|
Icd crtp serena MRI
HCPCS C2621
|
$9,092.79
|
$35,700.00
|
$5,000.00 – $5,880.00
|
6 |
|
Icd reliance df4 ib 64cm
HCPCS C1895
|
$2,875.06
|
$11,288.00
|
$1,800.00 – $2,116.80
|
6 |
|
Ihc/icc per specimen each additional single antibody stain
CPT 88341
|
$72.85
|
$286.00
|
$40.04 – $227.00
|
9 |
|
Ihc/icc per specimen each multiplex antibody stain
CPT 88344
|
$72.85
|
$286.00
|
$80.08 – $227.00
|
9 |
|
Ihc/icc per specimen initial single antibody stain
CPT 88342
|
$36.43
|
$143.00
|
$40.04 – $227.00
|
9 |
|
Immobilizer shldr dlx str 24-36in med
HCPCS L1830
|
$16.05
|
$62.99
|
$17.64 – $18.52
|
6 |
|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$9.17
|
$36.00
|
$15.69 – $67.46
|
9 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$6.63
|
$26.00
|
$11.55 – $47.67
|
9 |
|
Immunodiffusion nes
CPT 86329
|
$28.53
|
$112.00
|
$10.59 – $45.51
|
9 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$43.81
|
$172.00
|
$12.60 – $72.41
|
9 |
|
Immunofluorescence per specimen each additional single antibody stain
CPT 88350
|
$34.39
|
$135.00
|
$31.56 – $227.00
|
9 |
|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$57.31
|
$225.00
|
$34.16 – $227.00
|
9 |
|
Immunoglobulin assay
CPT 86023
|
$10.70
|
$42.00
|
$9.40 – $40.36
|
9 |
|
Implant cartilage 10mm synthetic
HCPCS L8699
|
$1,044.27
|
$4,100.00
|
$1,025.00 – $1,205.40
|
6 |
|
Implant ureth bulk agent
HCPCS L8606
|
$263.31
|
$1,033.79
|
$289.47 – $303.94
|
6 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$1,190.73
|
$4,675.00
|
$1,309.00 – $1,374.45
|
6 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$106.98
|
$420.00
|
$98.29 – $427.17
|
9 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$106.98
|
$420.00
|
$97.06 – $411.19
|
9 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$134.74
|
$529.00
|
$194.11 – $834.54
|
9 |
|
Infect ag ia optc obs chlamydia trach
CPT 87810
|
$18.09
|
$71.00
|
$11.76 – $32.96
|
9 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$24.71
|
$97.00
|
$11.76 – $28.26
|
9 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$88.64
|
$348.00
|
$72.23 – $271.83
|
9 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$64.95
|
$255.00
|
$71.40 – $74.97
|
6 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$41.78
|
$164.00
|
$31.20 – $93.93
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$34.64
|
$136.00
|
$9.04 – $29.21
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$15.29
|
$60.00
|
$10.42 – $29.21
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$9.17
|
$36.00
|
$9.04 – $29.33
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$12.99
|
$51.00
|
$10.85 – $115.77
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$28.02
|
$110.00
|
$7.78 – $34.05
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$23.69
|
$93.00
|
$7.78 – $211.11
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$97.05
|
$381.00
|
$9.04 – $68.10
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$12.74
|
$50.00
|
$9.04 – $113.50
|
9 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$198.67
|
$780.00
|
$26.46 – $113.77
|
9 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$104.18
|
$409.00
|
$26.46 – $113.77
|
9 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$107.49
|
$422.00
|
$28.11 – $117.93
|
9 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$218.54
|
$858.00
|
$314.26 – $1,297.80
|
9 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$44.07
|
$173.00
|
$15.40 – $63.56
|
9 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$110.80
|
$435.00
|
$14.30 – $59.02
|
9 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$47.89
|
$188.00
|
$31.42 – $113.77
|
9 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$69.03
|
$271.00
|
$26.46 – $113.77
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$63.43
|
$249.00
|
$38.69 – $116.47
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$101.12
|
$397.00
|
$107.54 – $323.77
|
9 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$11.47
|
$45.00
|
$18.15 – $74.91
|
9 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$57.06
|
$224.00
|
$26.46 – $108.66
|
9 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$91.44
|
$359.00
|
$32.31 – $138.86
|
9 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$86.60
|
$340.00
|
$32.31 – $138.86
|
9 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$232.29
|
$912.00
|
$32.31 – $138.86
|
9 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$55.02
|
$216.00
|
$64.17 – $275.83
|
9 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$122.01
|
$479.00
|
$107.54 – $323.77
|
9 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$96.79
|
$380.00
|
$129.17 – $135.63
|
6 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$119.20
|
$468.00
|
$129.17 – $135.63
|
6 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$73.10
|
$287.00
|
$129.17 – $135.63
|
6 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$239.68
|
$941.00
|
$148.00 – $276.66
|
6 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$77.18
|
$303.00
|
$129.17 – $135.63
|
6 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$411.13
|
$1,614.16
|
$451.97 – $474.57
|
6 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$141.62
|
$556.00
|
$155.68 – $163.47
|
6 |
|
Inj crotalidae im f(ab')2 eq
HCPCS J0841
|
$2,470.60
|
$9,700.02
|
$1,027.17 – $2,851.81
|
6 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$440.89
|
$1,731.00
|
$484.68 – $508.92
|
6 |
|
Inj dx for sinogram
CPT 20501
|
$195.11
|
$766.00
|
$214.48 – $225.21
|
6 |
|
Inject for sacroiliac joint
HCPCS G0259
|
$475.78
|
$1,868.00
|
$523.04 – $567.50
|
9 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$177.28
|
$696.00
|
$194.88 – $204.63
|
6 |
|
Injection epidural blood patch or clot
CPT 62273
|
$584.03
|
$2,293.00
|
$642.04 – $674.15
|
6 |
|
Injection eye drug
CPT 67028
|
not published
|
not published
|
$338.29 – $338.29
|
1 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$153.84
|
$604.00
|
$169.12 – $177.58
|
6 |
|
Injection for bladder x-ray
CPT 51600
|
$224.14
|
$880.00
|
$246.40 – $258.72
|
6 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$166.32
|
$653.00
|
$182.84 – $191.99
|
6 |
|
Injection for ureter x-ray
CPT 50690
|
$108.51
|
$426.00
|
$119.28 – $125.25
|
6 |
|
Injection into brain canal
CPT 61055
|
$41.78
|
$164.00
|
$45.92 – $48.22
|
6 |
|
Injection into spinal artery
CPT 62294
|
not published
|
not published
|
$866.69 – $866.69
|
1 |
|
Injection of sinus tract
CPT 20500
|
$529.78
|
$2,080.00
|
$567.50 – $611.52
|
9 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
not published
|
not published
|
$395.30 – $395.30
|
1 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$475.78
|
$1,868.00
|
$523.04 – $567.50
|
9 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$296.48
|
$1,164.00
|
$325.92 – $342.22
|
6 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$565.95
|
$2,222.00
|
$622.16 – $653.27
|
6 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$326.53
|
$1,282.00
|
$358.96 – $567.50
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$640.07
|
$2,513.00
|
$703.64 – $738.83
|
6 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
not published
|
not published
|
$655.31 – $655.31
|
1 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
not published
|
not published
|
$655.31 – $655.31
|
1 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$180.08
|
$707.00
|
$31.64 – $33.23
|
6 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$188.99
|
$742.00
|
$207.76 – $218.15
|
6 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$62.66
|
$246.00
|
$40.23 – $115.77
|
9 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$63.17
|
$248.00
|
$32.55 – $115.77
|
9 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$120.48
|
$473.00
|
$115.77 – $126.42
|
9 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$50.69
|
$199.00
|
$45.08 – $115.77
|
9 |
|
Injection treatment of nerve
CPT 64605
|
not published
|
not published
|
$1,828.15 – $1,828.15
|
1 |
|
Injection treatment of nerve
CPT 64610
|
not published
|
not published
|
$1,828.15 – $1,828.15
|
1 |
|
Injection treatment of nerve
CPT 64681
|
not published
|
not published
|
$866.69 – $866.69
|
1 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$437.07
|
$1,716.00
|
$480.48 – $504.51
|
6 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
not published
|
not published
|
$866.69 – $866.69
|
1 |
|
Inj for mammo ductogram
CPT 19030
|
$107.49
|
$422.00
|
$118.16 – $124.07
|
6 |
|
Inj/inf neurolyt sbst spinal canal lesion 62282
CPT 62282
|
not published
|
not published
|
$866.69 – $866.69
|
1 |
|
Inj intralesional <= 7 lsn(s)
CPT 11900
|
$69.28
|
$272.00
|
$76.16 – $115.77
|
9 |
|
Inj intralesional > 7 lsns
CPT 11901
|
$31.33
|
$123.00
|
$34.44 – $115.77
|
9 |
|
Inj mepivacaine hcl/10 ml
HCPCS J0670
|
$14.14
|
$55.48
|
$10.98 – $18.73
|
9 |
|
Inj nephrosto/ureterogram w/img exstng access
CPT 50431
|
$781.93
|
$3,070.00
|
$859.60 – $902.58
|
6 |
|
Inj, pemivibart, 4500 mg
HCPCS Q0224
|
$10,808.83
|
$42,437.48
|
$11,882.50 – $12,476.62
|
6 |
|
Inj proc ankle arthr
CPT 27648
|
$152.06
|
$597.00
|
$167.16 – $567.50
|
9 |
|
Inj proc elbow arthro
CPT 24220
|
$130.67
|
$513.00
|
$143.64 – $150.83
|
6 |
|
Inj proc lumbr disk ea lvl
CPT 62290
|
$151.30
|
$594.00
|
$166.32 – $174.64
|
6 |
|
Inj prohance multipack
HCPCS A9576
|
$1.16
|
$4.55
|
$1.28 – $5.58
|
9 |