.19 – $12,235.50 9
Perc d-e cor stent ather s HCPCS C9602 $24,161.40 $40,269.00 $2,121.19 – $30,201.75 11
Perc drug-el cor stent bran HCPCS C9601 $9,788.40 $16,314.00 $2,121.19 – $12,235.50 9
Perc drug-el cor stent sing HCPCS C9600 $15,411.00 $25,685.00 $2,121.19 – $19,263.75 11
Perc rf ablate renal tumor CPT 50592 $17,216.40 $28,694.00 $892.40 – $21,520.50 12
Percut ablate liver rf CPT 47382 $7,327.20 $12,212.00 $702.83 – $9,159.00 12
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 $104.40 $174.00 $19.53 – $136.34 9
Pericardiocentesis wwo imaging CPT 33016 $2,473.20 $4,122.00 $134.32 – $3,091.50 12
Peripheral vascular rehab CPT 93668 $129.60 $216.00 $40.32 – $162.00 11
Perit-vens shunt pat tst CPT 78291 $1,228.80 $2,048.00 $126.30 – $1,536.00 12
Perphenazine 4mg oral HCPCS Q0175 $0.60 $1.00 $0.34 – $1.18 9
Perq art m-thrombect &/nfs CPT 61645 $17,446.80 $29,078.00 $550.51 – $21,808.50 11
Perq clsr tcat l atr apndge CPT 33340 $5,606.40 $9,344.00 $545.80 – $7,008.00 11
Perq dev breast 1st mr guide CPT 19287 $2,153.40 $3,589.00 $127.14 – $2,691.75 12
Perq dev breast 1st strtctc CPT 19283 $924.60 $1,541.00 $91.72 – $1,155.75 12
Perq plmt bile duct stent CPT 47538 $14,191.20 $23,652.00 $295.36 – $17,739.00 12
Perq plmt bile duct stent CPT 47540 $7,327.20 $12,212.00 $476.83 – $9,159.00 12
Perq rplcmt g-tube req revsn gstrst trk CPT 43763 $978.00 $1,630.00 $75.02 – $1,222.50 12
Perq transcath closure each CPT 93592 $4,354.20 $7,257.00 $270.53 – $5,442.75 11
Perq transcath cls aortic CPT 93591 $46,970.40 $78,284.00 $654.23 – $58,713.00 12
Perq transcath cls mitral CPT 93590 $46,970.40 $78,284.00 $788.33 – $58,713.00 12
Perq transcath septal reduxn CPT 93583 $5,606.40 $9,344.00 $561.20 – $7,008.00 11
Pertuzu, trastuzu, 10 mg HCPCS J9316 $523.20 $872.00 $33.78 – $654.00 11
Pertuzumab 30 mg/ml desensitization HCPCS J9306 $279.60 $466.00 $8.08 – $349.50 11
Pet CT skull-mid thgh initial CPT 78815 $5,639.40 $9,399.00 $185.48 – $1,501.70 11
Pet CT whole body initial CPT 78816 $5,639.40 $9,399.00 $1,388.34 – $7,049.25 11
Pet fdg brain metoblic eval sb CPT 78608 $5,639.40 $9,399.00 $705.26 – $7,049.25 11
Pet image w/ct lmtd CPT 78814 $5,639.40 $9,399.00 $1,388.34 – $7,049.25 11
Pet not otherwise specified HCPCS G0235 $1,300.80 $2,168.00 $272.65 – $1,626.00 11
Pet scan brain perf study CPT 78609 $7,048.20 $11,747.00 $50.39 – $8,810.25 10
Ph body fluid CPT 83986 $19.20 $32.00 $2.00 – $14.25 13
Phencyclidine (pcp) CPT 83992 $74.40 $124.00 $16.00 – $93.00 13
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 $40.80 $68.00 $3.40 – $36.47 10
Phenobarbital therapeutic drug level CPT 80184 $110.40 $184.00 $15.12 – $138.00 13
Phentolaine mesylate inj HCPCS J2760 $293.40 $489.00 $47.42 – $432.02 11
Phenylephrine 10 mg/ml injection solution HCPCS J2371 $2.40 $4.00 $0.00 – $0.75 9
Phenytoin total therapeutic drug level CPT 80185 $94.80 $158.00 $13.00 – $118.50 14
Phleb veins 1 extrm 10-20 stab CPT 37765 $8,640.60 $14,401.00 $833.91 – $10,800.75 12
Phleb veins 1 extrm >20 stab CPT 37766 $8,640.60 $14,401.00 $892.40 – $10,800.75 12
Phlebotomy therapeutic CPT 99195 $231.00 $385.00 $11.00 – $288.75 12
Phosphorus CPT 84100 $24.60 $41.00 $4.69 – $30.00 14
Phosphorus 24 hour urine CPT 84105 $29.40 $49.00 $5.71 – $26.25 12
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 $29.40 $49.00 $2.69 – $8.83 10
Piflu f-18, dia 1 millicurie HCPCS A9595 $1,252.20 $2,087.00 $218.81 – $1,565.25 10
Pinworm exam CPT 87172 $238.80 $398.00 $2.99 – $30.00 12
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $9.00 $15.00 $0.34 – $9.59 10
Place cath intracranial art CPT 36228 $541.80 $903.00 $194.60 – $1,589.36 12
Place cath xtrnl carotid CPT 36227 $4,043.40 $6,739.00 $95.55 – $5,007.00 12
Place duod/jej tube perc CPT 49441 $7,209.00 $12,015.00 $211.46 – $9,011.25 12
Place endorectal app HCPCS C9725 $1,156.80 $1,928.00 $357.48 – $1,446.00 11
Place gastrostomy tube perc CPT 49440 $7,713.60 $12,856.00 $194.19 – $9,642.00 12
Place non-slctv cath thoracic arta CPT 36221 $6,360.60 $10,601.00 $190.76 – $7,875.75 12
Place right device/marker pros CPT 55876 $1,887.60 $3,146.00 $218.56 – $2,359.50 12
Place slctv cath carotd art uni CPT 36224 $10,549.80 $17,583.00 $892.40 – $13,062.75 12
Place slctv cath carotid/inom art excrn uni CPT 36222 $6,360.60 $10,601.00 $892.40 – $7,875.75 12
Place slctv cath carotid/inom art intcrn uni CPT 36223 $10,549.80 $17,583.00 $892.40 – $13,062.75 12
Place slctv cath subclavian art CPT 36225 $6,360.60 $10,601.00 $892.40 – $7,875.75 12
Place slctv cath vertebral art uni CPT 36226 $10,549.80 $17,583.00 $892.40 – $13,062.75 12
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 $924.60 $1,541.00 $90.85 – $1,155.75 12
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 $1,930.80 $3,218.00 $43.26 – $2,413.50 12
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 $1,162.20 $1,937.00 $77.78 – $1,452.75 12
Placement nephrostomy catheter (both sides) CPT 50432 $5,191.20 $8,652.00 $197.53 – $6,489.00 12
Placement occlusive device venous/arterial access site post procedure HCPCS G0269 $2,304.60 $3,841.00 $892.40 – $2,880.75 9
Placement stent(s) intravascular transcatheter artery initial CPT 37236 $21,745.20 $36,242.00 $420.05 – $27,181.50 12
Plasma cryoprecipitate reduced each unit HCPCS P9044 $130.80 $218.00 $48.33 – $163.50 11
Platelet aggregation each agent teg CPT 85576 $126.00 $210.00 $24.62 – $157.50 12
Platelet automated CPT 85049 $23.40 $39.00 $3.00 – $28.50 13
Platelet pheresis irr ea HCPCS P9036 $991.80 $1,653.00 $432.60 – $1,239.75 11
Platelets each unit HCPCS P9019 $154.80 $258.00 $33.00 – $193.50 12
Platelets irradiated ea unit HCPCS P9032 $199.80 $333.00 $100.88 – $249.75 11
Platelets leukocytes reduced each unit HCPCS P9031 $181.80 $303.00 $91.82 – $227.25 11
Platelets leukocytes reduced irradiated each unit HCPCS P9033 $310.20 $517.00 $188.25 – $387.75 11
Platelets pheresis leukocytes reduced each unit HCPCS P9035 $715.80 $1,193.00 $340.69 – $894.75 11
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 $908.40 $1,514.00 $447.69 – $1,135.50 11
Plc pq device breast ea addl lesion MRI guide CPT 19288 $1,704.60 $2,841.00 $55.90 – $2,130.75 12
Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 $969.00 $1,615.00 $37.38 – $1,211.25 12
Plc pq device breast ea addl lesion stereo guide CPT 19284 $663.60 $1,106.00 $43.55 – $829.50 12
Plcmnt biliary drainage cath w/img ext CPT 47533 $7,503.60 $12,506.00 $274.65 – $9,379.50 12
Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 $16,133.40 $26,889.00 $168.81 – $20,166.75 12
Plcmnt ureteral stent pq w/img exstng trct CPT 50693 $7,729.80 $12,883.00 $700.49 – $9,662.25 12
Plcmnt ureteral stent pq w/img new w/cath CPT 50695 $7,729.80 $12,883.00 $892.40 – $9,662.25 12
Plcmt dlyd xtn pros 1st vsl CPT 34710 $9,316.20 $15,527.00 $517.06 – $11,645.25 11
Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 $1,387.20 $2,312.00 $77.29 – $1,734.00 12
Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 $1,442.40 $2,404.00 $38.95 – $1,803.00 12
Plcmt xtn pros evasc rpr per vsl CPT 34709 $9,316.20 $15,527.00 $209.39 – $11,645.25 11
Plethysmography lung volumes/airway resistance CPT 94726 $762.60 $1,271.00 $34.00 – $224.25 12
Plmt biliary drainage cath CPT 47534 $7,503.60 $12,506.00 $364.49 – $9,379.50 12
Plmt nephroureteral catheter CPT 50433 $5,190.00 $8,650.00 $754.09 – $6,487.50 12
Plmt ureteral stent prq CPT 50694 $7,729.80 $12,883.00 $773.11 – $9,662.25 12
Pm phone r-strip device eval CPT 93293 $254.40 $424.00 $25.64 – $318.00 12
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $243.00 $405.00 $25.77 – $177.00 12
Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 $10,525.80 $17,543.00 $51.26 – $2,819.25 11
Porfimer sodium injection HCPCS J9600 $13,787.40 $22,979.00 $4,735.11 – $26,164.27 11
Post non-seg/spine instrumentation 22840 CPT 22840 not published not published $823.53 – $3,257.61 3
Post seg spine instrument/3-6 seg 22842 CPT 22842 not published not published $823.60 – $3,648.34 3
Potassium 24 hour urine CPT 84133 $24.00 $40.00 $4.67 – $22.50 13
Potassium serum/plasma/whole blood CPT 84132 $24.00 $40.00 $4.70 – $24.75 14
Pq biliary strict dil s&i CPT 74363 $2,397.60 $3,996.00 $107.79 – $2,997.00 12
Pq dr cath chg w cont s&i CPT 75984 $2,119.80 $3,533.00 $11.50 – $2,649.75 12
Pq kyphplsty 1 bdy lumb w/img CPT 22514 $18,813.00 $31,355.00 $892.40 – $23,294.25 12
Pq thr inj ext pse CPT 36002 $1,125.60 $1,876.00 $113.66 – $1,407.00 12
Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 $4,150.20 $6,917.00 $892.40 – $5,187.75 12
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 $2,268.00 $3,780.00 $197.55 – $2,835.00 11
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 $7,986.60 $13,311.00 $892.40 – $9,983.25 12
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 $4,150.20 $6,917.00 $200.75 – $5,187.75 12
Pr application of long arm splint CPT 29105 $520.80 $868.00 $36.85 – $892.40 12
Pr application splint static short arm CPT 29125 $406.20 $677.00 $28.60 – $507.75 12
Pr biopsy skin punch single lesion CPT 11104 $690.60 $1,151.00 $44.47 – $892.40 12
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 not published not published $828.50 – $13,247.10 7
Pr correction hammertoe CPT 28285 not published not published $254.65 – $3,093.35 8
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $52.20 $87.00 $19.22 – $65.25 12
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $378.60 $631.00 $34.69 – $473.25 12
Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 $256.20 $427.00 $56.52 – $320.25 10
Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 $274.20 $457.00 $107.62 – $116.22 2
Pr ecg 12 lead report only CPT 93010 $22.20 $37.00 $8.62 – $35.02 11
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 $129.00 $215.00 $4.83 – $161.25 10
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 $2,361.00 $3,935.00 $722.42 – $2,951.25 12
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 $351.60 $586.00 $82.50 – $409.50 12
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 $2,080.80 $3,468.00 $44.00 – $2,601.00 12
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 $2,184.60 $3,641.00 $88.55 – $2,730.75 12
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $484.80 $808.00 $318.19 – $892.40 12
Pr hospital ip/obs care initial high level per day CPT 99223 $584.40 $974.00 $88.80 – $730.50 10
Pr hospital ip/obs care initial moderate level per day CPT 99222 $420.00 $700.00 $74.58 – $525.00 10
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 $277.80 $463.00 $57.90 – $347.25 10
Pr hospital ip/obs care subsequent high level per day CPT 99233 $296.40 $494.00 $46.44 – $370.50 10
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 $205.20 $342.00 $71.28 – $225.75 10
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 $134.40 $224.00 $38.27 – $168.00 10
Pr incision & drainage abscess complicated/multiple CPT 10061 $955.80 $1,593.00 $57.75 – $1,070.25 12
Pr incision & drainage abscess simple/single CPT 10060 $510.60 $851.00 $25.85 – $711.85 12
Pr incision & drainage abscess vulva/perineal CPT 56405 $831.60 $1,386.00 $103.19 – $1,039.50 12
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $520.80 $868.00 $33.55 – $893.55 12
Pr management transitional care moderate w/in 14 days of discharge CPT 99495 $255.00 $425.00 $84.78 – $318.75 11
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $831.60 $1,386.00 $10.89 – $1,039.50 11
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 not published not published $722.42 – $2,010.48 7
Pr removal drug delivery implant CPT 11982 $1,165.20 $1,942.00 $101.56 – $1,456.50 12
Pr removal foreign body external auditory canal without anesthesia CPT 69200 $370.80 $618.00 $33.00 – $558.90 12
Pr removal intrauterine device CPT 58301 $411.00 $685.00 $18.98 – $892.40 11
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 $819.00 $1,365.00 $36.30 – $1,023.75 12
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 $520.80 $868.00 $52.25 – $892.40 12
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 $520.80 $868.00 $34.65 – $651.00 12
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 $520.80 $868.00 $26.95 – $651.00 12
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 $520.80 $868.00 $39.05 – $892.40 12
Pr tube thoracostomy w/connection to drainage open CPT 32551 $2,472.00 $4,120.00 $145.38 – $3,090.00 12
Pralatrexate injection HCPCS J9307 $4,072.20 $6,787.00 $327.76 – $3,735.75 11
Pralidoxime 1 gram solution for injection HCPCS J2730 $51.60 $86.00 $28.96 – $64.50 9
Prcrd drg 6+yr without anomly CPT 33017 $2,473.20 $4,122.00 $139.27 – $3,091.50 11
Prealbumin CPT 84134 $74.40 $124.00 $14.42 – $93.00 12
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $394.20 $657.00 $53.48 – $492.75 12
Pregnancy Ultrasound (first trimester) CPT 76801 $394.20 $657.00 $44.15 – $492.75 12
Pressure max expiratory/inspiratory CPT 94799 $279.00 $465.00 $6.97 – $313.50 11
Pressure velocity wire add ves CPT 93572 $3,046.80 $5,078.00 $172.90 – $3,808.50 10
Pretreat rbc w chem/drugs reference CPT 86970 $48.00 $80.00 $23.83 – $61.15 11
Prgr stim/pace a/iv drug CPT 93623 $3,457.20 $5,762.00 $215.04 – $4,321.50 9
Prim art mech thrmbc non-intracranial CPT 37184 $17,281.80 $28,803.00 $892.40 – $21,602.25 12
Prim art mech thrmbc non-intracranial add-on CPT 37185 $9,877.80 $16,463.00 $155.17 – $12,347.25 11
Probe cryo 1150mm endo flex ster disp HCPCS C2618 $3,250.20 $5,417.00 $850.78 – $4,042.50 9
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 $36.00 $60.00 $3.03 – $294.69 11
Procalcitonin CPT 84145 $138.00 $230.00 $24.43 – $172.50 12
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $5.40 $9.00 $0.67 – $5.12 10
Prochlorperazine maleate 5 mg tablet HCPCS Q0164 $0.60 $1.00 $0.34 – $1.01 9
Proctosigmoidoscopy dx 45300 CPT 45300 $1,420.20 $2,367.00 $26.81 – $1,775.25 12
Progesterone CPT 84144 $105.00 $175.00 $17.00 – $131.25 13
Prolactin CPT 84146 $98.40 $164.00 $19.15 – $123.00 14
Promethazine hcl injection HCPCS J2550 $1.80 $3.00 $0.34 – $4.17 10
Propofol infusion 10 mg/ml HCPCS J2704 $6.00 $10.00 $0.09 – $1.50 10
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 $6.60 $11.00 $2.02 – $11.50 9
Prostate biopsy, any mthd HCPCS G0416 $643.20 $1,072.00 $227.37 – $804.00 11
Prostatectomy (turp) CPT 52601 not published not published $892.40 – $5,233.86 7
Protamine 10 mg/ml intravenous solution HCPCS J2720 $1.80 $3.00 $0.34 – $1.92 10
Protein c activity CPT 85303 $70.20 $117.00 $13.68 – $87.75 12
Protein electrophoretic fractionation & quantitation serum CPT 84165 $61.20 $102.00 $10.62 – $68.25 12
Protein s total CPT 85305 $58.80 $98.00 $11.47 – $73.50 12
Protein total 24 hour urine CPT 84156 $19.80 $33.00 $3.63 – $18.75 13
Protein total body fluid CPT 84157 $21.00 $35.00 $3.96 – $26.25 12
Protein total serum plasma whole blood CPT 84155 $21.00 $35.00 $3.63 – $24.75 14
Prothrombin complex kcentra HCPCS J7168 $32.40 $54.00 $0.67 – $2.31 11
Prothrombin time substitution plasma fractions each CPT 85611 $21.00 $35.00 $3.90 – $26.25 12
Prp i/hern init block >5 yr CPT 49507 $1,536.60 $2,561.00 $225.65 – $3,364.54 12
Prq av fstl crt uxtr sep acs CPT 36837 $37,664.40 $62,774.00 $3,738.86 – $47,080.50 12
Prq av fstl crtj uxtr 1 acs CPT 36836 $37,664.40 $62,774.00 $2,627.69 – $47,080.50 12
Prq card revasc chronic addl CPT 92944 $3,477.60 $5,796.00 $279.37 – $4,347.00 10
Prq card revasc mi 1 vsl CPT 92941 $15,411.00 $25,685.00 $569.70 – $19,263.75 11
Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 $15,411.00 $25,685.00 $2,121.19 – $19,263.75 9
Prq card stent w/angio addl CPT 92929 $9,768.60 $16,281.00 $147.97 – $12,210.75 10
Prq cardiac angio addl art CPT 92921 $5,071.20 $8,452.00 $120.67 – $6,339.00 10
Prq revasc byp graft 1 art and/or branches CPT 92937 $15,411.00 $25,685.00 $507.86 – $19,263.75 12
Prq revasc byp graft addl CPT 92938 $11,988.60 $19,981.00 $275.68 – $14,985.75 10
Prq tcat plmt ntrac st 1 les CPT 92928 $15,411.00 $25,685.00 $541.77 – $19,263.75 12
Prq trlml c athrc st angiop1 CPT 92933 $24,161.40 $40,269.00 $892.40 – $30,201.75 12
Prq trluml c angiop 1art&/br CPT 92920 $10,148.40 $16,914.00 $773.91 – $12,685.50 12
Prq trluml c athrc 1 art&/br CPT 92924 $17,281.80 $28,803.00 $497.72 – $21,602.25 12
Prq trluml revsc ch occ ant CPT 92943 $15,411.00 $25,685.00 $569.70 – $19,263.75 12
Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 $55.20 $92.00 $22.29 – $24.07 2
Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 $42.60 $71.00 $16.98 – $18.34 2
Psych test eval svc phys/qhp 1st hr CPT 96130 $250.80 $418.00 $104.39 – $112.73 2
Psych test eval svc phys/qhp ea addl hr CPT 96131 $183.60 $306.00 $71.79 – $77.53 2
Psychotherapy patient individual therapy 60 minutes CPT 90837 $302.40 $504.00 $57.20 – $378.00 11
Pt evaluation high complexity patient/family CPT 97163 $363.00 $605.00 $51.04 – $453.75 12
Pt evaluation low complexity patient/family CPT 97161 $226.80 $378.00 $51.04 – $283.50 12
Pt evaluation moderate complexity patient/family CPT 97162 $303.60 $506.00 $29.13 – $379.50 12
Pt re-evaluation patient/family CPT 97164 $139.20 $232.00 $34.59 – $174.00 13
Pt repositioning canalith procedure(s) per day CPT 95992 $78.60 $131.00 $25.44 – $98.25 10
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 $44.40 $74.00 $9.22 – $55.50 13
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 $73.80 $123.00 $18.43 – $92.25 12
Pt wheelchair management each 15 minutes CPT 97542 $60.60 $101.00 $22.59 – $75.75 12
Pulmonary vent imaging CPT 78579 $1,228.80 $2,048.00 $127.35 – $1,536.00 12
Pulse ox continuous overnight monitoring CPT 94762 $350.40 $584.00 $31.28 – $438.00 12
Pulse ox multiple CPT 94761 $102.00 $170.00 $4.25 – $127.50 12
Pulse ox single CPT 94760 $98.40 $164.00 $2.18 – $123.00 12
Punc of shunt for asp or inj CPT 61070 $2,015.40 $3,359.00 $71.50 – $2,496.00 12
Puncture arterial withdrawal blood for diagnosis CPT 36600 $248.40 $414.00 $14.30 – $194.25 12
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 $520.80 $868.00 $26.40 – $892.40 12
Puncture spinal lumbar diagnostic CPT 62270 $2,040.00 $3,400.00 $46.20 – $2,526.00 12
Pyridoxine hcl 100 mg HCPCS J3415 $12.60 $21.00 $0.90 – $17.20 10
Pyruvate CPT 84210 $73.80 $123.00 $8.00 – $92.25 13
Pyruvate kinase CPT 84220 $33.60 $56.00 $8.80 – $42.00 12
Quant diff pulm perf and vent w/imaging CPT 78598 $1,574.40 $2,624.00 $221.19 – $1,968.00 12
Quant diff pulm perf w/imaging CPT 78597 $1,228.80 $2,048.00 $136.50 – $1,536.00 12
Quest t3 uptake CPT 84479 $32.40 $54.00 $6.39 – $40.50 14
Quinupristin/dalfopristin HCPCS J2770 $279.60 $466.00 $4.22 – $349.50 11
Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 $408.00 $680.00 $11.00 – $510.00 12
Radiation handling CPT 77790 $296.40 $494.00 $20.36 – $370.50 12
Radiation physics consult CPT 77336 $744.00 $1,240.00 $53.90 – $930.00 12
Radiation therapy dose plan CPT 77300 $546.60 $911.00 $24.73 – $683.25 12
Radiation treatment aid(s) CPT 77332 $489.00 $815.00 $37.38 – $611.25 12
Radiation treatment aid(s) CPT 77333 $501.00 $835.00 $19.52 – $626.25 12
Radiation treatment aid(s) CPT 77334 $715.80 $1,193.00 $63.25 – $894.75 12
Radiation treatment delivery CPT 77402 $1,046.40 $1,744.00 $23.65 – $1,308.00 12
Radiation treatment delivery CPT 77412 $1,750.80 $2,918.00 $48.40 – $2,188.50 12
Radic resect abd tumor<5cm 22904 CPT 22904 not published not published $892.40 – $2,946.64 7
Radiology port images(s) CPT 77417 $236.40 $394.00 $14.21 – $295.50 12
Radiotherapy dose plan imrt CPT 77301 $3,873.00 $6,455.00 $814.00 – $4,841.25 12
Radium ra223 dichl ther/uci HCPCS A9606 $17,014.80 $28,358.00 $170.50 – $9,548.14 11
Radphm lcl tmr plnr bdy sgl day img CPT 78802 $4,242.60 $7,071.00 $80.50 – $5,303.25 12
Radphm lcl tmr plnr bdy two day img CPT 78804 $4,242.60 $7,071.00 $230.44 – $5,303.25 12
Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 $4,242.60 $7,071.00 $334.71 – $5,303.25 12
Radphm lcl tomogr sgl area sgl day CPT 78803 $4,242.60 $7,071.00 $134.29 – $685.71 12
Radphm lcl tumor plr sgl day CPT 78800 $1,228.80 $2,048.00 $63.25 – $1,536.00 12
Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 $85.20 $142.00 $36.12 – $106.50 11
Rapid Strep Test CPT 87880 $93.00 $155.00 $6.93 – $116.25 12
Rapid desensitization CPT 95180 $689.40 $1,149.00 $9.35 – $861.75 12
Rasburicase 1.5 mg intravenous solution HCPCS J2783 $644.40 $1,074.00 $361.62 – $805.50 11
Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 $1,280.40 $2,134.00 $134.85 – $1,600.50 11
Rbc count only automated CPT 85041 $6.60 $11.00 $2.98 – $8.25 12
Rbc irradiated each unit HCPCS P9038 $273.00 $455.00 $137.63 – $341.25 11
Re-explore parathyroids CPT 60502 $1,744.80 $2,908.00 $496.98 – $5,639.87 12
Reconstruct shoulder joint CPT 23472 not published not published $892.40 – $18,933.57 7
Red blood cells each unit HCPCS P9021 $200.40 $334.00 $33.00 – $250.50 12
Red blood cells leukocytes reduced each unit HCPCS P9016 $269.40 $449.00 $76.34 – $336.75 12
Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 $376.80 $628.00 $181.77 – $471.00 11
Redo endovas vena cava filtr CPT 37192 $7,195.20 $11,992.00 $892.40 – $8,994.00 12
Reduce bowel obstruction 44050 CPT 44050 $2,479.20 $4,132.00 $884.38 – $955.04 2
Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 $30.60 $51.00 $1.35 – $106.11 10
Release of foot tendon 28225 CPT 28225 not published not published $116.05 – $3,093.35 8
Relocation skin pocket aicd CPT 33223 $3,487.20 $5,812.00 $777.16 – $4,359.00 12
Relocation skin pocket pm CPT 33222 $2,460.00 $4,100.00 $364.32 – $3,075.00 12
Rem endovas vena cava filter CPT 37193 $5,819.40 $9,699.00 $892.40 – $7,274.25 12
Rem/biv cast full arm/leg CPT 29705 $370.80 $618.00 $92.00 – $463.50 11
Removal biliary drg cath CPT 47537 $1,663.20 $2,772.00 $89.12 – $2,079.00 12
Removal central venous catheter tunneled without port/pump CPT 36589 $3,457.20 $5,762.00 $127.10 – $892.40 12
Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 $3,457.20 $5,762.00 $176.70 – $4,321.50 12
Removal cerumen impacted (both sides) CPT 69210 $120.60 $201.00 $18.40 – $892.40 12
Removal clot in graft oth/thn 35875 CPT 35875 $6,966.60 $11,611.00 $629.48 – $8,708.25 12
Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 $265.20 $442.00 $16.10 – $331.50 11
Removal duct glbldr calculi CPT 47544 $1,132.80 $1,888.00 $193.54 – $1,416.00 12
Removal embedded foreign body vestibule mouth smpl CPT 40804 $1,191.00 $1,985.00 $33.55 – $1,488.75 12
Removal foreign body foot subcutaneous right CPT 28190 $2,169.00 $3,615.00 $33.55 – $2,711.25 12
Removal implant superficial separate procedure CPT 20670 $4,161.60 $6,936.00 $102.85 – $5,202.00 12
Removal of adenoids CPT 42830 not published not published $417.01 – $3,338.92 7
Removal of adenoids CPT 42831 not published not published $470.33 – $3,338.92 7
Removal of anal tags CPT 46230 $3,552.60 $5,921.00 $63.25 – $4,440.75 12
Removal of bone for graft CPT 20900 not published not published $270.90 – $6,810.69 8
Removal of breast lesion CPT 19120 $1,078.20 $1,797.00 $190.30 – $3,650.76 8
Removal of foot joint lining CPT 28070 not published not published $260.70 – $6,810.69 8
Removal of foot lesion CPT 28080 not published not published $193.05 – $1,525.80 8
Removal of foot lesion CPT 28090 not published not published $169.95 – $1,525.80 8
Removal of gallbladder 47600 CPT 47600 $2,816.40 $4,694.00 $1,012.52 – $1,093.42 2
Removal of heel bone CPT 28118 not published not published $956.80 – $3,340.51 7
Removal of heel spur CPT 28119 not published not published $317.90 – $3,093.35 8
Removal of hydrocele CPT 55040 not published not published $828.50 – $3,633.37 7
Removal of hydrocele CPT 55500 not published not published $828.50 – $3,550.91 7
Removal of implant deep CPT 20680 not published not published $188.65 – $2,728.62 8
Removal of intranasal lesion CPT 30117 not published not published $95.15 – $3,091.88 8
Removal of nose lesion CPT 30124 not published not published $130.35 – $1,412.22 8
Removal of scrotum CPT 55150 not published not published $539.52 – $3,550.91 7
Removal of sesamoid bone CPT 28315 not published not published $220.55 – $3,093.35 8
Removal of skin tags each add'l 10 CPT 11201 $351.00 $585.00 $16.03 – $438.75 12
Removal of small intestine 44125 CPT 44125 $3,120.60 $5,201.00 $1,108.48 – $1,197.05 2
Removal of stomach partial 43631 CPT 43631 $3,851.40 $6,419.00 $1,369.94 – $1,479.40 2
Removal of stomachpartial 43632 CPT 43632 $5,407.20 $9,012.00 $1,918.71 – $2,072.01 2
Removal of thyroid CPT 60240 $1,246.20 $2,077.00 $354.03 – $5,562.36 12
Removal of thyroid CPT 60252 $3,475.80 $5,793.00 $1,243.01 – $1,342.33 2
Removal of toe lesions CPT 28108 not published not published $146.30 – $1,525.80 8
Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 $819.00 $1,365.00 $34.10 – $1,023.75 12
Removal sutr and stapl no anes CPT 15854 $187.20 $312.00 $5.98 – $234.00 11
Removal sutr or stapl no anes CPT 15853 $187.20 $312.00 $4.23 – $234.00 11
Removal sutr/staple req anes CPT 15851 $3,784.80 $6,308.00 $1,020.54 – $4,731.00 11
Removal tunnled intprtnl cath CPT 49422 $10,505.40 $17,509.00 $206.99 – $5,493.00 12
Removal/replacement ppm generator dual lead system CPT 33228 $19,161.00 $31,935.00 $443.40 – $23,951.25 11
Remove anal fist complex CPT 46280 not published not published $337.15 – $2,614.54 8
Remove anal fist inter CPT 46275 not published not published $248.60 – $2,614.54 8
Remove anal fist subq CPT 46270 $1,015.20 $1,692.00 $233.75 – $2,614.54 8
Remove ankle joint lining CPT 27626 not published not published $892.40 – $3,340.51 7
Remove bladder stone CPT 52317 not published not published $281.60 – $3,288.18 8
Remove brain canal fluid CPT 61050 $961.20 $1,602.00 $243.75 – $1,201.50 12
Remove cartilage for graft CPT 20912 not published not published $469.46 – $3,490.30 8
Remove cva lumen obstruct CPT 75902 $682.80 $1,138.00 $51.59 – $853.50 11
Remove ear canal lesion(s) CPT 69145 not published not published $95.15 – $2,728.62 8
Remove ext hem groups 2+ CPT 46250 $3,552.60 $5,921.00 $142.45 – $4,440.75 12
Remove foreign body from eye CPT 65235 $3,433.80 $5,723.00 $722.42 – $4,292.25 12
Remove in/ex hem groups 2+ CPT 46260 not published not published $369.60 – $2,614.54 8
Remove int/ext hem 1 group CPT 46255 $922.20 $1,537.00 $335.20 – $361.98 2
Remove pilonidal cyst compl CPT 11772 $1,492.20 $2,487.00 $544.99 – $588.53 2
Remove pilonidal cyst exten CPT 11771 $1,125.60 $1,876.00 $256.30 – $2,728.62 8
Remove renal tube w/fluoro CPT 50389 $3,200.40 $5,334.00 $629.99 – $4,000.50 12
Remove spinal lamina add-on 63048 CPT 63048 not published not published $223.11 – $3,812.30 4
Remove stent via transureth CPT 50386 $5,276.40 $8,794.00 $892.40 – $6,595.50 12
Remove thyroid lesion 60200 CPT 60200 $10,214.40 $17,024.00 $631.63 – $12,768.00 12
Remove tonsils and adenoids CPT 42820 not published not published $635.33 – $6,090.50 7
Remove tonsils and adenoids CPT 42821 not published not published $764.89 – $3,338.92 7
Remove ureter stent percut CPT 50384 $6,318.00 $10,530.00 $892.40 – $7,897.50 12
Remove vaginal foreign body 57415 CPT 57415 $3,786.60 $6,311.00 $55.20 – $4,733.25 12
Remove wrist tendon lesion CPT 25111 $817.80 $1,363.00 $312.94 – $337.94 2
Remvl peritoneal fb frm cavity CPT 49402 $5,151.00 $8,585.00 $774.79 – $6,181.50 12
Renal function panel CPT 80069 $56.40 $94.00 $8.58 – $63.75 14
Renal venogram bil s&i CPT 75833 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Reopen fallopian tube CPT 58350 not published not published $163.62 – $5,082.34 7
Reopening of recent laparotomy 49002 CPT 49002 $1,888.20 $3,147.00 $983.49 – $1,062.07 2
Repair biceps tendon CPT 23430 not published not published $419.10 – $6,810.69 8
Repair bladder defect CPT 57288 not published not published $892.40 – $5,082.34 7
Repair blood vess/direct/intra/abd 35221 CPT 35221 $3,912.00 $6,520.00 $1,366.50 – $1,475.68 2
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 $1,664.40 $2,774.00 $577.06 – $2,080.50 12
Repair defect of artery 35011 CPT 35011 $2,715.60 $4,526.00 $932.64 – $1,007.16 2
Repair dental ellis ii fx CPT 41899 $777.60 $1,296.00 $18.40 – $972.00 11
Repair elbow perc CPT 24357 $6,362.40 $10,604.00 $630.41 – $7,953.00 12
Repair epigastric hernia reduce 49570 CPT 49570 $1,087.80 $1,813.00 not published 0
Repair extns tendon finger without grft ea CPT 26418 $2,055.00 $3,425.00 $254.65 – $2,568.75 12
Repair finger/hand tendon CPT 26350 $4,150.20 $6,917.00 $404.25 – $5,187.75 12
Repair finger/hand tendon CPT 26356 $4,150.20 $6,917.00 $399.30 – $5,187.75 12
Repair foot dislocation CPT 28615 not published not published $246.40 – $6,810.69 8
Repair ing hernia sliding CPT 49525 $1,504.20 $2,507.00 $545.38 – $588.96 2
Repair iris & ciliary body CPT 66682 not published not published $518.18 – $2,174.40 8
Repair lac palate<2 cm CPT 42180 $1,673.40 $2,789.00 $34.65 – $2,091.75 12
Repair lip full thkns =<one-half vert height CPT 40652 $2,079.60 $3,466.00 $338.01 – $2,599.50 12
Repair lip full thkns >one-half vert height/cmplx CPT 40654 $2,046.00 $3,410.00 $405.09 – $2,557.50 12
Repair nasal stenosis CPT 30465 not published not published $892.40 – $6,090.50 7
Repair of achilles tendon CPT 27654 $9,067.20 $15,112.00 $524.70 – $11,334.00 12
Repair of ankle ligament CPT 27695 not published not published $722.42 – $7,354.86 7
Repair of bladder opening CPT 51880 $619.20 $1,032.00 $176.42 – $3,288.18 12
Repair of kneecap tendon CPT 27380 not published not published $471.35 – $6,810.69 8
Repair of leg tendon each CPT 27659 not published not published $722.42 – $7,354.86 7
Repair of nasal septum CPT 30520 not published not published $946.45 – $3,338.92 7
Repair of ruptured tendon CPT 24342 not published not published $572.00 – $6,810.69 8
Repair pm/icd lead sgl CPT 33218 $4,523.40 $7,539.00 $400.86 – $5,654.25 12
Repair rectum & vagina CPT 57250 not published not published $892.40 – $5,082.34 7
Repair recur fem hernia reduce 49555 CPT 49555 not published not published $401.50 – $3,364.54 8
Repair recur ventrl hern reduce 49565 CPT 49565 $1,038.00 $1,730.00 $261.45 – $560.25 9
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 $1,497.00 $2,495.00 $95.15 – $1,871.25 12
Repair rpr lip full thickness vermilion only CPT 40650 $993.00 $1,655.00 $273.82 – $1,241.25 12
Repair stomach opening CPT 43870 $1,880.40 $3,134.00 $669.72 – $723.23 2
Repair tendon extensor foot 1/2 each tendon CPT 28208 $9,012.00 $15,020.00 $261.80 – $11,265.00 12
Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 $9,332.40 $15,554.00 $399.30 – $11,665.50 12
Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 $1,050.60 $1,751.00 $34.65 – $1,313.25 12
Repair umbil hern incar > 5 yr 49587 CPT 49587 $1,243.20 $2,072.00 not published 0
Repair umbil hern reduc > 5 yr 49585 CPT 49585 $1,411.20 $2,352.00 not published 0
Repair upper arm/elbow tendon/muscle ea CPT 24341 $9,067.20 $15,112.00 $888.70 – $11,334.00 12
Repair ventral hern init incar 49561 CPT 49561 $7,572.60 $12,621.00 $3,094.85 – $9,465.75 9
Repair ventral hern init reduc 49560 CPT 49560 $997.20 $1,662.00 $252.35 – $540.75 9
Repeat thyroid surgery CPT 60260 $2,567.40 $4,279.00 $1,026.41 – $1,108.42 2
Replace duod/jej tube perc CPT 49451 $4,216.80 $7,028.00 $77.36 – $5,271.00 12
Replace g-j tube perc CPT 49452 $4,274.40 $7,124.00 $120.76 – $5,343.00 12
Replace g/c tube perc CPT 49450 $3,972.00 $6,620.00 $56.21 – $4,965.00 12
Replace picvad cath CPT 36585 $4,201.80 $7,003.00 $283.90 – $5,252.25 12
Replace tunneled cv cath CPT 36578 $4,273.80 $7,123.00 $219.25 – $5,342.25 12
Repos lv lead pm/icd CPT 33226 $4,201.80 $7,003.00 $883.55 – $5,252.25 12
Repos sq defib eltrd CPT 33273 $4,831.80 $8,053.00 $271.36 – $6,039.75 12
Reposition pm/icd lead CPT 33215 $4,608.60 $7,681.00 $555.15 – $5,760.75 12
Rerepair ing hernia blocked CPT 49521 $5,185.20 $8,642.00 $892.40 – $6,481.50 12
Rerepair ing hernia reduce CPT 49520 $1,662.00 $2,770.00 $475.20 – $3,364.54 8
Resect condyle distal phalanx ea toe 28153 CPT 28153 not published not published $209.00 – $3,093.35 8
Resect inferior turbinate CPT 30140 not published not published $284.90 – $3,091.88 8
Reslizumab 10 mg/ml intravenous solution HCPCS J2786 $64.20 $107.00 $6.11 – $80.25 11
Resp virus 6-11 targets CPT 87632 $1,212.60 $2,021.00 $215.52 – $1,515.75 12
Respirator motion mgmt simul CPT 77293 $1,757.40 $2,929.00 $220.95 – $2,196.75 12
Resuscitation cardiopulmonary CPT 92950 $1,023.60 $1,706.00 $140.36 – $1,279.50 11
Resuscitation delivery/birthing room CPT 99465 $1,017.00 $1,695.00 $104.63 – $1,271.25 12
Revasc intra lithotrip-ather HCPCS C9766 $22,899.00 $38,165.00 $4,210.10 – $28,623.75 11
Revasc intra lithotrip-stent HCPCS C9765 $22,899.00 $38,165.00 $4,210.10 – $28,623.75 11
Revasc intravasc lithotripsy HCPCS C9764 $11,449.20 $19,082.00 $2,472.81 – $14,311.50 11
Revasc lith-sten-ath tib/per HCPCS C9775 $36,522.60 $60,871.00 $5,528.13 – $45,653.25 11
Revasc lithotr-ather tib/per HCPCS C9774 $36,522.60 $60,871.00 $5,528.13 – $45,653.25 11
Revasc lithotr-stent tib/per HCPCS C9773 $36,522.60 $60,871.00 $5,528.13 – $45,653.25 11
Revasc lithotrip tibi/perone HCPCS C9772 $22,833.60 $38,056.00 $4,210.10 – $28,542.00 11
Revasc lithotrip-stent-ather HCPCS C9767 $36,839.40 $61,399.00 $5,528.13 – $46,049.25 11
Revise stomach bowel fusion 43860 CPT 43860 $4,329.60 $7,216.00 $1,543.68 – $1,667.02 2
Revise/replace knee joint CPT 27486 not published not published $892.40 – $5,048.80 3
Revise/replace knee joint CPT 27487 not published not published $1,001.08 – $6,078.62 3
Revision of calf tendon CPT 27687 not published not published $358.05 – $3,093.35 8
Revision of cervix CPT 59320 $7,368.60 $12,281.00 $422.07 – $9,210.75 12
Revision of colostomy paraclt hernia 44346 CPT 44346 $3,117.60 $5,196.00 $1,113.85 – $1,202.85 2
Revision of ileostomy; simple 44312 CPT 44312 not published not published $539.35 – $3,769.17 7
Revision open av fistula without thromb CPT 36832 $9,842.40 $16,404.00 $698.84 – $11,382.75 12
Revision tips CPT 37183 $7,508.40 $12,514.00 $776.39 – $9,385.50 12
Revsc opn/prq tib/pero stent CPT 37234 $8,640.60 $14,401.00 $268.43 – $10,800.75 11
Rf abltj nrv nrvtg si jt CPT 64625 $5,661.00 $9,435.00 $269.38 – $7,076.25 12
Rheumatoid factor qualitative CPT 86430 $33.60 $56.00 $6.07 – $42.00 13
Rheumatoid factor quantitative CPT 86431 $31.80 $53.00 $5.61 – $29.25 13
Rho d immune globulin inj HCPCS J2790 $70.80 $118.00 $39.73 – $94.18 10
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 $48.00 $80.00 $4.86 – $60.00 10
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 $106.80 $178.00 $0.14 – $48.75 10
Right ventric recording CPT 93603 $2,545.80 $4,243.00 $172.32 – $3,182.25 12
Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 $588.00 $980.00 $6.84 – $735.00 11
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 $337.20 $562.00 $32.37 – $420.00 11
Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 $55.80 $93.00 $31.31 – $75.22 11
Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 $50.40 $84.00 $28.28 – $63.00 11
Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 $42.60 $71.00 $23.91 – $53.25 11
Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 $42.60 $71.00 $23.73 – $53.25 11
Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 $2,080.80 $3,468.00 $33.55 – $2,601.00 12
Rmvl icd by tv extr CPT 33244 $4,589.40 $7,649.00 $892.40 – $5,736.75 12
Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 $34,564.20 $57,607.00 $480.64 – $43,205.25 12
Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 $48,933.60 $81,556.00 $499.04 – $61,167.00 12
Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 $34,564.20 $57,607.00 $462.26 – $43,205.25 12
Rmvl icd pulse gen only CPT 33241 $4,523.40 $7,539.00 $426.81 – $5,654.25 12
Rmvl ndwellg tun pleural cath CPT 32552 $2,304.60 $3,841.00 $272.28 – $2,880.75 12
Rmvl perm pm pulse gen CPT 33233 $11,583.60 $19,306.00 $302.62 – $14,479.50 12
Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 $27,759.00 $46,265.00 $461.78 – $34,698.75 11
Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 $17,467.80 $29,113.00 $425.00 – $21,834.75 11
Rmvl pq iabp CPT 33968 $243.00 $405.00 $37.01 – $303.75 11
Rmvl pq vad left hrt vein sep session CPT 33992 $512.40 $854.00 $130.03 – $640.50 11
Rmvl sq defib electrode CPT 33272 $4,831.80 $8,053.00 $597.19 – $6,039.75 12
Rmvl subq card rhythm mntr CPT 33286 $2,304.60 $3,841.00 $80.33 – $2,880.75 12
Rmvl tv pm lead dual CPT 33235 $4,523.40 $7,539.00 $891.55 – $5,654.25 12
Rmvl tv pm lead sgl CPT 33234 $4,523.40 $7,539.00 $890.82 – $5,654.25 12
Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 $1,918.80 $3,198.00 $15.31 – $2,158.50 11
Romiplostim 125 mcg subcutaneous solution HCPCS J2802 $3,004.80 $5,008.00 $4.16 – $1,878.00 11
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 $641.40 $1,069.00 $5.48 – $780.00 11
Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 $9.00 $15.00 $0.05 – $11.25 10
Rp loclzj tum 2+area 1+d img CPT 78801 $1,228.80 $2,048.00 $67.85 – $1,536.00 12
Rp loclzj tum spect w/ct 1 CPT 78830 $4,242.60 $7,071.00 $225.46 – $5,303.25 12
Rp loclzj tum spect w/ct 2 CPT 78832 $4,812.60 $8,021.00 $441.89 – $6,015.75 12
Rpl non-tun cvc wo sbq prt/pmp CPT 36580 $3,588.60 $5,981.00 $547.03 – $4,485.75 12
Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 $3,217.80 $5,363.00 $71.65 – $4,022.25 12
Rpl tun cvc wo subq port CPT 36581 $4,201.80 $7,003.00 $204.48 – $5,252.25 12
Rpl tun-cvad w subq port CPT 36582 $8,004.00 $13,340.00 $301.63 – $10,005.00 12
Rpl tun-cvad w subq pump CPT 36583 $8,004.00 $13,340.00 $304.07 – $10,005.00 12
Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 not published not published $288.42 – $6,006.79 7
Rpr aa hrn 1st 3-10 rdc CPT 49593 not published not published $221.48 – $6,424.16 7
Rpr aa hrn 1st < 3 cm rdc CPT 49591 $7,767.60 $12,946.00 $132.06 – $9,709.50 12
Rpr aa hrn 1st < 3 ncr/strn CPT 49592 $11,428.80 $19,048.00 $183.83 – $14,286.00 12
Rpr aa hrn 1st > 10 ncr/strn CPT 49596 not published not published $395.60 – $4,543.93 4
Rpr aa hrn 1st > 10 rdc CPT 49595 not published not published $297.82 – $6,424.16 7
Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 not published not published $332.03 – $4,543.93 4
Rpr aa hrn rcr < 3 ncr/strn CPT 49614 not published not published $220.97 – $6,006.79 7
Rpr aa hrn rcr < 3 rdc CPT 49613 not published not published $162.80 – $3,633.37 7
Rpr aa hrn rcr > 10 ncr/strn CPT 49618 not published not published $479.41 – $4,543.93 4
Rpr aa hrn rcr > 10 rdc CPT 49617 not published not published $342.07 – $4,543.93 4
Rpr parastomal hrna ncr/strn 49622 CPT 49622 not published not published $354.27 – $922.95 3
Rpr rem hernia init reduce CPT 49550 $1,509.60 $2,516.00 $549.42 – $593.32 2
Rsv assay w/optic CPT 87807 $73.80 $123.00 $12.94 – $92.25 12
Rubella antibody igg CPT 86762 $80.40 $134.00 $14.22 – $100.50 13
Rubeola antibody igg CPT 86765 $72.00 $120.00 $11.80 – $90.00 13
Russell viper venom diluted CPT 85613 $48.60 $81.00 $9.47 – $60.75 12
Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 $1,441.80 $2,403.00 $21.80 – $1,802.25 11
Salivary gland imaging CPT 78230 $1,228.80 $2,048.00 $44.85 – $1,536.00 12
Salivary glnd img serial img CPT 78231 $1,228.80 $2,048.00 $40.25 – $1,536.00 12
Sarscov coronavirus ag ia CPT 87426 $84.60 $141.00 $34.92 – $105.75 12
Sc ther infusion reset pump CPT 96371 $148.20 $247.00 $33.34 – $185.25 12
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 $819.60 $1,366.00 $81.52 – $537.16 12
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 $488.40 $814.00 $90.39 – $422.11 12
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 $819.60 $1,366.00 $63.80 – $410.50 12
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 $394.20 $657.00 $34.65 – $359.59 12
Scan duplex extracranial arteries unilateral/limited study CPT 93882 $379.80 $633.00 $100.37 – $529.54 12
Scan duplex extremity veins unilateral/limited study CPT 93971 $394.20 $657.00 $90.39 – $361.27 12
Scan duplex lower extremity arteries complete bilateral CPT 93925 $819.60 $1,366.00 $55.92 – $399.68 12
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 $488.40 $814.00 $34.26 – $352.88 12
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 $394.20 $657.00 $35.44 – $344.49 12
Sclerotherapy fluid collection pq w/img CPT 49185 $2,643.60 $4,406.00 $654.93 – $3,304.50 12
Scope plantar fasciotomy CPT 29893 not published not published $846.45 – $3,340.51 7
Scr c/v cyto,thinlayer,rescr HCPCS G0145 $189.60 $316.00 $18.58 – $138.00 11
Screen cerv/vag thin layer HCPCS G0123 $145.20 $242.00 $14.21 – $146.25 11
Screen pap by tech w md supv HCPCS P3000 $55.20 $92.00 $12.14 – $69.00 12
Screen/visual acuity/bilat/quant 99173 CPT 99173 $79.80 $133.00 $6.60 – $99.75 10
Screening Colonoscopy (average risk) HCPCS G0121 not published not published $582.97 – $938.66 6
Screening Colonoscopy (high risk) HCPCS G0105 not published not published $582.97 – $938.66 6
Screening HIV antigen/antibody combination assay HCPCS G0475 $76.20 $127.00 $16.89 – $95.25 11
Screening Mammogram CPT 77067 $399.60 $666.00 $60.33 – $145.50 11
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 $100.20 $167.00 $17.87 – $125.25 11
Screening hepatitis b non-obstetric high risk HCPCS G0499 $60.00 $100.00 $11.17 – $75.00 11
Screening hepatitis c antibody high risk HCPCS G0472 $108.00 $180.00 $9.13 – $135.00 11
Screening pap smear by phys HCPCS P3001 $75.60 $126.00 $13.60 – $94.50 11
Screening prostate cancer PSA HCPCS G0103 $97.80 $163.00 $13.55 – $94.50 11
Sec abd wall suture evisceration/dehsn 49900 CPT 49900 $2,139.60 $3,566.00 $780.54 – $842.91 2
Sec art mech thrmbc non-intracranial add-on CPT 37186 $12,577.80 $20,963.00 $232.74 – $15,722.25 11
Sedimentation rate erythrocyte automated CPT 85652 $37.80 $63.00 $2.67 – $17.25 13
Semen analysis presence/motility CPT 89321 $86.40 $144.00 $8.45 – $108.00 12
Serpina1 gene CPT 81332 $252.00 $420.00 $43.14 – $315.00 12
Set radiation therapy field CPT 77280 $655.20 $1,092.00 $41.98 – $819.00 12
Set radiation therapy field CPT 77285 $1,029.00 $1,715.00 $58.65 – $1,286.25 12
Set radiation therapy field CPT 77290 $1,273.20 $2,122.00 $83.38 – $1,591.50 12
Sevelamer carbonate 800 mg tablet HCPCS J0601 $3.60 $6.00 $0.34 – $0.75 8
Sevelamer carbonate pdr 20mg HCPCS J0602 $10.20 $17.00 $0.02 – $0.75 9
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 $520.80 $868.00 $35.20 – $768.20 12
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 $520.80 $868.00 $41.80 – $768.20 12
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 $819.00 $1,365.00 $55.00 – $1,023.75 12
Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 $1,341.60 $2,236.00 $69.30 – $1,677.00 12
Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 $520.80 $868.00 $30.80 – $768.20 12
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 $520.80 $868.00 $38.50 – $768.20 12
Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 $575.40 $959.00 $45.10 – $768.20 12
Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 $520.80 $868.00 $27.50 – $768.20 12
Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 $660.00 $1,100.00 $41.80 – $825.00 12
Sheath gldlight lasr 12fx50cm HCPCS C2629 $7,034.40 $11,724.00 $574.43 – $8,793.00 9
Sho arthrs srg capsulorraphy CPT 29806 not published not published $846.09 – $6,810.69 8
Sho arthrs srg lmtd dbrdmt CPT 29822 not published not published $561.93 – $3,093.35 8
Sho arthrs srg lss&rescj ads CPT 29825 not published not published $572.51 – $3,093.35 8
Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 not published not published $892.40 – $7,354.86 7
Shoulder MRI (with and without contrast) CPT 73223 $2,713.80 $4,523.00 $543.29 – $3,392.25 12
Shoulder MRI (with contrast) CPT 73222 $2,713.80 $4,523.00 $353.91 – $3,392.25 12
Shoulder MRI (without contrast) CPT 73221 $1,656.00 $2,760.00 $309.35 – $2,070.00 12
Shoulder X-ray CPT 73030 $188.40 $314.00 $18.98 – $235.50 12
Shuntogram nonvascular supervision & interpretation CPT 75809 $262.80 $438.00 $32.42 – $328.50 12
Sialography s&i CPT 70390 $547.80 $913.00 $24.15 – $684.75 12
Sialolithotomy 42330 CPT 42330 $3,971.40 $6,619.00 $70.40 – $4,964.25 12
Sickling rbc CPT 85660 $28.80 $48.00 $3.00 – $36.00 14
Sigmoidoscopy and biopsy CPT 45331 not published not published $70.04 – $869.21 8
Sigmoidoscopy w/ablation CPT 45346 not published not published $216.37 – $1,213.93 6
Sigmoidoscopy w/plcmt stent CPT 45347 not published not published $110.73 – $6,128.75 6
Sigmoidoscopy w/tumr remove CPT 45338 not published not published $134.15 – $1,124.11 8
Signal avg ecg w or without ecg 93278 CPT 93278 $204.60 $341.00 $24.76 – $255.75 11
Sincalide 5 mcg solution for injection HCPCS J2805 $81.60 $136.00 $41.75 – $154.45 10
Sinus CT scan (with and without contrast) CPT 70488 $1,294.80 $2,158.00 $115.00 – $1,618.50 12
Sinus CT scan (with contrast) CPT 70487 $1,294.80 $2,158.00 $92.00 – $1,618.50 12
Sinus CT scan (without contrast) CPT 70486 $796.80 $1,328.00 $89.12 – $996.00 12
Sinus/juglr venogram s&i CPT 75860 $5,906.40 $9,844.00 $17.25 – $7,383.00 12
Sipuleucel-t - su HCPCS Q2043 $150.00 $250.00 $84.17 – $55,272.32 11
Sirolimus, oral HCPCS J7520 $20.40 $34.00 $0.87 – $11.98 10
Slitting of prepuce CPT 54001 $4,029.00 $6,715.00 $52.80 – $5,036.25 12
Slp pure tone screening CPT 92551 $127.20 $212.00 $8.80 – $159.00 11
Sm-153 lexidron ther HCPCS A9604 $5,947.80 $9,913.00 $3,903.74 – $7,434.75 10
Smear fluorescent and/or acid fast stain CPT 87206 $30.60 $51.00 $3.30 – $38.25 12
Smear gram stain CPT 87205 $24.00 $40.00 $4.22 – $24.00 13
Smear special stain inclusion bodies/parasites CPT 87207 $46.20 $77.00 $4.95 – $41.25 12
Smear wet mount CPT 87210 $32.40 $54.00 $5.75 – $27.00 12
Sodium 24 hour urine CPT 84300 $25.20 $42.00 $5.01 – $25.50 13
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 $3.60 $6.00 $2.02 – $15.03 10
Sodium serum/plasma/whole blood CPT 84295 $24.60 $41.00 $4.76 – $25.50 14
Somatosensory testing CPT 95927 $583.80 $973.00 $37.56 – $729.75 12
Sp bone algrft morsel add-on CPT 20930 not published not published $300.66 – $1,425.54 2
Special physics consult CPT 77370 $892.20 $1,487.00 $106.15 – $1,115.25 12
Special radiation dosimetry CPT 77331 $739.80 $1,233.00 $20.08 – $924.75 12
Special radiation treatment CPT 77470 $2,055.00 $3,425.00 $24.73 – $2,568.75 12
Special teletx port plan CPT 77321 $939.60 $1,566.00 $36.23 – $1,174.50 12
Specific gravity body fluid CPT 84315 $17.40 $29.00 $2.30 – $21.75 12
Speech evaluation complex CPT 70371 $547.80 $913.00 $55.68 – $684.75 12
Spinal bone allograftstructural 20931 CPT 20931 not published not published $78.21 – $1,033.16 4
Spinal bone autograftlocal 20936 CPT 20936 not published not published $66.41 – $375.36 2
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 $2,461.20 $4,102.00 $80.72 – $3,076.50 12
Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 $650.40 $1,084.00 $13.11 – $458.25 12
Spleen imaging CPT 78185 $1,228.80 $2,048.00 $44.85 – $1,536.00 12
Splint func pos polyflex ii med HCPCS L3999 $116.40 $194.00 $38.80 – $145.50 8
Split blood or products CPT 86985 $201.60 $336.00 $100.89 – $252.00 11
Sputum specimen collection CPT 89220 $1,087.80 $1,813.00 $12.73 – $1,359.75 11
Sr-89 stront chlor ther / mci HCPCS A9600 $5,445.60 $9,076.00 $1,391.79 – $6,807.00 10
Srs linear based CPT 77372 $12,437.40 $20,729.00 $694.74 – $15,546.75 12
St analysis behavior qualitative voice/resonance CPT 92524 $435.00 $725.00 $68.43 – $543.75 11
St cognitve performance testing healthcare professional each hour CPT 96125 $601.20 $1,002.00 $69.67 – $751.50 11
St evaluate speech sound production CPT 92522 $414.00 $690.00 $65.60 – $517.50 11
St evaluate speech sound production comprehensive/expressive CPT 92523 $865.20 $1,442.00 $136.05 – $1,081.50 11
St evaluation motion fluoroscopic swallow function cine/video CPT 92611 $263.40 $439.00 $46.55 – $329.25 12
St evaluation swallow function CPT 92610 $532.80 $888.00 $42.79 – $666.00 12
St treatment speech individual CPT 92507 $459.00 $765.00 $23.87 – $243.75 12
St treatment swallow dysfunction/oral CPT 92526 $384.60 $641.00 $54.90 – $253.50 11
Stent axios caut enh 15x10mm electrocaut HCPCS C1874 $10,104.60 $16,841.00 $1,299.80 – $6,382.27 8
Stent bili dbl pgtl 10fx5cm HCPCS C2617 $361.20 $602.00 $80.60 – $515.88 8
Stent bili rx wallflx 10x80 uncvr HCPCS C1876 $6,966.60 $11,611.00 $596.80 – $3,357.32 8
Stent bronch dumon sil 10x40mm HCPCS C1875 $5,596.20 $9,327.00 $943.96 – $6,995.25 8
Stent iliac/open or perc/uni/init 37221 CPT 37221 $17,281.80 $28,803.00 $892.40 – $21,602.25 12
Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 $8,640.60 $14,401.00 $207.57 – $10,800.75 11
Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 $24,161.40 $40,269.00 $892.40 – $30,201.75 12
Stent/tib/peroneal/unilat/initial 37230 CPT 37230 $24,161.40 $40,269.00 $892.40 – $30,201.75 12
Str markers specimen anal CPT 81265 $505.20 $842.00 $163.50 – $631.50 12
Strapping of ankle and/or ft 29540 CPT 29540 $520.80 $868.00 $22.00 – $651.00 12
Strapping of chest CPT 29200 $378.60 $631.00 $38.31 – $473.25 12
Strapping of elbow or wrist 29260 CPT 29260 $204.60 $341.00 $34.52 – $255.75 12
Strapping of hand or finger CPT 29280 $204.60 $341.00 $40.32 – $255.75 12
Strapping of hip CPT 29520 $411.60 $686.00 $36.29 – $514.50 12
Strapping of knee CPT 29530 $411.60 $686.00 $28.05 – $514.50 12
Strapping of toes 29550 CPT 29550 $204.60 $341.00 $22.00 – $255.75 12
Streptozocin injection HCPCS J9320 $209.40 $349.00 $117.51 – $261.75 9
Stress test pulmonary CPT 94618 $399.00 $665.00 $6.79 – $498.75 12
Stress tte complete CPT 93351 $1,793.40 $2,989.00 $137.09 – $483.57 12
Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 $4.80 $8.00 $0.34 – $1.84 9
Sugars single quant CPT 84378 $58.80 $98.00 $11.39 – $73.50 12
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 $0.60 $1.00 $0.05 – $0.75 10
Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 $105.60 $176.00 $59.26 – $132.00 9
Surg dx exam anorectal CPT 45990 not published not published $168.51 – $2,823.44 7
Surgical pathology level 1 gross examination only CPT 88300 $54.60 $91.00 $1.73 – $68.25 12
Surgical pathology level 2 gross & microscopic examination CPT 88302 $54.60 $91.00 $5.75 – $68.53 12
Surgical pathology level 3 gross & microscopic examination CPT 88304 $116.40 $194.00 $7.47 – $145.50 12
Surgical pathology level 4 gross & microscopic examination CPT 88305 $116.40 $194.00 $10.35 – $156.82 13
Surgical pathology level 5 gross & microscopic examination CPT 88307 $664.80 $1,108.00 $13.22 – $251.07 12
Surgical pathology level 6 gross & microscopic examination CPT 88309 $1,472.40 $2,454.00 $20.12 – $1,840.50 12
Suscept studies macrobroth dilution ea CPT 87188 $37.80 $63.00 $6.56 – $47.25 12
Susceptibility agar dilution per agent CPT 87181 $25.80 $43.00 $4.70 – $16.50 12
Susceptibility enzyme detection per enzyme CPT 87185 $25.80 $43.00 $4.70 – $32.25 12
Susceptibility mic per plate CPT 87186 $48.60 $81.00 $8.55 – $39.75 12
Svc venogram s&i CPT 75827 $1,344.60 $2,241.00 $25.88 – $1,680.75 12
Syphilis test non-treponemal antibody quantitative rpr CPT 86593 $24.60 $41.00 $4.34 – $30.75 13
System pacing micra av HCPCS C1786 $9,256.80 $15,428.00 $3,085.60 – $11,571.00 8
System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 $9,256.80 $15,428.00 $3,085.60 – $11,571.00 8
System sealant biosentry tract HCPCS C2613 $680.40 $1,134.00 $396.90 – $850.50 9
T cells absolute cd 4 count CPT 86361 $148.80 $248.00 $26.46 – $186.00 13
T cells absolute cd4/cd8 including ratio CPT 86360 $261.60 $436.00 $46.43 – $327.00 12
T cells total count CPT 86359 $210.00 $350.00 $37.28 – $262.50 12
T3 (triiodothyronine) free CPT 84481 $86.40 $144.00 $16.74 – $57.75 13
T3 (triiodothyronine) total CPT 84480 $72.00 $120.00 $8.80 – $90.00 14
T4 (thyroxine) free CPT 84439 $45.60 $76.00 $8.00 – $50.25 14
T4 (thyroxine) total CPT 84436 $34.20 $57.00 $6.79 – $42.75 14
Tacrol astagraf ex rel oral HCPCS J7508 $16.80 $28.00 $0.33 – $1.50 10
Tacrol envarsus ex rel oral HCPCS J7503 $15.60 $26.00 $0.77 – $3.75 10
Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 $21.00 $35.00 $0.17 – $5.58 10
Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 $148.20 $247.00 $83.16 – $263.15 11
Tacrolimus therapeutic drug level CPT 80197 $98.40 $164.00 $13.56 – $45.75 12
Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 $796.80 $1,328.00 $5.83 – $996.00 11
Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 $6,216.00 $10,360.00 $26.66 – $388.50 11
Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 $9,000.00 $15,000.00 $505.05 – $1,564.64 11
Tavr perq femoral CPT 33361 $10,503.00 $17,505.00 $1,138.79 – $13,128.75 11
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 $556.80 $928.00 $76.76 – $535.50 12
Tb test cell mediated immunity antigen response gamma interferon CPT 86480 $345.00 $575.00 $61.26 – $322.50 12
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 $357.60 $596.00 $0.28 – $186.75 11
Tc-99m diag per dose HCPCS A4641 $77.40 $129.00 $50.80 – $205.28 8
Tc-99m exame autol wbc diag per dose HCPCS A9569 $7,144.80 $11,908.00 $800.55 – $8,931.00 10
Tc-99m fanolesomab diag HCPCS A9566 $6,315.00 $10,525.00 $2,517.12 – $7,893.75 8
Tc-99m labeled rbc HCPCS A9560 $590.40 $984.00 $141.39 – $738.00 8
Tc-99m maa HCPCS A9540 $576.00 $960.00 $40.39 – $720.00 8
Tc-99m mebrofenin HCPCS A9537 $94.80 $158.00 $62.22 – $180.22 8
Tc-99m medronate HCPCS A9503 $54.60 $91.00 $35.84 – $125.95 8
Tc-99m mertiatide HCPCS A9562 $1,284.60 $2,141.00 $819.74 – $1,605.75 8
Tc-99m oxidronate HCPCS A9561 $88.80 $148.00 $46.52 – $111.00 8
Tc-99m pentetate dtpa aerosol HCPCS A9567 $415.20 $692.00 $29.90 – $519.00 8
Tc-99m pertechnetate per mci HCPCS A9512 $2.40 $4.00 $1.01 – $14.56 8
Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 $232.20 $387.00 $60.43 – $290.25 8
Tc-99m sestamibi p study dose HCPCS A9500 $610.80 $1,018.00 $131.92 – $400.42 8
Tc-99m succimer (dmsa) HCPCS A9551 $1,749.60 $2,916.00 $233.00 – $2,187.00 8
Tc-99m sulfur colloid HCPCS A9541 $469.20 $782.00 $118.28 – $586.50 8
Tc-99m tetrofosmin p study dose HCPCS A9502 $597.00 $995.00 $118.13 – $448.99 8
Tc-99m tilmanocept diag HCPCS A9520 $1,043.40 $1,739.00 $608.65 – $1,304.25 8
Tcd emboli detect without inj CPT 93892 $240.60 $401.00 $100.37 – $432.51 12
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 $24,312.00 $40,520.00 $84.38 – $30,390.00 11
Telavancin injection HCPCS J3095 $367.80 $613.00 $4.36 – $350.25 11
Telehealth original site facility fee HCPCS Q3014 $84.60 $141.00 $15.46 – $105.75 9
Telethx isodose plan cplx CPT 77307 $1,189.20 $1,982.00 $83.61 – $1,486.50 12
Telethx isodose plan simple CPT 77306 $766.80 $1,278.00 $45.58 – $958.50 12
Temozolomide 100 mg intravenous solution HCPCS J9328 $601.80 $1,003.00 $0.11 – $752.25 11
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 $1,200.00 $2,000.00 $26.44 – $966.75 11
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 $4,559.40 $7,599.00 $105.06 – $4,663.50 11
Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 $11.40 $19.00 $0.34 – $9.04 10
Test pathogen(s) for platelets reference HCPCS P9100 $51.00 $85.00 $6.59 – $63.75 11
Test stress cardiovascular tracing only CPT 93017 $953.40 $1,589.00 $48.39 – $414.75 12
Test urine for porphyrins CPT 84119 $48.60 $81.00 $8.25 – $60.75 12
Testicular imaging w/vasc flow CPT 78761 $1,228.80 $2,048.00 $109.25 – $1,536.00 12
Tetanus immune globulin inj HCPCS J1670 $389.40 $649.00 $184.00 – $593.00 11
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 $1,269.00 $2,115.00 $7.78 – $1,586.25 11
Theophylline therapeutic drug level CPT 80198 $101.40 $169.00 $11.00 – $126.75 13
Ther fx nasal inf turbinate CPT 30930 not published not published $64.90 – $3,091.88 8
Ther nma rdctj intus/obstrcj CPT 74283 $389.40 $649.00 $25.88 – $486.75 12
Ther/proph/diag inj ia CPT 96373 $369.00 $615.00 $11.88 – $461.25 12
Therapeutic procd strg endur HCPCS G0237 $186.00 $310.00 $13.08 – $232.50 11
Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 $50.40 $84.00 $12.84 – $63.00 10
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 $50.40 $84.00 $10.87 – $63.00 10
Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 $2.40 $4.00 $0.50 – $2.85 10
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 $2,304.60 $3,841.00 $185.09 – $892.40 12
Thoracotomy with cardiac massage CPT 32160 $3,385.80 $5,643.00 $658.46 – $4,232.25 11
Throat x-ray & fluoroscopy CPT 70370 $188.40 $314.00 $13.22 – $235.50 12
Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 $6,882.60 $11,471.00 $985.55 – $8,603.25 11
Thrombectmy crnry perq mechanical CPT 92973 $6,847.20 $11,412.00 $192.46 – $8,559.00 11
Thrombectomy/inf pq dialysis circuit CPT 36904 $12,394.80 $20,658.00 $308.07 – $15,493.50 12
Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 $24,300.00 $40,500.00 $386.68 – $30,375.00 12
Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 $24,300.00 $40,500.00 $451.26 – $30,375.00 12
Thrombin time CPT 85670 $29.40 $49.00 $5.70 – $36.75 12
Thromboplastin time partial (ptt) substitution fractions each CPT 85732 $32.40 $54.00 $6.39 – $40.50 12
Thyroglobulin antibody CPT 86800 $88.80 $148.00 $15.73 – $111.00 14
Thyroid (TSH) Test CPT 84443 $85.80 $143.00 $16.60 – $87.00 14
Thyroid Ultrasound CPT 76536 $394.20 $657.00 $58.63 – $194.57 12
Thyroid imaging CPT 78013 $1,228.80 $2,048.00 $133.93 – $1,536.00 12
Thyroid met imaging CPT 78015 $1,228.80 $2,048.00 $48.88 – $1,536.00 12
Thyroid met imaging/studies CPT 78016 $1,228.80 $2,048.00 $65.03 – $1,536.00 12
Thyroid met uptake CPT 78020 $407.40 $679.00 $20.78 – $509.25 12
Thyroid mets imag whole body CPT 78018 $1,574.40 $2,624.00 $64.97 – $1,968.00 12
Thyroid uptake measurement CPT 78012 $1,228.80 $2,048.00 $60.68 – $1,536.00 12
Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 $1,186.20 $1,977.00 $291.42 – $2,116.32 11
Thyroxine binding globulin (tbg) CPT 84442 $75.00 $125.00 $11.00 – $93.75 12
Tib/per revasc stent & ather 37231 CPT 37231 $66,098.40 $110,164.00 $892.40 – $82,623.00 12
Tib/per revasc stnt & ather CPT 37235 $21,287.40 $35,479.00 $381.01 – $26,609.25 11
Tib/per revasc w/ather add-on 37233 CPT 37233 $14,982.00 $24,970.00 $322.20 – $18,727.50 11
Tigecycline injection HCPCS J3243 $93.60 $156.00 $0.39 – $45.00 10
Tilt table study CPT 93660 $920.40 $1,534.00 $123.19 – $1,150.50 11
Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 $4,113.60 $6,856.00 $68.74 – $5,142.00 11
Tissue culture placenta CPT 88235 $543.00 $905.00 $148.55 – $678.75 12
Tissue culture skin/biopsy CPT 88233 $1,007.40 $1,679.00 $139.08 – $1,259.25 12
Tissue exam koh skin/hair/nails CPT 87220 $238.80 $398.00 $4.22 – $18.75 12
Tissue transglutaminase iga CPT 86364 $58.80 $98.00 $4.84 – $73.50 12
Tl-201 thallium diag per mci HCPCS A9505 $391.80 $653.00 $29.93 – $101.73 8
Tlh w/t/o 250 g or less CPT 58571 not published not published $892.40 – $10,718.93 7
Tlh w/t/o uterus over 250 g CPT 58573 not published not published $892.40 – $10,718.93 7
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 $49.80 $83.00 $0.34 – $12.40 10
Tobramycin non-comp unit HCPCS J7682 $1.80 $3.00 $0.67 – $70.99 10
Tobramycin peak therapeutic drug level CPT 80200 $115.80 $193.00 $15.94 – $144.75 12
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 $783.00 $1,305.00 $5.65 – $99.00 11
Tomosynthesis breast diagnostic left HCPCS G0279 $65.40 $109.00 $16.03 – $81.75 11
Tomosynthesis breast screen bilateral CPT 77063 $65.40 $109.00 $16.03 – $81.75 12
Tongue biopsy; posterior one-third 41105 CPT 41105 not published not published $88.00 – $3,091.88 8
Tonsillectomy (age 12+) CPT 42826 not published not published $671.46 – $3,338.92 7
Tonsillectomy (child under 12) CPT 42825 not published not published $557.45 – $6,090.50 7
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 $141.00 $235.00 $0.91 – $55.14 10
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 $889.20 $1,482.00 $15.01 – $1,111.50 11
Total Hip Replacement CPT 27130 not published not published $892.40 – $13,247.10 7
Total Knee Replacement CPT 27447 not published not published $892.40 – $13,247.10 7
Total hip arthroplasty CPT 27132 not published not published $1,150.00 – $4,993.45 3
Total hysterectomy CPT 58150 not published not published $596.27 – $3,010.19 4
Toxoplasma antibody igg CPT 86777 $80.40 $134.00 $14.22 – $48.00 12
Toxoplasma antibody igm CPT 86778 $80.40 $134.00 $14.24 – $48.00 12
Tpmt gene com vrnts CPT 81335 $1,009.80 $1,683.00 $109.74 – $1,262.25 12
Trabectedin 1 mg intravenous solution HCPCS J9352 $2,068.20 $3,447.00 $197.60 – $2,585.25 11
Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 $70.80 $118.00 $23.55 – $66.00 11
Transab esoph hiat hern repair 43332 CPT 43332 $3,075.60 $5,126.00 $1,079.31 – $1,165.55 2
Transabdom amnioinfus w/us CPT 59070 $1,034.40 $1,724.00 $287.11 – $1,293.00 12
Transcath biopsy CPT 37200 $6,966.60 $11,611.00 $125.40 – $8,708.25 12
Transcath closure of asd CPT 93580 $29,803.20 $49,672.00 $892.40 – $37,254.00 12
Transcath mv repair addl prosthesis CPT 33419 $4,354.20 $7,257.00 $293.58 – $5,442.75 11
Transcath mv repair init prosthesis CPT 33418 $10,503.00 $17,505.00 $1,248.73 – $13,128.75 11
Transcath occlusion cns CPT 61624 $7,125.60 $11,876.00 $1,122.12 – $8,823.75 11
Transcath occlusion non-cns CPT 61626 $15,162.00 $25,270.00 $892.40 – $18,774.75 12
Transcath rmvl perm ldss pmkr rv CPT 33275 $10,522.80 $17,538.00 $324.21 – $13,153.50 12
Transcatheter bx s&i CPT 75970 $6,169.80 $10,283.00 $11.50 – $7,712.25 12
Transferrin CPT 84466 $64.80 $108.00 $12.62 – $73.50 12
Transfusion blood/blood component(s) CPT 36430 $1,476.00 $2,460.00 $30.62 – $1,845.00 12
Trastuzumab 150 mg intravenous solution HCPCS J9355 $934.80 $1,558.00 $74.28 – $1,168.50 11
Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 $2,284.80 $3,808.00 $15.61 – $1,020.00 11
Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 $2,034.60 $3,391.00 $18.99 – $908.25 11
Tray bonemarrw oncontrol 102mm HCPCS C1830 $858.60 $1,431.00 $200.20 – $429.00 9
Treat big toe fracture CPT 28505 $6,649.80 $11,083.00 $183.15 – $8,312.25 12
Treat clavicle dislocation 23545 CPT 23545 $1,961.40 $3,269.00 $129.80 – $2,451.75 12
Treat elbow fracture CPT 24620 $2,055.00 $3,425.00 $154.55 – $2,568.75 12
Treat finger fracture each CPT 26742 $2,055.00 $3,425.00 $80.85 – $2,568.75 12
Treat foot dislocation CPT 28540 $759.00 $1,265.00 $130.35 – $948.75 12
Treat foot dislocation CPT 28570 $625.80 $1,043.00 $123.20 – $782.25 12
Treat fracture of radius CPT 25505 $2,055.00 $3,425.00 $159.50 – $2,568.75 12
Treat fracture of radius CPT 25520 $2,055.00 $3,425.00 $539.52 – $2,568.75 12
Treat fracture of ulna CPT 25535 $965.40 $1,609.00 $176.55 – $1,206.75 12
Treat humerus fracture CPT 24535 $2,055.00 $3,425.00 $226.60 – $2,568.75 12
Treat humerus fracture CPT 24565 $2,055.00 $3,425.00 $190.85 – $2,568.75 12
Treat knee fracture 27530 CPT 27530 $759.00 $1,265.00 $141.35 – $948.75 12
Treat lower leg joint CPT 27829 not published not published $722.42 – $7,354.86 7
Treat midfoot fracture each CPT 28455 $2,925.00 $4,875.00 $139.70 – $3,656.25 12
Treat sternum fracture CPT 21820 $759.00 $1,265.00 $67.10 – $948.75 12
Treat thigh fracture CPT 27230 $759.00 $1,265.00 $226.41 – $948.75 12
Treat thigh fracture CPT 27246 $846.60 $1,411.00 $123.20 – $1,058.25 12
Treat thumb fracture CPT 26665 $4,728.00 $7,880.00 $892.40 – $5,910.00 12
Treat ulnar fracture CPT 24675 $2,055.00 $3,425.00 $200.75 – $2,568.75 12
Treat ulnar fracture CPT 24685 not published not published $460.90 – $6,810.69 8
Treat vaginal bleeding CPT 57180 $1,324.20 $2,207.00 $38.50 – $1,655.25 12
Treat wrist bone fracture CPT 25635 $2,184.60 $3,641.00 $159.50 – $2,730.75 12
Treat wrist dislocation CPT 25675 $921.60 $1,536.00 $114.40 – $1,152.00 12
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 not published not published $892.40 – $7,354.86 7
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 not published not published $892.40 – $7,354.86 7
Treatment incomplete abortion completed surgically any trimester CPT 59812 $5,405.40 $9,009.00 $199.65 – $6,756.75 12
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 $273.00 $455.00 $28.27 – $194.25 12
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 $424.80 $708.00 $10.78 – $531.00 12
Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 $418.20 $697.00 $24.42 – $522.75 12
Treatment missed abortion completed surgically 1st trimester CPT 59820 $5,405.40 $9,009.00 $672.75 – $6,756.75 12
Treatment of anal fissure CPT 46942 not published not published $38.50 – $869.21 8
Treatment of ankle fracture CPT 27792 not published not published $828.50 – $7,354.86 7
Treatment of ankle fracture CPT 27814 not published not published $495.00 – $6,810.69 8
Treatment of ankle fracture CPT 27822 not published not published $828.50 – $7,354.86 7
Treatment of ankle fracture 27786 CPT 27786 $1,212.00 $2,020.00 $130.35 – $1,515.00 12
Treatment of fibula fracture 27780 CPT 27780 $769.80 $1,283.00 $226.41 – $962.25 12
Treatment of heel fracture 28400 CPT 28400 $759.00 $1,265.00 $154.00 – $948.75 12
Treatment of penis lesion CPT 54115 $3,515.40 $5,859.00 $539.52 – $4,394.25 12
Treatment of thigh fracture CPT 27501 $621.60 $1,036.00 $226.41 – $1,213.22 12
Treatment of thigh fracture CPT 27508 $759.00 $1,265.00 $226.41 – $1,098.00 12
Treatment of thigh fracture CPT 27510 $2,055.00 $3,425.00 $348.70 – $2,568.75 12
Treatment of toe fracture 28510 CPT 28510 $371.40 $619.00 $92.00 – $892.40 12
Treatment radiation delivery level 2 CPT 77407 $834.00 $1,390.00 $35.75 – $1,042.50 12
Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 $1,560.00 $2,600.00 $54.78 – $1,950.00 11
Treponema pallidum antibody CPT 86780 $79.80 $133.00 $13.08 – $93.00 13
Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 $10.80 $18.00 $0.67 – $1.69 10
Trichinella antibody CPT 86784 $70.20 $117.00 $12.41 – $87.75 12
Triglycerides CPT 84478 $29.40 $49.00 $5.68 – $27.75 14
Trilaciclib 300 mg intravenous solution HCPCS J1448 $928.80 $1,548.00 $2.26 – $1,161.00 11
Trim nondyst nails CPT 11719 $130.20 $217.00 $28.21 – $162.75 12
Triptorelin pamoate HCPCS J3315 $3,103.20 $5,172.00 $290.24 – $646.50 11
Trmt of fracture (femoral shaft) 27500 CPT 27500 $759.00 $1,265.00 $226.41 – $1,213.22 12
Trnscath plc stent crv crtd w/prtct CPT 37215 $17,777.40 $29,629.00 $973.28 – $22,012.50 11
Trnscath plc stent crv crtd without prtct CPT 37216 $8,784.00 $14,640.00 $937.48 – $10,875.75 11
Trnscath plc vas stent w/s&i ea addl artery CPT 37237 $10,516.80 $17,528.00 $196.58 – $13,146.00 12
Trnscath plc vas stent w/s&i ea addl vein CPT 37239 $8,640.60 $14,401.00 $137.21 – $10,800.75 12
Trnscath plc vas stent w/s&i ini vein CPT 37238 $17,352.60 $28,921.00 $294.23 – $21,486.75 12
Trnscath retrv pq vasc fb w/guide CPT 37197 $7,288.20 $12,147.00 $266.53 – $9,110.25 12
Trnscath tx thromblytc art/ven sbsq day CPT 37213 $5,324.40 $8,874.00 $210.97 – $6,655.50 12
Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 $6,966.60 $11,611.00 $341.67 – $8,708.25 12
Trnscath tx thromblytc cath rmv sbsq day CPT 37214 $5,324.40 $8,874.00 $123.26 – $6,655.50 12
Trnscath tx thromblytc vein ini day CPT 37212 $4,201.80 $7,003.00 $301.65 – $5,252.25 12
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 $2,289.00 $3,815.00 $816.85 – $882.12 2
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 $582.00 $970.00 $201.57 – $217.68 2
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 not published not published $268.40 – $1,743.95 8
Troponin quantitative CPT 84484 $63.60 $106.00 $10.86 – $79.50 12
Tte w or without contr, cont ecg HCPCS C8930 $1,905.60 $3,176.00 $428.08 – $2,382.00 11
Tte w or without fol w/con,stres HCPCS C8928 $2,457.00 $4,095.00 $428.08 – $3,071.25 11
Tubal Ligation (Laparoscopic) CPT 58670 $936.60 $1,561.00 $350.32 – $378.31 2
Tx atrial fib pulm vein isol CPT 93656 $30,975.00 $51,625.00 $892.40 – $38,718.75 12
Tx closed hip disl traumatic without anes CPT 27250 $1,249.20 $2,082.00 $225.12 – $1,561.50 12
Tx closed tib shaft fx without manip CPT 27750 $1,408.20 $2,347.00 $156.75 – $1,760.25 12
Tx l/r atrial fib addl CPT 93657 $4,257.00 $7,095.00 $345.86 – $5,321.25 11
Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 $4,150.20 $6,917.00 $195.80 – $5,187.75 12
Tx open iphlngl jt disl internal fixation sngl CPT 26785 $6,223.80 $10,373.00 $130.35 – $7,779.75 12
Tx tarsal bone fx without manip 28450 CPT 28450 $509.40 $849.00 $125.40 – $892.40 12
Ua w/micro/comp poc CPT 81000 $18.00 $30.00 $3.97 – $22.50 14
Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 $1,047.00 $1,745.00 $27.62 – $1,308.75 11
Ultrasound abdomen aorta screening study aaa CPT 76706 $394.20 $657.00 $40.20 – $492.75 12
Ultrasound breast complete CPT 76641 $394.20 $657.00 $44.69 – $492.75 12
Ultrasound breast unilateral limited (both sides) CPT 76642 $372.60 $621.00 $34.24 – $116.07 12
Ultrasound chest CPT 76604 $394.20 $657.00 $53.96 – $492.75 12
Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 $257.40 $429.00 $24.76 – $321.75 12
Ultrasound elastography parenchyma CPT 76981 $202.20 $337.00 $44.68 – $252.75 12
Ultrasound encephalogram CPT 76506 $394.20 $657.00 $54.62 – $492.75 12
Ultrasound exam k transpl w/doppler CPT 76776 $394.20 $657.00 $73.01 – $181.50 12
Ultrasound fetal biophysical profile without non-stress testing CPT 76819 $394.20 $657.00 $55.98 – $492.75 12
Ultrasound guidance for vascular access CPT 76937 $663.60 $1,106.00 $14.51 – $330.75 12
Ultrasound guide intraoperative CPT 76998 $890.40 $1,484.00 $172.96 – $1,113.00 9
Ultrasound guide tissue ablation CPT 76940 $649.80 $1,083.00 $190.51 – $812.25 10
Ultrasound guided needle placement supervision & interpretation CPT 76942 $591.00 $985.00 $49.68 – $218.59 12
Ultrasound hips infant dynamic CPT 76885 $280.20 $467.00 $83.11 – $350.25 12
Ultrasound infant hips ltd without stress CPT 76886 $280.20 $467.00 $60.95 – $350.25 12
Ultrasound joint complete left CPT 76881 $394.20 $657.00 $76.11 – $492.75 12
Ultrasound joint/nonvascular extremity limited left CPT 76882 $394.20 $657.00 $9.03 – $492.75 12
Ultrasound ob >=14wks ea addl gest CPT 76810 $976.80 $1,628.00 $49.00 – $1,221.00 12
Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 $304.80 $508.00 $25.28 – $381.00 12
Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 $819.60 $1,366.00 $105.13 – $1,024.50 12
Ultrasound pregnant uterus follow up per fetus CPT 76816 $394.20 $657.00 $45.75 – $492.75 12
Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 $394.20 $657.00 $44.85 – $492.75 12
Ultrasound pregnant uterus transvaginal CPT 76817 $394.20 $657.00 $60.98 – $492.75 12
Ultrasound prostate/transrectal CPT 76872 $394.20 $657.00 $62.27 – $217.75 12
Ultrasound retroperitoneal limited CPT 76775 $394.20 $657.00 $56.35 – $388.50 12
Ultrasound scrotum and contents CPT 76870 $394.20 $657.00 $50.60 – $213.89 12
Ultrasound spinal canal and contents CPT 76800 $394.20 $657.00 $58.63 – $492.75 12
Ultrasound transabd ea addl gest CPT 76812 $343.20 $572.00 $52.00 – $429.00 12
Ultrasound transvaginal non obstetric CPT 76830 $419.40 $699.00 $48.44 – $221.76 12
Unlisted CT procedure CPT 76497 $2,254.20 $3,757.00 $60.61 – $665.25 11
Unlisted dx gi procedure CPT 91299 $613.20 $1,022.00 $18.40 – $766.50 11
Unlisted fetal invas px w/us CPT 59897 $348.60 $581.00 $124.96 – $435.75 11
Unlisted fluoroscopic px CPT 76496 $226.20 $377.00 $36.71 – $282.75 11
Unlisted laparoscopic liver biopy 47379 CPT 47379 $3,289.80 $5,483.00 $75.47 – $6,006.79 6
Unlisted laparoscopic reduction intestine 44238 CPT 44238 $3,467.40 $5,779.00 not published 0
Unlisted mr procedure CPT 76498 $568.20 $947.00 $60.95 – $710.25 11
Unlisted procedure liver CPT 47399 $2,287.20 $3,812.00 $455.25 – $2,859.00 11
Unlisted procedure microbiology CPT 87999 $112.20 $187.00 $65.26 – $174.95 9
Unlisted px arthroscopy CPT 29999 not published not published $145.22 – $246.97 6
Unlisted px biliary tract CPT 47999 $1,788.00 $2,980.00 $18.40 – $2,235.00 11
Unlisted px foot/toes CPT 28899 not published not published $18.40 – $246.97 6
Unlisted px leg/ankle CPT 27899 not published not published $18.40 – $246.97 6
Unlisted px med radj physics CPT 77399 $404.40 $674.00 $18.40 – $505.50 11
Unlisted transfusion med px CPT 86999 $32.40 $54.00 $11.48 – $40.50 11
Unsched dialysis esrd pt hos HCPCS G0257 $2,160.60 $3,601.00 $119.60 – $2,700.75 11
Upgrade pm system CPT 33214 $15,540.60 $25,901.00 $884.65 – $19,425.75 12
Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 $2,713.80 $4,523.00 $309.35 – $3,392.25 12
Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 $2,713.80 $4,523.00 $309.35 – $3,392.25 12
Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 $1,656.00 $2,760.00 $215.28 – $2,070.00 12
Upper Endoscopy (EGD, diagnostic) CPT 43235 $1,909.80 $3,183.00 $114.36 – $1,886.25 12
Upper Endoscopy (EGD, with biopsy) CPT 43239 $2,083.20 $3,472.00 $163.44 – $2,524.50 12
Urea nitrogen CPT 84520 $21.60 $36.00 $3.90 – $26.25 14
Urea nitrogen 24 hour urine CPT 84540 $28.80 $48.00 $3.90 – $36.00 12
Ureteral reflux study CPT 78740 $1,228.80 $2,048.00 $57.50 – $1,536.00 12
Urethrcystgrphy rtrgrde s&i CPT 74450 $547.80 $913.00 $25.88 – $684.75 12
Urethrocystography void s&i CPT 74455 $547.80 $913.00 $31.62 – $370.50 12
Uric acid blood CPT 84550 $23.40 $39.00 $4.47 – $29.25 13
Uric acid urine CPT 84560 $25.80 $43.00 $4.95 – $17.25 12
Urinalysis (with microscopy) CPT 81001 $23.40 $39.00 $3.00 – $24.75 14
Urinalysis (without microscopy) CPT 81003 $17.40 $29.00 $2.22 – $18.00 13
Urinalysis microscopic only CPT 81015 $13.80 $23.00 $2.98 – $17.25 12
Urinalysis qual/semiquant excpt ia CPT 81005 $8.40 $14.00 $2.14 – $10.50 13
Urine Culture Test CPT 87086 $45.00 $75.00 $7.98 – $56.25 13
Urine pregnancy test CPT 81025 $63.00 $105.00 $4.00 – $27.00 13
Urography inf drip &/or bolus CPT 74410 $427.80 $713.00 $31.62 – $534.75 12
Urography, antegrade CPT 74425 $896.40 $1,494.00 $25.88 – $1,120.50 12
Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 $46.20 $77.00 $8.81 – $57.75 11
Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 $16,705.20 $27,842.00 $147.91 – $20,881.50 11
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 $193.20 $322.00 $44.00 – $303.95 11
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 $193.20 $322.00 $44.00 – $303.95 11
Vaccine dtap < 7 years im CPT 90700 $32.40 $54.00 $11.00 – $40.50 11
Vaccine dtap-ipv/hib im CPT 90698 $66.00 $110.00 $11.00 – $157.67 11
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 $9.00 $15.00 $4.04 – $34.15 11
Vaccine hepatitis a (hepa) adult im CPT 90632 $46.80 $78.00 $11.00 – $109.39 11
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 $43.80 $73.00 $11.00 – $54.75 11
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 $40.80 $68.00 $11.00 – $103.06 11
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 $33.00 $55.00 $11.00 – $42.28 11
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 $76.20 $127.00 $11.00 – $90.75 10
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 $51.00 $85.00 $7.07 – $15.75 10
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 $267.00 $445.00 $11.00 – $240.00 11
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 $93.60 $156.00 $11.00 – $172.00 11
Vaccine mmr live subcutaneous CPT 90707 $54.00 $90.00 $11.00 – $67.50 11
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 $322.80 $538.00 $11.00 – $390.75 11
Vaccine rabies im CPT 90675 $259.80 $433.00 $11.00 – $313.68 12
Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 $177.00 $295.00 $11.00 – $716.50 11
Vaccine td preservative free >= 7 years im CPT 90714 $42.60 $71.00 $11.00 – $38.38 11
Vaccine tdap >=7 years im CPT 90715 $54.00 $90.00 $11.00 – $73.16 11
Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 not published not published $892.40 – $5,082.34 7
Vag hyst incl t/o complex CPT 58291 not published not published $892.40 – $5,082.34 7
Vag hyst including t/o CPT 58262 not published not published $892.40 – $5,082.34 7
Vag hyst w/enterocele repair CPT 58270 not published not published $892.40 – $5,082.34 7
Vaginal hysterectomy CPT 58260 not published not published $892.40 – $5,082.34 7
Valproic acid total therapeutic drug level CPT 80164 $97.20 $162.00 $13.38 – $121.50 14
Valrubicin injection HCPCS J9357 $168.60 $281.00 $94.61 – $1,323.35 11
Valvuloplasty aortic CPT 92986 $12,208.80 $20,348.00 $892.40 – $15,261.00 11
Valvuloplasty mitral CPT 92987 $23,686.20 $39,477.00 $790.61 – $29,607.75 12
Valvuloplasty pulmonary CPT 92990 $15,019.80 $25,033.00 $782.46 – $18,774.75 12
Vancomycin 1,000 mg intravenous injection HCPCS J3373 $130.20 $217.00 $0.03 – $1.50 10
Vancomycin peak therapeutic drug level CPT 80202 $97.20 $162.00 $13.38 – $121.50 12
Varicella zoster antibody igg CPT 86787 $75.00 $125.00 $12.73 – $90.00 13
Varicella-zoster immue globin im CPT 90396 $1,309.20 $2,182.00 $11.00 – $2,361.82 12
Vasectomy CPT 55250 not published not published $163.35 – $1,953.01 8
Vasopressin 20 unit/ml intravenous solution HCPCS J2598 $201.60 $336.00 $0.67 – $2.11 10
Vedolizumab 300 mg intravenous solution HCPCS J3380 $5,199.60 $8,666.00 $11.39 – $6,499.50 11
Veeg intrmnt 2-12 hrs CPT 95712 $924.60 $1,541.00 $293.91 – $1,155.75 11
Vein x-ray adrenal gland CPT 75840 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Vein x-ray adrenal glands CPT 75842 $9,796.20 $16,327.00 $25.88 – $12,245.25 12
Vein x-ray eye socket CPT 75880 $1,344.60 $2,241.00 $25.88 – $1,680.75 12
Vein x-ray kidney CPT 75831 $5,906.40 $9,844.00 $25.88 – $7,383.00 12
Vein x-ray liver CPT 75891 $5,906.40 $9,844.00 $139.72 – $7,383.00 12
Vein x-ray liver w/hemodynam CPT 75885 $5,906.40 $9,844.00 $145.47 – $7,383.00 12
Vein x-ray liver w/hemodynam CPT 75889 $5,906.40 $9,844.00 $151.22 – $7,383.00 12
Vein x-ray liver without hemodyn CPT 75887 $3,476.40 $5,794.00 $123.62 – $4,345.50 12
Vein x-ray skull CPT 75870 $3,476.40 $5,794.00 $25.88 – $4,345.50 12
Vein x-ray skull epidural CPT 75872 $1,344.60 $2,241.00 $25.88 – $1,680.75 12
Vein x-ray spleen/liver CPT 75810 $3,476.40 $5,794.00 $44.85 – $4,345.50 12
Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 $876.00 $1,460.00 $377.55 – $1,095.00 11
Ven thrombosis images bilat CPT 78458 $1,228.80 $2,048.00 $74.75 – $1,536.00 12
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 $123.00 $205.00 $6.42 – $153.75 11
Venogram ext bil s&i CPT 75822 $3,476.40 $5,794.00 $25.88 – $4,345.50 12
Venogram extremity supervision & interpretation unilateral CPT 75820 $1,344.60 $2,241.00 $25.88 – $1,680.75 12
Venous m-thrombectomy add-on CPT 37188 $10,522.80 $17,538.00 $892.40 – $13,153.50 12
Venous mech thrombectomy CPT 37187 $17,446.80 $29,078.00 $892.40 – $21,602.25 12
Venous sampling s&i CPT 75893 $9,796.20 $16,327.00 $562.08 – $12,245.25 12
Venous thrombosis imaging CPT 78457 $1,800.00 $3,000.00 $74.75 – $2,250.00 12
Ventilator each subsequent day CPT 94003 $1,585.80 $2,643.00 $54.95 – $1,982.25 12
Ventilator initial day CPT 94002 $1,585.80 $2,643.00 $75.61 – $1,982.25 12
Version cephalic external CPT 59412 $5,430.00 $9,050.00 $50.26 – $6,787.50 11
Very long chain fatty acids CPT 82726 $42.00 $70.00 $19.52 – $52.50 12
Vinblastine 1 mg/ml intravenous solution HCPCS J9360 $3.00 $5.00 $1.68 – $28.50 10
Vincristine 1 mg/ml intravenous solution HCPCS J9370 $10.20 $17.00 $2.36 – $54.94 10
Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 $15.00 $25.00 $2.69 – $182.68 10
Visit established high 40-54 minutes/level 5 HCPCS G0463 $465.60 $776.00 $37.80 – $132.68 11
Vital capacity test CPT 94150 $350.40 $584.00 $2.76 – $247.50 12
Vitamin D Test CPT 82306 $149.40 $249.00 $29.26 – $162.75 14
Vitamin b-12 CPT 82607 $76.80 $128.00 $13.00 – $82.50 14
Volume measurement urine timed CPT 81050 $25.80 $43.00 $2.55 – $24.00 12
Vonvendi inj 1 iu vwf:rco HCPCS J7179 $0.60 $1.00 $0.34 – $1.85 11
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 $43.80 $73.00 $0.77 – $12.75 10
Vulvectomy simple partial CPT 56620 not published not published $892.40 – $3,273.50 7
Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 $143,221.20 $238,702.00 $2,084.74 – $179,026.50 11
Warde 1003990 aldosterone CPT 82088 $205.80 $343.00 $26.00 – $186.75 13
Warde 1005020 citrate 24 hour urine CPT 82507 $141.60 $236.00 $19.50 – $144.75 12
Warde 1005055 5-hiaa 24 hour urine CPT 83497 $65.40 $109.00 $12.75 – $81.75 12
Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 $127.80 $213.00 $22.00 – $159.75 13
Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 $78.60 $131.00 $12.00 – $98.25 13
Warde 1015200 kappa light chain free CPT 83521 $68.40 $114.00 $7.25 – $85.50 12
Warde 3004000 immunoglobulin subclass 1 CPT 82787 $41.40 $69.00 $7.92 – $34.50 12
Warde 3008005 oligoclonal bands CPT 83916 $138.60 $231.00 $16.50 – $173.25 12
Warde 3016000 west nile virus antibody CPT 86788 $94.20 $157.00 $16.65 – $57.75 12
Warde 3016000 west nile virus antibody igg CPT 86789 $80.40 $134.00 $14.22 – $51.00 12
Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 $68.40 $114.00 $8.59 – $85.50 12
Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 $49.20 $82.00 $7.50 – $61.50 13
Warde 3400652 smear complex special stain ova/parasites CPT 87209 $100.20 $167.00 $17.78 – $125.25 12
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 $309.60 $516.00 $100.05 – $387.00 12
Warde 3400852 arsenic CPT 82175 $96.60 $161.00 $13.31 – $120.75 12
Warde 3708165 mercury urine CPT 83825 $82.20 $137.00 $13.20 – $102.75 12
Warde acetylcholine receptor blocking antibody CPT 86042 $93.60 $156.00 $6.81 – $117.00 11
Warde actin (smooth muscle) antibody each CPT 86015 $58.80 $98.00 $4.84 – $73.50 12
Warde adenosine deaminase pleural fluid CPT 84311 $42.00 $70.00 $5.68 – $52.50 12
Warde adrenocorticotropic hormone (acth) CPT 82024 $195.00 $325.00 $38.17 – $243.75 13
Warde aldolase CPT 82085 $49.20 $82.00 $9.60 – $61.50 12
Warde amino acids 6 or more quantitative each specimen CPT 82139 $85.80 $143.00 $16.67 – $107.25 12
Warde amiodarone therapeutic drug level CPT 80151 $159.60 $266.00 $13.08 – $199.50 12
Warde analysis gene hfe common variants CPT 81256 $378.60 $631.00 $64.60 – $473.25 12
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 $947.40 $1,579.00 $115.02 – $1,184.25 12
Warde anti-mullerian hormone CPT 82166 $87.60 $146.00 $14.28 – $109.50 11
Warde apolipoprotein b CPT 82172 $819.00 $1,365.00 $19.00 – $134.25 13
Warde cadmium blood CPT 82300 $119.40 $199.00 $20.90 – $149.25 12
Warde calcitonin CPT 82308 $136.20 $227.00 $23.02 – $170.25 12
Warde calculus (stone) infrared CPT 82365 $65.40 $109.00 $11.00 – $81.75 12
Warde clozapine therapeutic drug level CPT 80159 $52.20 $87.00 $18.42 – $65.25 13
Warde cobalt heavy metal quantitative each nes CPT 83018 $112.20 $187.00 $21.70 – $140.25 12
Warde collagen cross links c-telopeptide CPT 82523 $94.80 $158.00 $13.10 – $118.50 12
Warde complement total hemolytic CPT 86162 $113.40 $189.00 $20.08 – $141.75 12
Warde copper CPT 82525 $63.60 $106.00 $12.26 – $79.50 12
Warde cryoglobulin CPT 82595 $32.40 $54.00 $6.39 – $40.50 12
Warde erythropoietin CPT 82668 $96.00 $160.00 $16.50 – $120.00 12
Warde estrogen fractionated CPT 82671 $163.80 $273.00 $24.20 – $204.75 12
Warde fluorescent antibody screen endomysial iga CPT 86231 $66.60 $111.00 $5.08 – $83.25 12
Warde folic acid rbc CPT 82747 $90.60 $151.00 $17.44 – $113.25 12
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 $49.20 $82.00 $8.80 – $61.50 12
Warde gastrin CPT 82941 $89.40 $149.00 $15.40 – $111.75 12
Warde growth hormone (hgh) CPT 83003 $85.20 $142.00 $8.80 – $106.50 12
Warde haloperidol therapeutic drug level CPT 80173 $57.00 $95.00 $15.59 – $71.25 12
Warde helminth antibody strongyloides igg CPT 86682 $72.60 $121.00 $9.13 – $52.50 12
Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 $91.80 $153.00 $11.00 – $114.75 13
Warde hepatitis a antibody CPT 86708 $69.60 $116.00 $12.25 – $84.75 14
Warde hepatitis be antibody CPT 86707 $64.80 $108.00 $11.43 – $81.00 13
Warde hepatitis delta agent antibody CPT 86692 $36.00 $60.00 $16.96 – $45.00 12
Warde immunofixation electrophoresis urine CPT 86335 $163.80 $273.00 $17.02 – $135.00 12
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 $64.80 $108.00 $10.00 – $81.00 13
Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 $1,431.00 $2,385.00 $180.60 – $1,788.75 12
Warde islet cell antibody zinc transporter 8 CPT 86341 $131.40 $219.00 $23.29 – $164.25 12
Warde lipoprotein (a) CPT 83695 $72.60 $121.00 $14.16 – $90.75 12
Warde lipoprotein-associated phospholipase a2 CPT 83698 $234.60 $391.00 $41.73 – $293.25 12
Warde mitochondrial antibody each CPT 86381 $87.60 $146.00 $10.69 – $109.50 12
Warde neutralization rabies CPT 86382 $94.20 $157.00 $11.87 – $117.75 12
Warde oxcarbazepine therapeutic drug level CPT 80183 $33.60 $56.00 $13.09 – $42.00 13
Warde pancreatic elastase fecal quantitative CPT 82653 $58.80 $98.00 $9.64 – $73.50 12
Warde protein c antigen CPT 85302 $61.20 $102.00 $11.87 – $76.50 12
Warde sex hormone binding globulin CPT 84270 $110.40 $184.00 $21.47 – $138.00 12
Warde somatomedin CPT 84305 $108.00 $180.00 $21.01 – $135.00 12
Warde sugars single qualitative each specimen stool CPT 84376 $28.80 $48.00 $5.44 – $36.00 12
Warde t3 (triiodothyronine) reverse CPT 84482 $79.80 $133.00 $15.57 – $99.75 12
Warde thyroid stimulating immunoglobulins CPT 84445 $183.60 $306.00 $22.00 – $129.00 12
Warde topiramate therapeutic drug level CPT 80201 $85.80 $143.00 $11.78 – $107.25 13
Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 $145.20 $242.00 $25.77 – $181.50 13
Warde viscosity CPT 85810 $59.40 $99.00 $4.40 – $74.25 12
Warde vitamin a CPT 84590 $58.80 $98.00 $11.47 – $73.50 12
Warde vitamin b-1 (thiamine) CPT 84425 $108.00 $180.00 $7.70 – $135.00 13
Warde vitamin b6 (pyridoxine) CPT 84207 $143.40 $239.00 $27.77 – $179.25 12
Warde vitamin c (ascorbic acid) CPT 82180 $49.80 $83.00 $7.70 – $62.25 12
Warde vitamin d (1 25 dihydroxy) CPT 82652 $195.00 $325.00 $38.05 – $243.75 13
Warde vitamin e (alpha-tocopherol) CPT 84446 $72.00 $120.00 $11.00 – $90.00 12
Warde zinc CPT 84630 $57.60 $96.00 $11.26 – $72.00 12
Wbc automated CPT 85048 $13.20 $22.00 $2.51 – $16.50 14
Western blot test CPT 84181 $86.40 $144.00 $16.83 – $108.00 12
Wet mounts/ w preparations HCPCS Q0111 $109.20 $182.00 $6.56 – $136.50 11
Whole blood for transfusion HCPCS P9010 $244.20 $407.00 $6.41 – $305.25 12
Wound closure by adhesive HCPCS G0168 $486.00 $810.00 $10.46 – $607.50 10
Wrist X-ray CPT 73110 $188.40 $314.00 $13.22 – $235.50 12
X-ray abdomen 1 view CPT 74018 $188.40 $314.00 $10.82 – $191.25 12
X-ray abdomen 2 views CPT 74019 $262.80 $438.00 $12.92 – $41.25 12
X-ray abdomen >=3 views CPT 74021 $262.80 $438.00 $15.03 – $328.50 12
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 $262.80 $438.00 $27.60 – $104.08 12
X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 $188.40 $314.00 $21.85 – $235.50 12
X-ray ankle 2 views (both sides) CPT 73600 $188.40 $314.00 $13.22 – $235.50 12
X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 $814.20 $1,357.00 $18.98 – $1,017.75 12
X-ray bone age studies CPT 77072 $262.80 $438.00 $11.27 – $328.50 12
X-ray bone length studies CPT 77073 $262.80 $438.00 $24.08 – $328.50 12
X-ray bone survey complete CPT 77075 $262.80 $438.00 $52.00 – $130.44 12
X-ray bone survey infant CPT 77076 $262.80 $438.00 $32.27 – $328.50 12
X-ray cervical spine 2-3 views CPT 72040 $188.40 $314.00 $18.98 – $235.50 12
X-ray cervical spine 4-5 views CPT 72050 $262.80 $438.00 $30.48 – $328.50 12
X-ray cervical spine >= 6 views CPT 72052 $262.80 $438.00 $37.38 – $328.50 12
X-ray clavicle complete (both sides) CPT 73000 $188.40 $314.00 $13.22 – $235.50 12
X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 $427.80 $713.00 $25.88 – $534.75 12
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 $427.80 $713.00 $44.85 – $534.75 12
X-ray elbow 2 views (both sides) CPT 73070 $188.40 $314.00 $13.22 – $235.50 12
X-ray elbow >= 3 views (both sides) CPT 73080 $188.40 $314.00 $13.22 – $235.50 12
X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 $427.80 $713.00 $25.88 – $534.75 12
X-ray exam entire spi 4/5 vw CPT 72083 $262.80 $438.00 $32.24 – $328.50 12
X-ray exam entire spi 6/> vw CPT 72084 $262.80 $438.00 $38.90 – $328.50 12
X-ray exam of arm infant CPT 73092 $262.80 $438.00 $12.65 – $328.50 12
X-ray exam of eye sockets CPT 70200 $262.80 $438.00 $24.15 – $328.50 12
X-ray exam of femur 1 CPT 73551 $188.40 $314.00 $12.44 – $235.50 12
X-ray exam of jaw joint CPT 70328 $188.40 $314.00 $18.98 – $235.50 12
X-ray exam of jaw joint CPT 70332 $547.80 $913.00 $31.62 – $684.75 12
X-ray exam of sinuses CPT 70210 $188.40 $314.00 $18.98 – $235.50 12
X-ray exam si joints CPT 72200 $262.80 $438.00 $18.98 – $328.50 12
X-ray exam thorac spine4/>vw CPT 72074 $262.80 $438.00 $24.73 – $328.50 12
X-ray eye detection foreign body (both sides) CPT 70030 $188.40 $314.00 $17.22 – $235.50 12
X-ray facial bones complete > 3 views CPT 70150 $262.80 $438.00 $25.88 – $328.50 12
X-ray femur >=2 views (both sides) CPT 73552 $188.40 $314.00 $14.74 – $235.50 12
X-ray finger(s) >= 2 views (both sides) CPT 73140 $188.40 $314.00 $10.35 – $235.50 12
X-ray foot 2 views (both sides) CPT 73620 $188.40 $314.00 $11.50 – $235.50 12
X-ray forearm 2 views (both sides) CPT 73090 $188.40 $314.00 $13.22 – $235.50 12
X-ray hand 2 views (both sides) CPT 73120 $262.80 $438.00 $11.50 – $328.50 12
X-ray heel/calcaneus > 2 views (both sides) CPT 73650 $188.40 $314.00 $13.22 – $235.50 12
X-ray hip uni w/wo pelvis min 4 views CPT 73503 $262.80 $438.00 $23.94 – $328.50 12
X-ray hip with pelvis when performed bilateral 2 views CPT 73521 $262.80 $438.00 $17.96 – $328.50 12
X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 $262.80 $438.00 $21.64 – $328.50 12
X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 $262.80 $438.00 $26.02 – $328.50 12
X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 $188.40 $314.00 $12.90 – $235.50 12
X-ray humerus >= 2 views left CPT 73060 $188.40 $314.00 $13.22 – $235.50 12
X-ray joint survey 1 view CPT 77077 $262.80 $438.00 $26.82 – $328.50 12
X-ray knee 1-2 views (both sides) CPT 73560 $188.40 $314.00 $18.98 – $235.50 12
X-ray knee 3 views (both sides) CPT 73562 $188.40 $314.00 $18.98 – $235.50 12
X-ray knee ap standing bilateral CPT 73565 $188.40 $314.00 $19.96 – $235.50 12
X-ray l/s-spine bend vw only 2-3 vw CPT 72120 $262.80 $438.00 $24.15 – $328.50 12
X-ray lower extremities infant > 2 views (both sides) CPT 73592 $188.40 $314.00 $18.98 – $235.50 12
X-ray lumbosacral spine >= 4 views CPT 72110 $262.80 $438.00 $25.88 – $117.28 12
X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 $262.80 $438.00 $24.15 – $328.50 12
X-ray mandible complete > 4 views CPT 70110 $262.80 $438.00 $18.98 – $328.50 12
X-ray mandible ltd <4 views CPT 70100 $188.40 $314.00 $18.98 – $235.50 12
X-ray nasal bones complete > 3 views CPT 70160 $188.40 $314.00 $13.22 – $235.50 12
X-ray neck soft tissue CPT 70360 $188.40 $314.00 $11.50 – $235.50 12
X-ray nose to rectum for foreign body child CPT 76010 $188.40 $314.00 $10.01 – $235.50 12
X-ray optic foramina CPT 70190 $188.40 $314.00 $24.15 – $235.50 12
X-ray pelvis 1-2 views CPT 72170 $262.80 $438.00 $11.50 – $328.50 12
X-ray pelvis complete > 3 views CPT 72190 $262.80 $438.00 $24.15 – $328.50 12
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 $896.40 $1,494.00 $25.88 – $379.50 12
X-ray ribs 2 views left CPT 71100 $188.40 $314.00 $18.98 – $235.50 12
X-ray ribs 3 views bilateral CPT 71110 $262.80 $438.00 $18.98 – $328.50 12
X-ray ribs w/posterior anterior chest 3 views left CPT 71101 $262.80 $438.00 $18.98 – $328.50 12
X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 $262.80 $438.00 $18.98 – $328.50 12
X-ray sacroiliac joints >= 3 views CPT 72202 $262.80 $438.00 $18.98 – $328.50 12
X-ray sacrum/coccyx >= 2 views CPT 72220 $188.40 $314.00 $18.98 – $235.50 12
X-ray scapula complete (both sides) CPT 73010 $262.80 $438.00 $18.98 – $328.50 12
X-ray sella turcica CPT 70240 $188.40 $314.00 $13.22 – $235.50 12
X-ray shoulder 1 view (both sides) CPT 73020 $188.40 $314.00 $16.69 – $235.50 12
X-ray sinus tract/fistula/abscess CPT 76080 $1,129.80 $1,883.00 $18.98 – $1,412.25 12
X-ray sinuses paranasal complete > 3 views CPT 70220 $188.40 $314.00 $25.88 – $235.50 12
X-ray skull < 4 views CPT 70250 $262.80 $438.00 $24.15 – $328.50 12
X-ray skull > 4 views complete CPT 70260 $262.80 $438.00 $31.61 – $328.50 12
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 $427.80 $713.00 $25.88 – $534.75 12
X-ray small intestine follow-through study CPT 74248 $490.20 $817.00 $24.93 – $612.75 12
X-ray spine single view CPT 72020 $188.40 $314.00 $16.63 – $235.50 12
X-ray sternoclavicular joint(s) > 3 views CPT 71130 $188.40 $314.00 $13.22 – $235.50 12
X-ray sternum > 2 views CPT 71120 $188.40 $314.00 $13.22 – $235.50 12
X-ray surgical specimen CPT 76098 $1,129.80 $1,883.00 $12.21 – $1,412.25 12
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 $427.80 $713.00 $32.20 – $534.75 12
X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 $188.40 $314.00 $18.98 – $235.50 12
X-ray thoracic spine 2 views CPT 72070 $262.80 $438.00 $23.22 – $328.50 12
X-ray thoracic spine 3 views CPT 72072 $262.80 $438.00 $24.73 – $328.50 12
X-ray thoracolumbar spine >=2 views CPT 72080 $188.40 $314.00 $18.98 – $235.50 12
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 $188.40 $314.00 $16.36 – $235.50 12
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 $262.80 $438.00 $29.70 – $328.50 12
X-ray tibia/fibula 2 views (both sides) CPT 73590 $188.40 $314.00 $18.98 – $235.50 12
X-ray toe(s) > 2 views (both sides) CPT 73660 $188.40 $314.00 $10.35 – $235.50 12
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 $427.80 $713.00 $46.00 – $534.75 12
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 $427.80 $713.00 $44.85 – $534.75 12
X-ray wrist 2 views (both sides) CPT 73100 $188.40 $314.00 $13.22 – $235.50 12
X-ray xm phrnx&/crv esoph c+ CPT 74210 $427.80 $713.00 $25.88 – $534.75 12
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 $2,925.00 $4,875.00 $195.25 – $3,656.25 12
Xm archive tissue molec anal CPT 88363 $54.60 $91.00 $14.92 – $68.25 12
Xylose absorption test blood &/or urine CPT 84620 $46.80 $78.00 $3.30 – $58.50 12
Yttrium y-90 ibritumomab ther HCPCS A9543 $123,585.60 $205,976.00 $44,117.51 – $154,482.00 10
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 $15.60 $26.00 $0.34 – $1.75 10
Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 $38.40 $64.00 $6.83 – $38.25 10
Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 $948.00 $1,580.00 $31.82 – $1,185.00 11
Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 $110.40 $184.00 $0.34 – $155.63 10
_afb id by dna probe rflx ast CPT 87149 $112.20 $187.00 $19.82 – $140.25 12
_afb org id by sequencing rflx ast-sendout CPT 87153 $642.60 $1,071.00 $114.02 – $803.25 12
_fragile x methylation-sendout CPT 81244 $162.00 $270.00 $44.37 – $202.50 12

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.