|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$30.45
|
$203.00
|
$2.14 – $118.01
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$51.30
|
$342.00
|
$4.71 – $224.78
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$29.85
|
$199.00
|
$2.69 – $102.77
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$59.25
|
$395.00
|
$2.69 – $102.77
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$19.20
|
$128.00
|
$2.05 – $106.16
|
24 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$72.45
|
$483.00
|
$10.41 – $388.29
|
24 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$73.80
|
$492.00
|
$10.41 – $388.29
|
24 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$85.50
|
$570.00
|
$6.67 – $492.21
|
24 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$843.75
|
$5,625.00
|
$370.47 – $3,989.95
|
24 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$11.50
|
$76.67
|
$10.41 – $388.29
|
24 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$113.85
|
$759.00
|
$7.19 – $392.60
|
24 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$66.30
|
$442.00
|
$10.41 – $388.29
|
24 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$73.80
|
$492.00
|
$10.00 – $388.29
|
24 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$79.50
|
$530.00
|
$51.31 – $412.54
|
22 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$203.10
|
$1,354.00
|
$142.63 – $723.13
|
22 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$60.45
|
$403.00
|
$10.41 – $388.29
|
24 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$6.60
|
$44.00
|
$30.54 – $241.26
|
24 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$73.80
|
$492.00
|
$70.18 – $157.91
|
20 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$62.10
|
$414.00
|
$74.92 – $330.82
|
21 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$837.00
|
$5,580.00
|
$370.47 – $3,575.26
|
24 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$182.55
|
$1,217.00
|
$114.04 – $1,100.51
|
24 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$31.56
|
$210.39
|
$210.39 – $1,830.82
|
24 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$17.93
|
$119.50
|
$13.63 – $295.83
|
24 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$5.71
|
$38.08
|
$13.63 – $295.83
|
24 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$5.71
|
$38.08
|
$13.63 – $295.83
|
24 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$14.03
|
$93.50
|
$24.06 – $516.08
|
24 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$260.25
|
$1,735.00
|
$14.21 – $1,161.17
|
24 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$956.23
|
$6,374.85
|
$31.48 – $7,761.69
|
21 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$699.43
|
$4,662.86
|
$12.41 – $12,682.99
|
21 |
|
Influenza dna amp prob addl
CPT 87503
|
$43.20
|
$288.00
|
$5.26 – $188.22
|
24 |
|
Infuse radioactive materials
CPT 77750
|
$82.65
|
$551.00
|
$135.04 – $496.07
|
32 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$91.95
|
$613.00
|
$123.22 – $652.00
|
27 |
|
Initial foot exam pt lops
HCPCS G0245
|
$14.40
|
$96.00
|
$16.88 – $171.24
|
30 |
|
Initial hosp neonate 28 d/less than not critically ill 99477
CPT 99477
|
$122.85
|
$819.00
|
$265.48 – $630.60
|
37 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$49.20
|
$328.00
|
$46.90 – $209.94
|
37 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$67.05
|
$447.00
|
$72.10 – $285.98
|
37 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$29.55
|
$197.00
|
$37.80 – $124.96
|
37 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$232.35
|
$1,549.00
|
$32.63 – $484.42
|
38 |
|
Init nb em per day non-fac
CPT 99461
|
$22.20
|
$148.00
|
$53.83 – $178.26
|
32 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$43.95
|
$293.00
|
$101.65 – $413.13
|
15 |
|
Inj, adstiladrin, per tx dos
HCPCS J9029
|
$11,921.18
|
$79,474.50
|
$64,274.79 – $264,675.52
|
20 |
|
Inj alymsys 10 mg
HCPCS Q5126
|
$2,881.36
|
$19,209.07
|
$78.17 – $15,863.47
|
20 |
|
Inj, biorphen, 20 micrograms
HCPCS J2372
|
$10.85
|
$72.30
|
$0.64 – $196.66
|
8 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$477.56
|
$3,183.76
|
$1.83 – $8,659.82
|
20 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$18.15
|
$121.00
|
$1.16 – $329.12
|
9 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$33.35
|
$222.36
|
$24.23 – $604.83
|
8 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$274.79
|
$1,831.96
|
$2.55 – $4,982.93
|
21 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$200.87
|
$1,339.17
|
$10.04 – $3,642.53
|
20 |
|
Inj, clindamycin (baxter)
HCPCS J0737
|
$23.59
|
$157.26
|
$14.37 – $427.75
|
8 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$468.45
|
$3,123.00
|
$34.11 – $384.33
|
37 |
|
Inj cyclophosphamd (ingenus)
HCPCS J9073
|
$5.24
|
$34.92
|
$0.50 – $92.84
|
18 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$37.35
|
$249.00
|
$128.44 – $10,456.00
|
21 |
|
Inj dupuytren cord w/enzyme
CPT 20527
|
$142.50
|
$950.00
|
$49.14 – $679.04
|
37 |
|
Inj dx for sinogram
CPT 20501
|
$315.00
|
$2,100.00
|
$30.00 – $377.00
|
38 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$42.45
|
$283.00
|
$74.25 – $907.88
|
32 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$257.25
|
$1,715.00
|
$15.00 – $423.01
|
37 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$157.95
|
$1,053.00
|
$8.00 – $679.04
|
37 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$2,664.86
|
$17,765.70
|
$73.77 – $14,911.01
|
21 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$380.10
|
$2,534.00
|
$31.16 – $531.87
|
38 |
|
Injection epidural blood patch or clot
CPT 62273
|
$490.50
|
$3,270.00
|
$75.95 – $1,561.56
|
38 |
|
Injection eye drug
CPT 67028
|
$47.85
|
$319.00
|
$70.00 – $424.83
|
32 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$390.00
|
$2,600.00
|
$61.45 – $365.00
|
37 |
|
Injection for bladder x-ray
CPT 51600
|
$264.00
|
$1,760.00
|
$35.00 – $374.58
|
37 |
|
Injection for hip x-ray
CPT 27095
|
$78.45
|
$523.00
|
$69.18 – $524.53
|
37 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$342.30
|
$2,282.00
|
$15.00 – $328.74
|
37 |
|
Injection for spleen x-ray
CPT 38200
|
$48.30
|
$322.00
|
$60.00 – $299.36
|
37 |
|
Injection for ureter x-ray
CPT 50684
|
$127.20
|
$848.00
|
$48.05 – $421.45
|
17 |
|
Injection for ureter x-ray
CPT 50690
|
$171.75
|
$1,145.00
|
$45.00 – $320.14
|
37 |
|
Injection, fulvestrant
HCPCS J9395
|
$98.82
|
$658.82
|
$15.35 – $1,791.99
|
9 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$2,519.94
|
$16,799.58
|
$12.91 – $45,694.86
|
20 |
|
Injection into brain canal
CPT 61055
|
$258.60
|
$1,724.00
|
$98.49 – $679.04
|
37 |
|
Injection into hemorrhoid(s)
CPT 46500
|
$99.00
|
$660.00
|
$72.97 – $1,196.08
|
32 |
|
Injection into vocal cord
CPT 31513
|
$67.65
|
$451.00
|
$25.00 – $503.04
|
32 |
|
Injection, isavuconazonium
HCPCS J1833
|
$455.63
|
$3,037.56
|
$1.03 – $8,262.16
|
20 |
|
Injection jugular
CPT 36299
|
$79.95
|
$533.00
|
$41.00 – $10,456.00
|
11 |
|
Injection of sinus tract
CPT 20500
|
$47.70
|
$318.00
|
$84.41 – $1,995.60
|
32 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$680.01
|
$4,533.41
|
$6.51 – $12,330.88
|
21 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$234.60
|
$1,564.00
|
$27.26 – $884.38
|
35 |
|
Injection, renflexis
HCPCS Q5104
|
$682.47
|
$4,549.83
|
$26.62 – $12,375.53
|
21 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$32.25
|
$215.00
|
$49.14 – $907.88
|
32 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$472.95
|
$3,153.00
|
$39.08 – $1,561.56
|
37 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,533.30
|
$10,222.00
|
$7.00 – $1,956.64
|
38 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$128.40
|
$856.00
|
$50.95 – $224.94
|
37 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,130.70
|
$7,538.00
|
$7.00 – $1,956.64
|
37 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$976.20
|
$6,508.00
|
$44.13 – $204.94
|
38 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$932.40
|
$6,216.00
|
$7.00 – $1,956.64
|
38 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$647.70
|
$4,318.00
|
$23.00 – $1,561.56
|
38 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$647.70
|
$4,318.00
|
$18.00 – $1,561.56
|
38 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$242.40
|
$1,616.00
|
$3.00 – $679.04
|
38 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$179.40
|
$1,196.00
|
$34.48 – $679.04
|
38 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$148.65
|
$991.00
|
$38.74 – $679.04
|
37 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$62.40
|
$416.00
|
$24.78 – $8,731.00
|
28 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$58.95
|
$393.00
|
$129.00 – $8,731.00
|
14 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$118.35
|
$789.00
|
$26.04 – $8,731.00
|
28 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$57.45
|
$383.00
|
$16.24 – $159.28
|
37 |
|
Injection treatment of eye
CPT 66030
|
$58.95
|
$393.00
|
$75.00 – $2,968.25
|
32 |
|
Injection treatment of nerve
CPT 64681
|
$114.90
|
$766.00
|
$45.00 – $1,137.58
|
32 |
|
Injection treatment of nose
CPT 30200
|
$31.80
|
$212.00
|
$12.00 – $693.67
|
32 |
|
Inject sacroiliac joint
CPT 27096
|
$862.50
|
$5,750.00
|
$66.39 – $410.92
|
38 |
|
Inject/treat eye socket
CPT 67515
|
$24.30
|
$162.00
|
$39.25 – $408.24
|
32 |