|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$22.20
|
$148.00
|
$39.31 – $82.76
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$79.20
|
$528.00
|
$11.38 – $23.96
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$8.55
|
$57.00
|
$11.38 – $23.96
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$42.45
|
$283.00
|
$6.12 – $28.76
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$92.40
|
$616.00
|
$9.81 – $20.66
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$15.60
|
$104.00
|
$22.88 – $48.16
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$58.20
|
$388.00
|
$11.38 – $23.96
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$62.40
|
$416.00
|
$11.38 – $23.96
|
70 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$10.95
|
$73.00
|
$11.38 – $23.96
|
70 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$311.85
|
$2,079.00
|
$33.34 – $70.18
|
70 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$39.60
|
$264.00
|
$33.34 – $70.18
|
70 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$65.70
|
$438.00
|
$35.41 – $74.54
|
70 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$263.85
|
$1,759.00
|
$395.94 – $833.56
|
70 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$28.05
|
$187.00
|
$33.34 – $70.18
|
70 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$23.70
|
$158.00
|
$33.34 – $70.18
|
70 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$273.00
|
$1,820.00
|
$39.60 – $83.36
|
70 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$43.05
|
$287.00
|
$33.34 – $70.18
|
70 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$27.90
|
$186.00
|
$48.74 – $102.62
|
70 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$75.15
|
$501.00
|
$135.50 – $285.26
|
70 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$75.15
|
$501.00
|
$135.50 – $285.26
|
70 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$18.90
|
$126.00
|
$33.34 – $70.18
|
70 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$36.00
|
$240.00
|
$33.34 – $70.18
|
70 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$34.50
|
$230.00
|
$72.93 – $153.54
|
70 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$232.95
|
$1,553.00
|
$395.94 – $833.56
|
70 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$64.50
|
$430.00
|
$121.88 – $256.58
|
70 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$133.20
|
$888.00
|
$249.84 – $525.98
|
70 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$364.50
|
$2,430.00
|
$40.70 – $85.68
|
70 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$171.00
|
$1,140.00
|
$40.70 – $85.68
|
70 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$161.25
|
$1,075.00
|
$40.70 – $85.68
|
70 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$201.90
|
$1,346.00
|
$80.84 – $170.20
|
70 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$69.45
|
$463.00
|
$135.50 – $285.26
|
70 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$197.64
|
$1,317.60
|
$29.00 – $67.67
|
70 |
|
Inf lwr xtr fscl pln blk uni w/wo image
CPT 64474
|
$233.25
|
$1,555.00
|
$250.00 – $333.38
|
3 |
|
Inf thrc fascial pln blk bi w/wo image
CPT 64469
|
$248.25
|
$1,655.00
|
$250.00 – $333.38
|
3 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$233.25
|
$1,555.00
|
$250.00 – $333.38
|
3 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$69.00
|
$460.00
|
$4.61 – $372.48
|
70 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$309.45
|
$2,063.00
|
$176.93 – $372.48
|
68 |
|
Inj, acetaminophen (b braun)
HCPCS J0136
|
$6.36
|
$42.38
|
$0.06 – $0.06
|
2 |
|
Inj acetaminophen -fresenius
HCPCS J0134
|
$6.30
|
$42.00
|
$0.05 – $0.07
|
2 |
|
Inj, acetaminophen (hikma)
HCPCS J0137
|
$4.73
|
$31.50
|
$0.03 – $0.06
|
2 |
|
Inj allopurinol sodium 1 mg
HCPCS J0206
|
$988.70
|
$6,591.33
|
$4.18 – $8.80
|
70 |
|
Inj, bortezomib freseniuskab
HCPCS J9048
|
$533.97
|
$3,559.80
|
$2.68 – $33.00
|
70 |
|
Inj, bortezomib, hospira
HCPCS J9049
|
$20.77
|
$138.48
|
$1.79 – $9.51
|
5 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$6.81
|
$45.41
|
$1.01 – $1.84
|
4 |
|
Inj cefazolin sodium, baxter
HCPCS J0689
|
$13.05
|
$87.00
|
$1.16 – $1.58
|
5 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$5.46
|
$36.43
|
$0.95 – $2.00
|
70 |
|
Inj cefazolin (wg crit care)
HCPCS J0687
|
$4.05
|
$26.99
|
$1.05 – $2.22
|
70 |
|
Inj. cefepime hcl (baxter)
HCPCS J0701
|
$59.85
|
$399.00
|
$5.43 – $7.35
|
5 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$31.07
|
$207.11
|
$5.06 – $6.75
|
5 |
|
Inj, clindamycin (baxter)
HCPCS J0737
|
$6.86
|
$45.75
|
$3.20 – $6.61
|
5 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$71.10
|
$474.00
|
$50.20 – $333.38
|
4 |
|
Inj, cyclophos (baxter) 5mg
HCPCS J9076
|
$32.47
|
$216.48
|
$3.87 – $5.16
|
3 |
|
Inj cyclophos dr.reddy's 5mg
HCPCS J9072
|
$1,575.00
|
$10,500.00
|
$3.72 – $11.46
|
5 |
|
Inj cyclophosphamd auromedic
HCPCS J9071
|
$104.90
|
$699.33
|
$0.67 – $4.28
|
70 |
|
Inj cyclophosphamd (ingenus)
HCPCS J9073
|
$609.87
|
$4,065.81
|
$0.98 – $4.38
|
70 |
|
Inj, daptomycin (hospira)
HCPCS J0877
|
$36.95
|
$246.30
|
$0.07 – $0.09
|
5 |
|
Inj daptomycin (xellia)
HCPCS J0873
|
$13.53
|
$90.22
|
$0.03 – $0.08
|
70 |
|
Inj, decitabine (sun pharma)
HCPCS J0893
|
$41.63
|
$277.53
|
$0.98 – $2.11
|
5 |
|
Inj dx for sinogram
CPT 20501
|
$40.80
|
$272.00
|
$47.15 – $333.38
|
4 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$68.10
|
$454.00
|
$86.61 – $333.38
|
4 |
|
Injection, doxercalciferol
HCPCS J1270
|
$4.16
|
$27.75
|
$0.46 – $6.56
|
5 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$37.20
|
$248.00
|
$64.49 – $64.49
|
1 |
|
Injection, edaravone, 1 mg
HCPCS J1301
|
$149.85
|
$999.00
|
$20.60 – $43.36
|
68 |
|
Injection epidural blood patch or clot
CPT 62273
|
$211.80
|
$1,412.00
|
$68.01 – $1,268.28
|
69 |
|
Injection eye drug
CPT 67028
|
$98.40
|
$656.00
|
$68.01 – $607.46
|
69 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$71.10
|
$474.00
|
$93.09 – $333.38
|
4 |
|
Injection for bladder x-ray
CPT 51600
|
$39.45
|
$263.00
|
$60.63 – $333.38
|
4 |
|
Injection for hip x-ray
CPT 27095
|
$74.55
|
$497.00
|
$102.18 – $333.38
|
4 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$68.70
|
$458.00
|
$63.50 – $333.38
|
4 |
|
Injection for ureter x-ray
CPT 50690
|
$49.50
|
$330.00
|
$94.44 – $333.38
|
4 |
|
Injection, fulvestrant
HCPCS J9395
|
$719.87
|
$4,799.16
|
$6.33 – $83.08
|
70 |
|
Injection glatiramer acetate
HCPCS J1595
|
$67.65
|
$450.99
|
$61.52 – $343.14
|
68 |
|
Injection jugular
CPT 36299
|
$224.85
|
$1,499.00
|
$333.38 – $333.38
|
1 |
|
Injection of sinus tract
CPT 20500
|
$1,220.70
|
$8,138.00
|
$333.38 – $2,712.82
|
67 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$120.00
|
$800.00
|
$250.00 – $735.92
|
69 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$282.15
|
$1,881.00
|
$250.00 – $1,268.28
|
69 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$134.10
|
$894.00
|
$68.01 – $1,268.28
|
69 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$316.35
|
$2,109.00
|
$68.01 – $1,630.48
|
69 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$265.80
|
$1,772.00
|
$250.00 – $1,630.48
|
69 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$265.80
|
$1,772.00
|
$250.00 – $1,630.48
|
69 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$255.60
|
$1,704.00
|
$250.00 – $1,268.28
|
69 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$283.65
|
$1,891.00
|
$250.00 – $1,268.28
|
69 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$106.20
|
$708.00
|
$68.01 – $540.62
|
69 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$114.15
|
$761.00
|
$68.01 – $540.62
|
69 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$126.90
|
$846.00
|
$68.01 – $540.62
|
69 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$58.05
|
$387.00
|
$40.14 – $84.50
|
69 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$58.05
|
$387.00
|
$14.48 – $68.01
|
4 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$120.00
|
$800.00
|
$52.53 – $385.86
|
69 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$41.25
|
$275.00
|
$52.53 – $130.34
|
69 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$124.80
|
$832.00
|
$297.00 – $1,268.28
|
70 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$124.80
|
$832.00
|
$297.00 – $1,630.48
|
69 |
|
Inj, epinephrine (belcher)
HCPCS J0173
|
$914.34
|
$6,095.62
|
$2.41 – $2.85
|
2 |
|
Inj for ext venography
CPT 36005
|
$144.60
|
$964.00
|
$59.34 – $333.38
|
4 |
|
Inj for mammo ductogram
CPT 19030
|
$60.30
|
$402.00
|
$87.73 – $333.38
|
4 |
|
Inj, fosaprepitant (teva)
HCPCS J1456
|
$29.71
|
$198.09
|
$0.42 – $1.59
|
70 |
|
Inj, fulvestrant (fresenius)
HCPCS J9394
|
$381.60
|
$2,544.02
|
$4.20 – $24.52
|
70 |
|
Inj gemcitabine hcl (accord)
HCPCS J9196
|
$43.55
|
$290.34
|
$3.85 – $10.95
|
5 |
|
Inj glycopyrrolate fres kabi
HCPCS J1598
|
$9.14
|
$60.91
|
$1.92 – $4.04
|
70 |
|
Inj heparin, pfizer, 1000u
HCPCS J1643
|
$6.48
|
$43.20
|
$0.21 – $4.48
|
5 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$37.20
|
$248.00
|
$58.31 – $58.31
|
1 |