|
Implant cartilage 10mm synthetic
HCPCS L8699
|
$2,445.84
|
$6,794.00
|
$4,069.00 – $4,069.00
|
3 |
|
In-111 pentetate dtpa / 0.5 mci
HCPCS A9548
|
$1,800.36
|
$5,001.00
|
$538.02 – $8,251.65
|
8 |
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
CPT 87626
|
$67.32
|
$187.00
|
$38.61 – $165.75
|
5 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$145.87
|
$405.19
|
$115.86 – $1,490.50
|
7 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$39.60
|
$110.00
|
$8.31 – $54.30
|
7 |
|
Infect ag genotype na cytomegalovirus
CPT 87910
|
$92.68
|
$257.45
|
$33.54 – $3,801.60
|
7 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$127.08
|
$353.00
|
$33.54 – $3,801.60
|
7 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$106.80
|
$296.68
|
$114.42 – $1,903.91
|
7 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$152.36
|
$423.21
|
$228.84 – $3,007.52
|
7 |
|
Infect ag ia direct hiv-1 antgn
CPT 87806
|
$124.92
|
$347.00
|
$31.34 – $336.91
|
7 |
|
Infect ag if hep delta agent
CPT 87380
|
$45.00
|
$125.00
|
$21.07 – $185.73
|
7 |
|
Infect ag if influenza a
CPT 87276
|
$5.79
|
$16.07
|
$2.58 – $105.06
|
7 |
|
Infect ag if influenza b
CPT 87275
|
$4.41
|
$12.25
|
$1.50 – $108.53
|
7 |
|
Infect ag if legionella pneumophila
CPT 87278
|
$3.64
|
$10.10
|
$1.58 – $105.06
|
7 |
|
Infect ag if nos ea
CPT 87299
|
$3.64
|
$10.10
|
$1.63 – $105.06
|
7 |
|
Infect ag if pneumocystis carinii
CPT 87281
|
$5.04
|
$14.00
|
$1.68 – $108.53
|
7 |
|
Infect ag if varicella zoster
CPT 87290
|
$3.64
|
$10.10
|
$1.36 – $105.06
|
7 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$147.60
|
$410.00
|
$10.88 – $491.09
|
7 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$244.80
|
$680.00
|
$109.93 – $1,258.65
|
7 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$30.60
|
$85.00
|
$35.09 – $43.61
|
4 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$992.88
|
$2,758.00
|
$478.26 – $11,494.79
|
7 |
|
Infect ag phenotype na hiv-1 1-10 drugs
CPT 87903
|
$211.49
|
$587.47
|
$560.74 – $5,708.50
|
7 |
|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$15.49
|
$43.02
|
$11.22 – $304.49
|
7 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$78.84
|
$219.00
|
$41.38 – $90.62
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$72.72
|
$202.00
|
$1.05 – $105.06
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$3.64
|
$10.10
|
$1.36 – $108.53
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$42.48
|
$118.00
|
$1.19 – $105.06
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$49.32
|
$137.00
|
$0.99 – $109.00
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$42.84
|
$119.00
|
$2.08 – $186.36
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$60.84
|
$169.00
|
$0.75 – $116.79
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$24.84
|
$69.00
|
$0.95 – $120.65
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$107.64
|
$299.00
|
$4.88 – $366.66
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$45.72
|
$127.00
|
$1.14 – $105.06
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$3.19
|
$8.86
|
$1.06 – $105.06
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$40.32
|
$112.00
|
$1.06 – $108.53
|
7 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$112.32
|
$312.00
|
$10.01 – $396.96
|
7 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$160.92
|
$447.00
|
$10.53 – $396.96
|
7 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$297.72
|
$827.00
|
$10.67 – $802.98
|
7 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$1,988.28
|
$5,523.00
|
$370.47 – $6,509.20
|
7 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$27.60
|
$76.67
|
$9.85 – $396.96
|
7 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$160.92
|
$447.00
|
$10.84 – $401.37
|
7 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$12.00
|
$33.34
|
$13.90 – $396.96
|
7 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$160.92
|
$447.00
|
$3.51 – $396.96
|
7 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$48.96
|
$136.00
|
$35.40 – $673.04
|
8 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$308.16
|
$856.00
|
$142.63 – $1,220.91
|
7 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$160.92
|
$447.00
|
$40.26 – $396.96
|
7 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$145.80
|
$405.00
|
$10.72 – $393.58
|
7 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$160.92
|
$447.00
|
$70.18 – $313.70
|
4 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$26.97
|
$74.92
|
$57.52 – $181.27
|
5 |
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
CPT 87627
|
$432.00
|
$1,200.00
|
$679.77 – $8,157.24
|
4 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$2,162.88
|
$6,008.00
|
$370.47 – $5,832.61
|
7 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$41.05
|
$114.04
|
$114.04 – $1,795.30
|
7 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$75.74
|
$210.39
|
$210.39 – $2,986.82
|
7 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$43.02
|
$119.50
|
$16.31 – $302.44
|
7 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$13.71
|
$38.08
|
$16.31 – $302.44
|
7 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$34.85
|
$96.80
|
$16.31 – $302.44
|
7 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$153.36
|
$426.00
|
$51.06 – $302.44
|
7 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$51.35
|
$142.63
|
$87.60 – $1,894.39
|
7 |
|
Influenza virus vaccine, live trivalent intranasal
CPT 90660
|
$12.24
|
$34.00
|
$34.00 – $151.37
|
7 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$1,203.84
|
$3,344.00
|
$58.52 – $5,517.60
|
8 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$69.48
|
$193.00
|
$193.00 – $318.45
|
3 |
|
Inj cefazolin sodium, baxter
HCPCS J0689
|
$27.18
|
$75.50
|
$3.47 – $53.55
|
6 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$72.21
|
$200.59
|
$13.48 – $132.25
|
6 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,036.80
|
$2,880.00
|
$75.95 – $4,752.00
|
3 |
|
Injection for bladder x-ray
CPT 51600
|
$142.56
|
$396.00
|
$256.89 – $653.40
|
3 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$6.12
|
$17.00
|
$9.41 – $17.72
|
8 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$477.00
|
$1,325.00
|
$70.49 – $2,186.25
|
3 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,585.44
|
$4,404.00
|
$220.03 – $7,266.60
|
3 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$265.68
|
$738.00
|
$65.68 – $1,217.70
|
3 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$265.68
|
$738.00
|
$75.29 – $1,217.70
|
3 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$151.20
|
$420.00
|
$30.54 – $693.00
|
3 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$140.04
|
$389.00
|
$389.00 – $641.85
|
3 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$254.52
|
$707.00
|
$71.46 – $1,166.55
|
3 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$64.08
|
$178.00
|
$16.00 – $26.40
|
3 |
|
Inj, immphentiv, 20 mcg
HCPCS J2373
|
$27.72
|
$77.00
|
$0.38 – $77.00
|
6 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$6,506.96
|
$18,074.88
|
$67.26 – $136.88
|
8 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$37.21
|
$103.35
|
$0.12 – $1.09
|
6 |
|
Inj multihance
HCPCS A9577
|
$2.16
|
$6.00
|
$4.90 – $15.55
|
8 |
|
Inj testosterone cypionate
HCPCS J1071
|
$0.38
|
$1.06
|
$0.08 – $1.06
|
8 |
|
Inj triamcinolone ace X-ray 1mg
HCPCS J3304
|
$6.12
|
$17.00
|
$17.00 – $50.64
|
8 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$367.92
|
$1,022.00
|
$1,022.00 – $1,686.30
|
3 |
|
Insert cath pleura with image
CPT 32557
|
$1,398.24
|
$3,884.00
|
$101.27 – $6,408.60
|
3 |
|
Insert drug delivery implant
CPT 11981
|
$221.76
|
$616.00
|
$299.59 – $1,016.40
|
3 |
|
Insert intrauterine device iud
CPT 58300
|
$72.00
|
$200.00
|
$200.00 – $330.00
|
3 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$115.92
|
$322.00
|
$109.83 – $531.30
|
3 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$247.32
|
$687.00
|
$99.46 – $531.30
|
3 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$3,603.24
|
$10,009.00
|
$74.21 – $16,514.85
|
3 |
|
Insertion of catheter vein
CPT 36481
|
$114.48
|
$318.00
|
$318.00 – $524.70
|
3 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$2,215.80
|
$6,155.00
|
$57.52 – $10,155.75
|
3 |
|
Insertion subcutaneous cardiac rhythm monitor
CPT 33285
|
$14,533.92
|
$40,372.00
|
$6,938.08 – $66,613.80
|
3 |
|
Insert pessary/other device
CPT 57160
|
$181.08
|
$503.00
|
$37.50 – $829.95
|
3 |
|
Insitu hybridization auto
CPT 88367
|
$46.80
|
$130.00
|
$130.00 – $1,234.88
|
7 |
|
Insitu hybridization (fish)
CPT 88366
|
$178.20
|
$495.00
|
$191.32 – $945.74
|
7 |
|
Insitu hybridization manual
CPT 88368
|
$122.40
|
$340.00
|
$108.17 – $1,006.26
|
7 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$66.60
|
$185.00
|
$105.85 – $765.59
|
7 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$65.52
|
$182.00
|
$84.82 – $120.00
|
7 |
|
Ins pq tunnld ip cath w/img
CPT 49418
|
$4,313.52
|
$11,982.00
|
$195.09 – $19,770.30
|
3 |
|
Instillation anticarcinogenic agent bladder
CPT 51720
|
$466.92
|
$1,297.00
|
$99.78 – $2,140.05
|
3 |
|
Insulin total
CPT 83525
|
$52.20
|
$145.00
|
$1.06 – $133.63
|
7 |
|
Interrog dev eval icpms ip
CPT 93290
|
$33.12
|
$92.00
|
$39.30 – $151.80
|
6 |