|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$200.20
|
$308.00
|
$95.80 – $201.12
|
5 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$50.70
|
$78.00
|
$23.48 – $53.36
|
5 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$899.60
|
$1,384.00
|
$181.00 – $871.76
|
5 |
|
Infect ag phenotype na hiv-1 1-10 drugs
CPT 87903
|
$1,210.95
|
$1,863.00
|
$181.00 – $1,108.14
|
5 |
|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$71.50
|
$110.00
|
$26.07 – $68.57
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$114.40
|
$176.00
|
$11.98 – $32.65
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$102.05
|
$157.00
|
$13.42 – $41.79
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$37.70
|
$58.00
|
$13.82 – $34.61
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$88.40
|
$136.00
|
$11.98 – $37.87
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$84.50
|
$130.00
|
$14.38 – $84.89
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$95.55
|
$147.00
|
$0.36 – $1.04
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$50.05
|
$77.00
|
$10.33 – $48.32
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$73.45
|
$113.00
|
$24.08 – $46.36
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$261.30
|
$402.00
|
$11.98 – $31.34
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$45.50
|
$70.00
|
$11.88 – $21.55
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$102.70
|
$158.00
|
$11.98 – $30.69
|
5 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$730.60
|
$1,124.00
|
$25.92 – $55.68
|
5 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$227.50
|
$350.00
|
$12.60 – $36.40
|
5 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$180.05
|
$277.00
|
$37.27 – $97.95
|
5 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$541.45
|
$833.00
|
$181.00 – $543.95
|
5 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$251.55
|
$387.00
|
$25.92 – $55.68
|
5 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$92.95
|
$143.00
|
$35.09 – $93.38
|
5 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$803.40
|
$1,236.00
|
$41.68 – $165.86
|
5 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$178.10
|
$274.00
|
$12.60 – $36.40
|
5 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$112.45
|
$173.00
|
$51.17 – $111.01
|
4 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$119.60
|
$184.00
|
$55.38 – $148.34
|
5 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$40.95
|
$63.00
|
$22.68 – $55.68
|
5 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$1,017.90
|
$1,566.00
|
$181.00 – $505.00
|
5 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$473.20
|
$728.00
|
$128.29 – $475.38
|
5 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$392.60
|
$604.00
|
$181.00 – $394.41
|
5 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$527.15
|
$811.00
|
$42.84 – $111.66
|
5 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$398.45
|
$613.00
|
$42.84 – $169.78
|
5 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$221.00
|
$340.00
|
$42.84 – $117.54
|
5 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$316.55
|
$487.00
|
$64.08 – $134.98
|
5 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$237.90
|
$366.00
|
$77.40 – $203.50
|
5 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$4,044.38
|
$6,222.13
|
$8.18 – $1,652.61
|
5 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$554.45
|
$853.00
|
$186.00 – $557.01
|
6 |
|
Inj andexxa, 10 mg
HCPCS J7169
|
$8,658.00
|
$13,320.00
|
$99.89 – $8,697.96
|
5 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$18,531.17
|
$28,509.49
|
$5.47 – $18,616.70
|
5 |
|
Inj beta interferon sq 1 mcg
HCPCS Q3028
|
$3,967.93
|
$6,104.51
|
$476.00 – $3,986.25
|
4 |
|
Inj, bezlotoxumab, 10 mg
HCPCS J0565
|
$329.00
|
$506.16
|
$22.77 – $330.52
|
5 |
|
Inj, biorphen, 20 micrograms
HCPCS J2372
|
$9.75
|
$15.00
|
$5.40 – $15.00
|
4 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$62.46
|
$96.09
|
$1.47 – $54.79
|
5 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$53.96
|
$83.01
|
$17.05 – $56.64
|
5 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$657.14
|
$1,010.99
|
$2.42 – $660.18
|
4 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$433.66
|
$667.17
|
$5.00 – $435.66
|
5 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$477.75
|
$735.00
|
$264.60 – $735.00
|
5 |
|
Inj crotalidae im f(ab')2 eq
HCPCS J0841
|
$4,225.10
|
$6,500.16
|
$102.04 – $4,244.60
|
5 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$3,931.85
|
$6,049.00
|
$591.00 – $3,950.00
|
5 |
|
Inj dx for sinogram
CPT 20501
|
$813.80
|
$1,252.00
|
$450.72 – $1,252.00
|
5 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$1,939.60
|
$2,984.00
|
$723.90 – $2,984.00
|
6 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$477.75
|
$735.00
|
$264.60 – $735.00
|
5 |
|
Injection, belinostat, 10mg
HCPCS J9032
|
$7,465.38
|
$11,485.20
|
$22.88 – $7,499.84
|
5 |
|
Injection, caplacizumab-yhdp
HCPCS C9047
|
$28,543.70
|
$43,913.38
|
$476.00 – $28,675.44
|
5 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$1,721.20
|
$2,648.00
|
$591.00 – $2,648.00
|
5 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,594.45
|
$2,453.00
|
$476.00 – $1,896.00
|
6 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$193.05
|
$297.00
|
$106.92 – $297.00
|
5 |
|
Injection for bladder x-ray
CPT 51600
|
$1,599.65
|
$2,461.00
|
$591.00 – $2,410.00
|
5 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$477.75
|
$735.00
|
$264.60 – $735.00
|
5 |
|
Injection for spleen x-ray
CPT 38200
|
$332.15
|
$511.00
|
$183.96 – $511.00
|
5 |
|
Injection for ureter x-ray
CPT 50684
|
$382.85
|
$589.00
|
$212.04 – $589.00
|
5 |
|
Injection for ureter x-ray
CPT 50690
|
$352.30
|
$542.00
|
$195.12 – $542.00
|
5 |
|
Injection, fulvestrant
HCPCS J9395
|
$671.53
|
$1,033.13
|
$14.91 – $79.92
|
4 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$7,503.60
|
$11,544.00
|
$12.32 – $7,538.23
|
5 |
|
Injection intraop add-on
CPT 48400
|
$336.05
|
$517.00
|
$186.12 – $517.00
|
5 |
|
Injection, isavuconazonium
HCPCS J1833
|
$945.34
|
$1,454.37
|
$1.01 – $949.70
|
4 |
|
Injection jaw joint x-ray
CPT 21116
|
$803.40
|
$1,236.00
|
$444.96 – $1,236.00
|
5 |
|
Injection jugular
CPT 36299
|
$845.00
|
$1,300.00
|
$468.00 – $1,300.00
|
5 |
|
Injection of sinus tract
CPT 20500
|
$1,625.65
|
$2,501.00
|
$900.36 – $2,501.00
|
6 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$2,081.38
|
$3,202.13
|
$4.94 – $2,090.99
|
5 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$1,497.60
|
$2,304.00
|
$409.97 – $1,460.76
|
6 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$1,474.20
|
$2,268.00
|
$723.90 – $2,268.00
|
6 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$1,330.55
|
$2,047.00
|
$723.90 – $2,047.00
|
6 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$2,509.00
|
$3,860.00
|
$476.00 – $2,520.58
|
6 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,961.05
|
$3,017.00
|
$907.05 – $3,017.00
|
6 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$919.75
|
$1,415.00
|
$509.40 – $1,415.00
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,961.05
|
$3,017.00
|
$907.05 – $3,017.00
|
6 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$919.75
|
$1,415.00
|
$509.40 – $1,415.00
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,961.05
|
$3,017.00
|
$907.05 – $3,017.00
|
6 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$2,070.25
|
$3,185.00
|
$723.90 – $3,185.00
|
6 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$3,074.50
|
$4,730.00
|
$723.90 – $3,554.00
|
6 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$767.65
|
$1,181.00
|
$314.79 – $771.19
|
6 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$854.10
|
$1,314.00
|
$125.91 – $790.78
|
6 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$768.95
|
$1,183.00
|
$314.79 – $728.10
|
6 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$133.90
|
$206.00
|
$62.01 – $206.00
|
5 |
|
Injection treatment of nerve
CPT 64610
|
not published
|
not published
|
not published
|
0 |
|
Inject sacroiliac joint
CPT 27096
|
$761.15
|
$1,171.00
|
$421.56 – $1,171.00
|
5 |
|
Inj efgart-alfa 2mg hya-qvfc
HCPCS J9334
|
$9,754.47
|
$15,006.88
|
$25.77 – $9,799.49
|
6 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
not published
|
not published
|
not published
|
0 |
|
Inj., eravacycline, 1 mg
HCPCS J0122
|
$339.39
|
$522.14
|
$1.30 – $340.96
|
5 |
|
Inj for ext venography
CPT 36005
|
$260.00
|
$400.00
|
$144.00 – $400.00
|
5 |
|
Inj for mammo ductogram
CPT 19030
|
$124.80
|
$192.00
|
$69.12 – $192.00
|
5 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$1,721.20
|
$2,648.00
|
$591.00 – $2,648.00
|
5 |
|
Inj imip 4 cilas 4 releb 2mg
HCPCS J0742
|
$926.41
|
$1,425.24
|
$6.67 – $930.68
|
4 |
|
Inj/inf neurolyt sbst spinal canal lesion 62282
CPT 62282
|
$3,214.25
|
$4,945.00
|
$907.05 – $3,554.00
|
6 |
|
Inj intralesional <= 7 lsn(s)
CPT 11900
|
$516.10
|
$794.00
|
$205.75 – $518.48
|
6 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$49.18
|
$75.66
|
$27.24 – $75.66
|
5 |
|
Inj, lecanemab-irmb, 1 mg
HCPCS J0174
|
$441.23
|
$678.81
|
$1.32 – $443.26
|
5 |
|
Inj levocarnitine per 1 gm
HCPCS J1955
|
$22.94
|
$35.29
|
$4.52 – $15.00
|
5 |
|
Inj melpha hydroch nos 50 mg
HCPCS J9245
|
$5,690.39
|
$8,754.44
|
$3.44 – $5,667.88
|
5 |