|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$871.20
|
$1,320.00
|
$478.26 – $4,913.84
|
5 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$115.50
|
$175.00
|
$41.38 – $124.14
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$76.56
|
$116.00
|
$9.94 – $81.77
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$114.18
|
$173.00
|
$12.36 – $81.77
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$114.18
|
$173.00
|
$11.88 – $84.84
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$112.20
|
$170.00
|
$2.08 – $145.05
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$61.38
|
$93.00
|
$0.65 – $90.90
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$6.06
|
$9.18
|
$0.95 – $93.90
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$194.04
|
$294.00
|
$27.63 – $285.38
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$75.90
|
$115.00
|
$1.14 – $81.77
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$5.85
|
$8.86
|
$1.06 – $81.77
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$57.42
|
$87.00
|
$10.42 – $84.47
|
5 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$208.56
|
$316.00
|
$10.58 – $308.97
|
12 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$191.40
|
$290.00
|
$22.46 – $308.97
|
5 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$425.04
|
$644.00
|
$41.08 – $624.97
|
5 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$819.06
|
$1,241.00
|
$478.26 – $5,172.24
|
5 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$50.60
|
$76.67
|
$22.46 – $308.97
|
5 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$82.50
|
$125.00
|
$40.26 – $312.40
|
5 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$287.76
|
$436.00
|
$47.82 – $308.97
|
5 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$199.98
|
$303.00
|
$3.51 – $308.97
|
5 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$315.48
|
$478.00
|
$33.30 – $523.84
|
12 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$439.56
|
$666.00
|
$90.41 – $646.78
|
12 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$209.88
|
$318.00
|
$22.77 – $308.97
|
12 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$199.98
|
$303.00
|
$70.18 – $210.54
|
3 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$49.45
|
$74.92
|
$57.52 – $169.30
|
4 |
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
CPT 87627
|
$792.00
|
$1,200.00
|
$679.77 – $8,157.24
|
3 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$3,086.16
|
$4,676.00
|
$478.26 – $19,488.63
|
5 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$78.87
|
$119.50
|
$16.31 – $235.40
|
5 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$25.13
|
$38.08
|
$16.31 – $235.40
|
5 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$159.72
|
$242.00
|
$16.31 – $235.40
|
5 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$270.60
|
$410.00
|
$51.06 – $235.40
|
5 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$814.08
|
$1,233.46
|
$64.92 – $274.83
|
6 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$851.40
|
$1,290.00
|
$54.62 – $240.12
|
6 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$1,611.33
|
$2,441.41
|
$65.93 – $204.49
|
6 |
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
CPT 90673
|
$137.94
|
$209.00
|
$39.57 – $303.05
|
5 |
|
Influenza virus vaccine, live trivalent intranasal
CPT 90660
|
$47.52
|
$72.00
|
$30.53 – $104.40
|
5 |
|
Ingest challenge ea addl 60 min
CPT 95079
|
$143.22
|
$217.00
|
$58.39 – $128.79
|
12 |
|
Ingest challenge ini 120 min
CPT 95076
|
$210.54
|
$319.00
|
$63.38 – $184.79
|
12 |
|
Initial foot exam pt lops
HCPCS G0245
|
$106.92
|
$162.00
|
$35.05 – $139.20
|
11 |
|
Initial hosp neonate 28 d/less than not critically ill 99477
CPT 99477
|
$540.54
|
$819.00
|
$265.48 – $457.79
|
12 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$216.48
|
$328.00
|
$46.90 – $176.97
|
12 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$295.02
|
$447.00
|
$72.10 – $241.09
|
12 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$130.02
|
$197.00
|
$37.80 – $118.28
|
12 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$681.12
|
$1,032.00
|
$32.43 – $308.00
|
13 |
|
Init nb em per day non-fac
CPT 99461
|
$97.68
|
$148.00
|
$53.57 – $129.50
|
12 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$229.02
|
$347.00
|
$20.67 – $424.85
|
8 |
|
Inj alymsys 10 mg
HCPCS Q5126
|
$461.00
|
$698.48
|
$78.17 – $174.62
|
5 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$9,666.37
|
$14,646.02
|
$173.03 – $756.33
|
6 |
|
Inj bimatoprost itc imp1mcg
HCPCS J7351
|
$386.10
|
$585.00
|
$213.89 – $310.14
|
5 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$80.38
|
$121.79
|
$8.00 – $240.87
|
5 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$276.54
|
$419.00
|
$20.67 – $232.73
|
12 |
|
Inj dupuytren cord w/enzyme
CPT 20527
|
$203.94
|
$309.00
|
$3.00 – $116.96
|
12 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$703.56
|
$1,066.00
|
$6.52 – $19.75
|
5 |
|
Inj dx for sinogram
CPT 20501
|
$80.52
|
$122.00
|
$15.00 – $175.36
|
12 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$186.78
|
$283.00
|
$18.00 – $348.78
|
12 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$371.58
|
$563.00
|
$10.00 – $263.34
|
12 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$192.06
|
$291.00
|
$8.00 – $124.23
|
12 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$4,791.47
|
$7,259.81
|
$50.55 – $260.34
|
6 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$56.76
|
$86.00
|
$30.72 – $220.79
|
12 |
|
Injection epidural blood patch or clot
CPT 62273
|
$256.08
|
$388.00
|
$75.95 – $286.63
|
12 |
|
Injection eye drug
CPT 67028
|
$262.02
|
$397.00
|
$70.00 – $330.37
|
12 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$242.88
|
$368.00
|
$61.02 – $245.00
|
12 |
|
Injection for bladder x-ray
CPT 51600
|
$429.00
|
$650.00
|
$10.00 – $282.76
|
12 |
|
Injection for hip x-ray
CPT 27095
|
$181.50
|
$275.00
|
$40.00 – $319.01
|
12 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$480.48
|
$728.00
|
$10.00 – $210.92
|
12 |
|
Injection for ureter x-ray
CPT 50690
|
$160.38
|
$243.00
|
$50.00 – $146.11
|
12 |
|
Injection, fulvestrant
HCPCS J9395
|
$1,104.31
|
$1,673.19
|
$15.58 – $5,019.58
|
6 |
|
Injection into brain canal
CPT 61055
|
$258.72
|
$392.00
|
$35.00 – $225.43
|
12 |
|
Injection into hemorrhoid(s)
CPT 46500
|
$435.60
|
$660.00
|
$30.00 – $296.53
|
12 |
|
Injection into vocal cord
CPT 31513
|
$297.66
|
$451.00
|
$10.00 – $210.43
|
12 |
|
Injection of sinus tract
CPT 20500
|
$209.88
|
$318.00
|
$35.00 – $194.90
|
12 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$8.58
|
$13.00
|
$5.35 – $13.00
|
5 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$71.28
|
$108.00
|
$27.05 – $55.98
|
12 |
|
Injection, renflexis
HCPCS Q5104
|
$1,282.88
|
$1,943.75
|
$68.84 – $206.52
|
6 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$271.26
|
$411.00
|
$49.14 – $123.04
|
12 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$174.24
|
$264.00
|
$12.00 – $152.75
|
12 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$578.82
|
$877.00
|
$12.00 – $405.94
|
12 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$227.04
|
$344.00
|
$50.60 – $122.88
|
12 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$361.02
|
$547.00
|
$95.38 – $252.30
|
12 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$171.60
|
$260.00
|
$43.87 – $110.61
|
12 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$311.52
|
$472.00
|
$82.80 – $229.16
|
12 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$243.54
|
$369.00
|
$18.00 – $401.25
|
12 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,696.20
|
$2,570.00
|
$20.67 – $395.11
|
12 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$623.04
|
$944.00
|
$3.00 – $94.37
|
12 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$663.96
|
$1,006.00
|
$36.17 – $88.17
|
12 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$139.92
|
$212.00
|
$41.24 – $100.00
|
12 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$102.30
|
$155.00
|
$16.75 – $40.16
|
12 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$110.88
|
$168.00
|
$168.00 – $504.00
|
2 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$160.38
|
$243.00
|
$40.52 – $98.34
|
12 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$90.42
|
$137.00
|
$16.20 – $34.52
|
12 |
|
Injection treatment of eye
CPT 66030
|
$259.38
|
$393.00
|
$57.33 – $257.43
|
12 |
|
Injection treatment of nerve
CPT 64605
|
$2,065.14
|
$3,129.00
|
$158.97 – $476.91
|
3 |
|
Injection treatment of nerve
CPT 64610
|
$1,736.46
|
$2,631.00
|
$205.14 – $615.42
|
3 |
|
Injection treatment of nerve
CPT 64681
|
$1,067.88
|
$1,618.00
|
$15.00 – $576.86
|
12 |
|
Injection treatment of nose
CPT 30200
|
$258.72
|
$392.00
|
$12.00 – $152.94
|
12 |
|
Inject sacroiliac joint
CPT 27096
|
$387.42
|
$587.00
|
$17.00 – $248.82
|
12 |
|
Inject/treat eye socket
CPT 67515
|
$106.92
|
$162.00
|
$39.05 – $112.11
|
12 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$221.10
|
$335.00
|
$18.00 – $267.02
|
12 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$175.56
|
$266.00
|
$20.67 – $250.06
|
12 |
|
Inj for ext venography
CPT 36005
|
$102.30
|
$155.00
|
$40.31 – $545.16
|
12 |