|
Immunofluorescence per specimen each additional single antibody stain
CPT 88350
|
$32.12
|
$146.00
|
$9.67 – $207.43
|
12 |
|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$118.80
|
$540.00
|
$29.20 – $395.76
|
12 |
|
Immunoglobulin assay
CPT 86023
|
$45.32
|
$206.00
|
$2.21 – $22.43
|
12 |
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
HCPCS L8612
|
$1,259.72
|
$5,726.00
|
$973.96 – $5,726.00
|
8 |
|
Implant cartilage 10mm synthetic
HCPCS L8699
|
$17,601.54
|
$80,007.00
|
$203.00 – $251.72
|
6 |
|
Implant ureth bulk agent
HCPCS L8606
|
$480.48
|
$2,184.00
|
$209.55 – $501.73
|
9 |
|
Imuglucerase injection
HCPCS J1786
|
$795.33
|
$3,615.16
|
$43.33 – $723.03
|
12 |
|
In-111 autol wbc diag per dose
HCPCS A9570
|
$944.90
|
$4,295.00
|
$492.80 – $4,065.60
|
7 |
|
In-111 oxyquinolin per 0.5 mci
HCPCS A9547
|
$977.90
|
$4,445.00
|
$251.95 – $7,334.25
|
12 |
|
In-111 pentetate dtpa / 0.5 mci
HCPCS A9548
|
$1,501.28
|
$6,824.00
|
$745.62 – $11,259.60
|
12 |
|
In-111 pentetreotide
HCPCS A9572
|
$2,014.10
|
$9,155.00
|
$1,474.00 – $15,105.75
|
7 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$1,648.02
|
$7,491.00
|
$71.56 – $12,360.15
|
11 |
|
Incision of hip tendon
CPT 27000
|
$1,342.00
|
$6,100.00
|
$213.33 – $10,065.00
|
12 |
|
Incisn windpipe
CPT 31600
|
$212.08
|
$964.00
|
$192.80 – $7,701.59
|
12 |
|
Induced ab 1+ vag sup w/dlv fetus
CPT 59855
|
$286.22
|
$1,301.00
|
$13.45 – $617.78
|
22 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$45.54
|
$207.00
|
$25.02 – $234.63
|
12 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$50.82
|
$231.00
|
$1.25 – $39.80
|
12 |
|
Infect ag genotype na cytomegalovirus
CPT 87910
|
$95.96
|
$436.20
|
$5.05 – $463.41
|
12 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$45.10
|
$205.00
|
$24.71 – $231.71
|
12 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$142.78
|
$649.00
|
$49.43 – $463.41
|
12 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$34.98
|
$159.00
|
$1.91 – $31.80
|
12 |
|
Infect ag if influenza a
CPT 87276
|
$2.13
|
$9.70
|
$1.94 – $28.93
|
12 |
|
Infect ag if influenza b
CPT 87275
|
$2.13
|
$9.70
|
$1.29 – $22.05
|
12 |
|
Infect ag if pneumocystis carinii
CPT 87281
|
$3.08
|
$14.00
|
$2.18 – $21.56
|
12 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$93.50
|
$425.00
|
$7.60 – $63.16
|
12 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$177.76
|
$808.00
|
$16.56 – $172.44
|
12 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$18.70
|
$85.00
|
$17.00 – $92.36
|
11 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$1,226.50
|
$5,575.00
|
$80.02 – $750.20
|
12 |
|
Infect ag phenotype na hiv-1 1-10 drugs
CPT 87903
|
$170.94
|
$776.98
|
$93.82 – $879.59
|
12 |
|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$9.24
|
$42.00
|
$5.00 – $46.93
|
12 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$18.48
|
$84.00
|
$16.80 – $74.48
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$52.36
|
$238.00
|
$2.49 – $21.56
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$44.44
|
$202.00
|
$2.49 – $28.00
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$39.82
|
$181.00
|
$1.79 – $21.56
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$62.70
|
$285.00
|
$2.76 – $25.88
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$50.38
|
$229.00
|
$2.95 – $18.59
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$18.48
|
$84.00
|
$1.99 – $18.59
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$71.50
|
$325.00
|
$4.37 – $48.40
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$50.38
|
$229.00
|
$1.90 – $21.56
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$86.90
|
$395.00
|
$2.49 – $65.80
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$40.92
|
$186.00
|
$1.90 – $21.56
|
12 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$103.84
|
$472.00
|
$6.03 – $63.16
|
12 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$88.66
|
$403.00
|
$2.00 – $63.16
|
12 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$205.26
|
$933.00
|
$6.19 – $67.09
|
12 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$1,795.42
|
$8,161.00
|
$400.11 – $789.40
|
12 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$34.10
|
$155.00
|
$9.66 – $63.16
|
12 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$166.98
|
$759.00
|
$6.25 – $63.16
|
12 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$97.24
|
$442.00
|
$9.66 – $75.02
|
12 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$88.66
|
$403.00
|
$2.00 – $63.16
|
12 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$44.00
|
$200.00
|
$10.80 – $92.36
|
13 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$297.88
|
$1,354.00
|
$142.63 – $256.73
|
12 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$88.66
|
$403.00
|
$9.66 – $63.16
|
12 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$102.74
|
$467.00
|
$6.17 – $63.16
|
12 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$88.66
|
$403.00
|
$28.00 – $126.32
|
6 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$91.08
|
$414.00
|
$12.00 – $138.19
|
11 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$868.34
|
$3,947.00
|
$74.09 – $750.20
|
12 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$267.74
|
$1,217.00
|
$77.00 – $230.92
|
12 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$26.84
|
$122.00
|
$12.65 – $77.11
|
12 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$24.20
|
$110.00
|
$12.65 – $77.11
|
12 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$43.56
|
$198.00
|
$7.62 – $77.11
|
12 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$50.38
|
$229.00
|
$12.00 – $153.18
|
12 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$448.80
|
$2,040.00
|
$13.19 – $256.73
|
12 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$668.89
|
$3,040.40
|
$31.48 – $608.08
|
12 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$336.36
|
$1,528.89
|
$23.64 – $305.78
|
12 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$595.70
|
$2,707.71
|
$11.51 – $541.54
|
12 |
|
Influenza dna amp prob addl
CPT 87503
|
$44.88
|
$204.00
|
$4.88 – $52.60
|
12 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$304.48
|
$1,384.00
|
$1.20 – $85.96
|
22 |
|
Inj, abilify asimtufii, 1 mg
HCPCS J0402
|
$835.50
|
$3,797.74
|
$6.19 – $759.55
|
11 |
|
Inj alymsys 10 mg
HCPCS Q5126
|
$1,483.29
|
$6,742.22
|
$78.17 – $439.18
|
11 |
|
Inj aval alfa-nqpt 4mg
HCPCS J0219
|
$868.54
|
$3,947.92
|
$81.30 – $789.58
|
11 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$3,596.79
|
$16,349.04
|
$165.56 – $1,474.00
|
12 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$163.41
|
$742.78
|
$10.04 – $921.05
|
11 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$687.06
|
$3,123.00
|
$33.86 – $1,577.40
|
12 |
|
Inj crotalidae im f(ab')2 eq
HCPCS J0841
|
$609.84
|
$2,772.00
|
$1,140.90 – $3,437.28
|
7 |
|
Inj cyclophosphamd (ingenus)
HCPCS J9073
|
$3.63
|
$16.48
|
$0.50 – $10.07
|
11 |
|
Inj, donanemab-azbt, 2 mg
HCPCS J0175
|
$413.54
|
$1,879.73
|
$4.17 – $375.95
|
11 |
|
Inj dx for sinogram
CPT 20501
|
$462.00
|
$2,100.00
|
$30.78 – $3,465.00
|
12 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$377.30
|
$1,715.00
|
$57.17 – $1,084.05
|
12 |
|
Injection, cangrelor
HCPCS C9460
|
$842.71
|
$3,830.49
|
$20.28 – $6,320.30
|
12 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$36.52
|
$166.00
|
$33.20 – $713.03
|
11 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$933.02
|
$4,241.00
|
$30.72 – $4,181.10
|
11 |
|
Injection epidural blood patch or clot
CPT 62273
|
$823.02
|
$3,741.00
|
$75.95 – $6,172.65
|
12 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$572.00
|
$2,600.00
|
$61.02 – $1,237.50
|
12 |
|
Injection for bladder x-ray
CPT 51600
|
$633.16
|
$2,878.00
|
$37.05 – $2,904.00
|
12 |
|
Injection for hip x-ray
CPT 27095
|
$214.50
|
$975.00
|
$68.54 – $1,072.50
|
12 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$502.04
|
$2,282.00
|
$41.86 – $1,887.60
|
12 |
|
Injection for ureter x-ray
CPT 50684
|
$296.78
|
$1,349.00
|
$47.80 – $2,225.85
|
12 |
|
Injection, fulvestrant
HCPCS J9395
|
$66.49
|
$302.23
|
$14.25 – $374.76
|
7 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$4,007.61
|
$18,216.41
|
$12.91 – $1,474.00
|
11 |
|
Injection jugular
CPT 36299
|
$561.44
|
$2,552.00
|
$2,552.00 – $4,210.80
|
5 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$602.06
|
$2,736.66
|
$6.51 – $547.33
|
12 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$500.28
|
$2,274.00
|
$291.83 – $3,752.10
|
8 |
|
Injection, renflexis
HCPCS Q5104
|
$477.35
|
$2,169.77
|
$26.62 – $433.95
|
12 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$432.96
|
$1,968.00
|
$70.49 – $3,247.20
|
12 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,658.58
|
$7,539.00
|
$143.34 – $12,439.35
|
12 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,431.76
|
$6,508.00
|
$43.87 – $10,738.20
|
12 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,071.18
|
$4,869.00
|
$144.45 – $8,033.85
|
12 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$510.40
|
$2,320.00
|
$220.03 – $3,828.00
|
12 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$492.80
|
$2,240.00
|
$65.68 – $3,696.00
|
12 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$326.04
|
$1,482.00
|
$56.69 – $2,445.30
|
12 |