|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$25.60
|
$128.00
|
$7.28 – $134.73
|
11 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$36.00
|
$180.00
|
$9.18 – $139.18
|
11 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$76.00
|
$380.00
|
$20.26 – $422.99
|
11 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$39.40
|
$197.00
|
$9.52 – $121.20
|
11 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$49.80
|
$249.00
|
$11.98 – $125.20
|
11 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$81.40
|
$407.00
|
$15.97 – $457.94
|
18 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$85.80
|
$429.00
|
$10.00 – $457.94
|
11 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$178.80
|
$894.00
|
$37.27 – $926.32
|
11 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$966.60
|
$4,833.00
|
$370.47 – $7,509.07
|
11 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$98.00
|
$490.00
|
$28.07 – $457.94
|
11 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$91.00
|
$455.00
|
$35.09 – $463.02
|
11 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$95.80
|
$479.00
|
$33.34 – $457.94
|
11 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$85.80
|
$429.00
|
$10.00 – $457.94
|
11 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$137.60
|
$688.00
|
$23.35 – $776.43
|
17 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$221.40
|
$1,107.00
|
$72.25 – $958.64
|
17 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$78.60
|
$393.00
|
$15.97 – $457.94
|
18 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$57.80
|
$289.00
|
$30.54 – $454.04
|
11 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$85.80
|
$429.00
|
$70.18 – $126.32
|
5 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$95.80
|
$479.00
|
$74.92 – $480.07
|
9 |
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
CPT 87627
|
$376.80
|
$1,884.00
|
$679.77 – $1,223.59
|
5 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$1,155.00
|
$5,775.00
|
$370.47 – $6,728.55
|
11 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$293.00
|
$1,465.00
|
$114.04 – $2,071.08
|
11 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$42.08
|
$210.39
|
$210.39 – $3,445.62
|
11 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$23.90
|
$119.50
|
$38.08 – $376.93
|
11 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$7.62
|
$38.08
|
$38.08 – $376.93
|
11 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$47.20
|
$236.00
|
$38.08 – $376.93
|
11 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$18.70
|
$93.50
|
$60.00 – $748.80
|
11 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$28.53
|
$142.63
|
$87.60 – $2,185.38
|
11 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$1,065.05
|
$5,325.26
|
$31.04 – $394.22
|
13 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$456.00
|
$2,280.00
|
$28.04 – $331.64
|
13 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$863.01
|
$4,315.05
|
$26.04 – $627.65
|
13 |
|
Influenza dna amp prob addl
CPT 87503
|
$54.00
|
$270.00
|
$29.22 – $354.26
|
11 |
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
CPT 90673
|
$45.20
|
$226.00
|
$51.30 – $216.24
|
9 |
|
Influenza virus vaccine, live trivalent intranasal
CPT 90660
|
$14.40
|
$72.00
|
$26.03 – $353.38
|
9 |
|
Ingest challenge ea addl 60 min
CPT 95079
|
$43.40
|
$217.00
|
$58.39 – $849.06
|
18 |
|
Ingest challenge ini 120 min
CPT 95076
|
$147.80
|
$739.00
|
$63.38 – $1,239.91
|
18 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$152.60
|
$763.00
|
$123.22 – $634.00
|
13 |
|
Initial foot exam pt lops
HCPCS G0245
|
$32.40
|
$162.00
|
$35.05 – $105.61
|
15 |
|
Initial hosp neonate 28 d/less than not critically ill 99477
CPT 99477
|
$163.80
|
$819.00
|
$66.41 – $449.61
|
16 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$65.60
|
$328.00
|
$46.90 – $176.97
|
16 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$89.40
|
$447.00
|
$66.41 – $241.09
|
16 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$39.40
|
$197.00
|
$37.80 – $116.16
|
16 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$238.20
|
$1,191.00
|
$32.43 – $634.00
|
18 |
|
Init nb em per day non-fac
CPT 99461
|
$29.60
|
$148.00
|
$53.57 – $129.50
|
16 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$69.40
|
$347.00
|
$66.41 – $504.83
|
14 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$1,631.60
|
$8,158.00
|
$7.27 – $24.07
|
13 |
|
Inj bimatoprost itc imp1mcg
HCPCS J7351
|
$117.00
|
$585.00
|
$206.21 – $1,293.38
|
15 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$521.48
|
$2,607.40
|
$1.90 – $7.09
|
10 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$164.40
|
$822.00
|
$25.00 – $232.73
|
17 |
|
Inj cyclophosphamd (ingenus)
HCPCS J9073
|
$4.70
|
$23.51
|
$0.50 – $8.12
|
9 |
|
Inj dupuytren cord w/enzyme
CPT 20527
|
$139.20
|
$696.00
|
$3.00 – $422.82
|
17 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$226.00
|
$1,130.00
|
$6.14 – $1,066.00
|
15 |
|
Inj dx for sinogram
CPT 20501
|
$73.40
|
$367.00
|
$30.78 – $175.36
|
17 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$56.60
|
$283.00
|
$18.00 – $348.78
|
16 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$274.00
|
$1,370.00
|
$15.00 – $263.34
|
17 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$58.20
|
$291.00
|
$8.00 – $124.23
|
16 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$17.20
|
$86.00
|
$30.72 – $220.79
|
16 |
|
Injection epidural blood patch or clot
CPT 62273
|
$589.00
|
$2,945.00
|
$66.41 – $972.34
|
17 |
|
Injection eye drug
CPT 67028
|
$93.40
|
$467.00
|
$66.41 – $454.99
|
17 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$202.80
|
$1,014.00
|
$40.00 – $234.45
|
17 |
|
Injection for bladder x-ray
CPT 51600
|
$131.60
|
$658.00
|
$37.05 – $282.76
|
17 |
|
Injection for hip x-ray
CPT 27095
|
$1,397.20
|
$6,986.00
|
$10.00 – $319.01
|
17 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$243.40
|
$1,217.00
|
$10.00 – $210.92
|
17 |
|
Injection for ureter x-ray
CPT 50684
|
$53.20
|
$266.00
|
$47.80 – $252.42
|
7 |
|
Injection for ureter x-ray
CPT 50690
|
$145.00
|
$725.00
|
$45.00 – $146.11
|
17 |
|
Injection, fulvestrant
HCPCS J9395
|
$64.20
|
$321.00
|
$11.44 – $543.82
|
8 |
|
Injection into brain canal
CPT 61055
|
$230.40
|
$1,152.00
|
$66.41 – $422.82
|
17 |
|
Injection into hemorrhoid(s)
CPT 46500
|
$132.00
|
$660.00
|
$10.00 – $296.53
|
16 |
|
Injection into vocal cord
CPT 31513
|
$90.20
|
$451.00
|
$5.00 – $210.43
|
16 |
|
Injection jaw joint x-ray
CPT 21116
|
$97.20
|
$486.00
|
$38.14 – $137.01
|
7 |
|
Injection of sinus tract
CPT 20500
|
$63.60
|
$318.00
|
$66.41 – $194.90
|
16 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$2.60
|
$13.00
|
$6.25 – $29.23
|
15 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$21.60
|
$108.00
|
$27.05 – $66.41
|
14 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$589.00
|
$2,945.00
|
$10.00 – $972.34
|
17 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$568.60
|
$2,843.00
|
$38.86 – $972.34
|
17 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$291.40
|
$1,457.00
|
$7.00 – $1,218.35
|
17 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$72.60
|
$363.00
|
$12.00 – $122.88
|
17 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$109.40
|
$547.00
|
$66.41 – $252.30
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$52.00
|
$260.00
|
$43.87 – $110.61
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$94.40
|
$472.00
|
$12.00 – $229.16
|
16 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$73.80
|
$369.00
|
$23.00 – $401.25
|
16 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,124.80
|
$5,624.00
|
$18.00 – $972.34
|
17 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$251.00
|
$1,255.00
|
$33.00 – $422.82
|
17 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$94.60
|
$473.00
|
$8.00 – $422.82
|
17 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$88.40
|
$442.00
|
$36.08 – $422.82
|
17 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$86.80
|
$434.00
|
$16.75 – $66.41
|
17 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$74.80
|
$374.00
|
$374.00 – $673.00
|
4 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$173.60
|
$868.00
|
$40.52 – $293.00
|
17 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$68.40
|
$342.00
|
$16.20 – $99.18
|
17 |
|
Injection treatment of eye
CPT 66030
|
$1,054.80
|
$5,274.00
|
$40.00 – $3,178.99
|
17 |
|
Injection treatment of nerve
CPT 64605
|
$625.80
|
$3,129.00
|
$158.97 – $504.83
|
6 |
|
Injection treatment of nerve
CPT 64610
|
$526.20
|
$2,631.00
|
$205.14 – $504.83
|
6 |
|
Injection treatment of nerve
CPT 64681
|
$323.60
|
$1,618.00
|
$50.00 – $576.86
|
16 |
|
Injection treatment of nose
CPT 30200
|
$78.40
|
$392.00
|
$31.65 – $152.94
|
16 |
|
Inject sacroiliac joint
CPT 27096
|
$148.80
|
$744.00
|
$42.00 – $248.82
|
17 |
|
Inject/treat eye socket
CPT 67515
|
$89.40
|
$447.00
|
$39.05 – $437.22
|
17 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$67.00
|
$335.00
|
$23.00 – $267.02
|
16 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$53.20
|
$266.00
|
$23.00 – $250.06
|
16 |
|
Inj for ext venography
CPT 36005
|
$63.20
|
$316.00
|
$25.00 – $545.16
|
17 |
|
Inj for mammo ductogram
CPT 19030
|
$129.40
|
$647.00
|
$45.00 – $255.44
|
17 |