|
Ihc/icc per specimen each additional single antibody stain
CPT 88341
|
$191.75
|
$295.00
|
$40.26 – $199.21
|
18 |
|
Ihc/icc per specimen each multiplex antibody stain
CPT 88344
|
$189.80
|
$292.00
|
$68.15 – $457.62
|
18 |
|
Ihc/icc per specimen initial single antibody stain
CPT 88342
|
$1,010.10
|
$1,554.00
|
$39.60 – $609.22
|
20 |
|
Immune complex assay
CPT 86332
|
$84.50
|
$130.00
|
$21.68 – $111.26
|
19 |
|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$166.40
|
$256.00
|
$18.51 – $95.00
|
60 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$98.80
|
$152.00
|
$18.51 – $95.00
|
20 |
|
Immunodiff gel qual ea antigen/ab
CPT 86331
|
$68.90
|
$106.00
|
$10.66 – $51.84
|
19 |
|
Immunodiffusion nes
CPT 86329
|
$102.70
|
$158.00
|
$12.50 – $64.10
|
19 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$176.80
|
$272.00
|
$19.87 – $102.00
|
19 |
|
Immunofluorescence per specimen each additional single antibody stain
CPT 88350
|
$171.60
|
$264.00
|
$40.62 – $127.74
|
18 |
|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$206.05
|
$317.00
|
$11.58 – $457.62
|
19 |
|
Immunoglobulin assay
CPT 86023
|
$114.40
|
$176.00
|
$11.08 – $56.90
|
19 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$285.35
|
$439.00
|
$110.64 – $1,442.85
|
51 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$382.85
|
$589.00
|
$115.94 – $595.09
|
65 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$43.55
|
$67.00
|
$6.43 – $41.12
|
19 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$689.65
|
$1,061.00
|
$229.00 – $1,175.38
|
65 |
|
Infect ag ia direct hiv-1 antgn
CPT 87806
|
$91.65
|
$141.00
|
$32.77 – $141.95
|
15 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$63.05
|
$97.00
|
$12.45 – $41.12
|
19 |
|
Infect ag if influenza a
CPT 87276
|
$63.05
|
$97.00
|
$12.87 – $41.12
|
19 |
|
Infect ag if influenza b
CPT 87275
|
$85.80
|
$132.00
|
$10.90 – $41.12
|
19 |
|
Infect ag if varicella zoster
CPT 87290
|
$68.25
|
$105.00
|
$11.94 – $41.12
|
19 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$210.60
|
$324.00
|
$38.11 – $195.58
|
19 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$104.65
|
$161.00
|
$31.21 – $108.42
|
18 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$219.70
|
$338.00
|
$85.21 – $388.49
|
19 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$139.10
|
$214.00
|
$45.64 – $79.08
|
11 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$629.20
|
$968.00
|
$242.38 – $1,902.84
|
15 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$85.15
|
$131.00
|
$10.66 – $41.12
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$78.65
|
$121.00
|
$11.94 – $41.12
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$79.30
|
$122.00
|
$12.29 – $41.12
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$63.70
|
$98.00
|
$10.66 – $41.12
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$71.50
|
$110.00
|
$6.12 – $22.45
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$53.95
|
$83.00
|
$9.19 – $47.18
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$76.05
|
$117.00
|
$9.19 – $47.18
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$83.85
|
$129.00
|
$21.42 – $109.98
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$152.10
|
$234.00
|
$10.66 – $41.12
|
21 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$93.60
|
$144.00
|
$10.66 – $41.12
|
65 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$35.75
|
$55.00
|
$10.66 – $41.12
|
21 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$276.90
|
$426.00
|
$31.21 – $160.20
|
26 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$98.80
|
$152.00
|
$31.21 – $160.20
|
19 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$145.60
|
$224.00
|
$33.15 – $160.20
|
21 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$725.40
|
$1,116.00
|
$416.78 – $1,297.80
|
15 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$181.35
|
$279.00
|
$31.21 – $160.20
|
20 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$124.15
|
$191.00
|
$31.21 – $160.20
|
19 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$246.35
|
$379.00
|
$37.07 – $160.20
|
19 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$97.50
|
$150.00
|
$31.21 – $160.20
|
19 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$139.10
|
$214.00
|
$45.64 – $83.06
|
55 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$264.55
|
$407.00
|
$126.87 – $195.40
|
11 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$362.05
|
$557.00
|
$126.87 – $195.40
|
11 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$97.50
|
$150.00
|
$35.09 – $160.20
|
16 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$130.00
|
$200.00
|
$31.21 – $160.20
|
64 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$167.70
|
$258.00
|
$68.85 – $113.60
|
53 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$609.05
|
$937.00
|
$408.86 – $2,456.85
|
17 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$404.95
|
$623.00
|
$38.11 – $195.58
|
19 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$127.40
|
$196.00
|
$38.11 – $195.58
|
64 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$131.30
|
$202.00
|
$38.11 – $195.58
|
21 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$232.70
|
$358.00
|
$75.70 – $388.49
|
65 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$338.65
|
$521.00
|
$92.72 – $585.72
|
18 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$795.60
|
$1,224.00
|
$121.06 – $249.04
|
4 |
|
Inj. denosumab-bbdz, 1 mg
HCPCS Q5136
|
$3,655.90
|
$5,624.46
|
$1,693.80 – $1,693.80
|
4 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$245.70
|
$378.00
|
$43.30 – $65.09
|
51 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$120.90
|
$186.00
|
$41.09 – $65.54
|
8 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$120.90
|
$186.00
|
$40.93 – $44.59
|
4 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$120.90
|
$186.00
|
$164.56 – $268.63
|
8 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$94.90
|
$146.00
|
$63.38 – $87.73
|
8 |
|
Inj meropenem (wg crit care)
HCPCS J2183
|
$14.67
|
$22.57
|
$16.50 – $48.50
|
7 |
|
Inj multihance
HCPCS A9577
|
$91.53
|
$140.82
|
$14.25 – $32.35
|
10 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$90.35
|
$139.00
|
$38.74 – $567.50
|
10 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$139.10
|
$214.00
|
$53.48 – $567.50
|
10 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$439.40
|
$676.00
|
$117.04 – $2,802.90
|
51 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,309.75
|
$2,015.00
|
$297.00 – $2,073.07
|
13 |
|
Insitu hybridization auto
CPT 88367
|
$310.05
|
$477.00
|
$95.46 – $559.12
|
19 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$241.15
|
$371.00
|
$62.13 – $305.08
|
18 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$245.05
|
$377.00
|
$53.26 – $339.02
|
19 |
|
Insulin total
CPT 83525
|
$58.50
|
$90.00
|
$10.17 – $52.17
|
19 |
|
Intrinsic factor antibody
CPT 86340
|
$61.10
|
$94.00
|
$13.41 – $68.81
|
19 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$453.70
|
$698.00
|
$124.95 – $199.25
|
51 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$78.42
|
$120.65
|
$1.40 – $4.40
|
7 |
|
Iron
CPT 83540
|
$40.30
|
$62.00
|
$5.75 – $29.56
|
19 |
|
Iron binding capacity
CPT 83550
|
$56.55
|
$87.00
|
$7.77 – $39.93
|
19 |
|
Irradiation of blood product each unit reference
CPT 86945
|
$116.35
|
$179.00
|
$14.05 – $59.17
|
14 |
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
CPT 96367
|
$153.40
|
$236.00
|
$63.38 – $89.80
|
8 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$153.40
|
$236.00
|
$16.94 – $61.45
|
8 |
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
CPT 96366
|
$153.40
|
$236.00
|
$41.09 – $133.45
|
8 |
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
CPT 96365
|
$153.40
|
$236.00
|
$90.58 – $268.63
|
14 |
|
John cunningham antibody
CPT 86711
|
$1,005.55
|
$1,547.00
|
$15.02 – $65.72
|
18 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$77.35
|
$119.00
|
$7.27 – $32.02
|
20 |
|
Ketorolac 15 mg/ml injection (wrapper)
HCPCS J1885
|
$20.16
|
$31.02
|
$0.66 – $44.22
|
17 |
|
Kidney (Retroperitoneal) Ultrasound (complete)
CPT 76770
|
$474.50
|
$730.00
|
$44.00 – $280.90
|
19 |
|
Knee X-ray
CPT 73564
|
$312.65
|
$481.00
|
$30.25 – $252.18
|
19 |
|
Kras gene addl variants
CPT 81276
|
$346.45
|
$533.00
|
$171.89 – $447.62
|
18 |
|
Kras gene variants exon 2
CPT 81275
|
$552.50
|
$850.00
|
$171.89 – $660.87
|
18 |
|
Lab draw <3 yrs scalp vein 36405
CPT 36405
|
$59.15
|
$91.00
|
$21.00 – $21.00
|
4 |
|
Lactate dehydrogenase (ldh)
CPT 83615
|
$61.75
|
$95.00
|
$5.37 – $27.55
|
19 |
|
Lactated ringers intravenous solution
HCPCS J7120
|
$37.50
|
$57.70
|
$2.41 – $6.98
|
7 |
|
Lactic acid
CPT 83605
|
$195.65
|
$301.00
|
$10.29 – $48.76
|
20 |
|
Laparo cholecystectomy/graph
CPT 47563
|
$1,427.40
|
$2,196.00
|
$633.16 – $12,352.94
|
42 |
|
Lap ing hernia repair init
CPT 49650
|
$919.10
|
$1,414.00
|
$382.04 – $12,352.94
|
42 |
|
Lap ing hernia repair recur
CPT 49651
|
$1,406.60
|
$2,164.00
|
$518.89 – $5,195.58
|
51 |
|
Lead capillary
CPT 83655
|
$61.75
|
$95.00
|
$10.77 – $55.28
|
19 |
|
Leg Vein Ultrasound (DVT study, both legs)
CPT 93970
|
$877.50
|
$1,350.00
|
$42.00 – $442.86
|
14 |