|
Iadna legionella pneumophila amplified probe tq
CPT 87541
|
$94.32
|
$131.00
|
$70.11 – $131.00
|
6 |
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
CPT 42720
|
$5,713.20
|
$7,935.00
|
$2,821.61 – $7,935.00
|
3 |
|
I&d intramural/intramuscular/submuc abscess transanal anes
CPT 46045
|
not published
|
not published
|
not published
|
0 |
|
Ihc/icc per specimen each additional single antibody stain
CPT 88341
|
$241.92
|
$336.00
|
$65.04 – $125.08
|
5 |
|
Ihc/icc per specimen each multiplex antibody stain
CPT 88344
|
$567.36
|
$788.00
|
$265.39 – $788.00
|
5 |
|
Ihc/icc per specimen initial single antibody stain
CPT 88342
|
$269.28
|
$374.00
|
$78.42 – $325.48
|
5 |
|
Immune complex assay
CPT 86332
|
$68.40
|
$95.00
|
$18.83 – $95.00
|
6 |
|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$105.12
|
$146.00
|
$18.83 – $146.00
|
6 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$253.44
|
$352.00
|
$18.83 – $352.00
|
6 |
|
Immunodiff gel qual ea antigen/ab
CPT 86331
|
$35.28
|
$49.00
|
$18.83 – $49.00
|
6 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$246.24
|
$342.00
|
$18.83 – $342.00
|
6 |
|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$216.00
|
$300.00
|
$265.39 – $300.00
|
5 |
|
Implant cartilage 10mm synthetic
HCPCS L8699
|
$2,376.00
|
$3,300.00
|
$150.00 – $150.00
|
1 |
|
Impl neurostim electr perc
CPT 63650
|
$7,087.68
|
$9,844.00
|
$9,844.00 – $12,921.85
|
3 |
|
Impreg gauze no h20/sal/yard
HCPCS A6266
|
$11.52
|
$16.00
|
$11.50 – $16.00
|
3 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$1,749.60
|
$2,430.00
|
$2,163.94 – $2,430.00
|
3 |
|
Incision of eardrum
CPT 69421
|
not published
|
not published
|
not published
|
0 |
|
Incision of metatarsal
CPT 28308
|
not published
|
not published
|
not published
|
0 |
|
Incision tendon sheath
CPT 26055
|
not published
|
not published
|
not published
|
0 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$392.40
|
$545.00
|
$260.70 – $545.00
|
6 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$679.68
|
$944.00
|
$269.44 – $944.00
|
6 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$224.64
|
$312.00
|
$17.24 – $312.00
|
6 |
|
Infect ag if nos ea
CPT 87299
|
$82.08
|
$114.00
|
$17.24 – $114.00
|
6 |
|
Infect ag if varicella zoster
CPT 87290
|
$31.68
|
$44.00
|
$17.24 – $44.00
|
6 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$288.72
|
$401.00
|
$70.11 – $401.00
|
6 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$271.44
|
$377.00
|
$35.09 – $86.14
|
6 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$144.72
|
$201.00
|
$191.60 – $349.50
|
6 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$99.36
|
$138.00
|
$70.11 – $138.00
|
5 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$1,321.20
|
$1,835.00
|
$333.62 – $1,676.00
|
6 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$109.44
|
$152.00
|
$17.24 – $152.00
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$230.40
|
$320.00
|
$17.24 – $320.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$99.36
|
$138.00
|
$17.24 – $138.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$95.04
|
$132.00
|
$17.24 – $132.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$110.16
|
$153.00
|
$17.24 – $132.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$246.96
|
$343.00
|
$17.24 – $343.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$132.48
|
$184.00
|
$17.24 – $184.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$329.04
|
$457.00
|
$17.24 – $457.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$105.12
|
$146.00
|
$17.24 – $146.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$167.76
|
$233.00
|
$17.24 – $233.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$57.60
|
$80.00
|
$17.24 – $80.00
|
6 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$387.36
|
$538.00
|
$70.11 – $244.00
|
6 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$234.72
|
$326.00
|
$70.11 – $326.00
|
6 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$185.76
|
$258.00
|
$70.11 – $258.00
|
6 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$1,341.36
|
$1,863.00
|
$333.62 – $1,863.00
|
6 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$215.28
|
$299.00
|
$70.11 – $299.00
|
6 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$217.44
|
$302.00
|
$70.11 – $302.00
|
6 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$207.36
|
$288.00
|
$70.11 – $288.00
|
6 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$367.20
|
$510.00
|
$51.31 – $95.00
|
5 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$346.32
|
$481.00
|
$70.11 – $481.00
|
5 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$396.00
|
$550.00
|
$70.11 – $550.00
|
5 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$192.96
|
$268.00
|
$70.11 – $268.00
|
6 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$193.68
|
$269.00
|
$70.11 – $269.00
|
6 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$694.08
|
$964.00
|
$333.62 – $964.00
|
6 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$186.48
|
$259.00
|
$70.11 – $259.00
|
6 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$244.80
|
$340.00
|
$70.11 – $340.00
|
6 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$439.20
|
$610.00
|
$70.11 – $610.00
|
6 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$237.60
|
$330.00
|
$70.11 – $330.00
|
6 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$464.40
|
$645.00
|
$285.26 – $645.00
|
6 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$403.60
|
$560.55
|
$53.49 – $2,043.74
|
6 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$327.04
|
$454.22
|
$39.96 – $2,043.74
|
6 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$362.88
|
$504.00
|
$268.28 – $504.00
|
5 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$673.58
|
$935.53
|
$270.55 – $7,524.53
|
6 |
|
Inj, biorphen, 20 micrograms
HCPCS J2372
|
$2.59
|
$3.60
|
$0.26 – $3.60
|
4 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$144.72
|
$201.00
|
$201.00 – $692.17
|
5 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$1,426.32
|
$1,981.00
|
$402.35 – $1,981.00
|
3 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$399.60
|
$555.00
|
$555.00 – $692.17
|
5 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$576.00
|
$800.00
|
$496.58 – $800.00
|
3 |
|
Injection epidural blood patch or clot
CPT 62273
|
$780.48
|
$1,084.00
|
$779.40 – $1,614.42
|
5 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$246.96
|
$343.00
|
$343.00 – $692.17
|
5 |
|
Injection for bladder x-ray
CPT 51600
|
$980.64
|
$1,362.00
|
$660.71 – $1,362.00
|
5 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$399.60
|
$555.00
|
$555.00 – $692.17
|
5 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$22.50
|
$31.25
|
$10.74 – $960.18
|
6 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$1,054.08
|
$1,464.00
|
$741.25 – $1,464.00
|
3 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$1,943.28
|
$2,699.00
|
$159.00 – $1,798.00
|
5 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$1,538.64
|
$2,137.00
|
$2,137.00 – $2,704.05
|
3 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$1,942.56
|
$2,698.00
|
$159.00 – $1,798.00
|
5 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$2,150.64
|
$2,987.00
|
$159.00 – $1,992.00
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$896.40
|
$1,245.00
|
$159.00 – $1,614.42
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$2,103.84
|
$2,922.00
|
$159.00 – $1,948.00
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$885.60
|
$1,230.00
|
$159.00 – $1,614.42
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,984.32
|
$2,756.00
|
$159.00 – $1,836.00
|
5 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$2,067.84
|
$2,872.00
|
$1,541.03 – $2,872.00
|
3 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$2,615.76
|
$3,633.00
|
$1,541.03 – $3,633.00
|
3 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$318.96
|
$443.00
|
$443.00 – $520.23
|
5 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$318.96
|
$443.00
|
$443.00 – $520.23
|
5 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$576.00
|
$800.00
|
$496.58 – $800.00
|
5 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$162.00
|
$225.00
|
$93.44 – $225.00
|
3 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$162.00
|
$225.00
|
$93.44 – $225.00
|
3 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$318.24
|
$442.00
|
$93.44 – $442.00
|
3 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$176.40
|
$245.00
|
$93.44 – $245.00
|
3 |
|
Inject sacroiliac joint
CPT 27096
|
$517.68
|
$719.00
|
$719.00 – $969.59
|
3 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$1,347.12
|
$1,871.00
|
$1,541.03 – $1,871.00
|
3 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$1,895.04
|
$2,632.00
|
$1,541.03 – $2,632.00
|
3 |
|
Inj for mammo ductogram
CPT 19030
|
$154.08
|
$214.00
|
$214.00 – $692.17
|
3 |
|
Inj labetalol hcl hikma, 5mg
HCPCS J1921
|
$3.24
|
$4.50
|
$1.80 – $4.50
|
4 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$0.13
|
$0.18
|
$0.02 – $0.18
|
4 |
|
Inj multihance
HCPCS A9577
|
$15.63
|
$21.71
|
$2.97 – $19.61
|
3 |
|
Inj proc elbow arthro
CPT 24220
|
$228.96
|
$318.00
|
$318.00 – $692.17
|
5 |
|
Inj proc sialogram
CPT 42550
|
$263.52
|
$366.00
|
$366.00 – $692.17
|
5 |
|
Inj testosterone cypionate
HCPCS J1071
|
$0.33
|
$0.46
|
$0.05 – $0.46
|
4 |