What billing codes actually cost

1,200 procedure and service codes, each with the range of rates payers have negotiated for it, the amount Medicare actually paid, and the claim-editing rules that apply when it is billed. Every figure is observed in published data rather than estimated.

How to read these pages

The market range is the 10th, 50th and 90th percentile of negotiated rates in payer Transparency-in-Coverage files.
The Medicare figure is the service-weighted average amount Medicare allowed, taken from CMS claims data.
Claim edits come from the published NCCI procedure-to-procedure table, which decides what can be billed alongside what.

Codes

99214 — Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more — $128
99213 — Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more — $87
J2777 — Injection, faricimab-svoa, 0.1 mg — $43
J0897 — Injection, denosumab, 1 mg — $40
97530 — Therapy procedure using functional activities — $43
99232 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes — $93
97112 — Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes — $41
J9271 — Injection, pembrolizumab, 1 mg — $81
99233 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes — $136
88305 — Pathology examination of tissue using a microscope, intermediate complexity — $47
99309 — Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes — $120
J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — $62
87798 — Detection test by nucleic acid for organism, amplified probe technique — $38
98941 — Chiropractic manipulative treatment, 3-4 spinal regions — $43
99215 — Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more — $178
99308 — Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more — $88
99204 — New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more — $187
G0008 — Administration of influenza virus vaccine — $56
G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit — $137
99223 — Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes — $242
92014 — Established patient complete exam of visual system — $131
99285 — Emergency department visit with high level of medical decision making — $230
90480 — Admn sarscov2 vacc 1 dose — $45
J9144 — Injection, daratumumab, 10 mg and hyaluronidase-fihj — $75
92134 — Imaging of retina — $37
J9299 — Injection, nivolumab, 1 mg — $46
99203 — New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more — $122
93306 — Ultrasound of heart with color-depicted blood flow, rate, direction and valve function — $204
99490 — Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month — $58
66984 — Removal of cataract with insertion of prosthetic lens — $907
90662 — Influenza vaccine split virus, preservative free — $97
82306 — Vitamin d-3 level — $33
17000 — Destruction of precancer skin growth, 1 growth — $88
77067 — Screening mammography — $121
99212 — Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more — $51
77063 — Screening 3d breast mammography — $46
J1745 — Injection, infliximab, excludes biosimilar, 10 mg — $48
99291 — Critical care, first 30-74 minutes — $318
99222 — Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes — $170
11721 — Removal of fingernails or toenails, 6 or more nails — $49
99239 — Hospital discharge day management, more than 30 minutes — $138
70450 — Ct scan head or brain without contrast — $103
20610 — Aspiration and/or injection of fluid from large joint — $79
91320 — Sarscv2 vac 30mcg trs-suc im — $190
99284 — Emergency department visit with moderate level of medical decision making — $157
J2357 — Injection, omalizumab, 5 mg — $60
90837 — Psychotherapy, 1 hour — $173
88341 — Special stained specimen slides to examine tissue, each additional procedure — $46
A0427 — Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) — $396
97535 — Training for self-care or home management, each 15 minutes — $41
91322 — Sarscov2 vac 50 mcg/0.5ml im — $170
74177 — Ct scan of abdomen and pelvis with contrast — $274
67028 — Injection of drug into eye — $164
99349 — Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes — $160
90653 — Influenza vaccine, inactivated — $97
11102 — Biopsy of related skin growth, first growth — $103
92250 — Photography of the retina — $45
99231 — Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes — $54
98940 — Chiropractic manipulative treatment, 1-2 spinal regions — $30
92012 — Established patient problem focused exam of visual system — $90
17110 — Destruction of skin growth, 1-14 growths — $126
99439 — Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month — $48
87481 — Detection test for candida species (yeast), amplified probe technique — $38
A0428 — Ambulance service, basic life support, non-emergency transport, (bls) — $252
J1569 — Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg — $65
77014 — Ct guidance for insertion of radiation therapy fields — $165
92133 — Imaging of optic nerve — $35
J0178 — Injection, aflibercept, 1 mg — $1,052
92083 — Exam of visual field with extended testing — $59
A0429 — Ambulance service, basic life support, emergency transport (bls-emergency) — $335
99497 — Advance care planning, first 30 minutes — $107
99457 — Management using the results of remote vital sign monitoring per calendar month, first 20 minutes — $55
71250 — Ct scan of chest without contrast — $133
99205 — New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more — $242
J2781 — Injection, pegcetacoplan, intravitreal, 1 mg — $180
73502 — X-ray of hip, 2-3 views — $41
88342 — Special stained specimen slides to examine tissue, initial procedure — $56
73562 — X-ray of knee, 3 views — $35
99310 — Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes — $179
90834 — Psychotherapy, 45 minutes — $117
99458 — Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes — $48
99454 — Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days — $77
J1568 — Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg — $65
74176 — Ct scan of abdomen and pelvis without contrast — $164
80307 — Testing for presence of drug, by chemistry analyzers — $58
93294 — Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days — $46
11042 — Removal of skin and tissue, 20.0 sq cm or less — $137
J0177 — Injection, aflibercept hd, 1 mg — $371
J1561 — Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg — $68
90832 — Psychotherapy, 30 minutes — $87
11720 — Removal of fingernails or toenails, 1-5 nails — $34
11056 — Removal of noncancer thickened skin growth, 2-4 growths — $62
71260 — Ct scan of chest with contrast — $171
83970 — Parathormone (parathyroid hormone) level — $45
99348 — Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes — $104
J1449 — Injection, eflapegrastim-xnst, 0.1 mg — $45
J2350 — Injection, ocrelizumab, 1 mg — $81
J2182 — Injection, mepolizumab, 1 mg — $44
92136 — Measurement of corneal curvature and depth of eye — $57
73564 — X-ray of knee, 4 or more views — $39
96413 — Administration of chemotherapy into vein, 1 hour or less — $192
00142 — Anesthesia for lens surgery — $252
43239 — Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope — $390
93880 — Ultrasound of both sides of head and neck blood flow — $205
97161 — Evaluation for physical therapy, typically 20 minutes — $98
45385 — Removal of polyps or growths of large bowel using an endoscope with mechanical snare — $526
92004 — New patient complete exam of visual system — $161
72125 — Ct scan of upper spine without contrast — $133
71275 — Ct scan of blood vessels of chest with contrast — $258
99307 — Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes — $54
93298 — Evaluation of cardiac rhythm monitor system, remote up to 30 days — $58
87150 — Identification of organisms by genetic analysis, amplified probe technique — $34
J2782 — Injection, avacincaptad pegol, 0.1 mg — $126
11103 — Biopsy of related skin growth, each additional growth — $56
93971 — Ultrasound study of one arm or leg veins with compression and maneuvers — $128
88313 — Special stained specimen slides to examine tissue including interpretation and report — $39
G0009 — Administration of pneumococcal vaccine — $60
90833 — Psychotherapy with evaluation and management visit, 30 minutes — $81
99489 — Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month — $64
88312 — Special stained specimen slides to identify organisms including interpretation and report — $54
72148 — Mri scan of lower spinal canal without contrast — $197
J7170 — Injection, emicizumab-kxwh, 0.5 mg — $76
99238 — Hospital discharge day management, 30 minutes or less — $96
97162 — Evaluation for physical therapy, typically 30 minutes — $98
93970 — Ultrasound study of arm or leg veins with compression and maneuvers — $202
97113 — Therapy procedure using water pool to exercises, each 15 minutes — $46
Q0092 — Set-up portable x-ray equipment — $28
69210 — Removal of impacted ear wax — $60
90677 — Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use — $355
96365 — Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less — $93
99306 — Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more — $210
J3245 — Injection, tildrakizumab, 1 mg — $175
J9312 — Injection, rituximab, 10 mg — $103
84403 — Testosterone (hormone) level, total — $29
92557 — Comprehensive hearing and speech recognition test — $51
45380 — Biopsy of large bowel using a flexible endoscope — $471
99350 — Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes — $225
78452 — Nuclear medicine studies of heart muscle at rest and with stress and spect — $463
76770 — Complete ultrasound scan behind abdominal cavity — $96
77300 — Calculation of radiation therapy dose — $59
00731 — Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope — $325
00811 — Anesthesia for other procedure on large bowel using an endoscope — $260
70551 — Mri scan of brain without contrast — $202
90960 — Dialysis services, 4 or more physician visits per month (20 years or older) — $426
70553 — Mri scan of brain before and after contrast — $324
99305 — Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes — $162
20611 — Aspiration and/or injection of fluid large joint using ultrasound guidance — $111
66821 — Removal of recurring cataract in lens capsule using a laser — $421
G0279 — Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) — $44
94729 — Test to examine how well the lungs exchange gases — $60
99442 — Telephone medical discussion with physician, 11-20 minutes — $196
Q5128 — Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg — $100
17311 — Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks — $652
76705 — Limited ultrasound scan of abdomen — $80
76536 — Ultrasound scan of head and neck soft tissue — $101
96367 — Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less — $43
98942 — Chiropractic manipulative treatment, 5 spinal regions — $56
88307 — Pathology examination of tissue using a microscope, moderately high complexity — $138
83880 — Natriuretic peptide (heart and blood vessel protein) level — $40
87640 — Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique — $37
64483 — Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level — $269
77427 — Radiation treatment management, 5 treatment sessions — $245
95886 — Needle measurement of electrical activity in arm or leg muscles, complete study — $82
78815 — Nuclear medicine study from skull base to mid-thigh with ct scan — $893
88112 — Cell examination of specimen, selective cellular enhancement technique — $45
17004 — Destruction of precancer skin growth, 15 or more growths — $195
96401 — Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle — $97
87653 — Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique — $37
95251 — Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report — $52
93297 — Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days — $44
52000 — Diagnostic exam of bladder and urethra using an endoscope — $246
87635 — Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen — $51
70498 — Ct scan of blood vessels of neck with contrast — $254
87811 — Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) — $41
G0249 — Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the — $102
93015 — Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician — $114
70496 — Ct scan of blood vessels of head with contrast — $255
94060 — Test to measure expiratory airflow and volume changes before and after medication administration — $50
99283 — Emergency department visit with low level of medical decision making — $88
11055 — Removal of noncancer thickened skin growth, 1 growth — $50
R0070 — Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen — $89
31231 — Diagnostic exam of nasal passages using an endoscope — $191
87801 — Detection test by nucleic acid for multiple organisms, amplified probe(s) technique — $72
93280 — Programming of dual lead pacemaker system — $64
J1097 — Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml — $136
G0180 — Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and — $70
93295 — Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days — $74
J2778 — Injection, ranibizumab, 0.1 mg — $116
73721 — Mri scan of leg joint without contrast — $208
88360 — Microscopic genetic analysis of tumor, manual — $66
72110 — X-ray of lower and sacral spine, minimum of 4 views — $47
77065 — Diagnostic mammography of 1 breast — $116
92020 — Exam of the internal drainage system of eye — $32
87651 — Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique — $40
92507 — Treatment of speech, language, voice, communication, and/or hearing processing disorder — $95
Q4205 — Membrane graft or membrane wrap, per square centimeter — $212
20550 — Injection into tendon or ligament — $69
G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination — $43
G2212 — Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or — $38
77334 — Design and construction of complex radiation treatment device — $119
76642 — Limited ultrasound scan of 1 breast — $76
87500 — Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique — $37
76700 — Complete ultrasound scan of abdomen — $102
81528 — Gene analysis (colorectal cancer) — $464
94726 — Test to determine lung volumes using sensors — $56
G6002 — Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy — $84
99443 — Telephone medical discussion with physician, 21-30 minutes — $284
G0480 — Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms — $106
62323 — Injection of substance into lower spine canal using imaging guidance — $273
99487 — Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month — $123
64493 — Injection of lower or sacral spine facet joint using imaging guidance, single level — $214
97597 — Removal of tissue from wound, 20.0 sq cm or less — $67
72141 — Mri scan of upper spinal canal without contrast — $196
99221 — Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes — $120
99202 — New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more — $80
A9500 — Technetium tc-99m sestamibi, diagnostic, per study dose — $117
93925 — Ultrasound of leg arteries or artery grafts — $260
96415 — Administration of chemotherapy into vein, each additional hour — $42
93922 — Ultrasound study of arm and leg arteries — $92
G0483 — Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms — $215
00812 — Anesthesia for exam of colon using an endoscope — $260
27447 — Replacement of knee joint, both sides of knee — $1,942
77066 — Diagnostic mammography of both breasts — $148
90791 — Psychiatric diagnostic evaluation — $192
Q5123 — Injection, rituximab-arrx, biosimilar, (riabni), 10 mg — $34
87426 — Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus — $35
31575 — Diagnostic exam of voice box using a flexible endoscope — $141
77280 — Obtaining data needed to develop the optimal radiation treatment, 1 treatment area — $214
76942 — Ultrasonic guidance for needle placement — $61
74183 — Mri scan of abdomen before and after contrast — $352
17312 — Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks — $424
72131 — Ct scan of lower spine without contrast — $132
J1459 — Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg — $69
J9217 — Leuprolide acetate (for depot suspension), 7.5 mg — $247
93308 — Ultrasound of heart, follow-up — $104
G0482 — Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms — $181
J3490 — Unclassified drugs — $55
73221 — Mri scan of arm joint without contrast — $207
87641 — Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique — $37
90792 — Psychiatric diagnostic evaluation with medical services — $205
77002 — Fluoroscopic guidance for needle placement — $83
99347 — Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes — $66
70486 — Ct scan of face without contrast — $124
99496 — Transitional care management services for problem of high complexity — $294
G0481 — Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms — $146
99426 — Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month — $77
92201 — Extended exam of the back part of the eye with retinal drawing — $33
90935 — Hemodialysis procedure with physician evaluation — $99
68761 — Closure of tear duct opening using plug — $183
87428 — Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza — $71
74178 — Ct scan of abdomen and pelvis before and after contrast — $311
G0181 — Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow — $128
J1556 — Injection, immune globulin (bivigam), 500 mg — $103
71271 — Low dose ct scan of chest for lung cancer screening — $124
99484 — Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional — $56
11043 — Removal of muscle and/or tissue, 20.0 sq cm or less — $286
11045 — Removal of skin and tissue, each additional 20.0 sq cm or less — $46
97164 — Re-evaluation for physical therapy, typically 20 minutes — $69
99441 — Telephone medical discussion with physician, 5-10 minutes — $114
99495 — Transitional care management services for problem of at least moderate complexity — $211
82670 — Measurement of total estradiol (hormone) — $30
G0438 — Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit — $182
J1930 — Injection, lanreotide, 1 mg — $52
00813 — Anesthesia for procedure on small and large bowel using an endoscope — $325
G0316 — Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th — $49
G0179 — Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a — $55
77401 — Superficial and/or low voltage radiation treatment delivery — $61
R0075 — Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen — $149
96133 — Evaluation of neuropsychological test, each additional hour — $120
93229 — Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional — $1,057
J9035 — Injection, bevacizumab, 10 mg — $99
96139 — Administration of psychological or neuropsychological test by technician, each additional 30 minutes — $49
76641 — Complete ultrasound scan of 1 breast — $94
93247 — Heart rhythm analysis and report of continous external ekg over 8-15 days — $310
A9502 — Technetium tc-99m tetrofosmin, diagnostic, per study dose — $98
93458 — Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist — $1,065
Q4271 — Complete ft, per square centimeter — $222
74174 — Ct scan of blood vessels of abdomen and pelvis with contrast — $347
J1952 — Leuprolide injectable, camcevi, 1 mg — $94
G0105 — Colorectal cancer screening; colonoscopy on individual at high risk — $504
Q5129 — Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg — $36
G0453 — Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) — $38
G6001 — Ultrasonic guidance for placement of radiation therapy fields — $161
J1096 — Dexamethasone, lacrimal ophthalmic insert, 0.1 mg — $139
64635 — Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint — $468
64494 — Injection of lower or sacral spine facet joint using imaging guidance, second level — $105
90961 — Dialysis services, 2-3 physician visits per month (20 years or older) — $353
73700 — Ct scan of leg without contrast — $132
72197 — Mri scan of pelvis before and after contrast — $351
77336 — Continuing radiation therapy consultation per week — $109
88173 — Evaluation of fine needle aspirate with interpretation and report — $83
A9555 — Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries — $478
J9119 — Injection, cemiplimab-rwlc, 1 mg — $40
99316 — Nursing facility discharge management, more than 30 minutes — $136
76775 — Limited ultrasound scan behind abdominal cavity — $59
G0145 — Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision — $35
J0517 — Injection, benralizumab, 1 mg — $222
Q5104 — Injection, infliximab-abda, biosimilar, (renflexis), 10 mg — $39
20600 — Aspiration and/or injection of fluid from small joint — $63
99304 — Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes — $109
12032 — Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm — $323
36620 — Insertion of artery tube for blood sampling or infusion through skin — $70
97750 — Test or measurement for functional capacity, each 15 minutes — $40
Q5126 — Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg — $88
96137 — Administration of psychological or neuropsychological test, each additional 30 minutes — $43
J0896 — Injection, luspatercept-aamt, 0.25 mg — $57
A9607 — Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie — $269
01402 — Anesthesia for procedure for total knee joint replacement — $441
64450 — Injection of anesthetic agent and/or steroid into other nerve or branch — $96
97124 — Therapy procedure using massage, each 15 minutes — $34
90836 — Psychotherapy with evaluation and management visit, 45 minutes — $111
93923 — Complete ultrasound study of arm and leg arteries — $142
96417 — Administration of additional new drug or substance into vein, 1 hour or less — $94
93312 — Ultrasound of heart with probe in esophagus, with report — $237
74230 — Imaging for evaluation of swallowing function — $101
27130 — Replacement of thigh bone and hip joint with prosthesis — $1,882
95816 — Measurement of brain wave activity (eeg), awake and drowsy — $320
87637 — Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus — $138
96132 — Evaluation of neuropsychological test, first hour — $159
77263 — Complex radiation therapy planning — $220
J9332 — Injection, efgartigimod alfa-fcab, 2mg — $40
11057 — Removal of noncancer thickened skin growth, more than 4 growths — $77
Q0091 — Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory — $43
86480 — Tuberculosis test, gamma interferon — $65
92025 — Ct scan of cornea — $31
87581 — Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique — $38
99491 — Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month — $108
13132 — Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm — $541
87486 — Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique — $38
27096 — Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance — $181
J7999 — Compounded drug, not otherwise classified — $55
76856 — Complete ultrasound scan of pelvis — $93
J9177 — Injection, enfortumab vedotin-ejfv, 0.25 mg — $50
88331 — Pathology examination of specimen during surgery, first tissue block — $52
17262 — Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm — $196
J9173 — Injection, durvalumab, 10 mg — $115
A9552 — Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries — $67
64447 — Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) — $124
Q4191 — Restorigin, per square centimeter — $209
99292 — Critical care, each additional 30 minutes — $150
76830 — Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina — $101
88189 — Flow cytometry technique for dna or cell analysis, 16 or more markers — $86
96402 — Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle — $48
J7321 — Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose — $93
J0775 — Injection, collagenase, clostridium histolyticum, 0.01 mg — $100
76882 — Limited ultrasound scan of joint or other extremity structure except blood vessels — $41
87591 — Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique — $38
93243 — Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days — $296
87491 — Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique — $39
87631 — Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets — $142
64484 — Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level — $113
87502 — Detection test by nucleic acid for multiple types influenza virus — $98
J7323 — Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose — $152
G0121 — Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk — $499
72050 — X-ray of upper spine, 4-5 views — $47
A9595 — Piflufolastat f-18, diagnostic, 1 millicurie — $612
92504 — Exam of ear using a microscope — $29
88350 — Antibody evaluation, each additional single antibody stain procedure — $49
45378 — Diagnostic exam of large bowel using a flexible endoscope — $398
94727 — Test to determine lung volumes using gas dilution or washout — $43
92235 — Exam of retinal blood vessels using a special camera after injection of a dye — $110
73140 — X-ray of finger, minimum of 2 views — $31
81479 — Molecular pathology procedure — $158
90868 — Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management — $220
64636 — Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint — $176
94618 — Test for exercise-induced lung stress — $33
66982 — Complex removal of cataract with insertion of prosthetic lens — $1,158
93978 — Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts — $195
70491 — Ct scan of soft tissue of neck with contrast — $180
20553 — Injection of trigger points, 3 or more muscles — $73
87529 — Detection test by nucleic acid for herpes simplex virus, amplified probe technique — $38
Q4275 — Esano aca, per square centimeter — $180
G0402 — Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment — $174
87624 — Detection test by nucleic acid for human papillomavirus (hpv), high-risk types — $37
A0426 — Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) — $303
J1576 — Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg — $90
20605 — Aspiration and/or injection of fluid from medium joint — $66
76872 — Ultrasound scan of pelvic region through rectum — $111
Q4164 — Helicoll, per square centimeter — $196
90673 — Influenza vaccine, trivalent derived from recombinant dna — $88
43235 — Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope — $327
87799 — Detection test by nucleic acid for organism, quantification — $46
11602 — Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm — $274
77338 — Design and construction of radiation treatment device for high precision radiation therapy — $400
17313 — Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks — $608
92526 — Treatment of swallowing and feeding disorder — $108
99344 — Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes — $215
J0490 — Injection, belimumab, 10 mg — $75
87636 — Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b — $138
75574 — Ct scan of blood vessels and grafts of heart with contrast — $315
62321 — Injection of substance into middle or upper spine canal using imaging guidance — $281
96138 — Administration of psychological or neuropsychological test by technician, first 30 minutes — $49
13121 — Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm — $458
78431 — Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan — $298
G0472 — Hepatitis c antibody screening, for individual at high risk and other covered indication(s) — $52
90661 — Influenza vaccine, trivalent derived from cell cultures — $52
J9334 — Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc — $41
83704 — Lipoprotein level, quantitation of lipoprotein particle number(s) — $35
J7324 — Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose — $157
97163 — Evaluation for physical therapy, typically 45 minutes — $98

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Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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