|
Infect ag if ea plyvlnt antsrm
CPT 87300
|
$25.80
|
$60.00
|
$11.98 – $58.20
|
20 |
|
Infect ag if influenza a
CPT 87276
|
$25.80
|
$60.00
|
$16.07 – $58.20
|
20 |
|
Infect ag if influenza b
CPT 87275
|
$25.80
|
$60.00
|
$12.25 – $58.20
|
20 |
|
Infect ag if pneumocystis carinii
CPT 87281
|
$32.68
|
$76.00
|
$11.98 – $73.72
|
20 |
|
Infect ag if varicella zoster
CPT 87290
|
$25.80
|
$60.00
|
$13.42 – $58.20
|
20 |
|
Infect ag na hep b amp
CPT 87516
|
$58.05
|
$135.00
|
$35.09 – $130.95
|
20 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$45.58
|
$106.00
|
$29.57 – $102.82
|
20 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$123.84
|
$288.00
|
$80.35 – $279.36
|
20 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$66.22
|
$154.00
|
$42.97 – $149.38
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$25.80
|
$60.00
|
$11.98 – $58.20
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$18.06
|
$42.00
|
$11.72 – $40.74
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$28.38
|
$66.00
|
$10.04 – $34.92
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$32.25
|
$75.00
|
$12.28 – $42.68
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$99.33
|
$231.00
|
$10.33 – $43.65
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$36.55
|
$85.00
|
$10.33 – $56.26
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$37.41
|
$87.00
|
$24.08 – $84.39
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$67.51
|
$157.00
|
$10.04 – $34.92
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$15.48
|
$36.00
|
$10.04 – $34.92
|
20 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$27.52
|
$64.00
|
$11.98 – $62.08
|
20 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$181.03
|
$421.00
|
$29.57 – $102.82
|
20 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$49.45
|
$115.00
|
$29.57 – $102.82
|
20 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$48.16
|
$112.00
|
$31.25 – $108.64
|
20 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$537.93
|
$1,251.00
|
$349.03 – $1,213.47
|
20 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$45.58
|
$106.00
|
$29.57 – $102.82
|
20 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$54.18
|
$126.00
|
$35.15 – $122.22
|
20 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$45.58
|
$106.00
|
$29.57 – $102.82
|
20 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$66.22
|
$154.00
|
$42.97 – $149.38
|
20 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$41.28
|
$96.00
|
$26.78 – $156.89
|
20 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$45.58
|
$106.00
|
$29.57 – $102.82
|
20 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$47.73
|
$111.00
|
$29.57 – $102.82
|
20 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$537.93
|
$1,251.00
|
$349.03 – $1,213.47
|
20 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$165.55
|
$385.00
|
$107.42 – $373.45
|
20 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$339.27
|
$789.00
|
$220.13 – $765.33
|
20 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$118.25
|
$275.00
|
$35.99 – $125.13
|
20 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$55.47
|
$129.00
|
$35.99 – $125.13
|
20 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$63.21
|
$147.00
|
$35.99 – $125.13
|
20 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$110.08
|
$256.00
|
$71.42 – $248.32
|
20 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$184.04
|
$428.00
|
$119.41 – $415.16
|
20 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$204.62
|
$402.00
|
$112.16 – $389.94
|
20 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$104.80
|
$246.00
|
$45.76 – $159.08
|
16 |
|
Inj dx for sinogram
CPT 20501
|
$103.94
|
$244.00
|
$68.08 – $236.68
|
16 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
not published
|
not published
|
not published
|
0 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$159.75
|
$375.00
|
$69.75 – $242.50
|
16 |
|
Injection epidural blood patch or clot
CPT 62273
|
$490.17
|
$963.00
|
$268.68 – $934.11
|
20 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$206.61
|
$485.00
|
$90.12 – $313.31
|
16 |
|
Injection for bladder x-ray
CPT 51600
|
$155.06
|
$364.00
|
$101.56 – $353.08
|
16 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$247.51
|
$581.00
|
$107.97 – $375.39
|
16 |
|
Injection for ureter x-ray
CPT 50684
|
$284.57
|
$668.00
|
$124.16 – $431.65
|
16 |
|
Injection jaw joint x-ray
CPT 21116
|
$71.14
|
$167.00
|
$46.59 – $161.99
|
16 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$387.23
|
$909.00
|
$169.07 – $587.82
|
16 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
not published
|
not published
|
not published
|
0 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$635.17
|
$1,491.00
|
$277.33 – $964.18
|
16 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,626.47
|
$3,818.00
|
$710.05 – $2,468.65
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$912.07
|
$2,141.00
|
$398.13 – $1,384.19
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,626.47
|
$3,818.00
|
$710.05 – $2,468.65
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,144.66
|
$2,687.00
|
$499.69 – $1,737.27
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$2,001.35
|
$4,698.00
|
$873.83 – $3,038.04
|
16 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$1,046.26
|
$2,456.00
|
$685.22 – $2,382.32
|
20 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$723.77
|
$1,699.00
|
$474.02 – $1,648.03
|
20 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$305.02
|
$716.00
|
$133.08 – $462.69
|
16 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$261.99
|
$615.00
|
$171.59 – $596.55
|
20 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
not published
|
not published
|
not published
|
0 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$83.48
|
$164.00
|
$45.76 – $159.08
|
16 |
|
Inject sacroiliac joint
CPT 27096
|
$880.12
|
$2,066.00
|
$384.18 – $1,335.69
|
16 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
not published
|
not published
|
not published
|
0 |
|
Inj for ext venography
CPT 36005
|
$296.07
|
$695.00
|
$129.18 – $449.11
|
16 |
|
Inj for mammo ductogram
CPT 19030
|
$138.88
|
$326.00
|
$60.54 – $210.49
|
16 |
|
Inj naloxone hydrochloride
HCPCS J2310
|
$0.36
|
$1.83
|
$0.51 – $1.78
|
16 |
|
Inj nephrosto/ureterogram w/img exstng access
CPT 50431
|
$600.66
|
$1,410.00
|
$262.26 – $911.80
|
16 |
|
Inj proc ankle arthr
CPT 27648
|
$122.26
|
$287.00
|
$53.29 – $185.27
|
16 |
|
Inj proc elbow arthro
CPT 24220
|
$154.21
|
$362.00
|
$67.24 – $233.77
|
16 |
|
Inj proc myelogram lumbar
CPT 62284
|
$273.92
|
$643.00
|
$179.40 – $623.71
|
16 |
|
Inj proc sialogram
CPT 42550
|
$117.58
|
$276.00
|
$77.00 – $267.72
|
16 |
|
Inj retacrit esrd on dialysi
HCPCS Q5105
|
$2.97
|
$5.80
|
$0.14 – $0.84
|
20 |
|
Inj retro urethrocysto
CPT 51610
|
$128.65
|
$302.00
|
$84.26 – $292.94
|
16 |
|
Inj w/fluor eval cv device
CPT 36598
|
$364.66
|
$856.00
|
$211.74 – $830.32
|
20 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$238.64
|
$511.00
|
$142.57 – $495.67
|
20 |
|
Insert cath pleura with image
CPT 32557
|
$1,664.81
|
$3,908.00
|
$726.79 – $2,526.85
|
16 |
|
Insert intrauterine device iud
CPT 58300
|
not published
|
not published
|
not published
|
0 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$119.61
|
$235.00
|
$65.56 – $227.95
|
20 |
|
Insertion catheter pleural indwelling tunneled with cuff
CPT 32550
|
$2,016.26
|
$4,733.00
|
$1,320.51 – $4,591.01
|
20 |
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
CPT 37191
|
$4,795.06
|
$11,256.00
|
$3,140.42 – $10,918.32
|
20 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$879.56
|
$1,981.00
|
$552.70 – $1,921.57
|
20 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$1,213.01
|
$2,732.00
|
$762.23 – $2,650.04
|
20 |
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
CPT 36561
|
not published
|
not published
|
not published
|
0 |
|
Insitu hybridization (fish)
CPT 88366
|
$169.59
|
$344.00
|
$95.98 – $333.68
|
20 |
|
Insitu hybridization manual
CPT 88368
|
$353.97
|
$718.00
|
$200.32 – $696.46
|
20 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$105.50
|
$214.00
|
$37.94 – $131.92
|
16 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$169.59
|
$344.00
|
$95.98 – $333.68
|
20 |
|
Ins mark abd/pel for right perq
CPT 49411
|
$873.73
|
$2,051.00
|
$572.23 – $1,989.47
|
20 |
|
Ins picc wo subq prt/pmp w image guidnc <5yr
CPT 36572
|
$853.81
|
$1,923.00
|
$536.52 – $1,865.31
|
20 |
|
Ins pq tunnld ip cath w/img
CPT 49418
|
$2,550.46
|
$5,987.00
|
$1,670.37 – $5,807.39
|
20 |
|
Instillation anticarcinogenic agent bladder
CPT 51720
|
$364.52
|
$821.00
|
$229.06 – $796.37
|
20 |
|
Insulin total
CPT 83525
|
$18.81
|
$57.00
|
$11.43 – $55.29
|
20 |
|
Int hrhc lig 1 hroid without img
CPT 46945
|
not published
|
not published
|
not published
|
0 |
|
Intrinsic factor antibody
CPT 86340
|
$24.01
|
$59.00
|
$15.08 – $57.23
|
20 |
|
Intro long gi tube
CPT 44500
|
$585.32
|
$1,374.00
|
$383.35 – $1,332.78
|
20 |
|
Intro long gi tube w/mult fluo
CPT 74340
|
$207.90
|
$462.00
|
$128.90 – $448.14
|
16 |
|
Iodine i-123 sod iodide mil
HCPCS A9509
|
$330.15
|
$862.00
|
$240.50 – $836.14
|
16 |
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
HCPCS Q9966
|
$0.12
|
$0.60
|
$0.17 – $0.58
|
16 |