|
Infect ag if influenza b
CPT 87275
|
$12.06
|
$60.00
|
$12.25 – $48.00
|
28 |
|
Infect ag if legionella pneumophila
CPT 87278
|
$9.45
|
$47.00
|
$15.60 – $37.60
|
28 |
|
Infect ag if pneumocystis carinii
CPT 87281
|
$15.28
|
$76.00
|
$11.98 – $28.80
|
28 |
|
Infect ag if varicella zoster
CPT 87290
|
$12.06
|
$60.00
|
$13.42 – $48.00
|
28 |
|
Infect ag na hep b amp
CPT 87516
|
$27.14
|
$135.00
|
$35.09 – $108.00
|
28 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$25.93
|
$129.00
|
$42.84 – $103.20
|
28 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$21.31
|
$106.00
|
$35.09 – $84.80
|
28 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$57.89
|
$288.00
|
$95.80 – $230.40
|
28 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$60.10
|
$299.00
|
$51.31 – $239.20
|
28 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$251.45
|
$1,251.00
|
$416.78 – $1,000.80
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$12.06
|
$60.00
|
$11.98 – $48.00
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$13.27
|
$66.00
|
$11.98 – $28.80
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$14.87
|
$74.00
|
$14.38 – $35.20
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$46.43
|
$231.00
|
$10.33 – $107.20
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$17.09
|
$85.00
|
$10.33 – $47.20
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$17.49
|
$87.00
|
$24.08 – $69.60
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$31.56
|
$157.00
|
$11.98 – $28.80
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$7.24
|
$36.00
|
$11.98 – $28.80
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$12.86
|
$64.00
|
$11.98 – $51.20
|
28 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$84.62
|
$421.00
|
$35.09 – $84.80
|
28 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$23.12
|
$115.00
|
$35.09 – $84.80
|
28 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$22.51
|
$112.00
|
$37.27 – $89.60
|
28 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$251.45
|
$1,251.00
|
$416.78 – $1,000.80
|
28 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$21.31
|
$106.00
|
$35.09 – $84.80
|
28 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$21.31
|
$106.00
|
$35.09 – $84.80
|
28 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$25.33
|
$126.00
|
$41.68 – $100.80
|
28 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$21.31
|
$106.00
|
$35.09 – $84.80
|
28 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$30.95
|
$154.00
|
$51.31 – $123.20
|
28 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$19.30
|
$96.00
|
$32.26 – $235.34
|
28 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$21.31
|
$106.00
|
$35.09 – $84.80
|
28 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$22.31
|
$111.00
|
$35.09 – $84.80
|
28 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$251.45
|
$1,251.00
|
$416.78 – $1,000.80
|
28 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$55.28
|
$275.00
|
$42.84 – $103.20
|
28 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$25.93
|
$129.00
|
$42.84 – $103.20
|
28 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$29.55
|
$147.00
|
$42.84 – $103.20
|
28 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$51.46
|
$256.00
|
$85.10 – $204.80
|
28 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$86.03
|
$428.00
|
$142.63 – $342.40
|
28 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$148.34
|
$465.00
|
$62.00 – $4,018.00
|
17 |
|
Inj dx for sinogram
CPT 20501
|
$87.09
|
$273.00
|
$39.34 – $4,018.00
|
15 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$203.84
|
$639.00
|
$85.20 – $4,018.00
|
17 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
not published
|
not published
|
$189.35 – $302.31
|
6 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$274.32
|
$1,499.00
|
$299.80 – $12,389.00
|
16 |
|
Injection epidural blood patch or clot
CPT 62273
|
$453.62
|
$1,422.00
|
$443.64 – $1,217.87
|
28 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$228.72
|
$717.00
|
$95.60 – $4,018.00
|
17 |
|
Injection for bladder x-ray
CPT 51600
|
$162.69
|
$510.00
|
$90.91 – $4,018.00
|
17 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$222.02
|
$696.00
|
$92.80 – $4,018.00
|
17 |
|
Injection for ureter x-ray
CPT 50690
|
$74.65
|
$234.00
|
$46.80 – $4,018.00
|
17 |
|
Injection into brain canal
CPT 61026
|
$327.29
|
$1,026.00
|
$359.10 – $1,217.87
|
28 |
|
Injection into vocal cord
CPT 31513
|
not published
|
not published
|
$272.97 – $1,271.44
|
6 |
|
Injection jugular
CPT 36299
|
$467.97
|
$1,467.00
|
$293.40 – $4,018.00
|
17 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$474.35
|
$1,487.00
|
$198.20 – $4,018.00
|
17 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
not published
|
not published
|
$460.08 – $871.76
|
6 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$295.71
|
$927.00
|
$123.60 – $4,018.00
|
17 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$336.86
|
$1,056.00
|
$140.80 – $4,018.00
|
17 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$696.70
|
$2,184.00
|
$176.09 – $4,018.00
|
17 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,417.95
|
$4,445.00
|
$592.60 – $4,018.00
|
17 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$916.17
|
$2,872.00
|
$377.75 – $2,297.60
|
28 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$916.17
|
$2,872.00
|
$371.72 – $2,297.60
|
28 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$210.54
|
$660.00
|
$88.00 – $4,018.00
|
17 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$140.36
|
$440.00
|
$76.25 – $519.12
|
28 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$159.50
|
$500.00
|
$86.72 – $519.12
|
28 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$66.83
|
$275.00
|
$54.52 – $1,910.00
|
17 |
|
Inject sacroiliac joint
CPT 27096
|
$429.37
|
$1,346.00
|
$179.40 – $2,114.00
|
17 |
|
Inj for ext venography
CPT 36005
|
$232.23
|
$728.00
|
$97.00 – $4,018.00
|
17 |
|
Inj for mammo ductogram
CPT 19030
|
$611.52
|
$1,917.00
|
$182.12 – $4,018.00
|
17 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$300.85
|
$1,644.00
|
$239.97 – $12,389.00
|
16 |
|
Inj hrt cath w/s&i sel hrt ang
CPT 93563
|
$402.23
|
$2,198.00
|
$145.62 – $12,389.00
|
16 |
|
Inj hrt cath w/s&i sel right vent
CPT 93566
|
$250.71
|
$1,370.00
|
$115.20 – $12,389.00
|
16 |
|
Inj nephrosto/ureterogram w/img exstng access
CPT 50431
|
$628.75
|
$1,971.00
|
$137.76 – $4,018.00
|
17 |
|
Inj proc ankle arthr
CPT 27648
|
$267.00
|
$837.00
|
$111.60 – $4,018.00
|
17 |
|
Inj proc elbow arthro
CPT 24220
|
$247.86
|
$777.00
|
$103.60 – $4,018.00
|
17 |
|
Inj proc lumbr disk ea lvl
CPT 62290
|
$301.14
|
$944.00
|
$182.16 – $4,018.00
|
17 |
|
Inj proc myelogram lumbar
CPT 62284
|
$323.79
|
$1,015.00
|
$154.52 – $4,018.00
|
17 |
|
Inj retacrit esrd on dialysi
HCPCS Q5105
|
$0.69
|
$4.90
|
$0.63 – $3.84
|
28 |
|
Inj retro urethrocysto
CPT 51610
|
$82.62
|
$259.00
|
$51.80 – $4,018.00
|
17 |
|
Inj w/fluor eval cv device
CPT 36598
|
$221.39
|
$694.00
|
$147.54 – $555.20
|
28 |
|
Ins cath ren art 1st bi
CPT 36252
|
$2,521.38
|
$7,904.00
|
$182.16 – $6,323.20
|
28 |
|
Ins cath ren art 1st uni
CPT 36251
|
$1,942.07
|
$6,088.00
|
$182.16 – $5,535.21
|
28 |
|
Ins cath ren art 2nd+ bi
CPT 36254
|
$3,245.51
|
$10,174.00
|
$182.16 – $8,139.20
|
28 |
|
Ins cath ren art 2nd+ uni
CPT 36253
|
$2,487.56
|
$7,798.00
|
$182.16 – $9,506.48
|
28 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$1,464.78
|
$1,328.00
|
$204.07 – $1,062.40
|
28 |
|
Insert cath pleura with image
CPT 32557
|
$985.71
|
$3,090.00
|
$412.00 – $4,018.00
|
17 |
|
Insert drug delivery implant
CPT 11981
|
not published
|
not published
|
$78.55 – $81.16
|
6 |
|
Insert hepatic shunt (tips)
CPT 37182
|
$2,670.67
|
$8,372.00
|
$1,674.40 – $9,613.00
|
17 |
|
Insert intrauterine device iud
CPT 58300
|
not published
|
not published
|
$949.44 – $949.44
|
1 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$60.61
|
$190.00
|
$66.50 – $226.68
|
28 |
|
Insertion catheter pleural indwelling tunneled with cuff
CPT 32550
|
$1,467.40
|
$4,600.00
|
$949.44 – $6,206.21
|
28 |
|
Insertion intra aortic balloon assist device percutaneous
CPT 33967
|
$1,972.38
|
$6,183.00
|
$936.00 – $11,665.00
|
17 |
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
CPT 37191
|
$2,198.87
|
$6,893.00
|
$2,412.55 – $9,506.48
|
28 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$1,256.22
|
$3,938.00
|
$949.44 – $5,535.21
|
28 |
|
Insertion of catheter vein
CPT 36481
|
$543.58
|
$1,704.00
|
$182.16 – $4,018.00
|
17 |
|
Insertion of catheter vein
CPT 36500
|
$339.74
|
$1,065.00
|
$182.16 – $4,018.00
|
17 |
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
CPT 33208
|
$6,700.60
|
$21,005.00
|
$2,837.28 – $18,404.36
|
28 |
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
CPT 33207
|
$4,623.59
|
$14,494.00
|
$2,837.28 – $18,404.36
|
28 |
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
CPT 33225
|
$4,968.11
|
$15,574.00
|
$1,418.64 – $47,100.00
|
17 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$873.74
|
$2,739.00
|
$949.44 – $2,731.89
|
28 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$910.74
|
$2,855.00
|
$949.44 – $2,731.89
|
28 |
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
CPT 33249
|
$7,015.13
|
$21,991.00
|
$2,837.28 – $56,383.59
|
28 |
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
CPT 33210
|
$2,285.32
|
$7,164.00
|
$2,507.40 – $14,554.17
|
28 |
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
CPT 33216
|
$2,544.98
|
$7,978.00
|
$2,792.30 – $14,554.17
|
28 |