How Cigna Pays Independent Practices
Pulled from Cigna's own federally required Transparency in Coverage files. Office place of service, compared to the Medicare rate for the same code and state. This is what the payer publishes, not what a sales rep tells you.
Open Access Plus national network (August 2026 TiC file)
From their own files
vs Medicare
Office setting
HIPAA Compliant
AAPC Certified
4.9/5 Rating
300+ Practices
Cigna rates we have pulled
| Code | State | Median | Range (25th to 75th) | vs Medicare | |
|---|---|---|---|---|---|
| 11102CPT 11102 | Alabama | $95.96 | $89.31 to $126.75 | 112%Medicare $85.64 | Detail |
| 11102CPT 11102 | Arkansas | $122.07 | $100.86 to $138.85 | 145%Medicare $84.38 | Detail |
| 11102CPT 11102 | Arizona | $127.69 | $103.11 to $163.89 | 137%Medicare $93.00 | Detail |
| 11102CPT 11102 | California | $139.60 | $121.18 to $173.96 | 129%Medicare $108.60 | Detail |
| 11102CPT 11102 | Colorado | $142.37 | $124.02 to $168.39 | 142%Medicare $99.96 | Detail |
| 11102CPT 11102 | Connecticut | $166.02 | $140.32 to $198.06 | 163%Medicare $101.93 | Detail |
| 11102CPT 11102 | Delaware | $134.30 | $115.99 to $164.14 | 142%Medicare $94.57 | Detail |
| 11102CPT 11102 | Florida | $128.88 | $104.69 to $166.51 | 132%Medicare $97.66 | Detail |
| 11102CPT 11102 | Georgia | $152.87 | $122.18 to $190.97 | 165%Medicare $92.64 | Detail |
| 11102CPT 11102 | Idaho | $148.76 | $128.74 to $171.65 | 168%Medicare $88.70 | Detail |
| 11102CPT 11102 | Illinois | $141.56 | $112.97 to $170.81 | 149%Medicare $94.99 | Detail |
| 11102CPT 11102 | Indiana | $122.38 | $106.43 to $140.43 | 137%Medicare $89.23 | Detail |
| 11102CPT 11102 | Kansas | $126.15 | $111.18 to $146.57 | 144%Medicare $87.61 | Detail |
| 11102CPT 11102 | Kentucky | $115.06 | $93.98 to $147.60 | 132%Medicare $87.35 | Detail |
| 11102CPT 11102 | Louisiana | $114.23 | $92.18 to $140.14 | 128%Medicare $89.34 | Detail |
| 11102CPT 11102 | Massachusetts | $158.03 | $130.17 to $213.32 | 151%Medicare $104.74 | Detail |
| 11102CPT 11102 | Maryland | $124.06 | $103.21 to $147.98 | 125%Medicare $99.03 | Detail |
| 11102CPT 11102 | Maine | $144.46 | $126.83 to $187.51 | 158%Medicare $91.57 | Detail |
| 11102CPT 11102 | Minnesota | $160.99 | $132.53 to $188.09 | 167%Medicare $96.21 | Detail |
| 11102CPT 11102 | Missouri | $125.79 | $106.45 to $158.40 | 140%Medicare $89.56 | Detail |
| 11102CPT 11102 | Mississippi | $125.19 | $90.46 to $148.83 | 147%Medicare $84.98 | Detail |
| 11102CPT 11102 | North Carolina | $157.39 | $125.63 to $198.66 | 175%Medicare $89.97 | Detail |
| 11102CPT 11102 | New Hampshire | $171.90 | $132.62 to $212.47 | 175%Medicare $98.23 | Detail |
| 11102CPT 11102 | New Jersey | $143.27 | $114.86 to $192.74 | 135%Medicare $105.88 | Detail |
| 11102CPT 11102 | New Mexico | $134.57 | $112.96 to $157.73 | 150%Medicare $89.94 | Detail |
| 11102CPT 11102 | Nevada | $125.37 | $102.97 to $154.84 | 132%Medicare $95.26 | Detail |
| 11102CPT 11102 | New York | $161.38 | $120.76 to $236.74 | 153%Medicare $105.60 | Detail |
| 11102CPT 11102 | Ohio | $132.28 | $107.12 to $161.23 | 148%Medicare $89.27 | Detail |
| 11102CPT 11102 | Oklahoma | $116.84 | $104.52 to $140.21 | 134%Medicare $87.36 | Detail |
| 11102CPT 11102 | Oregon | $197.95 | $166.68 to $235.20 | 200%Medicare $99.00 | Detail |
| 11102CPT 11102 | Pennsylvania | $127.55 | $107.69 to $157.56 | 135%Medicare $94.38 | Detail |
| 11102CPT 11102 | Rhode Island | $165.99 | $119.12 to $205.90 | 169%Medicare $98.10 | Detail |
| 11102CPT 11102 | South Carolina | $133.20 | $118.05 to $157.37 | 148%Medicare $89.74 | Detail |
| 11102CPT 11102 | Tennessee | $121.47 | $96.31 to $147.95 | 138%Medicare $88.03 | Detail |
| 11102CPT 11102 | Texas | $129.82 | $106.52 to $168.15 | 138%Medicare $94.39 | Detail |
| 11102CPT 11102 | Utah | $127.20 | $114.31 to $156.03 | 140%Medicare $90.99 | Detail |
| 11102CPT 11102 | Virginia | $125.10 | $105.52 to $152.94 | 133%Medicare $93.71 | Detail |
| 11102CPT 11102 | Vermont | $118.76 | $109.32 to $149.27 | 127%Medicare $93.82 | Detail |
| 11102CPT 11102 | Washington | $175.34 | $129.09 to $253.01 | 166%Medicare $105.88 | Detail |
| 11102CPT 11102 | Wisconsin | $146.48 | $113.25 to $178.10 | 161%Medicare $91.11 | Detail |
| 11102CPT 11102 | West Virginia | $108.22 | $95.32 to $152.14 | 124%Medicare $86.94 | Detail |
| 11102CPT 11102 | Wyoming | $177.61 | $138.86 to $219.49 | 187%Medicare $95.01 | Detail |
| 11103CPT 11103 | Alabama | $49.44 | $47.71 to $68.43 | 113%Medicare $43.80 | Detail |
| 11103CPT 11103 | Arkansas | $63.88 | $54.53 to $73.94 | 148%Medicare $43.17 | Detail |
| 11103CPT 11103 | Arizona | $65.69 | $53.19 to $85.34 | 138%Medicare $47.49 | Detail |
| 11103CPT 11103 | California | $74.05 | $63.43 to $90.31 | 135%Medicare $55.02 | Detail |
| 11103CPT 11103 | Colorado | $73.93 | $63.97 to $88.28 | 145%Medicare $50.87 | Detail |
| 11103CPT 11103 | Connecticut | $86.08 | $74.16 to $103.59 | 166%Medicare $51.99 | Detail |
| 11103CPT 11103 | Delaware | $68.73 | $60.34 to $87.33 | 142%Medicare $48.27 | Detail |
| 11103CPT 11103 | Florida | $67.61 | $53.83 to $87.23 | 135%Medicare $50.15 | Detail |
| 11103CPT 11103 | Georgia | $81.34 | $65.81 to $98.14 | 171%Medicare $47.43 | Detail |
| 11103CPT 11103 | Idaho | $75.53 | $67.68 to $88.91 | 167%Medicare $45.26 | Detail |
| 11103CPT 11103 | Illinois | $72.77 | $57.65 to $87.91 | 149%Medicare $48.84 | Detail |
| 11103CPT 11103 | Indiana | $63.16 | $54.33 to $73.50 | 139%Medicare $45.52 | Detail |
| 11103CPT 11103 | Kansas | $65.30 | $58.69 to $77.09 | 146%Medicare $44.74 | Detail |
| 11103CPT 11103 | Kentucky | $62.16 | $49.71 to $79.25 | 139%Medicare $44.76 | Detail |
| 11103CPT 11103 | Louisiana | $59.58 | $48.14 to $74.26 | 130%Medicare $45.78 | Detail |
| 11103CPT 11103 | Massachusetts | $81.52 | $66.83 to $110.48 | 153%Medicare $53.24 | Detail |
| 11103CPT 11103 | Maryland | $64.28 | $54.37 to $77.88 | 127%Medicare $50.52 | Detail |
| 11103CPT 11103 | Maine | $75.64 | $64.50 to $93.35 | 162%Medicare $46.70 | Detail |
| 11103CPT 11103 | Minnesota | $86.63 | $71.22 to $93.86 | 177%Medicare $48.84 | Detail |
| 11103CPT 11103 | Missouri | $66.21 | $54.17 to $80.45 | 144%Medicare $45.86 | Detail |
| 11103CPT 11103 | Mississippi | $66.96 | $48.05 to $76.83 | 154%Medicare $43.54 | Detail |
| 11103CPT 11103 | North Carolina | $81.89 | $66.14 to $101.99 | 178%Medicare $45.93 | Detail |
| 11103CPT 11103 | New Hampshire | $90.89 | $67.55 to $107.31 | 182%Medicare $50.04 | Detail |
| 11103CPT 11103 | New Jersey | $76.39 | $59.36 to $102.41 | 142%Medicare $53.94 | Detail |
| 11103CPT 11103 | New Mexico | $69.28 | $58.29 to $83.61 | 150%Medicare $46.12 | Detail |
| 11103CPT 11103 | Nevada | $65.69 | $54.64 to $81.04 | 135%Medicare $48.58 | Detail |
| 11103CPT 11103 | New York | $83.53 | $64.05 to $122.87 | 155%Medicare $53.88 | Detail |
| 11103CPT 11103 | Ohio | $68.13 | $54.86 to $83.97 | 149%Medicare $45.72 | Detail |
| 11103CPT 11103 | Oklahoma | $62.62 | $54.80 to $74.72 | 140%Medicare $44.71 | Detail |
| 11103CPT 11103 | Oregon | $101.30 | $83.14 to $120.28 | 201%Medicare $50.37 | Detail |
| 11103CPT 11103 | Pennsylvania | $66.22 | $54.64 to $80.99 | 137%Medicare $48.25 | Detail |
| 11103CPT 11103 | Rhode Island | $83.85 | $61.65 to $103.59 | 168%Medicare $50.01 | Detail |
| 11103CPT 11103 | South Carolina | $70.26 | $60.28 to $81.88 | 153%Medicare $45.90 | Detail |
| 11103CPT 11103 | Tennessee | $64.03 | $50.14 to $79.09 | 142%Medicare $44.96 | Detail |
| 11103CPT 11103 | Texas | $67.43 | $55.21 to $86.11 | 140%Medicare $48.19 | Detail |
| 11103CPT 11103 | Utah | $67.86 | $59.13 to $82.54 | 146%Medicare $46.52 | Detail |
| 11103CPT 11103 | Virginia | $66.06 | $54.64 to $79.99 | 138%Medicare $47.78 | Detail |
| 11103CPT 11103 | Vermont | $64.03 | $58.93 to $80.46 | 134%Medicare $47.75 | Detail |
| 11103CPT 11103 | Washington | $90.30 | $66.17 to $126.67 | 168%Medicare $53.78 | Detail |
| 11103CPT 11103 | Wisconsin | $73.56 | $56.46 to $88.79 | 159%Medicare $46.37 | Detail |
| 11103CPT 11103 | West Virginia | $57.03 | $47.99 to $79.53 | 127%Medicare $44.75 | Detail |
| 11103CPT 11103 | Wyoming | $92.11 | $70.70 to $116.62 | 190%Medicare $48.42 | Detail |
| 11104CPT 11104 | Alabama | $119.36 | $112.32 to $144.66 | 110%Medicare $108.54 | Detail |
| 11104CPT 11104 | Arkansas | $151.41 | $126.85 to $173.15 | 142%Medicare $106.93 | Detail |
| 11104CPT 11104 | Arizona | $159.31 | $128.91 to $204.15 | 135%Medicare $117.99 | Detail |
| 11104CPT 11104 | California | $177.09 | $152.37 to $217.66 | 129%Medicare $137.55 | Detail |
| 11104CPT 11104 | Colorado | $178.40 | $154.88 to $210.89 | 141%Medicare $126.75 | Detail |
| 11104CPT 11104 | Connecticut | $207.79 | $176.44 to $249.05 | 161%Medicare $129.44 | Detail |
| 11104CPT 11104 | Delaware | $168.86 | $145.78 to $203.95 | 141%Medicare $119.98 | Detail |
| 11104CPT 11104 | Florida | $162.09 | $130.98 to $209.21 | 130%Medicare $124.40 | Detail |
| 11104CPT 11104 | Georgia | $190.89 | $153.58 to $237.98 | 162%Medicare $117.68 | Detail |
| 11104CPT 11104 | Idaho | $185.66 | $160.67 to $214.22 | 165%Medicare $112.37 | Detail |
| 11104CPT 11104 | Illinois | $179.59 | $141.27 to $217.36 | 148%Medicare $121.00 | Detail |
| 11104CPT 11104 | Indiana | $154.62 | $133.28 to $177.39 | 137%Medicare $113.04 | Detail |
| 11104CPT 11104 | Kansas | $156.19 | $139.76 to $183.46 | 141%Medicare $111.00 | Detail |
| 11104CPT 11104 | Kentucky | $144.86 | $118.17 to $184.35 | 131%Medicare $110.87 | Detail |
| 11104CPT 11104 | Louisiana | $142.05 | $115.09 to $175.95 | 125%Medicare $113.45 | Detail |
| 11104CPT 11104 | Massachusetts | $197.56 | $162.62 to $264.55 | 149%Medicare $132.81 | Detail |
| 11104CPT 11104 | Maryland | $155.77 | $129.72 to $184.76 | 124%Medicare $125.71 | Detail |
| 11104CPT 11104 | Maine | $180.67 | $158.56 to $232.95 | 156%Medicare $116.06 | Detail |
| 11104CPT 11104 | Minnesota | $202.40 | $165.76 to $233.74 | 166%Medicare $121.77 | Detail |
| 11104CPT 11104 | Missouri | $157.63 | $132.28 to $197.21 | 139%Medicare $113.69 | Detail |
| 11104CPT 11104 | Mississippi | $157.42 | $113.73 to $187.30 | 146%Medicare $107.79 | Detail |
| 11104CPT 11104 | North Carolina | $196.73 | $157.76 to $247.90 | 172%Medicare $114.05 | Detail |
| 11104CPT 11104 | New Hampshire | $216.34 | $168.22 to $267.14 | 174%Medicare $124.61 | Detail |
| 11104CPT 11104 | New Jersey | $179.00 | $144.19 to $241.96 | 133%Medicare $134.38 | Detail |
| 11104CPT 11104 | New Mexico | $169.00 | $141.78 to $196.89 | 148%Medicare $114.28 | Detail |
| 11104CPT 11104 | Nevada | $158.87 | $130.74 to $194.64 | 131%Medicare $120.83 | Detail |
| 11104CPT 11104 | New York | $202.22 | $151.70 to $300.53 | 151%Medicare $134.15 | Detail |
| 11104CPT 11104 | Ohio | $166.41 | $134.30 to $204.01 | 147%Medicare $113.34 | Detail |
| 11104CPT 11104 | Oklahoma | $146.89 | $131.42 to $176.26 | 133%Medicare $110.82 | Detail |
| 11104CPT 11104 | Oregon | $248.43 | $207.01 to $291.41 | 198%Medicare $125.51 | Detail |
| 11104CPT 11104 | Pennsylvania | $158.81 | $135.10 to $197.04 | 133%Medicare $119.82 | Detail |
| 11104CPT 11104 | Rhode Island | $208.72 | $149.78 to $256.25 | 168%Medicare $124.44 | Detail |
| 11104CPT 11104 | South Carolina | $167.16 | $148.13 to $195.57 | 147%Medicare $113.86 | Detail |
| 11104CPT 11104 | Tennessee | $150.82 | $120.77 to $185.71 | 135%Medicare $111.56 | Detail |
| 11104CPT 11104 | Texas | $161.98 | $132.43 to $208.70 | 135%Medicare $119.77 | Detail |
| 11104CPT 11104 | Utah | $159.88 | $143.27 to $194.29 | 138%Medicare $115.47 | Detail |
| 11104CPT 11104 | Virginia | $156.22 | $132.06 to $192.31 | 131%Medicare $118.81 | Detail |
| 11104CPT 11104 | Vermont | $149.37 | $137.47 to $187.72 | 126%Medicare $118.85 | Detail |
| 11104CPT 11104 | Washington | $219.18 | $160.58 to $315.42 | 163%Medicare $134.23 | Detail |
| 11104CPT 11104 | Wisconsin | $182.18 | $140.56 to $221.04 | 158%Medicare $115.34 | Detail |
| 11104CPT 11104 | West Virginia | $136.88 | $118.93 to $191.59 | 124%Medicare $110.60 | Detail |
| 11104CPT 11104 | Wyoming | $221.94 | $171.97 to $276.03 | 184%Medicare $120.46 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Alabama | $77.99 | $65.58 to $101.55 | 126%Medicare $62.08 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Arkansas | $94.18 | $71.78 to $102.53 | 154%Medicare $61.24 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Arizona | $83.70 | $66.08 to $108.94 | 125%Medicare $66.98 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | California | $89.13 | $76.44 to $108.53 | 119%Medicare $74.84 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Colorado | $90.91 | $78.40 to $107.81 | 129%Medicare $70.64 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Connecticut | $110.64 | $92.48 to $135.01 | 151%Medicare $73.22 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Delaware | $87.23 | $77.60 to $107.40 | 128%Medicare $68.03 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Florida | $85.53 | $67.97 to $111.43 | 117%Medicare $73.05 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Georgia | $101.65 | $81.20 to $142.10 | 150%Medicare $67.92 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Idaho | $91.78 | $82.36 to $105.26 | 145%Medicare $63.42 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Illinois | $102.72 | $78.97 to $120.78 | 144%Medicare $71.54 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Indiana | $82.61 | $69.71 to $99.78 | 130%Medicare $63.75 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Kansas | $82.97 | $69.14 to $95.51 | 132%Medicare $62.93 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Kentucky | $86.34 | $69.27 to $104.51 | 135%Medicare $64.14 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Louisiana | $83.58 | $71.15 to $107.13 | 127%Medicare $65.64 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Massachusetts | $100.03 | $86.30 to $136.92 | 136%Medicare $73.65 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Maryland | $80.14 | $65.43 to $96.35 | 113%Medicare $71.12 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Maine | $94.79 | $84.80 to $115.22 | 145%Medicare $65.45 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Minnesota | $107.74 | $94.70 to $119.17 | 161%Medicare $66.87 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Missouri | $82.94 | $70.86 to $103.90 | 127%Medicare $65.55 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Mississippi | $90.23 | $65.43 to $104.25 | 145%Medicare $62.29 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | North Carolina | $102.04 | $82.13 to $128.77 | 158%Medicare $64.64 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | New Hampshire | $116.09 | $95.35 to $143.89 | 166%Medicare $69.85 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | New Jersey | $91.22 | $73.02 to $124.83 | 121%Medicare $75.37 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | New Mexico | $93.22 | $76.50 to $111.86 | 140%Medicare $66.46 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Nevada | $81.75 | $67.80 to $104.35 | 120%Medicare $68.12 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | New York | $107.33 | $79.04 to $164.28 | 141%Medicare $76.07 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Ohio | $94.93 | $77.12 to $112.85 | 145%Medicare $65.47 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Oklahoma | $79.12 | $71.12 to $94.34 | 124%Medicare $63.69 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Oregon | $126.05 | $104.02 to $146.65 | 180%Medicare $69.88 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Pennsylvania | $83.54 | $71.01 to $105.09 | 122%Medicare $68.55 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Rhode Island | $113.22 | $94.94 to $129.71 | 162%Medicare $70.10 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | South Carolina | $87.42 | $77.61 to $103.72 | 134%Medicare $65.21 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Tennessee | $84.42 | $66.44 to $104.16 | 133%Medicare $63.27 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Texas | $87.65 | $71.25 to $109.79 | 129%Medicare $68.04 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Utah | $87.91 | $76.06 to $105.89 | 133%Medicare $66.04 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Virginia | $81.09 | $67.49 to $100.64 | 121%Medicare $66.87 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Vermont | $103.82 | $83.65 to $120.62 | 157%Medicare $66.27 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Washington | $112.17 | $82.34 to $154.49 | 151%Medicare $74.12 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Wisconsin | $128.03 | $74.31 to $153.49 | 200%Medicare $64.17 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | West Virginia | $92.18 | $65.84 to $111.68 | 141%Medicare $65.60 | Detail |
| 20610Joint or bursa injection or aspiration, major joint | Wyoming | $113.55 | $89.76 to $137.85 | 168%Medicare $67.68 | Detail |
| 20611CPT 20611 | Alabama | $113.78 | $98.80 to $144.19 | 121%Medicare $94.21 | Detail |
| 20611CPT 20611 | Arkansas | $135.52 | $105.53 to $153.75 | 146%Medicare $92.95 | Detail |
| 20611CPT 20611 | Arizona | $126.70 | $99.31 to $163.05 | 125%Medicare $101.56 | Detail |
| 20611CPT 20611 | California | $128.59 | $111.40 to $157.21 | 112%Medicare $115.04 | Detail |
| 20611CPT 20611 | Colorado | $134.26 | $117.60 to $159.82 | 125%Medicare $107.70 | Detail |
| 20611CPT 20611 | Connecticut | $165.92 | $137.71 to $205.38 | 150%Medicare $110.82 | Detail |
| 20611CPT 20611 | Delaware | $129.13 | $113.47 to $161.70 | 125%Medicare $103.15 | Detail |
| 20611CPT 20611 | Florida | $127.22 | $101.61 to $165.70 | 117%Medicare $108.85 | Detail |
| 20611CPT 20611 | Georgia | $152.16 | $120.75 to $199.60 | 149%Medicare $102.25 | Detail |
| 20611CPT 20611 | Idaho | $142.04 | $122.92 to $159.34 | 147%Medicare $96.64 | Detail |
| 20611CPT 20611 | Illinois | $152.32 | $115.66 to $177.34 | 143%Medicare $106.44 | Detail |
| 20611CPT 20611 | Indiana | $119.05 | $104.19 to $144.32 | 123%Medicare $97.15 | Detail |
| 20611CPT 20611 | Kansas | $123.18 | $106.04 to $144.10 | 129%Medicare $95.77 | Detail |
| 20611CPT 20611 | Kentucky | $118.29 | $99.07 to $146.28 | 122%Medicare $96.73 | Detail |
| 20611CPT 20611 | Louisiana | $125.44 | $107.61 to $156.94 | 127%Medicare $98.88 | Detail |
| 20611CPT 20611 | Massachusetts | $152.96 | $127.82 to $209.15 | 136%Medicare $112.38 | Detail |
| 20611CPT 20611 | Maryland | $119.40 | $98.81 to $143.54 | 111%Medicare $107.75 | Detail |
| 20611CPT 20611 | Maine | $141.22 | $125.28 to $178.80 | 142%Medicare $99.62 | Detail |
| 20611CPT 20611 | Minnesota | $144.47 | $125.93 to $182.95 | 141%Medicare $102.77 | Detail |
| 20611CPT 20611 | Missouri | $123.30 | $104.92 to $153.56 | 125%Medicare $98.89 | Detail |
| 20611CPT 20611 | Mississippi | $133.62 | $100.03 to $152.14 | 142%Medicare $94.12 | Detail |
| 20611CPT 20611 | North Carolina | $151.66 | $122.23 to $192.19 | 154%Medicare $98.25 | Detail |
| 20611CPT 20611 | New Hampshire | $171.26 | $146.61 to $216.12 | 161%Medicare $106.24 | Detail |
| 20611CPT 20611 | New Jersey | $135.71 | $109.77 to $185.92 | 119%Medicare $114.47 | Detail |
| 20611CPT 20611 | New Mexico | $132.96 | $111.07 to $154.18 | 133%Medicare $99.86 | Detail |
| 20611CPT 20611 | Nevada | $119.58 | $97.85 to $148.16 | 116%Medicare $103.49 | Detail |
| 20611CPT 20611 | New York | $160.89 | $117.54 to $249.64 | 140%Medicare $114.96 | Detail |
| 20611CPT 20611 | Ohio | $133.43 | $115.63 to $165.63 | 135%Medicare $98.70 | Detail |
| 20611CPT 20611 | Oklahoma | $116.68 | $103.66 to $135.20 | 121%Medicare $96.34 | Detail |
| 20611CPT 20611 | Oregon | $189.05 | $158.60 to $224.02 | 177%Medicare $106.62 | Detail |
| 20611CPT 20611 | Pennsylvania | $124.67 | $106.06 to $152.34 | 120%Medicare $103.55 | Detail |
| 20611CPT 20611 | Rhode Island | $174.65 | $147.05 to $198.48 | 164%Medicare $106.49 | Detail |
| 20611CPT 20611 | South Carolina | $126.13 | $113.53 to $152.90 | 128%Medicare $98.66 | Detail |
| 20611CPT 20611 | Tennessee | $123.63 | $101.48 to $153.72 | 128%Medicare $96.24 | Detail |
| 20611CPT 20611 | Texas | $126.48 | $103.36 to $163.44 | 123%Medicare $103.09 | Detail |
| 20611CPT 20611 | Utah | $122.00 | $114.36 to $156.10 | 122%Medicare $99.91 | Detail |
| 20611CPT 20611 | Virginia | $120.61 | $100.86 to $149.83 | 119%Medicare $101.75 | Detail |
| 20611CPT 20611 | Vermont | $145.08 | $137.03 to $172.84 | 143%Medicare $101.26 | Detail |
| 20611CPT 20611 | Washington | $165.08 | $122.30 to $237.46 | 146%Medicare $113.28 | Detail |
| 20611CPT 20611 | Wisconsin | $196.58 | $112.96 to $236.31 | 200%Medicare $98.30 | Detail |
| 20611CPT 20611 | West Virginia | $139.57 | $100.53 to $151.70 | 143%Medicare $97.87 | Detail |
| 20611CPT 20611 | Wyoming | $174.04 | $135.15 to $209.79 | 169%Medicare $103.00 | Detail |
| 45378CPT 45378 | Alabama | $437.36 | $360.75 to $571.68 | 129%Medicare $339.88 | Detail |
| 45378CPT 45378 | Arkansas | $509.37 | $393.93 to $563.82 | 152%Medicare $335.05 | Detail |
| 45378CPT 45378 | Arizona | $443.45 | $361.89 to $571.97 | 120%Medicare $368.12 | Detail |
| 45378CPT 45378 | California | $503.32 | $433.27 to $593.40 | 119%Medicare $422.96 | Detail |
| 45378CPT 45378 | Colorado | $492.40 | $429.44 to $587.19 | 125%Medicare $392.90 | Detail |
| 45378CPT 45378 | Connecticut | $614.64 | $521.53 to $755.10 | 153%Medicare $402.98 | Detail |
| 45378CPT 45378 | Delaware | $469.56 | $399.38 to $538.12 | 126%Medicare $374.15 | Detail |
| 45378CPT 45378 | Florida | $464.33 | $374.52 to $588.54 | 118%Medicare $391.92 | Detail |
| 45378CPT 45378 | Georgia | $558.41 | $454.44 to $731.93 | 151%Medicare $369.07 | Detail |
| 45378CPT 45378 | Iowa | $428.20 | $417.43 to $767.10 | 123%Medicare $347.89 | Detail |
| 45378CPT 45378 | Idaho | $499.89 | $448.63 to $560.78 | 143%Medicare $350.23 | Detail |
| 45378CPT 45378 | Illinois | $534.83 | $437.65 to $642.61 | 140%Medicare $382.23 | Detail |
| 45378CPT 45378 | Indiana | $455.76 | $380.32 to $538.54 | 129%Medicare $352.21 | Detail |
| 45378CPT 45378 | Kansas | $448.54 | $396.84 to $522.60 | 129%Medicare $346.52 | Detail |
| 45378CPT 45378 | Kentucky | $387.34 | $248.23 to $516.16 | 111%Medicare $348.28 | Detail |
| 45378CPT 45378 | Louisiana | $436.66 | $347.93 to $533.47 | 123%Medicare $356.28 | Detail |
| 45378CPT 45378 | Massachusetts | $562.14 | $464.58 to $767.48 | 137%Medicare $410.87 | Detail |
| 45378CPT 45378 | Maryland | $435.10 | $357.74 to $522.59 | 111%Medicare $391.51 | Detail |
| 45378CPT 45378 | Maine | $525.57 | $466.17 to $636.80 | 145%Medicare $361.50 | Detail |
| 45378CPT 45378 | Minnesota | $575.10 | $493.88 to $638.70 | 153%Medicare $375.94 | Detail |
| 45378CPT 45378 | Missouri | $453.60 | $385.07 to $575.25 | 127%Medicare $356.62 | Detail |
| 45378CPT 45378 | Mississippi | $473.39 | $362.48 to $569.05 | 140%Medicare $338.64 | Detail |
| 45378CPT 45378 | Montana | $452.43 | $267.63 to $535.79 | 120%Medicare $378.07 | Detail |
| 45378CPT 45378 | North Carolina | $564.34 | $439.45 to $692.67 | 159%Medicare $355.86 | Detail |
| 45378CPT 45378 | Nebraska | $543.28 | $366.82 to $657.49 | 155%Medicare $349.70 | Detail |
| 45378CPT 45378 | New Hampshire | $626.06 | $534.02 to $754.43 | 162%Medicare $386.97 | Detail |
| 45378CPT 45378 | New Jersey | $499.34 | $398.02 to $684.59 | 120%Medicare $417.23 | Detail |
| 45378CPT 45378 | New Mexico | $489.14 | $404.17 to $586.96 | 136%Medicare $359.42 | Detail |
| 45378CPT 45378 | Nevada | $440.11 | $362.56 to $548.90 | 117%Medicare $376.07 | Detail |
| 45378CPT 45378 | New York | $597.18 | $439.95 to $981.94 | 143%Medicare $417.90 | Detail |
| 45378CPT 45378 | Ohio | $498.83 | $416.69 to $604.77 | 140%Medicare $355.75 | Detail |
| 45378CPT 45378 | Oklahoma | $424.38 | $374.08 to $501.74 | 122%Medicare $347.42 | Detail |
| 45378CPT 45378 | Oregon | $671.65 | $556.94 to $807.68 | 173%Medicare $388.98 | Detail |
| 45378CPT 45378 | Pennsylvania | $457.35 | $389.41 to $561.79 | 122%Medicare $374.71 | Detail |
| 45378CPT 45378 | Rhode Island | $592.03 | $528.76 to $696.51 | 153%Medicare $387.16 | Detail |
| 45378CPT 45378 | South Carolina | $489.97 | $422.36 to $562.45 | 137%Medicare $356.42 | Detail |
| 45378CPT 45378 | Tennessee | $448.23 | $364.20 to $552.86 | 129%Medicare $348.26 | Detail |
| 45378CPT 45378 | Texas | $470.35 | $399.54 to $596.54 | 126%Medicare $373.71 | Detail |
| 45378CPT 45378 | Utah | $490.97 | $406.56 to $564.96 | 136%Medicare $361.21 | Detail |
| 45378CPT 45378 | Virginia | $449.16 | $379.10 to $549.02 | 121%Medicare $369.68 | Detail |
| 45378CPT 45378 | Vermont | $547.29 | $477.66 to $586.30 | 148%Medicare $368.75 | Detail |
| 45378CPT 45378 | Washington | $605.47 | $434.20 to $842.52 | 146%Medicare $414.70 | Detail |
| 45378CPT 45378 | Wisconsin | $713.72 | $467.87 to $867.23 | 199%Medicare $357.78 | Detail |
| 45378CPT 45378 | West Virginia | $486.62 | $345.35 to $612.81 | 139%Medicare $350.18 | Detail |
| 45378CPT 45378 | Wyoming | $614.25 | $496.91 to $737.59 | 164%Medicare $374.54 | Detail |
| 45380CPT 45380 | Alabama | $521.81 | $431.16 to $721.36 | 121%Medicare $430.13 | Detail |
| 45380CPT 45380 | Arkansas | $623.58 | $490.61 to $696.59 | 147%Medicare $423.81 | Detail |
| 45380CPT 45380 | Arizona | $563.34 | $452.60 to $709.37 | 121%Medicare $467.10 | Detail |
| 45380CPT 45380 | California | $622.35 | $533.90 to $740.28 | 115%Medicare $541.86 | Detail |
| 45380CPT 45380 | Colorado | $624.51 | $543.66 to $736.03 | 125%Medicare $500.69 | Detail |
| 45380CPT 45380 | Connecticut | $768.80 | $643.84 to $955.77 | 150%Medicare $512.19 | Detail |
| 45380CPT 45380 | Delaware | $581.40 | $504.62 to $674.26 | 122%Medicare $474.93 | Detail |
| 45380CPT 45380 | Florida | $581.38 | $468.40 to $731.40 | 118%Medicare $494.42 | Detail |
| 45380CPT 45380 | Georgia | $697.60 | $557.01 to $914.00 | 149%Medicare $466.80 | Detail |
| 45380CPT 45380 | Idaho | $644.87 | $562.43 to $723.41 | 145%Medicare $444.57 | Detail |
| 45380CPT 45380 | Illinois | $676.81 | $529.03 to $808.11 | 141%Medicare $481.34 | Detail |
| 45380CPT 45380 | Indiana | $569.52 | $484.09 to $684.61 | 127%Medicare $447.21 | Detail |
| 45380CPT 45380 | Kansas | $559.69 | $507.30 to $652.79 | 127%Medicare $439.41 | Detail |
| 45380CPT 45380 | Kentucky | $578.15 | $464.20 to $693.20 | 131%Medicare $439.92 | Detail |
| 45380CPT 45380 | Louisiana | $553.86 | $437.66 to $681.93 | 123%Medicare $450.18 | Detail |
| 45380CPT 45380 | Massachusetts | $715.64 | $584.59 to $978.64 | 136%Medicare $524.31 | Detail |
| 45380CPT 45380 | Maryland | $550.54 | $442.98 to $653.76 | 111%Medicare $497.44 | Detail |
| 45380CPT 45380 | Maine | $661.72 | $598.39 to $821.16 | 144%Medicare $459.15 | Detail |
| 45380CPT 45380 | Minnesota | $701.21 | $601.58 to $821.72 | 146%Medicare $480.25 | Detail |
| 45380CPT 45380 | Missouri | $575.50 | $484.31 to $695.60 | 128%Medicare $450.93 | Detail |
| 45380CPT 45380 | Mississippi | $601.82 | $446.42 to $687.20 | 141%Medicare $427.65 | Detail |
| 45380CPT 45380 | North Carolina | $699.60 | $547.23 to $868.89 | 155%Medicare $451.45 | Detail |
| 45380CPT 45380 | New Hampshire | $801.25 | $679.75 to $990.62 | 163%Medicare $492.57 | Detail |
| 45380CPT 45380 | New Jersey | $621.04 | $504.78 to $839.99 | 117%Medicare $531.20 | Detail |
| 45380CPT 45380 | New Mexico | $611.09 | $508.48 to $727.60 | 135%Medicare $453.74 | Detail |
| 45380CPT 45380 | Nevada | $552.17 | $460.98 to $700.93 | 116%Medicare $477.98 | Detail |
| 45380CPT 45380 | New York | $734.40 | $560.50 to $1,128.54 | 138%Medicare $530.98 | Detail |
| 45380CPT 45380 | Ohio | $629.48 | $517.07 to $764.37 | 140%Medicare $449.63 | Detail |
| 45380CPT 45380 | Oklahoma | $530.10 | $478.67 to $623.47 | 121%Medicare $439.39 | Detail |
| 45380CPT 45380 | Oregon | $859.41 | $714.16 to $1,018.70 | 173%Medicare $495.75 | Detail |
| 45380CPT 45380 | Pennsylvania | $563.12 | $487.06 to $683.99 | 119%Medicare $474.81 | Detail |
| 45380CPT 45380 | Rhode Island | $754.65 | $690.21 to $889.65 | 153%Medicare $492.21 | Detail |
| 45380CPT 45380 | South Carolina | $585.95 | $521.34 to $688.73 | 130%Medicare $451.26 | Detail |
| 45380CPT 45380 | Tennessee | $564.71 | $469.58 to $695.60 | 128%Medicare $441.62 | Detail |
| 45380CPT 45380 | Texas | $585.62 | $496.19 to $744.48 | 124%Medicare $474.18 | Detail |
| 45380CPT 45380 | Utah | $602.96 | $493.60 to $678.11 | 132%Medicare $457.54 | Detail |
| 45380CPT 45380 | Virginia | $563.04 | $476.04 to $676.61 | 120%Medicare $469.90 | Detail |
| 45380CPT 45380 | Washington | $755.06 | $561.75 to $1,082.23 | 143%Medicare $529.67 | Detail |
| 45380CPT 45380 | Wisconsin | $908.69 | $578.09 to $1,097.28 | 199%Medicare $455.56 | Detail |
| 45380CPT 45380 | West Virginia | $613.16 | $435.58 to $770.28 | 139%Medicare $440.16 | Detail |
| 45380CPT 45380 | Wyoming | $792.33 | $604.39 to $930.56 | 166%Medicare $476.32 | Detail |
| 45381CPT 45381 | Alabama | $526.39 | $436.16 to $718.89 | 120%Medicare $439.19 | Detail |
| 45381CPT 45381 | Arkansas | $611.50 | $488.64 to $691.59 | 141%Medicare $432.71 | Detail |
| 45381CPT 45381 | Arizona | $562.02 | $454.73 to $723.17 | 118%Medicare $477.13 | Detail |
| 45381CPT 45381 | California | $615.86 | $532.36 to $726.62 | 111%Medicare $554.11 | Detail |
| 45381CPT 45381 | Colorado | $623.48 | $542.76 to $739.29 | 122%Medicare $511.71 | Detail |
| 45381CPT 45381 | Connecticut | $767.46 | $647.13 to $969.96 | 147%Medicare $523.34 | Detail |
| 45381CPT 45381 | Delaware | $583.19 | $494.83 to $686.19 | 120%Medicare $485.16 | Detail |
| 45381CPT 45381 | Florida | $577.75 | $460.66 to $732.56 | 114%Medicare $504.81 | Detail |
| 45381CPT 45381 | Georgia | $675.12 | $545.38 to $897.96 | 142%Medicare $476.68 | Detail |
| 45381CPT 45381 | Idaho | $647.31 | $562.60 to $729.30 | 143%Medicare $454.10 | Detail |
| 45381CPT 45381 | Illinois | $678.37 | $523.38 to $822.88 | 138%Medicare $491.35 | Detail |
| 45381CPT 45381 | Indiana | $581.39 | $492.43 to $681.92 | 127%Medicare $456.81 | Detail |
| 45381CPT 45381 | Kansas | $560.32 | $501.47 to $641.90 | 125%Medicare $448.77 | Detail |
| 45381CPT 45381 | Kentucky | $559.37 | $460.52 to $688.23 | 125%Medicare $449.13 | Detail |
| 45381CPT 45381 | Louisiana | $543.25 | $444.89 to $685.07 | 118%Medicare $459.63 | Detail |
| 45381CPT 45381 | Massachusetts | $723.89 | $592.67 to $998.63 | 135%Medicare $535.94 | Detail |
| 45381CPT 45381 | Maryland | $552.81 | $450.50 to $656.16 | 109%Medicare $508.24 | Detail |
| 45381CPT 45381 | Maine | $673.68 | $597.23 to $828.06 | 144%Medicare $469.05 | Detail |
| 45381CPT 45381 | Minnesota | $678.05 | $581.56 to $838.23 | 138%Medicare $490.90 | Detail |
| 45381CPT 45381 | Missouri | $566.37 | $484.81 to $699.66 | 123%Medicare $460.43 | Detail |
| 45381CPT 45381 | Mississippi | $609.91 | $451.23 to $688.24 | 140%Medicare $436.57 | Detail |
| 45381CPT 45381 | North Carolina | $696.07 | $542.52 to $878.61 | 151%Medicare $461.11 | Detail |
| 45381CPT 45381 | New Hampshire | $816.99 | $694.62 to $988.08 | 162%Medicare $503.35 | Detail |
| 45381CPT 45381 | New Jersey | $611.87 | $505.41 to $846.41 | 113%Medicare $542.86 | Detail |
| 45381CPT 45381 | New Mexico | $612.70 | $512.69 to $724.33 | 132%Medicare $463.23 | Detail |
| 45381CPT 45381 | Nevada | $547.70 | $460.88 to $702.06 | 112%Medicare $488.34 | Detail |
| 45381CPT 45381 | New York | $729.41 | $534.85 to $1,199.37 | 134%Medicare $542.53 | Detail |
| 45381CPT 45381 | Ohio | $624.82 | $525.92 to $779.15 | 136%Medicare $459.08 | Detail |
| 45381CPT 45381 | Oklahoma | $522.91 | $466.89 to $619.01 | 117%Medicare $448.63 | Detail |
| 45381CPT 45381 | Oregon | $862.15 | $719.43 to $1,020.41 | 170%Medicare $506.66 | Detail |
| 45381CPT 45381 | Pennsylvania | $569.99 | $484.92 to $680.92 | 118%Medicare $484.95 | Detail |
| 45381CPT 45381 | Rhode Island | $770.80 | $696.21 to $885.18 | 153%Medicare $502.91 | Detail |
| 45381CPT 45381 | South Carolina | $585.65 | $511.80 to $702.02 | 127%Medicare $460.83 | Detail |
| 45381CPT 45381 | Tennessee | $560.13 | $469.09 to $690.50 | 124%Medicare $451.03 | Detail |
| 45381CPT 45381 | Texas | $588.24 | $494.96 to $745.85 | 121%Medicare $484.38 | Detail |
| 45381CPT 45381 | Utah | $589.00 | $503.66 to $687.49 | 126%Medicare $467.27 | Detail |
| 45381CPT 45381 | Virginia | $557.14 | $475.51 to $676.80 | 116%Medicare $480.07 | Detail |
| 45381CPT 45381 | Vermont | $675.96 | $621.33 to $751.98 | 141%Medicare $479.79 | Detail |
| 45381CPT 45381 | Washington | $752.48 | $564.58 to $1,064.52 | 139%Medicare $541.47 | Detail |
| 45381CPT 45381 | Wisconsin | $927.06 | $555.90 to $1,120.31 | 199%Medicare $465.48 | Detail |
| 45381CPT 45381 | West Virginia | $611.29 | $444.11 to $696.20 | 136%Medicare $449.16 | Detail |
| 45381CPT 45381 | Wyoming | $788.81 | $612.60 to $932.58 | 162%Medicare $486.68 | Detail |
| 52000CPT 52000 | Alabama | $237.84 | $209.30 to $288.15 | 123%Medicare $192.96 | Detail |
| 52000CPT 52000 | Arkansas | $279.28 | $220.58 to $340.75 | 147%Medicare $190.07 | Detail |
| 52000CPT 52000 | Arizona | $280.00 | $219.61 to $352.14 | 133%Medicare $209.87 | Detail |
| 52000CPT 52000 | California | $294.34 | $251.98 to $359.71 | 121%Medicare $243.70 | Detail |
| 52000CPT 52000 | Colorado | $315.00 | $268.52 to $370.01 | 140%Medicare $225.10 | Detail |
| 52000CPT 52000 | Connecticut | $370.71 | $312.09 to $466.08 | 161%Medicare $230.44 | Detail |
| 52000CPT 52000 | Delaware | $272.82 | $231.48 to $369.43 | 128%Medicare $213.43 | Detail |
| 52000CPT 52000 | Florida | $282.92 | $222.62 to $368.21 | 127%Medicare $222.63 | Detail |
| 52000CPT 52000 | Georgia | $313.34 | $253.21 to $436.12 | 149%Medicare $209.83 | Detail |
| 52000CPT 52000 | Idaho | $328.20 | $290.64 to $376.75 | 165%Medicare $199.50 | Detail |
| 52000CPT 52000 | Illinois | $311.78 | $255.92 to $385.24 | 144%Medicare $216.66 | Detail |
| 52000CPT 52000 | Indiana | $267.24 | $232.97 to $326.63 | 133%Medicare $200.71 | Detail |
| 52000CPT 52000 | Kansas | $275.09 | $238.72 to $333.65 | 140%Medicare $197.16 | Detail |
| 52000CPT 52000 | Kentucky | $256.44 | $216.39 to $328.72 | 130%Medicare $197.52 | Detail |
| 52000CPT 52000 | Louisiana | $262.83 | $228.49 to $333.82 | 130%Medicare $202.22 | Detail |
| 52000CPT 52000 | Massachusetts | $353.27 | $291.12 to $504.06 | 150%Medicare $235.81 | Detail |
| 52000CPT 52000 | Maryland | $271.90 | $224.42 to $323.87 | 122%Medicare $223.70 | Detail |
| 52000CPT 52000 | Maine | $340.89 | $289.22 to $426.68 | 165%Medicare $206.19 | Detail |
| 52000CPT 52000 | Minnesota | $317.94 | $268.79 to $450.55 | 147%Medicare $215.69 | Detail |
| 52000CPT 52000 | Missouri | $275.45 | $236.52 to $341.60 | 136%Medicare $202.55 | Detail |
| 52000CPT 52000 | Mississippi | $283.47 | $223.58 to $337.42 | 148%Medicare $191.88 | Detail |
| 52000CPT 52000 | North Carolina | $332.17 | $267.73 to $447.49 | 164%Medicare $202.68 | Detail |
| 52000CPT 52000 | New Hampshire | $372.86 | $300.81 to $494.11 | 168%Medicare $221.47 | Detail |
| 52000CPT 52000 | New Jersey | $298.69 | $243.28 to $419.57 | 125%Medicare $238.96 | Detail |
| 52000CPT 52000 | New Mexico | $304.97 | $259.54 to $360.59 | 150%Medicare $203.89 | Detail |
| 52000CPT 52000 | Nevada | $274.38 | $217.21 to $346.03 | 128%Medicare $214.81 | Detail |
| 52000CPT 52000 | New York | $363.15 | $259.71 to $547.78 | 152%Medicare $238.95 | Detail |
| 52000CPT 52000 | Ohio | $300.22 | $241.06 to $364.84 | 149%Medicare $201.96 | Detail |
| 52000CPT 52000 | Oklahoma | $266.33 | $227.77 to $306.45 | 135%Medicare $197.23 | Detail |
| 52000CPT 52000 | Oregon | $436.56 | $358.21 to $528.34 | 196%Medicare $222.84 | Detail |
| 52000CPT 52000 | Pennsylvania | $269.69 | $232.32 to $334.85 | 126%Medicare $213.42 | Detail |
| 52000CPT 52000 | Rhode Island | $391.82 | $339.60 to $471.73 | 177%Medicare $221.25 | Detail |
| 52000CPT 52000 | South Carolina | $283.82 | $247.37 to $366.86 | 140%Medicare $202.66 | Detail |
| 52000CPT 52000 | Tennessee | $262.58 | $217.30 to $321.71 | 132%Medicare $198.18 | Detail |
| 52000CPT 52000 | Texas | $287.19 | $239.75 to $359.26 | 135%Medicare $213.10 | Detail |
| 52000CPT 52000 | Utah | $282.64 | $255.68 to $368.53 | 138%Medicare $205.53 | Detail |
| 52000CPT 52000 | Virginia | $270.79 | $229.29 to $330.64 | 128%Medicare $211.10 | Detail |
| 52000CPT 52000 | Vermont | $306.86 | $275.98 to $328.90 | 146%Medicare $210.88 | Detail |
| 52000CPT 52000 | Washington | $375.55 | $269.26 to $542.70 | 158%Medicare $238.23 | Detail |
| 52000CPT 52000 | Wisconsin | $358.78 | $262.84 to $424.12 | 175%Medicare $204.46 | Detail |
| 52000CPT 52000 | West Virginia | $276.89 | $218.42 to $351.86 | 140%Medicare $197.78 | Detail |
| 52000CPT 52000 | Wyoming | $383.19 | $306.88 to $475.37 | 179%Medicare $214.03 | Detail |
| 52204CPT 52204 | Alabama | $418.49 | $371.82 to $564.43 | 132%Medicare $318.02 | Detail |
| 52204CPT 52204 | Arkansas | $518.93 | $414.77 to $644.16 | 166%Medicare $313.28 | Detail |
| 52204CPT 52204 | Arizona | $528.33 | $399.18 to $697.42 | 153%Medicare $345.70 | Detail |
| 52204CPT 52204 | California | $589.91 | $482.43 to $734.19 | 147%Medicare $400.78 | Detail |
| 52204CPT 52204 | Colorado | $546.03 | $467.49 to $655.33 | 147%Medicare $370.52 | Detail |
| 52204CPT 52204 | Connecticut | $693.44 | $540.44 to $836.06 | 183%Medicare $379.44 | Detail |
| 52204CPT 52204 | Delaware | $552.57 | $449.71 to $701.88 | 157%Medicare $351.55 | Detail |
| 52204CPT 52204 | Florida | $506.01 | $401.15 to $679.96 | 138%Medicare $367.00 | Detail |
| 52204CPT 52204 | Georgia | $615.97 | $487.02 to $795.63 | 178%Medicare $345.81 | Detail |
| 52204CPT 52204 | Idaho | $567.87 | $509.63 to $655.23 | 173%Medicare $328.64 | Detail |
| 52204CPT 52204 | Illinois | $537.71 | $417.45 to $641.09 | 151%Medicare $357.27 | Detail |
| 52204CPT 52204 | Indiana | $485.40 | $408.75 to $610.10 | 147%Medicare $330.60 | Detail |
| 52204CPT 52204 | Kansas | $491.06 | $415.69 to $580.75 | 151%Medicare $324.84 | Detail |
| 52204CPT 52204 | Kentucky | $522.60 | $409.33 to $674.74 | 160%Medicare $325.61 | Detail |
| 52204CPT 52204 | Louisiana | $479.36 | $381.04 to $579.50 | 144%Medicare $333.34 | Detail |
| 52204CPT 52204 | Massachusetts | $609.60 | $505.45 to $816.03 | 157%Medicare $388.07 | Detail |
| 52204CPT 52204 | Maryland | $474.93 | $394.09 to $602.59 | 129%Medicare $368.39 | Detail |
| 52204CPT 52204 | Maine | $580.75 | $514.28 to $715.18 | 171%Medicare $339.60 | Detail |
| 52204CPT 52204 | Minnesota | $653.47 | $556.20 to $711.12 | 184%Medicare $354.92 | Detail |
| 52204CPT 52204 | Missouri | $489.00 | $403.61 to $640.49 | 146%Medicare $333.84 | Detail |
| 52204CPT 52204 | Mississippi | $517.00 | $389.21 to $643.78 | 163%Medicare $316.35 | Detail |
| 52204CPT 52204 | North Carolina | $660.67 | $510.87 to $828.58 | 198%Medicare $333.90 | Detail |
| 52204CPT 52204 | New Hampshire | $655.93 | $510.45 to $802.50 | 180%Medicare $364.61 | Detail |
| 52204CPT 52204 | New Jersey | $571.56 | $436.50 to $792.00 | 145%Medicare $393.38 | Detail |
| 52204CPT 52204 | New Mexico | $529.73 | $434.36 to $642.10 | 158%Medicare $336.13 | Detail |
| 52204CPT 52204 | Nevada | $494.94 | $397.68 to $617.40 | 140%Medicare $353.75 | Detail |
| 52204CPT 52204 | New York | $629.21 | $475.72 to $967.12 | 160%Medicare $393.48 | Detail |
| 52204CPT 52204 | Ohio | $532.12 | $409.46 to $642.18 | 160%Medicare $332.90 | Detail |
| 52204CPT 52204 | Oklahoma | $491.67 | $426.57 to $564.23 | 151%Medicare $325.08 | Detail |
| 52204CPT 52204 | Oregon | $741.08 | $602.58 to $887.98 | 202%Medicare $366.81 | Detail |
| 52204CPT 52204 | Pennsylvania | $509.41 | $411.10 to $680.90 | 145%Medicare $351.61 | Detail |
| 52204CPT 52204 | Rhode Island | $691.24 | $603.86 to $772.47 | 190%Medicare $364.33 | Detail |
| 52204CPT 52204 | South Carolina | $586.83 | $488.23 to $749.85 | 176%Medicare $333.96 | Detail |
| 52204CPT 52204 | Tennessee | $494.34 | $389.62 to $628.18 | 151%Medicare $326.51 | Detail |
| 52204CPT 52204 | Texas | $511.74 | $418.90 to $650.73 | 146%Medicare $351.02 | Detail |
| 52204CPT 52204 | Utah | $517.68 | $428.40 to $655.23 | 153%Medicare $338.66 | Detail |
| 52204CPT 52204 | Virginia | $494.19 | $403.31 to $636.40 | 142%Medicare $347.63 | Detail |
| 52204CPT 52204 | Vermont | $604.63 | $508.57 to $670.17 | 174%Medicare $347.18 | Detail |
| 52204CPT 52204 | Washington | $660.31 | $490.44 to $977.43 | 168%Medicare $391.98 | Detail |
| 52204CPT 52204 | Wisconsin | $584.25 | $485.69 to $699.09 | 174%Medicare $336.63 | Detail |
| 52204CPT 52204 | West Virginia | $497.58 | $355.27 to $645.30 | 153%Medicare $326.28 | Detail |
| 52204CPT 52204 | Wyoming | $666.07 | $523.18 to $847.93 | 189%Medicare $352.43 | Detail |
| 52281CPT 52281 | Alabama | $335.10 | $277.30 to $515.90 | 120%Medicare $278.98 | Detail |
| 52281CPT 52281 | Arkansas | $388.48 | $316.12 to $510.15 | 141%Medicare $275.03 | Detail |
| 52281CPT 52281 | Arizona | $413.84 | $329.07 to $513.16 | 137%Medicare $302.09 | Detail |
| 52281CPT 52281 | California | $430.99 | $367.78 to $533.69 | 124%Medicare $346.26 | Detail |
| 52281CPT 52281 | Colorado | $446.79 | $382.18 to $529.01 | 139%Medicare $322.10 | Detail |
| 52281CPT 52281 | Connecticut | $545.96 | $448.15 to $662.00 | 165%Medicare $330.68 | Detail |
| 52281CPT 52281 | Delaware | $436.03 | $338.95 to $507.33 | 142%Medicare $307.02 | Detail |
| 52281CPT 52281 | Florida | $405.34 | $326.32 to $539.96 | 126%Medicare $322.37 | Detail |
| 52281CPT 52281 | Georgia | $480.02 | $368.57 to $616.50 | 158%Medicare $303.19 | Detail |
| 52281CPT 52281 | Idaho | $481.08 | $416.32 to $539.67 | 167%Medicare $287.26 | Detail |
| 52281CPT 52281 | Illinois | $456.06 | $368.86 to $547.88 | 145%Medicare $314.52 | Detail |
| 52281CPT 52281 | Indiana | $403.37 | $344.89 to $487.89 | 140%Medicare $288.87 | Detail |
| 52281CPT 52281 | Kansas | $401.70 | $337.43 to $462.55 | 141%Medicare $284.29 | Detail |
| 52281CPT 52281 | Kentucky | $394.08 | $303.33 to $495.93 | 138%Medicare $286.10 | Detail |
| 52281CPT 52281 | Louisiana | $397.87 | $324.79 to $478.28 | 136%Medicare $292.69 | Detail |
| 52281CPT 52281 | Massachusetts | $493.16 | $413.22 to $698.63 | 146%Medicare $336.75 | Detail |
| 52281CPT 52281 | Maryland | $391.37 | $318.74 to $484.47 | 122%Medicare $321.26 | Detail |
| 52281CPT 52281 | Maine | $468.91 | $411.11 to $591.34 | 158%Medicare $296.51 | Detail |
| 52281CPT 52281 | Minnesota | $467.84 | $414.34 to $611.23 | 152%Medicare $307.88 | Detail |
| 52281CPT 52281 | Missouri | $394.35 | $331.57 to $500.08 | 135%Medicare $292.92 | Detail |
| 52281CPT 52281 | Mississippi | $421.61 | $319.28 to $487.00 | 152%Medicare $278.14 | Detail |
| 52281CPT 52281 | North Carolina | $496.78 | $412.83 to $630.09 | 170%Medicare $291.97 | Detail |
| 52281CPT 52281 | New Hampshire | $528.95 | $425.68 to $669.58 | 167%Medicare $317.35 | Detail |
| 52281CPT 52281 | New Jersey | $436.03 | $353.71 to $601.15 | 127%Medicare $342.20 | Detail |
| 52281CPT 52281 | New Mexico | $430.40 | $364.92 to $508.61 | 146%Medicare $295.38 | Detail |
| 52281CPT 52281 | Nevada | $387.51 | $313.63 to $486.18 | 126%Medicare $308.50 | Detail |
| 52281CPT 52281 | New York | $520.35 | $386.75 to $773.35 | 152%Medicare $342.99 | Detail |
| 52281CPT 52281 | Ohio | $423.73 | $354.82 to $540.62 | 145%Medicare $292.23 | Detail |
| 52281CPT 52281 | Oklahoma | $391.30 | $334.40 to $425.60 | 137%Medicare $285.28 | Detail |
| 52281CPT 52281 | Oregon | $605.78 | $513.02 to $734.20 | 190%Medicare $318.86 | Detail |
| 52281CPT 52281 | Pennsylvania | $401.06 | $339.63 to $493.51 | 130%Medicare $307.65 | Detail |
| 52281CPT 52281 | Rhode Island | $562.86 | $513.60 to $636.79 | 177%Medicare $317.59 | Detail |
| 52281CPT 52281 | South Carolina | $442.28 | $367.21 to $514.22 | 151%Medicare $292.63 | Detail |
| 52281CPT 52281 | Tennessee | $380.46 | $307.47 to $470.94 | 133%Medicare $285.73 | Detail |
| 52281CPT 52281 | Texas | $408.83 | $337.86 to $521.72 | 133%Medicare $306.70 | Detail |
| 52281CPT 52281 | Utah | $381.80 | $353.72 to $508.03 | 129%Medicare $296.54 | Detail |
| 52281CPT 52281 | Virginia | $390.87 | $327.68 to $495.48 | 129%Medicare $303.21 | Detail |
| 52281CPT 52281 | Vermont | $472.45 | $402.48 to $529.32 | 156%Medicare $302.27 | Detail |
| 52281CPT 52281 | Washington | $530.73 | $399.86 to $787.19 | 156%Medicare $339.80 | Detail |
| 52281CPT 52281 | Wisconsin | $504.31 | $359.23 to $598.00 | 172%Medicare $293.21 | Detail |
| 52281CPT 52281 | West Virginia | $417.78 | $316.94 to $543.61 | 145%Medicare $288.13 | Detail |
| 52281CPT 52281 | Wyoming | $552.12 | $426.40 to $680.88 | 180%Medicare $307.17 | Detail |
| 62320CPT 62320 | Alabama | $233.47 | $178.19 to $269.27 | 157%Medicare $148.39 | Detail |
| 62320CPT 62320 | Arkansas | $244.15 | $186.03 to $292.78 | 167%Medicare $146.46 | Detail |
| 62320CPT 62320 | Arizona | $213.32 | $170.17 to $269.64 | 134%Medicare $159.62 | Detail |
| 62320CPT 62320 | California | $229.43 | $199.01 to $278.99 | 127%Medicare $180.50 | Detail |
| 62320CPT 62320 | Colorado | $231.23 | $203.02 to $276.34 | 137%Medicare $169.10 | Detail |
| 62320CPT 62320 | Connecticut | $294.02 | $248.33 to $361.68 | 169%Medicare $173.85 | Detail |
| 62320CPT 62320 | Delaware | $218.16 | $186.89 to $262.72 | 135%Medicare $162.08 | Detail |
| 62320CPT 62320 | Florida | $220.66 | $176.02 to $290.22 | 129%Medicare $170.63 | Detail |
| 62320CPT 62320 | Georgia | $271.06 | $216.66 to $374.76 | 169%Medicare $160.63 | Detail |
| 62320CPT 62320 | Idaho | $242.47 | $215.95 to $283.58 | 159%Medicare $152.14 | Detail |
| 62320CPT 62320 | Illinois | $246.77 | $195.69 to $300.70 | 148%Medicare $166.96 | Detail |
| 62320CPT 62320 | Indiana | $209.80 | $172.85 to $249.62 | 137%Medicare $152.91 | Detail |
| 62320CPT 62320 | Kansas | $209.08 | $190.15 to $246.42 | 139%Medicare $150.79 | Detail |
| 62320CPT 62320 | Kentucky | $217.29 | $175.68 to $257.93 | 143%Medicare $152.21 | Detail |
| 62320CPT 62320 | Louisiana | $214.59 | $175.73 to $254.57 | 138%Medicare $155.48 | Detail |
| 62320CPT 62320 | Massachusetts | $255.92 | $218.01 to $356.89 | 145%Medicare $176.33 | Detail |
| 62320CPT 62320 | Maryland | $206.08 | $168.47 to $243.71 | 122%Medicare $169.13 | Detail |
| 62320CPT 62320 | Maine | $244.59 | $216.99 to $299.28 | 156%Medicare $156.69 | Detail |
| 62320CPT 62320 | Minnesota | $265.02 | $215.54 to $304.39 | 164%Medicare $161.56 | Detail |
| 62320CPT 62320 | Missouri | $213.89 | $178.24 to $263.07 | 138%Medicare $155.50 | Detail |
| 62320CPT 62320 | Mississippi | $230.59 | $165.80 to $270.36 | 156%Medicare $148.23 | Detail |
| 62320CPT 62320 | North Carolina | $261.02 | $211.48 to $325.35 | 169%Medicare $154.58 | Detail |
| 62320CPT 62320 | New Hampshire | $302.03 | $238.87 to $355.30 | 181%Medicare $166.80 | Detail |
| 62320CPT 62320 | New Jersey | $247.74 | $198.39 to $327.07 | 138%Medicare $179.60 | Detail |
| 62320CPT 62320 | New Mexico | $225.33 | $191.48 to $267.18 | 144%Medicare $156.95 | Detail |
| 62320CPT 62320 | Nevada | $209.40 | $171.62 to $259.41 | 129%Medicare $162.59 | Detail |
| 62320CPT 62320 | New York | $280.51 | $201.83 to $454.86 | 156%Medicare $180.29 | Detail |
| 62320CPT 62320 | Ohio | $232.03 | $190.90 to $279.37 | 149%Medicare $155.21 | Detail |
| 62320CPT 62320 | Oklahoma | $203.60 | $184.21 to $242.75 | 134%Medicare $151.63 | Detail |
| 62320CPT 62320 | Oregon | $319.92 | $263.21 to $377.66 | 191%Medicare $167.43 | Detail |
| 62320CPT 62320 | Pennsylvania | $214.62 | $179.22 to $267.33 | 132%Medicare $162.67 | Detail |
| 62320CPT 62320 | Rhode Island | $285.55 | $267.96 to $335.48 | 171%Medicare $167.25 | Detail |
| 62320CPT 62320 | South Carolina | $228.14 | $204.86 to $273.75 | 147%Medicare $155.17 | Detail |
| 62320CPT 62320 | Tennessee | $212.32 | $173.89 to $270.08 | 140%Medicare $151.51 | Detail |
| 62320CPT 62320 | Texas | $223.95 | $180.83 to $279.54 | 138%Medicare $161.97 | Detail |
| 62320CPT 62320 | Utah | $218.26 | $189.92 to $263.36 | 139%Medicare $157.08 | Detail |
| 62320CPT 62320 | Virginia | $210.76 | $176.36 to $255.63 | 132%Medicare $159.94 | Detail |
| 62320CPT 62320 | Vermont | $230.10 | $211.60 to $258.06 | 145%Medicare $159.22 | Detail |
| 62320CPT 62320 | Washington | $289.32 | $211.48 to $408.95 | 163%Medicare $177.74 | Detail |
| 62320CPT 62320 | Wisconsin | $328.61 | $206.23 to $421.63 | 212%Medicare $154.70 | Detail |
| 62320CPT 62320 | West Virginia | $224.83 | $168.70 to $267.04 | 146%Medicare $153.87 | Detail |
| 62320CPT 62320 | Wyoming | $293.42 | $226.24 to $362.34 | 181%Medicare $161.84 | Detail |
| 62322CPT 62322 | Alabama | $217.33 | $159.49 to $245.37 | 164%Medicare $132.18 | Detail |
| 62322CPT 62322 | Arkansas | $219.46 | $164.08 to $267.17 | 168%Medicare $130.48 | Detail |
| 62322CPT 62322 | Arizona | $189.71 | $150.97 to $247.09 | 133%Medicare $142.11 | Detail |
| 62322CPT 62322 | California | $210.83 | $180.52 to $256.94 | 130%Medicare $161.67 | Detail |
| 62322CPT 62322 | Colorado | $206.74 | $176.14 to $250.66 | 137%Medicare $150.91 | Detail |
| 62322CPT 62322 | Connecticut | $262.23 | $216.89 to $312.18 | 170%Medicare $154.63 | Detail |
| 62322CPT 62322 | Delaware | $195.10 | $174.66 to $229.09 | 135%Medicare $144.29 | Detail |
| 62322CPT 62322 | Florida | $196.59 | $156.10 to $263.63 | 130%Medicare $150.67 | Detail |
| 62322CPT 62322 | Georgia | $248.66 | $200.68 to $326.87 | 174%Medicare $142.54 | Detail |
| 62322CPT 62322 | Idaho | $210.59 | $200.68 to $247.13 | 155%Medicare $135.77 | Detail |
| 62322CPT 62322 | Illinois | $212.23 | $168.59 to $257.52 | 144%Medicare $147.32 | Detail |
| 62322CPT 62322 | Indiana | $180.91 | $151.97 to $222.76 | 133%Medicare $136.47 | Detail |
| 62322CPT 62322 | Kansas | $185.88 | $169.33 to $223.72 | 138%Medicare $134.49 | Detail |
| 62322CPT 62322 | Kentucky | $193.41 | $158.20 to $231.27 | 143%Medicare $135.19 | Detail |
| 62322CPT 62322 | Louisiana | $186.62 | $148.64 to $229.63 | 135%Medicare $138.02 | Detail |
| 62322CPT 62322 | Massachusetts | $228.68 | $188.55 to $313.12 | 145%Medicare $157.42 | Detail |
| 62322CPT 62322 | Maryland | $180.80 | $151.99 to $218.76 | 120%Medicare $150.50 | Detail |
| 62322CPT 62322 | Maine | $217.70 | $185.29 to $254.47 | 156%Medicare $139.75 | Detail |
| 62322CPT 62322 | Minnesota | $248.63 | $199.12 to $263.25 | 172%Medicare $144.72 | Detail |
| 62322CPT 62322 | Missouri | $192.54 | $155.72 to $234.84 | 139%Medicare $138.12 | Detail |
| 62322CPT 62322 | Mississippi | $204.63 | $144.31 to $251.33 | 155%Medicare $131.78 | Detail |
| 62322CPT 62322 | North Carolina | $237.23 | $189.94 to $293.22 | 172%Medicare $137.78 | Detail |
| 62322CPT 62322 | New Hampshire | $252.80 | $209.14 to $306.32 | 170%Medicare $148.70 | Detail |
| 62322CPT 62322 | New Jersey | $222.60 | $173.83 to $290.58 | 139%Medicare $160.00 | Detail |
| 62322CPT 62322 | New Mexico | $197.08 | $161.83 to $239.23 | 142%Medicare $139.15 | Detail |
| 62322CPT 62322 | Nevada | $184.72 | $152.35 to $225.28 | 127%Medicare $144.88 | Detail |
| 62322CPT 62322 | New York | $246.69 | $182.66 to $394.54 | 154%Medicare $160.24 | Detail |
| 62322CPT 62322 | Ohio | $205.35 | $168.14 to $243.29 | 149%Medicare $137.82 | Detail |
| 62322CPT 62322 | Oklahoma | $183.01 | $157.10 to $216.96 | 136%Medicare $134.86 | Detail |
| 62322CPT 62322 | Oregon | $268.39 | $223.88 to $334.60 | 180%Medicare $149.47 | Detail |
| 62322CPT 62322 | Pennsylvania | $191.18 | $159.25 to $238.89 | 132%Medicare $144.58 | Detail |
| 62322CPT 62322 | Rhode Island | $242.54 | $221.79 to $279.09 | 163%Medicare $149.02 | Detail |
| 62322CPT 62322 | South Carolina | $207.33 | $185.21 to $242.37 | 150%Medicare $138.02 | Detail |
| 62322CPT 62322 | Tennessee | $194.21 | $155.09 to $247.39 | 144%Medicare $135.10 | Detail |
| 62322CPT 62322 | Texas | $201.74 | $162.43 to $247.72 | 140%Medicare $144.15 | Detail |
| 62322CPT 62322 | Utah | $200.68 | $161.77 to $237.65 | 144%Medicare $139.71 | Detail |
| 62322CPT 62322 | Virginia | $189.82 | $156.67 to $229.80 | 133%Medicare $142.62 | Detail |
| 62322CPT 62322 | Vermont | $203.96 | $187.47 to $241.22 | 143%Medicare $142.25 | Detail |
| 62322CPT 62322 | Washington | $250.47 | $185.27 to $345.93 | 158%Medicare $158.78 | Detail |
| 62322CPT 62322 | Wisconsin | $283.36 | $192.31 to $352.91 | 205%Medicare $138.37 | Detail |
| 62322CPT 62322 | West Virginia | $201.27 | $142.89 to $241.70 | 148%Medicare $135.97 | Detail |
| 62322CPT 62322 | Wyoming | $255.79 | $200.57 to $340.31 | 177%Medicare $144.33 | Detail |
| 62323CPT 62323 | Alabama | $337.36 | $259.53 to $410.91 | 138%Medicare $244.66 | Detail |
| 62323CPT 62323 | Arkansas | $355.97 | $270.12 to $449.61 | 148%Medicare $241.03 | Detail |
| 62323CPT 62323 | Arizona | $328.41 | $262.53 to $417.66 | 123%Medicare $265.93 | Detail |
| 62323CPT 62323 | California | $352.94 | $302.87 to $436.79 | 113%Medicare $310.98 | Detail |
| 62323CPT 62323 | Colorado | $361.74 | $311.78 to $426.21 | 126%Medicare $286.04 | Detail |
| 62323CPT 62323 | Connecticut | $447.19 | $379.53 to $571.47 | 153%Medicare $291.66 | Detail |
| 62323CPT 62323 | Delaware | $336.47 | $286.28 to $408.37 | 124%Medicare $270.43 | Detail |
| 62323CPT 62323 | Florida | $335.91 | $265.93 to $439.23 | 120%Medicare $279.29 | Detail |
| 62323CPT 62323 | Georgia | $407.94 | $323.06 to $552.75 | 154%Medicare $264.82 | Detail |
| 62323CPT 62323 | Idaho | $384.98 | $331.03 to $441.38 | 152%Medicare $253.53 | Detail |
| 62323CPT 62323 | Illinois | $388.29 | $297.78 to $456.89 | 143%Medicare $271.55 | Detail |
| 62323CPT 62323 | Indiana | $318.58 | $267.34 to $374.65 | 125%Medicare $255.06 | Detail |
| 62323CPT 62323 | Kansas | $320.40 | $275.50 to $374.35 | 128%Medicare $250.36 | Detail |
| 62323CPT 62323 | Kentucky | $322.85 | $266.89 to $374.20 | 129%Medicare $249.56 | Detail |
| 62323CPT 62323 | Louisiana | $324.46 | $259.34 to $389.49 | 127%Medicare $255.32 | Detail |
| 62323CPT 62323 | Massachusetts | $412.54 | $344.49 to $578.63 | 138%Medicare $299.78 | Detail |
| 62323CPT 62323 | Maryland | $317.00 | $260.64 to $379.66 | 112%Medicare $283.30 | Detail |
| 62323CPT 62323 | Maine | $371.19 | $335.56 to $479.95 | 142%Medicare $261.81 | Detail |
| 62323CPT 62323 | Minnesota | $399.37 | $340.53 to $481.90 | 145%Medicare $275.28 | Detail |
| 62323CPT 62323 | Missouri | $321.68 | $273.95 to $398.46 | 126%Medicare $255.94 | Detail |
| 62323CPT 62323 | Mississippi | $339.45 | $258.98 to $393.18 | 140%Medicare $242.72 | Detail |
| 62323CPT 62323 | North Carolina | $396.89 | $322.62 to $509.17 | 154%Medicare $257.18 | Detail |
| 62323CPT 62323 | New Hampshire | $467.08 | $387.54 to $566.11 | 166%Medicare $281.07 | Detail |
| 62323CPT 62323 | New Jersey | $381.46 | $304.92 to $498.59 | 126%Medicare $303.02 | Detail |
| 62323CPT 62323 | New Mexico | $341.86 | $287.98 to $400.67 | 133%Medicare $257.03 | Detail |
| 62323CPT 62323 | Nevada | $316.80 | $259.25 to $395.51 | 116%Medicare $272.48 | Detail |
| 62323CPT 62323 | New York | $433.23 | $316.22 to $728.83 | 143%Medicare $302.18 | Detail |
| 62323CPT 62323 | Ohio | $346.02 | $301.02 to $430.76 | 136%Medicare $255.10 | Detail |
| 62323CPT 62323 | Oklahoma | $302.60 | $264.70 to $360.58 | 121%Medicare $249.62 | Detail |
| 62323CPT 62323 | Oregon | $505.05 | $426.27 to $596.02 | 178%Medicare $283.29 | Detail |
| 62323CPT 62323 | Pennsylvania | $327.30 | $278.60 to $406.78 | 121%Medicare $269.86 | Detail |
| 62323CPT 62323 | Rhode Island | $452.89 | $406.62 to $524.61 | 161%Medicare $280.61 | Detail |
| 62323CPT 62323 | South Carolina | $343.99 | $298.00 to $408.81 | 134%Medicare $256.50 | Detail |
| 62323CPT 62323 | Tennessee | $323.28 | $264.18 to $408.10 | 128%Medicare $251.59 | Detail |
| 62323CPT 62323 | Texas | $343.10 | $277.01 to $431.13 | 127%Medicare $269.90 | Detail |
| 62323CPT 62323 | Utah | $315.93 | $294.00 to $401.31 | 121%Medicare $260.11 | Detail |
| 62323CPT 62323 | Virginia | $322.32 | $269.60 to $392.96 | 120%Medicare $268.00 | Detail |
| 62323CPT 62323 | Vermont | $352.80 | $321.94 to $389.17 | 131%Medicare $268.33 | Detail |
| 62323CPT 62323 | Washington | $443.77 | $331.56 to $643.02 | 146%Medicare $303.10 | Detail |
| 62323CPT 62323 | Wisconsin | $536.99 | $300.85 to $665.26 | 206%Medicare $260.52 | Detail |
| 62323CPT 62323 | West Virginia | $348.54 | $257.13 to $403.40 | 140%Medicare $248.32 | Detail |
| 62323CPT 62323 | Wyoming | $455.81 | $352.36 to $560.40 | 168%Medicare $271.74 | Detail |
| 92014CPT 92014 | Alabama | $133.63 | $109.72 to $177.11 | 114%Medicare $116.87 | Detail |
| 92014CPT 92014 | Arkansas | $142.34 | $118.83 to $166.09 | 123%Medicare $115.54 | Detail |
| 92014CPT 92014 | Arizona | $150.19 | $123.59 to $197.43 | 121%Medicare $124.63 | Detail |
| 92014CPT 92014 | California | $161.76 | $140.70 to $201.16 | 113%Medicare $142.73 | Detail |
| 92014CPT 92014 | Colorado | $172.75 | $149.28 to $208.04 | 130%Medicare $132.56 | Detail |
| 92014CPT 92014 | Connecticut | $193.09 | $155.21 to $244.13 | 144%Medicare $134.53 | Detail |
| 92014CPT 92014 | DC | $153.85 | $132.95 to $314.53 | 107%Medicare $143.94 | |
| 92014CPT 92014 | Delaware | $151.65 | $112.71 to $193.69 | 120%Medicare $126.42 | Detail |
| 92014CPT 92014 | Florida | $154.53 | $125.49 to $200.68 | 120%Medicare $128.79 | Detail |
| 92014CPT 92014 | Georgia | $167.84 | $136.76 to $212.50 | 135%Medicare $123.98 | Detail |
| 92014CPT 92014 | Idaho | $182.75 | $159.17 to $216.49 | 152%Medicare $120.27 | Detail |
| 92014CPT 92014 | Illinois | $180.30 | $138.97 to $220.95 | 143%Medicare $125.99 | Detail |
| 92014CPT 92014 | Indiana | $141.28 | $117.73 to $168.63 | 117%Medicare $120.84 | Detail |
| 92014CPT 92014 | Kansas | $149.93 | $126.03 to $174.93 | 126%Medicare $119.06 | Detail |
| 92014CPT 92014 | Kentucky | $142.53 | $103.55 to $176.32 | 120%Medicare $118.43 | Detail |
| 92014CPT 92014 | Louisiana | $137.31 | $116.32 to $168.81 | 114%Medicare $120.49 | Detail |
| 92014CPT 92014 | Massachusetts | $191.84 | $154.29 to $253.63 | 139%Medicare $138.09 | Detail |
| 92014CPT 92014 | Maryland | $146.01 | $121.96 to $178.84 | 111%Medicare $131.31 | Detail |
| 92014CPT 92014 | Maine | $190.32 | $156.03 to $228.96 | 154%Medicare $123.27 | Detail |
| 92014CPT 92014 | Minnesota | $177.12 | $159.07 to $230.71 | 138%Medicare $128.59 | Detail |
| 92014CPT 92014 | Missouri | $152.95 | $126.34 to $186.53 | 127%Medicare $120.77 | Detail |
| 92014CPT 92014 | Mississippi | $126.90 | $115.38 to $153.23 | 109%Medicare $116.00 | Detail |
| 92014CPT 92014 | North Carolina | $179.81 | $134.74 to $241.43 | 148%Medicare $121.52 | Detail |
| 92014CPT 92014 | New Hampshire | $214.30 | $169.40 to $268.44 | 164%Medicare $130.31 | Detail |
| 92014CPT 92014 | New Jersey | $160.72 | $133.01 to $214.47 | 115%Medicare $139.70 | Detail |
| 92014CPT 92014 | New Mexico | $168.89 | $140.59 to $197.12 | 140%Medicare $121.01 | Detail |
| 92014CPT 92014 | Nevada | $154.94 | $125.29 to $187.40 | 122%Medicare $127.11 | Detail |
| 92014CPT 92014 | New York | $186.02 | $145.55 to $277.57 | 134%Medicare $139.06 | Detail |
| 92014CPT 92014 | Ohio | $160.93 | $127.53 to $199.19 | 134%Medicare $120.44 | Detail |
| 92014CPT 92014 | Oklahoma | $144.68 | $121.75 to $165.14 | 122%Medicare $118.56 | Detail |
| 92014CPT 92014 | Oregon | $245.68 | $197.44 to $286.88 | 187%Medicare $131.47 | Detail |
| 92014CPT 92014 | Pennsylvania | $144.70 | $121.45 to $179.74 | 115%Medicare $126.17 | Detail |
| 92014CPT 92014 | Rhode Island | $165.73 | $131.51 to $232.99 | 127%Medicare $130.60 | Detail |
| 92014CPT 92014 | South Carolina | $144.55 | $127.12 to $193.40 | 119%Medicare $121.09 | Detail |
| 92014CPT 92014 | Tennessee | $136.37 | $116.89 to $169.07 | 114%Medicare $119.50 | Detail |
| 92014CPT 92014 | Texas | $152.97 | $129.23 to $199.82 | 121%Medicare $126.21 | Detail |
| 92014CPT 92014 | Utah | $153.05 | $143.25 to $196.97 | 125%Medicare $122.41 | Detail |
| 92014CPT 92014 | Virginia | $143.85 | $126.07 to $178.95 | 115%Medicare $125.53 | Detail |
| 92014CPT 92014 | Vermont | $139.75 | $128.91 to $170.42 | 111%Medicare $125.81 | Detail |
| 92014CPT 92014 | Washington | $204.19 | $159.21 to $286.88 | 146%Medicare $139.45 | Detail |
| 92014CPT 92014 | Wisconsin | $233.88 | $139.98 to $300.30 | 190%Medicare $123.04 | Detail |
| 92014CPT 92014 | West Virginia | $137.90 | $114.53 to $182.20 | 117%Medicare $117.55 | Detail |
| 92014CPT 92014 | Wyoming | $206.41 | $174.24 to $254.78 | 163%Medicare $126.91 | Detail |
| 99203New patient office visit, low complexity | Alaska | $87.56 | $41.99 to $302.94 | 60%Medicare $145.71 | Detail |
| 99203New patient office visit, low complexity | Alabama | $87.81 | $49.68 to $128.16 | 81%Medicare $107.90 | Detail |
| 99203New patient office visit, low complexity | Arkansas | $114.57 | $82.86 to $134.03 | 107%Medicare $106.69 | Detail |
| 99203New patient office visit, low complexity | Arizona | $115.56 | $89.14 to $155.08 | 101%Medicare $114.98 | Detail |
| 99203New patient office visit, low complexity | California | $128.70 | $80.34 to $157.29 | 101%Medicare $127.81 | Detail |
| 99203New patient office visit, low complexity | Colorado | $141.66 | $116.88 to $171.88 | 117%Medicare $120.80 | Detail |
| 99203New patient office visit, low complexity | Connecticut | $147.03 | $127.06 to $179.49 | 118%Medicare $124.29 | Detail |
| 99203New patient office visit, low complexity | DC | $95.60 | $49.00 to $131.89 | 73%Medicare $131.52 | |
| 99203New patient office visit, low complexity | Delaware | $111.09 | $59.40 to $149.31 | 95%Medicare $116.59 | Detail |
| 99203New patient office visit, low complexity | Florida | $129.07 | $93.70 to $166.06 | 105%Medicare $122.82 | Detail |
| 99203New patient office visit, low complexity | Georgia | $126.06 | $63.02 to $158.92 | 109%Medicare $116.00 | Detail |
| 99203New patient office visit, low complexity | Hawaii | $53.00 | $44.48 to $68.17 | 43%Medicare $123.37 | Detail |
| 99203New patient office visit, low complexity | Iowa | $59.34 | $45.26 to $141.22 | 54%Medicare $109.35 | Detail |
| 99203New patient office visit, low complexity | Idaho | $104.21 | $49.00 to $156.32 | 95%Medicare $110.05 | Detail |
| 99203New patient office visit, low complexity | Illinois | $110.41 | $51.66 to $162.71 | 92%Medicare $120.64 | Detail |
| 99203New patient office visit, low complexity | Indiana | $105.76 | $59.40 to $131.39 | 96%Medicare $110.53 | Detail |
| 99203New patient office visit, low complexity | Kansas | $119.48 | $80.34 to $149.56 | 109%Medicare $109.28 | Detail |
| 99203New patient office visit, low complexity | Kentucky | $101.30 | $56.25 to $141.66 | 92%Medicare $110.59 | Detail |
| 99203New patient office visit, low complexity | Louisiana | $113.60 | $92.96 to $141.38 | 101%Medicare $112.71 | Detail |
| 99203New patient office visit, low complexity | Massachusetts | $150.00 | $123.82 to $194.44 | 120%Medicare $125.52 | Detail |
| 99203New patient office visit, low complexity | MARYLAND | $53.52 | $39.00 to $90.00 | n/a | |
| 99203New patient office visit, low complexity | Maryland | $119.56 | $92.19 to $147.15 | 99%Medicare $121.18 | Detail |
| 99203New patient office visit, low complexity | Maine | $154.92 | $125.80 to $200.41 | 137%Medicare $112.96 | Detail |
| 99203New patient office visit, low complexity | Michigan | $57.22 | $44.16 to $111.42 | 49%Medicare $116.17 | Detail |
| 99203New patient office visit, low complexity | Minnesota | $64.80 | $47.26 to $148.10 | 56%Medicare $115.51 | Detail |
| 99203New patient office visit, low complexity | Missouri | $125.42 | $95.63 to $153.86 | 111%Medicare $112.65 | Detail |
| 99203New patient office visit, low complexity | Mississippi | $104.75 | $77.16 to $119.30 | 97%Medicare $108.01 | Detail |
| 99203New patient office visit, low complexity | North Carolina | $135.27 | $104.99 to $179.90 | 121%Medicare $111.70 | Detail |
| 99203New patient office visit, low complexity | Nebraska | $61.77 | $45.98 to $164.67 | 56%Medicare $109.72 | Detail |
| 99203New patient office visit, low complexity | New Hampshire | $160.07 | $91.94 to $209.99 | 134%Medicare $119.31 | Detail |
| 99203New patient office visit, low complexity | New Jersey | $133.13 | $109.01 to $169.32 | 104%Medicare $128.18 | Detail |
| 99203New patient office visit, low complexity | New Mexico | $147.57 | $125.70 to $174.98 | 130%Medicare $113.77 | Detail |
| 99203New patient office visit, low complexity | Nevada | $119.02 | $77.85 to $153.10 | 102%Medicare $116.74 | Detail |
| 99203New patient office visit, low complexity | New York | $148.12 | $98.76 to $200.63 | 115%Medicare $128.82 | Detail |
| 99203New patient office visit, low complexity | Ohio | $126.12 | $91.94 to $162.39 | 112%Medicare $112.50 | Detail |
| 99203New patient office visit, low complexity | Oklahoma | $98.74 | $49.02 to $133.44 | 90%Medicare $110.09 | Detail |
| 99203New patient office visit, low complexity | Oregon | $193.71 | $136.03 to $239.03 | 162%Medicare $119.66 | Detail |
| 99203New patient office visit, low complexity | Pennsylvania | $118.69 | $97.75 to $150.19 | 101%Medicare $117.22 | Detail |
| 99203New patient office visit, low complexity | PR | $47.87 | $39.36 to $62.28 | 41%Medicare $118.14 | |
| 99203New patient office visit, low complexity | Rhode Island | $81.00 | $46.82 to $149.31 | 68%Medicare $119.95 | Detail |
| 99203New patient office visit, low complexity | South Carolina | $116.80 | $95.13 to $141.70 | 104%Medicare $112.30 | Detail |
| 99203New patient office visit, low complexity | Tennessee | $122.66 | $101.42 to $149.31 | 112%Medicare $109.75 | Detail |
| 99203New patient office visit, low complexity | Texas | $125.95 | $98.76 to $155.75 | 108%Medicare $116.57 | Detail |
| 99203New patient office visit, low complexity | Utah | $113.55 | $52.50 to $141.22 | 100%Medicare $113.50 | Detail |
| 99203New patient office visit, low complexity | Virginia | $125.06 | $103.71 to $153.05 | 109%Medicare $115.00 | Detail |
| 99203New patient office visit, low complexity | Vermont | $140.40 | $118.58 to $172.88 | 123%Medicare $114.34 | Detail |
| 99203New patient office visit, low complexity | Washington | $142.58 | $63.67 to $204.30 | 113%Medicare $126.36 | Detail |
| 99203New patient office visit, low complexity | Wisconsin | $108.25 | $54.18 to $161.16 | 97%Medicare $111.40 | Detail |
| 99203New patient office visit, low complexity | West Virginia | $112.17 | $87.38 to $158.18 | 100%Medicare $112.17 | Detail |
| 99203New patient office visit, low complexity | Wyoming | $156.10 | $90.56 to $195.36 | 134%Medicare $116.18 | Detail |
| 99204New patient office visit, moderate complexity | Alaska | $119.66 | $45.00 to $453.36 | 54%Medicare $222.54 | Detail |
| 99204New patient office visit, moderate complexity | Alabama | $134.62 | $55.20 to $199.70 | 82%Medicare $163.57 | Detail |
| 99204New patient office visit, moderate complexity | Arkansas | $173.97 | $124.73 to $203.76 | 107%Medicare $161.84 | Detail |
| 99204New patient office visit, moderate complexity | Arizona | $173.45 | $130.08 to $234.23 | 100%Medicare $173.65 | Detail |
| 99204New patient office visit, moderate complexity | California | $195.83 | $131.50 to $239.21 | 102%Medicare $191.92 | Detail |
| 99204New patient office visit, moderate complexity | Colorado | $213.84 | $178.77 to $258.74 | 118%Medicare $181.93 | Detail |
| 99204New patient office visit, moderate complexity | Connecticut | $221.15 | $187.41 to $271.08 | 118%Medicare $187.13 | Detail |
| 99204New patient office visit, moderate complexity | DC | $144.88 | $56.58 to $206.04 | 73%Medicare $197.64 | |
| 99204New patient office visit, moderate complexity | Delaware | $171.36 | $69.20 to $227.41 | 97%Medicare $175.99 | Detail |
| 99204New patient office visit, moderate complexity | Florida | $195.30 | $140.42 to $253.45 | 105%Medicare $185.22 | Detail |
| 99204New patient office visit, moderate complexity | Georgia | $198.69 | $85.73 to $242.37 | 113%Medicare $175.27 | Detail |
| 99204New patient office visit, moderate complexity | Hawaii | $58.38 | $46.30 to $96.19 | 32%Medicare $185.29 | Detail |
| 99204New patient office visit, moderate complexity | Iowa | $67.23 | $49.20 to $230.60 | 41%Medicare $165.51 | Detail |
| 99204New patient office visit, moderate complexity | Idaho | $171.36 | $52.34 to $239.43 | 103%Medicare $166.53 | Detail |
| 99204New patient office visit, moderate complexity | Illinois | $170.73 | $56.58 to $248.00 | 94%Medicare $182.18 | Detail |
| 99204New patient office visit, moderate complexity | Indiana | $156.41 | $66.48 to $198.20 | 94%Medicare $167.22 | Detail |
| 99204New patient office visit, moderate complexity | Kansas | $182.82 | $100.94 to $223.40 | 110%Medicare $165.46 | Detail |
| 99204New patient office visit, moderate complexity | Kentucky | $155.89 | $66.48 to $217.18 | 93%Medicare $167.52 | Detail |
| 99204New patient office visit, moderate complexity | Louisiana | $171.18 | $141.57 to $212.30 | 100%Medicare $170.56 | Detail |
| 99204New patient office visit, moderate complexity | Massachusetts | $224.58 | $184.61 to $293.63 | 119%Medicare $188.76 | Detail |
| 99204New patient office visit, moderate complexity | MARYLAND | $62.92 | $45.00 to $100.09 | n/a | |
| 99204New patient office visit, moderate complexity | Maryland | $182.14 | $143.29 to $222.85 | 100%Medicare $182.62 | Detail |
| 99204New patient office visit, moderate complexity | Maine | $231.56 | $184.61 to $298.81 | 136%Medicare $170.69 | Detail |
| 99204New patient office visit, moderate complexity | Michigan | $64.86 | $46.92 to $172.00 | 37%Medicare $175.59 | Detail |
| 99204New patient office visit, moderate complexity | Minnesota | $86.44 | $51.66 to $228.78 | 50%Medicare $174.11 | Detail |
| 99204New patient office visit, moderate complexity | Missouri | $189.58 | $141.90 to $236.29 | 111%Medicare $170.44 | Detail |
| 99204New patient office visit, moderate complexity | Mississippi | $157.62 | $85.81 to $179.47 | 96%Medicare $163.80 | Detail |
| 99204New patient office visit, moderate complexity | North Carolina | $207.35 | $160.65 to $274.37 | 123%Medicare $168.94 | Detail |
| 99204New patient office visit, moderate complexity | Nebraska | $73.70 | $50.00 to $248.00 | 44%Medicare $166.02 | Detail |
| 99204New patient office visit, moderate complexity | New Hampshire | $245.93 | $175.51 to $316.12 | 137%Medicare $179.74 | Detail |
| 99204New patient office visit, moderate complexity | New Jersey | $199.28 | $164.71 to $255.58 | 103%Medicare $192.88 | Detail |
| 99204New patient office visit, moderate complexity | New Mexico | $225.72 | $190.72 to $263.76 | 131%Medicare $172.12 | Detail |
| 99204New patient office visit, moderate complexity | Nevada | $177.91 | $97.30 to $233.16 | 101%Medicare $176.10 | Detail |
| 99204New patient office visit, moderate complexity | New York | $223.83 | $163.27 to $301.44 | 115%Medicare $193.89 | Detail |
| 99204New patient office visit, moderate complexity | Ohio | $192.40 | $145.90 to $245.05 | 113%Medicare $170.25 | Detail |
| 99204New patient office visit, moderate complexity | Oklahoma | $156.20 | $54.45 to $205.27 | 94%Medicare $166.74 | Detail |
| 99204New patient office visit, moderate complexity | Oregon | $294.22 | $207.27 to $359.16 | 163%Medicare $180.25 | Detail |
| 99204New patient office visit, moderate complexity | Pennsylvania | $180.19 | $149.39 to $224.08 | 102%Medicare $177.00 | Detail |
| 99204New patient office visit, moderate complexity | PR | $53.50 | $42.00 to $86.10 | 30%Medicare $178.15 | |
| 99204New patient office visit, moderate complexity | Rhode Island | $141.53 | $52.02 to $225.54 | 78%Medicare $180.87 | Detail |
| 99204New patient office visit, moderate complexity | South Carolina | $176.16 | $149.97 to $222.49 | 104%Medicare $169.89 | Detail |
| 99204New patient office visit, moderate complexity | Tennessee | $187.61 | $155.89 to $225.44 | 113%Medicare $166.14 | Detail |
| 99204New patient office visit, moderate complexity | Texas | $192.19 | $150.96 to $236.47 | 109%Medicare $175.99 | Detail |
| 99204New patient office visit, moderate complexity | Utah | $173.73 | $56.25 to $214.52 | 101%Medicare $171.59 | Detail |
| 99204New patient office visit, moderate complexity | Virginia | $189.32 | $157.65 to $229.81 | 109%Medicare $173.60 | Detail |
| 99204New patient office visit, moderate complexity | Vermont | $192.39 | $174.22 to $260.39 | 111%Medicare $172.57 | Detail |
| 99204New patient office visit, moderate complexity | Washington | $215.01 | $85.12 to $310.61 | 113%Medicare $189.95 | Detail |
| 99204New patient office visit, moderate complexity | Wisconsin | $168.03 | $60.63 to $241.93 | 100%Medicare $168.35 | Detail |
| 99204New patient office visit, moderate complexity | West Virginia | $170.01 | $119.42 to $235.70 | 100%Medicare $170.01 | Detail |
| 99204New patient office visit, moderate complexity | Wyoming | $235.55 | $139.61 to $293.34 | 134%Medicare $175.27 | Detail |
| 99213Established patient office visit, low complexity | Alaska | $76.41 | $28.00 to $226.00 | 64%Medicare $118.72 | Detail |
| 99213Established patient office visit, low complexity | Alabama | $63.70 | $33.88 to $92.03 | 73%Medicare $87.79 | Detail |
| 99213Established patient office visit, low complexity | Arkansas | $81.28 | $61.22 to $95.22 | 94%Medicare $86.86 | Detail |
| 99213Established patient office visit, low complexity | Arizona | $89.19 | $64.67 to $117.11 | 96%Medicare $93.25 | Detail |
| 99213Established patient office visit, low complexity | California | $90.22 | $63.62 to $116.27 | 86%Medicare $104.31 | Detail |
| 99213Established patient office visit, low complexity | Colorado | $107.34 | $84.19 to $132.44 | 109%Medicare $98.18 | Detail |
| 99213Established patient office visit, low complexity | Connecticut | $112.67 | $88.79 to $132.41 | 112%Medicare $100.45 | Detail |
| 99213Established patient office visit, low complexity | DC | $76.71 | $35.36 to $93.70 | 72%Medicare $106.56 | |
| 99213Established patient office visit, low complexity | Delaware | $75.77 | $42.62 to $115.53 | 80%Medicare $94.52 | Detail |
| 99213Established patient office visit, low complexity | Florida | $94.56 | $68.53 to $121.60 | 96%Medicare $98.20 | Detail |
| 99213Established patient office visit, low complexity | Georgia | $88.26 | $54.43 to $114.92 | 94%Medicare $93.60 | Detail |
| 99213Established patient office visit, low complexity | Hawaii | $36.27 | $30.58 to $57.85 | 36%Medicare $100.61 | Detail |
| 99213Established patient office visit, low complexity | Iowa | $38.92 | $30.75 to $109.02 | 44%Medicare $89.23 | Detail |
| 99213Established patient office visit, low complexity | Idaho | $85.06 | $32.56 to $127.60 | 95%Medicare $89.71 | Detail |
| 99213Established patient office visit, low complexity | Illinois | $88.70 | $34.72 to $126.35 | 92%Medicare $96.44 | Detail |
| 99213Established patient office visit, low complexity | Indiana | $76.00 | $44.48 to $104.31 | 84%Medicare $90.09 | Detail |
| 99213Established patient office visit, low complexity | Kansas | $88.54 | $63.62 to $116.62 | 99%Medicare $89.02 | Detail |
| 99213Established patient office visit, low complexity | Kentucky | $71.09 | $39.36 to $99.97 | 79%Medicare $89.52 | Detail |
| 99213Established patient office visit, low complexity | Louisiana | $85.92 | $69.83 to $102.31 | 94%Medicare $91.09 | Detail |
| 99213Established patient office visit, low complexity | Massachusetts | $116.76 | $93.28 to $151.84 | 114%Medicare $101.98 | Detail |
| 99213Established patient office visit, low complexity | MARYLAND | $35.44 | $26.04 to $46.28 | n/a | |
| 99213Established patient office visit, low complexity | Maryland | $85.31 | $68.36 to $110.58 | 87%Medicare $98.06 | Detail |
| 99213Established patient office visit, low complexity | Maine | $113.64 | $92.34 to $154.76 | 124%Medicare $91.90 | Detail |
| 99213Established patient office visit, low complexity | Michigan | $38.68 | $30.25 to $84.97 | 41%Medicare $93.44 | Detail |
| 99213Established patient office visit, low complexity | Minnesota | $50.80 | $32.00 to $104.51 | 54%Medicare $94.49 | Detail |
| 99213Established patient office visit, low complexity | Missouri | $93.34 | $74.33 to $116.62 | 102%Medicare $91.13 | Detail |
| 99213Established patient office visit, low complexity | Mississippi | $73.74 | $55.73 to $86.02 | 84%Medicare $87.63 | Detail |
| 99213Established patient office visit, low complexity | North Carolina | $102.41 | $70.72 to $128.61 | 113%Medicare $90.84 | Detail |
| 99213Established patient office visit, low complexity | Nebraska | $41.28 | $30.96 to $122.90 | 46%Medicare $89.57 | Detail |
| 99213Established patient office visit, low complexity | New Hampshire | $121.47 | $77.40 to $161.99 | 125%Medicare $96.82 | Detail |
| 99213Established patient office visit, low complexity | New Jersey | $97.94 | $77.50 to $125.76 | 94%Medicare $103.82 | Detail |
| 99213Established patient office visit, low complexity | New Mexico | $109.50 | $96.11 to $126.35 | 119%Medicare $91.75 | Detail |
| 99213Established patient office visit, low complexity | Nevada | $89.19 | $58.73 to $118.11 | 94%Medicare $94.74 | Detail |
| 99213Established patient office visit, low complexity | New York | $107.48 | $71.08 to $148.40 | 103%Medicare $103.97 | Detail |
| 99213Established patient office visit, low complexity | Ohio | $98.20 | $67.74 to $125.54 | 108%Medicare $90.97 | Detail |
| 99213Established patient office visit, low complexity | Oklahoma | $71.39 | $32.50 to $96.40 | 80%Medicare $89.30 | Detail |
| 99213Established patient office visit, low complexity | Oregon | $152.39 | $99.74 to $187.60 | 157%Medicare $97.31 | Detail |
| 99213Established patient office visit, low complexity | Pennsylvania | $88.69 | $65.48 to $113.99 | 94%Medicare $94.79 | Detail |
| 99213Established patient office visit, low complexity | PR | $31.99 | $27.06 to $44.98 | 33%Medicare $95.68 | |
| 99213Established patient office visit, low complexity | Rhode Island | $69.68 | $32.51 to $115.01 | 72%Medicare $97.30 | Detail |
| 99213Established patient office visit, low complexity | South Carolina | $82.23 | $63.62 to $106.72 | 90%Medicare $91.04 | Detail |
| 99213Established patient office visit, low complexity | Tennessee | $86.83 | $71.92 to $107.68 | 97%Medicare $89.36 | Detail |
| 99213Established patient office visit, low complexity | Texas | $93.40 | $73.63 to $116.75 | 99%Medicare $94.46 | Detail |
| 99213Established patient office visit, low complexity | Utah | $82.90 | $36.00 to $106.21 | 90%Medicare $91.96 | Detail |
| 99213Established patient office visit, low complexity | Virginia | $87.78 | $74.25 to $112.23 | 94%Medicare $93.48 | Detail |
| 99213Established patient office visit, low complexity | Vermont | $94.23 | $80.13 to $117.42 | 101%Medicare $93.22 | Detail |
| 99213Established patient office visit, low complexity | Washington | $105.63 | $55.33 to $159.03 | 103%Medicare $102.75 | Detail |
| 99213Established patient office visit, low complexity | Wisconsin | $85.64 | $36.16 to $132.46 | 94%Medicare $91.06 | Detail |
| 99213Established patient office visit, low complexity | West Virginia | $84.20 | $63.48 to $122.66 | 93%Medicare $90.10 | Detail |
| 99213Established patient office visit, low complexity | Wyoming | $113.43 | $60.88 to $150.98 | 120%Medicare $94.41 | Detail |
| 99214Established patient office visit, moderate complexity | Alaska | $113.16 | $32.00 to $322.64 | 67%Medicare $169.92 | Detail |
| 99214Established patient office visit, moderate complexity | Alabama | $96.06 | $39.02 to $136.37 | 77%Medicare $125.23 | Detail |
| 99214Established patient office visit, moderate complexity | Arkansas | $117.96 | $95.00 to $138.58 | 95%Medicare $123.92 | Detail |
| 99214Established patient office visit, moderate complexity | Arizona | $127.13 | $92.93 to $167.89 | 96%Medicare $132.86 | Detail |
| 99214Established patient office visit, moderate complexity | California | $133.96 | $95.01 to $168.45 | 91%Medicare $148.01 | Detail |
| 99214Established patient office visit, moderate complexity | Colorado | $154.50 | $125.20 to $189.55 | 111%Medicare $139.63 | Detail |
| 99214Established patient office visit, moderate complexity | Connecticut | $159.56 | $129.72 to $188.69 | 112%Medicare $143.02 | Detail |
| 99214Established patient office visit, moderate complexity | DC | $107.65 | $42.00 to $129.62 | 71%Medicare $151.49 | |
| 99214Established patient office visit, moderate complexity | Delaware | $112.88 | $55.94 to $166.23 | 84%Medicare $134.65 | Detail |
| 99214Established patient office visit, moderate complexity | Florida | $137.31 | $101.64 to $176.46 | 98%Medicare $140.26 | Detail |
| 99214Established patient office visit, moderate complexity | Georgia | $132.13 | $66.75 to $168.57 | 99%Medicare $133.55 | Detail |
| 99214Established patient office visit, moderate complexity | Hawaii | $41.85 | $32.70 to $66.75 | 29%Medicare $142.79 | Detail |
| 99214Established patient office visit, moderate complexity | Iowa | $45.26 | $33.36 to $160.30 | 36%Medicare $127.11 | Detail |
| 99214Established patient office visit, moderate complexity | Idaho | $125.38 | $39.06 to $181.57 | 98%Medicare $127.80 | Detail |
| 99214Established patient office visit, moderate complexity | Illinois | $129.89 | $39.36 to $184.94 | 94%Medicare $137.84 | Detail |
| 99214Established patient office visit, moderate complexity | Indiana | $110.48 | $54.18 to $147.68 | 86%Medicare $128.33 | Detail |
| 99214Established patient office visit, moderate complexity | Kansas | $125.38 | $90.51 to $164.65 | 99%Medicare $126.88 | Detail |
| 99214Established patient office visit, moderate complexity | Kentucky | $105.93 | $51.66 to $151.33 | 83%Medicare $127.80 | Detail |
| 99214Established patient office visit, moderate complexity | Louisiana | $125.05 | $101.51 to $147.71 | 96%Medicare $130.02 | Detail |
| 99214Established patient office visit, moderate complexity | Massachusetts | $166.26 | $132.48 to $214.02 | 115%Medicare $144.95 | Detail |
| 99214Established patient office visit, moderate complexity | MARYLAND | $39.78 | $29.00 to $60.75 | n/a | |
| 99214Established patient office visit, moderate complexity | Maryland | $123.88 | $99.60 to $155.85 | 89%Medicare $139.64 | Detail |
| 99214Established patient office visit, moderate complexity | Maine | $165.03 | $136.30 to $218.62 | 126%Medicare $130.89 | Detail |
| 99214Established patient office visit, moderate complexity | Michigan | $51.24 | $32.00 to $132.48 | 38%Medicare $133.44 | Detail |
| 99214Established patient office visit, moderate complexity | Minnesota | $65.40 | $34.75 to $161.74 | 49%Medicare $134.25 | Detail |
| 99214Established patient office visit, moderate complexity | Missouri | $135.28 | $106.48 to $166.29 | 104%Medicare $130.04 | Detail |
| 99214Established patient office visit, moderate complexity | Mississippi | $108.73 | $80.80 to $124.88 | 87%Medicare $125.10 | Detail |
| 99214Established patient office visit, moderate complexity | North Carolina | $149.06 | $107.99 to $187.38 | 115%Medicare $129.44 | Detail |
| 99214Established patient office visit, moderate complexity | Nebraska | $53.34 | $32.50 to $181.35 | 42%Medicare $127.56 | Detail |
| 99214Established patient office visit, moderate complexity | New Hampshire | $176.03 | $125.38 to $234.18 | 128%Medicare $137.76 | Detail |
| 99214Established patient office visit, moderate complexity | New Jersey | $141.00 | $114.99 to $182.27 | 95%Medicare $147.71 | Detail |
| 99214Established patient office visit, moderate complexity | New Mexico | $158.09 | $138.76 to $179.84 | 121%Medicare $131.00 | Detail |
| 99214Established patient office visit, moderate complexity | Nevada | $129.01 | $82.41 to $167.57 | 96%Medicare $134.89 | Detail |
| 99214Established patient office visit, moderate complexity | New York | $156.99 | $109.98 to $214.20 | 106%Medicare $148.05 | Detail |
| 99214Established patient office visit, moderate complexity | Ohio | $142.82 | $101.54 to $180.42 | 110%Medicare $129.83 | Detail |
| 99214Established patient office visit, moderate complexity | Oklahoma | $109.40 | $38.70 to $140.33 | 86%Medicare $127.42 | Detail |
| 99214Established patient office visit, moderate complexity | Oregon | $217.46 | $146.50 to $264.99 | 157%Medicare $138.40 | Detail |
| 99214Established patient office visit, moderate complexity | Pennsylvania | $131.69 | $102.66 to $165.34 | 97%Medicare $135.13 | Detail |
| 99214Established patient office visit, moderate complexity | PR | $38.13 | $29.52 to $63.84 | 28%Medicare $136.27 | |
| 99214Established patient office visit, moderate complexity | Rhode Island | $106.96 | $36.77 to $168.59 | 77%Medicare $138.53 | Detail |
| 99214Established patient office visit, moderate complexity | South Carolina | $123.44 | $97.61 to $156.11 | 95%Medicare $129.83 | Detail |
| 99214Established patient office visit, moderate complexity | Tennessee | $127.84 | $106.30 to $158.14 | 100%Medicare $127.36 | Detail |
| 99214Established patient office visit, moderate complexity | Texas | $135.97 | $107.80 to $168.11 | 101%Medicare $134.59 | Detail |
| 99214Established patient office visit, moderate complexity | Utah | $125.42 | $41.58 to $156.73 | 96%Medicare $131.12 | Detail |
| 99214Established patient office visit, moderate complexity | Virginia | $128.37 | $109.21 to $160.39 | 96%Medicare $133.10 | Detail |
| 99214Established patient office visit, moderate complexity | Vermont | $133.16 | $120.66 to $172.74 | 100%Medicare $132.63 | Detail |
| 99214Established patient office visit, moderate complexity | Washington | $154.22 | $67.44 to $225.23 | 106%Medicare $145.99 | Detail |
| 99214Established patient office visit, moderate complexity | Wisconsin | $128.09 | $42.00 to $186.31 | 99%Medicare $129.57 | Detail |
| 99214Established patient office visit, moderate complexity | West Virginia | $125.13 | $88.34 to $180.42 | 97%Medicare $128.87 | Detail |
| 99214Established patient office visit, moderate complexity | Wyoming | $165.60 | $106.64 to $215.80 | 123%Medicare $134.39 | Detail |
| 99215CPT 99215 | Alaska | $377.16 | $162.99 to $500.54 | 156%Medicare $241.97 | Detail |
| 99215CPT 99215 | Alabama | $159.79 | $121.82 to $203.96 | 90%Medicare $177.86 | Detail |
| 99215CPT 99215 | Arkansas | $167.77 | $148.04 to $194.51 | 95%Medicare $176.04 | Detail |
| 99215CPT 99215 | Arizona | $186.24 | $150.42 to $242.79 | 99%Medicare $188.53 | Detail |
| 99215CPT 99215 | California | $194.83 | $159.30 to $242.77 | 93%Medicare $209.36 | Detail |
| 99215CPT 99215 | Colorado | $219.28 | $184.13 to $272.51 | 111%Medicare $197.85 | Detail |
| 99215CPT 99215 | Connecticut | $229.28 | $180.69 to $269.74 | 113%Medicare $202.81 | Detail |
| 99215CPT 99215 | DC | $172.25 | $150.69 to $209.85 | 80%Medicare $214.58 | |
| 99215CPT 99215 | Delaware | $186.07 | $142.57 to $238.81 | 97%Medicare $191.05 | Detail |
| 99215CPT 99215 | Florida | $196.21 | $154.59 to $250.27 | 98%Medicare $199.34 | Detail |
| 99215CPT 99215 | Georgia | $193.91 | $153.06 to $244.10 | 102%Medicare $189.69 | Detail |
| 99215CPT 99215 | Hawaii | $47.60 | $37.06 to $61.22 | 24%Medicare $202.02 | Detail |
| 99215CPT 99215 | Iowa | $206.43 | $38.92 to $289.81 | 114%Medicare $180.35 | Detail |
| 99215CPT 99215 | Idaho | $237.01 | $169.30 to $277.41 | 131%Medicare $181.34 | Detail |
| 99215CPT 99215 | Illinois | $220.67 | $161.66 to $293.75 | 113%Medicare $196.01 | Detail |
| 99215CPT 99215 | Indiana | $176.21 | $135.02 to $216.54 | 97%Medicare $182.08 | Detail |
| 99215CPT 99215 | Kansas | $191.04 | $154.22 to $240.12 | 106%Medicare $180.09 | Detail |
| 99215CPT 99215 | Kentucky | $171.54 | $135.02 to $211.23 | 94%Medicare $181.60 | Detail |
| 99215CPT 99215 | Louisiana | $175.43 | $146.96 to $205.94 | 95%Medicare $184.72 | Detail |
| 99215CPT 99215 | Massachusetts | $241.53 | $206.83 to $302.20 | 118%Medicare $205.30 | Detail |
| 99215CPT 99215 | Maryland | $173.42 | $143.51 to $221.06 | 88%Medicare $198.05 | Detail |
| 99215CPT 99215 | Maine | $225.94 | $186.29 to $307.59 | 122%Medicare $185.68 | Detail |
| 99215CPT 99215 | Michigan | $151.00 | $36.41 to $205.79 | 80%Medicare $189.65 | Detail |
| 99215CPT 99215 | Minnesota | $203.58 | $167.86 to $250.43 | 107%Medicare $190.11 | Detail |
| 99215CPT 99215 | Missouri | $194.19 | $160.00 to $237.88 | 105%Medicare $184.71 | Detail |
| 99215CPT 99215 | Mississippi | $154.78 | $139.33 to $177.21 | 87%Medicare $177.79 | Detail |
| 99215CPT 99215 | North Carolina | $215.60 | $167.86 to $267.63 | 117%Medicare $183.70 | Detail |
| 99215CPT 99215 | Nebraska | $274.86 | $203.11 to $356.08 | 152%Medicare $180.95 | Detail |
| 99215CPT 99215 | New Hampshire | $273.52 | $215.89 to $340.30 | 140%Medicare $195.28 | Detail |
| 99215CPT 99215 | New Jersey | $199.79 | $162.48 to $253.44 | 95%Medicare $209.35 | Detail |
| 99215CPT 99215 | New Mexico | $216.45 | $191.76 to $250.79 | 116%Medicare $186.18 | Detail |
| 99215CPT 99215 | Nevada | $192.47 | $148.38 to $243.82 | 101%Medicare $191.31 | Detail |
| 99215CPT 99215 | New York | $226.61 | $177.02 to $308.78 | 108%Medicare $209.96 | Detail |
| 99215CPT 99215 | Ohio | $211.56 | $168.82 to $263.89 | 115%Medicare $184.45 | Detail |
| 99215CPT 99215 | Oklahoma | $175.35 | $146.67 to $203.11 | 97%Medicare $181.00 | Detail |
| 99215CPT 99215 | Oregon | $319.85 | $240.78 to $383.80 | 163%Medicare $196.12 | Detail |
| 99215CPT 99215 | Pennsylvania | $188.53 | $149.56 to $231.84 | 98%Medicare $191.83 | Detail |
| 99215CPT 99215 | Rhode Island | $202.20 | $154.44 to $260.90 | 103%Medicare $196.44 | Detail |
| 99215CPT 99215 | South Carolina | $179.44 | $148.26 to $226.86 | 97%Medicare $184.36 | Detail |
| 99215CPT 99215 | Tennessee | $181.22 | $152.67 to $218.30 | 100%Medicare $180.78 | Detail |
| 99215CPT 99215 | Texas | $192.36 | $155.99 to $239.75 | 101%Medicare $190.98 | Detail |
| 99215CPT 99215 | Utah | $183.28 | $117.60 to $225.15 | 98%Medicare $186.16 | Detail |
| 99215CPT 99215 | Virginia | $180.91 | $154.74 to $228.99 | 96%Medicare $188.77 | Detail |
| 99215CPT 99215 | Vermont | $186.81 | $161.99 to $232.22 | 99%Medicare $188.01 | Detail |
| 99215CPT 99215 | Washington | $237.00 | $182.99 to $356.63 | 115%Medicare $206.72 | Detail |
| 99215CPT 99215 | Wisconsin | $229.31 | $159.78 to $293.53 | 125%Medicare $183.68 | Detail |
| 99215CPT 99215 | West Virginia | $180.19 | $153.53 to $254.69 | 98%Medicare $183.38 | Detail |
| 99215CPT 99215 | Wyoming | $261.08 | $203.92 to $312.41 | 137%Medicare $190.57 | Detail |
| 99291CPT 99291 | Alabama | $286.90 | $245.66 to $386.40 | 101%Medicare $284.38 | Detail |
| 99291CPT 99291 | Arkansas | $311.72 | $267.65 to $354.17 | 111%Medicare $281.30 | Detail |
| 99291CPT 99291 | Arizona | $336.07 | $270.84 to $425.82 | 111%Medicare $302.30 | Detail |
| 99291CPT 99291 | California | $359.84 | $312.78 to $431.59 | 108%Medicare $333.57 | Detail |
| 99291CPT 99291 | Colorado | $381.26 | $330.24 to $453.39 | 120%Medicare $316.57 | Detail |
| 99291CPT 99291 | Connecticut | $371.36 | $328.65 to $446.64 | 114%Medicare $326.22 | Detail |
| 99291CPT 99291 | DC | $353.26 | $288.50 to $531.82 | 103%Medicare $344.32 | |
| 99291CPT 99291 | Delaware | $337.44 | $279.05 to $418.94 | 110%Medicare $306.44 | Detail |
| 99291CPT 99291 | Florida | $353.64 | $289.16 to $445.78 | 109%Medicare $323.98 | Detail |
| 99291CPT 99291 | Georgia | $369.24 | $311.88 to $448.61 | 121%Medicare $305.61 | Detail |
| 99291CPT 99291 | Idaho | $404.39 | $352.21 to $475.04 | 140%Medicare $289.40 | Detail |
| 99291CPT 99291 | Illinois | $428.50 | $333.75 to $518.74 | 134%Medicare $318.64 | Detail |
| 99291CPT 99291 | Indiana | $304.63 | $265.35 to $361.69 | 105%Medicare $290.60 | Detail |
| 99291CPT 99291 | Kansas | $336.43 | $295.68 to $392.55 | 117%Medicare $287.58 | Detail |
| 99291CPT 99291 | Kentucky | $316.50 | $266.03 to $403.10 | 108%Medicare $291.75 | Detail |
| 99291CPT 99291 | Louisiana | $298.00 | $251.84 to $379.08 | 100%Medicare $297.21 | Detail |
| 99291CPT 99291 | Massachusetts | $407.56 | $331.49 to $529.50 | 124%Medicare $328.53 | Detail |
| 99291CPT 99291 | Maryland | $318.62 | $265.96 to $388.31 | 100%Medicare $318.19 | Detail |
| 99291CPT 99291 | Maine | $392.91 | $311.84 to $497.42 | 132%Medicare $296.85 | Detail |
| 99291CPT 99291 | Minnesota | $396.94 | $363.53 to $510.16 | 131%Medicare $302.30 | Detail |
| 99291CPT 99291 | Missouri | $341.15 | $285.61 to $403.45 | 115%Medicare $296.92 | Detail |
| 99291CPT 99291 | Mississippi | $284.38 | $259.24 to $314.52 | 100%Medicare $285.03 | Detail |
| 99291CPT 99291 | North Carolina | $385.28 | $309.68 to $481.15 | 131%Medicare $293.81 | Detail |
| 99291CPT 99291 | New Hampshire | $463.80 | $378.62 to $550.73 | 148%Medicare $312.91 | Detail |
| 99291CPT 99291 | New Jersey | $351.93 | $295.95 to $438.14 | 105%Medicare $336.02 | Detail |
| 99291CPT 99291 | New Mexico | $376.52 | $320.30 to $443.63 | 125%Medicare $300.15 | Detail |
| 99291CPT 99291 | Nevada | $342.35 | $280.20 to $416.55 | 112%Medicare $306.54 | Detail |
| 99291CPT 99291 | New York | $406.60 | $323.03 to $547.31 | 120%Medicare $338.17 | Detail |
| 99291CPT 99291 | Ohio | $359.27 | $295.11 to $464.76 | 121%Medicare $296.62 | Detail |
| 99291CPT 99291 | Oklahoma | $338.37 | $291.59 to $381.51 | 117%Medicare $290.20 | Detail |
| 99291CPT 99291 | Oregon | $516.89 | $423.47 to $608.59 | 165%Medicare $313.58 | Detail |
| 99291CPT 99291 | Pennsylvania | $325.72 | $277.73 to $384.60 | 106%Medicare $308.43 | Detail |
| 99291CPT 99291 | Rhode Island | $370.14 | $276.60 to $472.87 | 118%Medicare $314.88 | Detail |
| 99291CPT 99291 | South Carolina | $318.57 | $280.51 to $381.50 | 108%Medicare $295.76 | Detail |
| 99291CPT 99291 | Tennessee | $329.93 | $278.88 to $399.82 | 114%Medicare $288.81 | Detail |
| 99291CPT 99291 | Texas | $338.98 | $281.95 to $414.73 | 111%Medicare $306.47 | Detail |
| 99291CPT 99291 | Utah | $350.85 | $316.85 to $416.08 | 117%Medicare $298.79 | Detail |
| 99291CPT 99291 | Virginia | $326.63 | $279.65 to $392.45 | 108%Medicare $302.01 | Detail |
| 99291CPT 99291 | Vermont | $333.36 | $305.36 to $406.28 | 111%Medicare $299.94 | Detail |
| 99291CPT 99291 | Washington | $447.90 | $349.16 to $608.59 | 136%Medicare $330.51 | Detail |
| 99291CPT 99291 | Wisconsin | $373.62 | $304.38 to $502.99 | 128%Medicare $292.31 | Detail |
| 99291CPT 99291 | West Virginia | $350.01 | $269.83 to $460.05 | 118%Medicare $296.81 | Detail |
| 99291CPT 99291 | Wyoming | $450.41 | $379.68 to $560.26 | 148%Medicare $304.96 | Detail |
| 99292CPT 99292 | Alabama | $128.60 | $107.89 to $170.93 | 104%Medicare $124.22 | Detail |
| 99292CPT 99292 | Arkansas | $140.18 | $121.35 to $157.92 | 114%Medicare $123.01 | Detail |
| 99292CPT 99292 | Arizona | $147.78 | $120.04 to $187.25 | 113%Medicare $131.25 | Detail |
| 99292CPT 99292 | California | $156.89 | $136.64 to $189.83 | 110%Medicare $142.48 | Detail |
| 99292CPT 99292 | Colorado | $167.31 | $145.20 to $199.83 | 123%Medicare $136.43 | Detail |
| 99292CPT 99292 | Connecticut | $162.98 | $144.99 to $194.75 | 116%Medicare $140.99 | Detail |
| 99292CPT 99292 | DC | $157.21 | $126.22 to $229.65 | 106%Medicare $147.96 | |
| 99292CPT 99292 | Delaware | $149.61 | $123.52 to $182.37 | 113%Medicare $132.92 | Detail |
| 99292CPT 99292 | Florida | $156.69 | $128.14 to $198.68 | 111%Medicare $141.38 | Detail |
| 99292CPT 99292 | Georgia | $164.47 | $140.37 to $197.01 | 123%Medicare $133.20 | Detail |
| 99292CPT 99292 | Idaho | $178.12 | $155.13 to $211.00 | 142%Medicare $125.80 | Detail |
| 99292CPT 99292 | Illinois | $187.74 | $146.71 to $228.57 | 135%Medicare $139.47 | Detail |
| 99292CPT 99292 | Indiana | $134.84 | $117.83 to $166.01 | 107%Medicare $126.26 | Detail |
| 99292CPT 99292 | Kansas | $147.95 | $130.51 to $176.39 | 118%Medicare $125.22 | Detail |
| 99292CPT 99292 | Kentucky | $142.79 | $120.09 to $180.16 | 112%Medicare $127.61 | Detail |
| 99292CPT 99292 | Louisiana | $132.48 | $112.38 to $167.40 | 102%Medicare $129.85 | Detail |
| 99292CPT 99292 | Massachusetts | $176.89 | $143.72 to $229.05 | 125%Medicare $141.19 | Detail |
| 99292CPT 99292 | Maryland | $139.73 | $117.42 to $170.44 | 101%Medicare $137.68 | Detail |
| 99292CPT 99292 | Maine | $170.36 | $135.21 to $216.40 | 132%Medicare $128.79 | Detail |
| 99292CPT 99292 | Minnesota | $178.93 | $162.96 to $223.27 | 138%Medicare $130.01 | Detail |
| 99292CPT 99292 | Missouri | $151.87 | $126.72 to $183.33 | 117%Medicare $129.61 | Detail |
| 99292CPT 99292 | Mississippi | $127.25 | $116.28 to $141.00 | 102%Medicare $124.83 | Detail |
| 99292CPT 99292 | North Carolina | $171.29 | $137.47 to $216.49 | 134%Medicare $127.74 | Detail |
| 99292CPT 99292 | New Hampshire | $204.59 | $163.44 to $242.05 | 151%Medicare $135.07 | Detail |
| 99292CPT 99292 | New Jersey | $154.97 | $130.37 to $192.87 | 107%Medicare $144.88 | Detail |
| 99292CPT 99292 | New Mexico | $170.12 | $141.57 to $199.45 | 130%Medicare $131.24 | Detail |
| 99292CPT 99292 | Nevada | $150.72 | $124.41 to $182.90 | 114%Medicare $132.71 | Detail |
| 99292CPT 99292 | New York | $180.63 | $142.07 to $244.27 | 124%Medicare $146.17 | Detail |
| 99292CPT 99292 | Ohio | $158.05 | $129.55 to $206.90 | 122%Medicare $129.55 | Detail |
| 99292CPT 99292 | Oklahoma | $151.77 | $131.52 to $169.00 | 120%Medicare $126.76 | Detail |
| 99292CPT 99292 | Oregon | $225.53 | $187.82 to $267.99 | 167%Medicare $135.15 | Detail |
| 99292CPT 99292 | Pennsylvania | $144.35 | $123.47 to $168.12 | 108%Medicare $134.09 | Detail |
| 99292CPT 99292 | Rhode Island | $158.86 | $129.44 to $204.14 | 117%Medicare $136.22 | Detail |
| 99292CPT 99292 | South Carolina | $141.33 | $124.84 to $167.72 | 110%Medicare $128.90 | Detail |
| 99292CPT 99292 | Tennessee | $147.09 | $124.62 to $177.93 | 117%Medicare $125.73 | Detail |
| 99292CPT 99292 | Texas | $150.16 | $124.61 to $186.30 | 113%Medicare $133.01 | Detail |
| 99292CPT 99292 | Utah | $156.27 | $139.42 to $183.15 | 120%Medicare $130.09 | Detail |
| 99292CPT 99292 | Virginia | $144.52 | $122.93 to $171.16 | 110%Medicare $130.81 | Detail |
| 99292CPT 99292 | Vermont | $147.88 | $137.52 to $182.01 | 114%Medicare $129.63 | Detail |
| 99292CPT 99292 | Washington | $197.96 | $153.51 to $264.12 | 140%Medicare $141.84 | Detail |
| 99292CPT 99292 | Wisconsin | $163.55 | $134.97 to $218.78 | 129%Medicare $126.48 | Detail |
| 99292CPT 99292 | West Virginia | $152.87 | $120.17 to $202.36 | 117%Medicare $130.55 | Detail |
| 99292CPT 99292 | Wyoming | $198.02 | $166.67 to $245.36 | 150%Medicare $131.94 | Detail |
| 99457CPT 99457 | Alabama | $47.88 | $41.23 to $62.02 | 101%Medicare $47.43 | Detail |
| 99457CPT 99457 | Arkansas | $56.66 | $49.72 to $63.89 | 121%Medicare $46.88 | Detail |
| 99457CPT 99457 | Arizona | $62.22 | $50.25 to $79.23 | 123%Medicare $50.65 | Detail |
| 99457CPT 99457 | California | $68.50 | $59.81 to $83.96 | 119%Medicare $57.40 | Detail |
| 99457CPT 99457 | Colorado | $70.16 | $60.96 to $84.02 | 131%Medicare $53.65 | Detail |
| 99457CPT 99457 | Connecticut | $69.39 | $62.94 to $81.58 | 127%Medicare $54.77 | Detail |
| 99457CPT 99457 | DC | $70.40 | $56.70 to $95.88 | 121%Medicare $58.37 | |
| 99457CPT 99457 | Delaware | $64.32 | $56.52 to $75.72 | 125%Medicare $51.38 | Detail |
| 99457CPT 99457 | Florida | $64.61 | $51.98 to $82.29 | 122%Medicare $53.14 | Detail |
| 99457CPT 99457 | Georgia | $69.84 | $59.49 to $83.43 | 138%Medicare $50.68 | Detail |
| 99457CPT 99457 | Idaho | $72.31 | $65.31 to $85.66 | 149%Medicare $48.66 | Detail |
| 99457CPT 99457 | Illinois | $74.16 | $57.39 to $88.12 | 142%Medicare $52.05 | Detail |
| 99457CPT 99457 | Indiana | $56.13 | $50.21 to $64.56 | 115%Medicare $48.89 | Detail |
| 99457CPT 99457 | Kansas | $62.18 | $53.46 to $72.02 | 129%Medicare $48.22 | Detail |
| 99457CPT 99457 | Kentucky | $57.48 | $48.51 to $73.48 | 119%Medicare $48.32 | Detail |
| 99457CPT 99457 | Louisiana | $52.66 | $45.29 to $66.98 | 107%Medicare $49.22 | Detail |
| 99457CPT 99457 | Massachusetts | $76.26 | $61.97 to $96.68 | 137%Medicare $55.86 | Detail |
| 99457CPT 99457 | Maryland | $59.88 | $49.52 to $72.17 | 112%Medicare $53.42 | Detail |
| 99457CPT 99457 | Maine | $74.13 | $60.21 to $89.66 | 148%Medicare $49.94 | Detail |
| 99457CPT 99457 | Minnesota | $79.85 | $68.35 to $90.24 | 154%Medicare $51.70 | Detail |
| 99457CPT 99457 | Missouri | $62.37 | $51.72 to $75.27 | 127%Medicare $49.28 | Detail |
| 99457CPT 99457 | Mississippi | $50.97 | $46.85 to $61.07 | 108%Medicare $47.24 | Detail |
| 99457CPT 99457 | North Carolina | $71.47 | $56.57 to $88.94 | 145%Medicare $49.28 | Detail |
| 99457CPT 99457 | New Hampshire | $84.27 | $67.01 to $100.36 | 159%Medicare $52.84 | Detail |
| 99457CPT 99457 | New Jersey | $68.06 | $55.10 to $84.10 | 120%Medicare $56.72 | Detail |
| 99457CPT 99457 | New Mexico | $67.90 | $56.71 to $78.89 | 137%Medicare $49.54 | Detail |
| 99457CPT 99457 | Nevada | $62.64 | $51.54 to $75.79 | 121%Medicare $51.58 | Detail |
| 99457CPT 99457 | New York | $74.85 | $58.63 to $98.51 | 132%Medicare $56.69 | Detail |
| 99457CPT 99457 | Ohio | $63.69 | $51.67 to $78.67 | 130%Medicare $49.17 | Detail |
| 99457CPT 99457 | Oklahoma | $61.12 | $53.02 to $70.69 | 127%Medicare $48.26 | Detail |
| 99457CPT 99457 | Oregon | $96.76 | $80.79 to $113.21 | 182%Medicare $53.17 | Detail |
| 99457CPT 99457 | Pennsylvania | $61.83 | $52.07 to $70.74 | 120%Medicare $51.43 | Detail |
| 99457CPT 99457 | Rhode Island | $68.14 | $54.14 to $85.04 | 129%Medicare $53.01 | Detail |
| 99457CPT 99457 | South Carolina | $58.60 | $51.69 to $71.99 | 119%Medicare $49.29 | Detail |
| 99457CPT 99457 | Tennessee | $61.77 | $51.16 to $74.40 | 128%Medicare $48.42 | Detail |
| 99457CPT 99457 | Texas | $61.69 | $51.53 to $77.52 | 120%Medicare $51.32 | Detail |
| 99457CPT 99457 | Utah | $63.36 | $56.41 to $74.25 | 127%Medicare $49.83 | Detail |
| 99457CPT 99457 | Virginia | $61.17 | $51.41 to $74.05 | 120%Medicare $50.87 | Detail |
| 99457CPT 99457 | Vermont | $66.65 | $60.94 to $78.42 | 131%Medicare $50.81 | Detail |
| 99457CPT 99457 | Washington | $84.86 | $65.01 to $111.39 | 151%Medicare $56.34 | Detail |
| 99457CPT 99457 | Wisconsin | $68.78 | $56.24 to $91.71 | 139%Medicare $49.58 | Detail |
| 99457CPT 99457 | West Virginia | $60.51 | $46.98 to $75.03 | 125%Medicare $48.41 | Detail |
| 99457CPT 99457 | Wyoming | $81.97 | $69.94 to $101.87 | 159%Medicare $51.42 | Detail |
| 99458CPT 99458 | Alabama | $39.73 | $34.10 to $51.55 | 104%Medicare $38.37 | Detail |
| 99458CPT 99458 | Arkansas | $46.91 | $40.28 to $52.72 | 123%Medicare $37.99 | Detail |
| 99458CPT 99458 | Arizona | $50.53 | $40.85 to $64.74 | 124%Medicare $40.61 | Detail |
| 99458CPT 99458 | California | $55.36 | $47.79 to $66.72 | 123%Medicare $45.15 | Detail |
| 99458CPT 99458 | Colorado | $57.05 | $49.57 to $68.32 | 134%Medicare $42.63 | Detail |
| 99458CPT 99458 | Connecticut | $56.14 | $50.47 to $65.86 | 129%Medicare $43.62 | Detail |
| 99458CPT 99458 | DC | $57.45 | $45.62 to $76.86 | 124%Medicare $46.18 | |
| 99458CPT 99458 | Delaware | $51.81 | $45.26 to $61.35 | 126%Medicare $41.15 | Detail |
| 99458CPT 99458 | Florida | $53.12 | $42.77 to $67.27 | 124%Medicare $42.75 | Detail |
| 99458CPT 99458 | Georgia | $57.19 | $48.35 to $68.40 | 140%Medicare $40.80 | Detail |
| 99458CPT 99458 | Idaho | $59.03 | $53.32 to $69.93 | 151%Medicare $39.14 | Detail |
| 99458CPT 99458 | Illinois | $60.02 | $46.11 to $72.43 | 143%Medicare $42.04 | Detail |
| 99458CPT 99458 | Indiana | $45.62 | $41.00 to $52.46 | 116%Medicare $39.29 | Detail |
| 99458CPT 99458 | Kansas | $50.76 | $43.77 to $59.07 | 131%Medicare $38.86 | Detail |
| 99458CPT 99458 | Kentucky | $47.27 | $39.71 to $60.60 | 121%Medicare $39.12 | Detail |
| 99458CPT 99458 | Louisiana | $43.66 | $37.21 to $55.32 | 110%Medicare $39.77 | Detail |
| 99458CPT 99458 | Massachusetts | $59.74 | $49.05 to $77.37 | 135%Medicare $44.23 | Detail |
| 99458CPT 99458 | Maryland | $48.04 | $39.98 to $58.08 | 113%Medicare $42.62 | Detail |
| 99458CPT 99458 | Maine | $59.97 | $48.75 to $72.98 | 150%Medicare $40.05 | Detail |
| 99458CPT 99458 | Minnesota | $64.78 | $56.49 to $73.74 | 158%Medicare $41.05 | Detail |
| 99458CPT 99458 | Missouri | $51.20 | $42.45 to $61.96 | 129%Medicare $39.77 | Detail |
| 99458CPT 99458 | Mississippi | $42.06 | $38.68 to $50.92 | 110%Medicare $38.33 | Detail |
| 99458CPT 99458 | North Carolina | $58.86 | $46.43 to $72.22 | 149%Medicare $39.61 | Detail |
| 99458CPT 99458 | New Hampshire | $68.07 | $54.67 to $81.64 | 162%Medicare $42.06 | Detail |
| 99458CPT 99458 | New Jersey | $54.83 | $44.51 to $67.26 | 122%Medicare $45.05 | Detail |
| 99458CPT 99458 | New Mexico | $55.32 | $46.54 to $64.86 | 138%Medicare $40.05 | Detail |
| 99458CPT 99458 | Nevada | $51.25 | $42.12 to $61.69 | 124%Medicare $41.21 | Detail |
| 99458CPT 99458 | New York | $60.35 | $47.46 to $79.00 | 134%Medicare $45.14 | Detail |
| 99458CPT 99458 | Ohio | $51.61 | $42.00 to $63.99 | 130%Medicare $39.71 | Detail |
| 99458CPT 99458 | Oklahoma | $50.93 | $43.88 to $58.15 | 131%Medicare $39.01 | Detail |
| 99458CPT 99458 | Oregon | $77.34 | $65.18 to $90.95 | 183%Medicare $42.27 | Detail |
| 99458CPT 99458 | Pennsylvania | $50.43 | $42.85 to $57.74 | 122%Medicare $41.29 | Detail |
| 99458CPT 99458 | Rhode Island | $55.02 | $43.42 to $68.47 | 130%Medicare $42.31 | Detail |
| 99458CPT 99458 | South Carolina | $47.68 | $42.25 to $58.78 | 120%Medicare $39.72 | Detail |
| 99458CPT 99458 | Tennessee | $50.93 | $41.96 to $61.32 | 131%Medicare $39.01 | Detail |
| 99458CPT 99458 | Texas | $50.70 | $41.92 to $63.84 | 123%Medicare $41.13 | Detail |
| 99458CPT 99458 | Utah | $52.41 | $46.23 to $60.47 | 131%Medicare $40.10 | Detail |
| 99458CPT 99458 | Virginia | $49.66 | $41.85 to $60.21 | 122%Medicare $40.69 | Detail |
| 99458CPT 99458 | Vermont | $54.07 | $49.57 to $63.80 | 133%Medicare $40.56 | Detail |
| 99458CPT 99458 | Washington | $68.81 | $52.62 to $89.38 | 155%Medicare $44.53 | Detail |
| 99458CPT 99458 | Wisconsin | $55.31 | $45.16 to $73.75 | 139%Medicare $39.66 | Detail |
| 99458CPT 99458 | West Virginia | $49.26 | $38.41 to $62.78 | 125%Medicare $39.41 | Detail |
| 99458CPT 99458 | Wyoming | $66.32 | $56.86 to $83.06 | 161%Medicare $41.07 | Detail |
| 99490CPT 99490 | Alabama | $51.22 | $38.01 to $63.86 | 84%Medicare $61.32 | Detail |
| 99490CPT 99490 | Arkansas | $51.07 | $46.05 to $59.26 | 84%Medicare $60.71 | Detail |
| 99490CPT 99490 | Arizona | $60.84 | $48.88 to $82.77 | 94%Medicare $64.85 | Detail |
| 99490CPT 99490 | California | $60.77 | $50.66 to $77.15 | 85%Medicare $71.83 | Detail |
| 99490CPT 99490 | Colorado | $70.08 | $56.35 to $86.23 | 103%Medicare $67.97 | Detail |
| 99490CPT 99490 | Connecticut | $71.68 | $57.09 to $86.61 | 103%Medicare $69.63 | Detail |
| 99490CPT 99490 | DC | $64.30 | $51.78 to $99.61 | 87%Medicare $73.61 | |
| 99490CPT 99490 | Delaware | $61.99 | $50.79 to $95.11 | 94%Medicare $65.70 | Detail |
| 99490CPT 99490 | Florida | $62.01 | $49.57 to $80.94 | 91%Medicare $68.45 | Detail |
| 99490CPT 99490 | Georgia | $61.64 | $51.32 to $86.24 | 94%Medicare $65.25 | Detail |
| 99490CPT 99490 | Idaho | $59.41 | $53.32 to $69.93 | 95%Medicare $62.47 | Detail |
| 99490CPT 99490 | Illinois | $80.69 | $65.93 to $105.06 | 120%Medicare $67.35 | Detail |
| 99490CPT 99490 | Indiana | $59.83 | $46.80 to $73.02 | 95%Medicare $62.71 | Detail |
| 99490CPT 99490 | Kansas | $61.27 | $50.24 to $76.30 | 99%Medicare $62.06 | Detail |
| 99490CPT 99490 | Kentucky | $56.44 | $42.42 to $68.45 | 90%Medicare $62.56 | Detail |
| 99490CPT 99490 | Louisiana | $56.47 | $44.02 to $70.60 | 89%Medicare $63.60 | Detail |
| 99490CPT 99490 | Massachusetts | $81.15 | $64.87 to $105.58 | 115%Medicare $70.47 | Detail |
| 99490CPT 99490 | Maryland | $58.57 | $47.13 to $75.90 | 86%Medicare $68.04 | Detail |
| 99490CPT 99490 | Maine | $72.60 | $58.83 to $102.30 | 114%Medicare $63.91 | Detail |
| 99490CPT 99490 | Minnesota | $72.14 | $59.35 to $108.13 | 110%Medicare $65.37 | Detail |
| 99490CPT 99490 | Missouri | $63.10 | $51.97 to $78.18 | 99%Medicare $63.60 | Detail |
| 99490CPT 99490 | Mississippi | $48.39 | $41.81 to $59.59 | 79%Medicare $61.30 | Detail |
| 99490CPT 99490 | North Carolina | $70.66 | $56.13 to $83.12 | 112%Medicare $63.25 | Detail |
| 99490CPT 99490 | New Hampshire | $93.77 | $73.54 to $116.73 | 140%Medicare $67.09 | Detail |
| 99490CPT 99490 | New Jersey | $63.59 | $49.62 to $81.60 | 88%Medicare $71.88 | Detail |
| 99490CPT 99490 | New Mexico | $68.82 | $59.84 to $78.58 | 107%Medicare $64.08 | Detail |
| 99490CPT 99490 | Nevada | $62.22 | $46.56 to $84.56 | 95%Medicare $65.77 | Detail |
| 99490CPT 99490 | New York | $73.51 | $53.52 to $98.48 | 102%Medicare $72.07 | Detail |
| 99490CPT 99490 | Ohio | $71.30 | $55.48 to $89.66 | 112%Medicare $63.51 | Detail |
| 99490CPT 99490 | Oklahoma | $53.80 | $46.65 to $63.50 | 86%Medicare $62.36 | Detail |
| 99490CPT 99490 | Oregon | $105.65 | $82.66 to $129.44 | 157%Medicare $67.38 | Detail |
| 99490CPT 99490 | Pennsylvania | $61.96 | $51.74 to $78.20 | 94%Medicare $65.97 | Detail |
| 99490CPT 99490 | Rhode Island | $69.68 | $59.89 to $89.94 | 103%Medicare $67.52 | Detail |
| 99490CPT 99490 | South Carolina | $59.31 | $44.77 to $75.53 | 93%Medicare $63.47 | Detail |
| 99490CPT 99490 | Tennessee | $58.29 | $48.09 to $69.91 | 94%Medicare $62.29 | Detail |
| 99490CPT 99490 | Texas | $60.87 | $49.53 to $80.10 | 93%Medicare $65.68 | Detail |
| 99490CPT 99490 | Utah | $66.97 | $52.74 to $78.79 | 105%Medicare $64.07 | Detail |
| 99490CPT 99490 | Virginia | $59.45 | $48.35 to $74.76 | 92%Medicare $64.93 | Detail |
| 99490CPT 99490 | Vermont | $57.59 | $52.77 to $67.24 | 89%Medicare $64.67 | Detail |
| 99490CPT 99490 | Washington | $82.86 | $63.64 to $122.41 | 117%Medicare $70.95 | Detail |
| 99490CPT 99490 | Wisconsin | $78.68 | $55.48 to $97.55 | 124%Medicare $63.24 | Detail |
| 99490CPT 99490 | West Virginia | $64.88 | $53.69 to $86.05 | 103%Medicare $63.16 | Detail |
| 99490CPT 99490 | Wyoming | $86.68 | $62.03 to $108.18 | 132%Medicare $65.53 | Detail |
| 99491CPT 99491 | Arizona | $108.87 | $83.28 to $161.84 | 124%Medicare $87.63 | Detail |
| 99491CPT 99491 | California | $114.61 | $100.21 to $139.82 | 119%Medicare $96.21 | Detail |
| 99491CPT 99491 | Colorado | $115.46 | $100.66 to $135.07 | 126%Medicare $91.43 | Detail |
| 99491CPT 99491 | Connecticut | $115.94 | $98.96 to $136.78 | 124%Medicare $93.59 | Detail |
| 99491CPT 99491 | Delaware | $110.87 | $97.56 to $131.12 | 125%Medicare $88.69 | Detail |
| 99491CPT 99491 | Florida | $102.63 | $82.58 to $130.49 | 111%Medicare $92.15 | Detail |
| 99491CPT 99491 | Georgia | $137.82 | $113.27 to $197.95 | 156%Medicare $88.19 | Detail |
| 99491CPT 99491 | Illinois | $124.54 | $100.89 to $145.09 | 137%Medicare $90.88 | Detail |
| 99491CPT 99491 | Indiana | $97.55 | $86.07 to $114.64 | 115%Medicare $85.00 | Detail |
| 99491CPT 99491 | Kansas | $103.30 | $87.53 to $115.63 | 123%Medicare $84.23 | Detail |
| 99491CPT 99491 | Kentucky | $91.43 | $77.96 to $123.93 | 108%Medicare $84.92 | Detail |
| 99491CPT 99491 | Louisiana | $88.80 | $73.40 to $102.97 | 103%Medicare $86.19 | Detail |
| 99491CPT 99491 | Massachusetts | $126.68 | $102.84 to $164.58 | 134%Medicare $94.59 | Detail |
| 99491CPT 99491 | Maryland | $100.90 | $80.35 to $122.83 | 110%Medicare $91.60 | Detail |
| 99491CPT 99491 | Maine | $127.61 | $96.13 to $162.91 | 148%Medicare $86.45 | Detail |
| 99491CPT 99491 | Missouri | $97.52 | $85.39 to $120.08 | 113%Medicare $86.16 | Detail |
| 99491CPT 99491 | Mississippi | $80.97 | $77.80 to $87.06 | 97%Medicare $83.38 | Detail |
| 99491CPT 99491 | North Carolina | $107.33 | $94.59 to $127.49 | 125%Medicare $85.68 | Detail |
| 99491CPT 99491 | New Hampshire | $140.78 | $114.50 to $169.64 | 156%Medicare $90.28 | Detail |
| 99491CPT 99491 | New Jersey | $108.36 | $87.64 to $139.43 | 112%Medicare $96.55 | Detail |
| 99491CPT 99491 | New Mexico | $105.22 | $95.90 to $123.91 | 121%Medicare $86.79 | Detail |
| 99491CPT 99491 | Nevada | $113.94 | $92.43 to $138.65 | 128%Medicare $88.71 | Detail |
| 99491CPT 99491 | New York | $120.02 | $97.66 to $165.85 | 124%Medicare $96.80 | Detail |
| 99491CPT 99491 | Ohio | $110.87 | $94.67 to $137.71 | 129%Medicare $86.07 | Detail |
| 99491CPT 99491 | Oregon | $163.46 | $139.43 to $191.87 | 180%Medicare $90.68 | Detail |
| 99491CPT 99491 | Pennsylvania | $98.98 | $85.12 to $116.18 | 111%Medicare $89.10 | Detail |
| 99491CPT 99491 | Rhode Island | $112.12 | $85.75 to $147.08 | 123%Medicare $91.00 | Detail |
| 99491CPT 99491 | South Carolina | $105.94 | $90.34 to $122.74 | 123%Medicare $85.99 | Detail |
| 99491CPT 99491 | Tennessee | $96.19 | $81.40 to $116.28 | 114%Medicare $84.51 | Detail |
| 99491CPT 99491 | Texas | $98.96 | $82.48 to $123.09 | 112%Medicare $88.68 | Detail |
| 99491CPT 99491 | Virginia | $99.68 | $81.26 to $127.83 | 114%Medicare $87.68 | Detail |
| 99491CPT 99491 | Washington | $157.90 | $112.16 to $221.53 | 166%Medicare $95.17 | Detail |
| 99491CPT 99491 | Wisconsin | $113.31 | $94.65 to $137.71 | 132%Medicare $85.59 | Detail |
| 99491CPT 99491 | West Virginia | $102.23 | $83.78 to $119.92 | 119%Medicare $85.75 | Detail |
| 99491CPT 99491 | Wyoming | $138.79 | $119.87 to $147.60 | 157%Medicare $88.40 | Detail |
Source: Cigna Transparency in Coverage file (Open Access Plus national network (August 2026 TiC file)). See how we build these numbers.
Paid Less Than This by Cigna?
Send us your rate for one code. We will tell you where it sits in their published range and whether it is worth renegotiating.
92%+ clean claim rate
2.49% starting rate
Results in 30 days
Fill in your details and we'll call you back
92% clean claim rate
7 years in business
HIPAA compliant
AAPC certified
Or call directly:888-701-6090
Renegotiate Your Cigna Contract
If you are below the market, we benchmark the gap and take it back to the payer on your behalf.