|
Immune complex assay
CPT 86332
|
$174.24
|
$242.00
|
$11.58 – $242.00
|
4 |
|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$293.04
|
$407.00
|
$11.58 – $407.00
|
4 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$293.04
|
$407.00
|
$11.58 – $407.00
|
4 |
|
Immunodiff gel qual ea antigen/ab
CPT 86331
|
$94.32
|
$131.00
|
$11.58 – $131.00
|
4 |
|
Immunodiffusion nes
CPT 86329
|
$97.20
|
$135.00
|
$11.58 – $135.00
|
4 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$222.48
|
$309.00
|
$11.58 – $309.00
|
4 |
|
Immunofluorescence per specimen each additional single antibody stain
CPT 88350
|
$134.64
|
$187.00
|
$40.01 – $187.00
|
4 |
|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$187.92
|
$261.00
|
$163.25 – $261.00
|
4 |
|
Impedence cardiogram
CPT 93701
|
$278.64
|
$387.00
|
$76.63 – $387.00
|
4 |
|
Impreg gauze no h20/sal/yard
HCPCS A6266
|
$10.08
|
$14.00
|
$14.00 – $14.00
|
1 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$3,499.92
|
$4,861.00
|
$1,331.13 – $4,861.00
|
4 |
|
Incision of breast lesion
CPT 19020
|
$3,499.92
|
$4,861.00
|
$1,650.76 – $4,861.00
|
4 |
|
Incision of foot fascia
CPT 28008
|
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
|
$164.16
|
$228.00
|
$205.22 – $228.00
|
4 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$148.32
|
$206.00
|
$10.60 – $206.00
|
4 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$487.44
|
$677.00
|
$165.74 – $677.00
|
4 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$332.64
|
$462.00
|
$10.60 – $462.00
|
4 |
|
Infect ag if nos ea
CPT 87299
|
$51.84
|
$72.00
|
$10.60 – $72.00
|
4 |
|
Infect ag if varicella zoster
CPT 87290
|
$51.84
|
$72.00
|
$10.60 – $72.00
|
4 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$347.04
|
$482.00
|
$43.13 – $482.00
|
4 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$316.80
|
$440.00
|
$35.09 – $47.44
|
4 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$316.80
|
$440.00
|
$205.22 – $440.00
|
4 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$103.68
|
$144.00
|
$43.13 – $144.00
|
4 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$1,793.52
|
$2,491.00
|
$205.22 – $1,835.00
|
4 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$113.76
|
$158.00
|
$10.60 – $158.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$118.08
|
$164.00
|
$10.60 – $164.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$102.24
|
$142.00
|
$10.60 – $142.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$41.76
|
$58.00
|
$10.60 – $58.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$300.96
|
$418.00
|
$10.60 – $237.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$141.12
|
$196.00
|
$10.60 – $196.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$41.76
|
$58.00
|
$10.60 – $58.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$267.12
|
$371.00
|
$10.60 – $371.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$125.28
|
$174.00
|
$10.60 – $174.00
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$37.44
|
$52.00
|
$10.60 – $52.00
|
4 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$262.80
|
$365.00
|
$43.13 – $312.00
|
4 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$139.68
|
$194.00
|
$43.13 – $194.00
|
4 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$264.96
|
$368.00
|
$43.13 – $368.00
|
4 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$456.48
|
$634.00
|
$205.22 – $634.00
|
4 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$244.80
|
$340.00
|
$43.13 – $340.00
|
4 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$444.24
|
$617.00
|
$43.13 – $302.00
|
4 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$139.68
|
$194.00
|
$43.13 – $194.00
|
4 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$336.96
|
$468.00
|
$43.13 – $51.31
|
4 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$346.32
|
$481.00
|
$43.13 – $481.00
|
4 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$396.00
|
$550.00
|
$43.13 – $550.00
|
4 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$102.24
|
$142.00
|
$43.13 – $142.00
|
4 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$111.60
|
$155.00
|
$43.13 – $53.00
|
4 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$724.32
|
$1,006.00
|
$205.22 – $1,006.00
|
4 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$461.52
|
$641.00
|
$43.13 – $641.00
|
4 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$87.12
|
$121.00
|
$43.13 – $121.00
|
4 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$408.96
|
$568.00
|
$43.13 – $568.00
|
4 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$744.48
|
$1,034.00
|
$43.13 – $1,034.00
|
4 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$464.40
|
$645.00
|
$205.22 – $645.00
|
4 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$403.60
|
$560.55
|
$53.49 – $1,320.05
|
6 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$566.64
|
$787.00
|
$165.03 – $787.00
|
4 |
|
Inj, biorphen, 20 micrograms
HCPCS J2372
|
$0.69
|
$0.96
|
$0.26 – $0.96
|
3 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$5.06
|
$7.03
|
$1.45 – $7.03
|
3 |
|
Inj cefazolin (wg crit care)
HCPCS J0687
|
$3.41
|
$4.73
|
$1.45 – $4.73
|
3 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$27.42
|
$38.08
|
$14.77 – $158.11
|
6 |
|
Inj, clindamycin (baxter)
HCPCS J0737
|
$65.52
|
$91.00
|
$3.88 – $45.50
|
3 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$342.72
|
$476.00
|
$406.43 – $476.00
|
4 |
|
Inj, cyclophosphamd, sandoz
HCPCS J9074
|
$10.74
|
$14.92
|
$6.34 – $14.92
|
3 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$182.16
|
$253.00
|
$253.00 – $447.07
|
4 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$554.40
|
$770.00
|
$305.47 – $770.00
|
4 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,496.16
|
$2,078.00
|
$947.95 – $2,078.00
|
4 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$150.48
|
$209.00
|
$209.00 – $447.07
|
4 |
|
Injection for bladder x-ray
CPT 51600
|
$150.48
|
$209.00
|
$209.00 – $447.07
|
4 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$167.76
|
$233.00
|
$233.00 – $447.07
|
4 |
|
Injection, fulvestrant
HCPCS J9395
|
$335.07
|
$465.38
|
$9.44 – $465.38
|
6 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$1,916.64
|
$2,662.00
|
$455.98 – $2,662.00
|
4 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$1,624.32
|
$2,256.00
|
$1,587.76 – $2,256.00
|
4 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$1,777.68
|
$2,469.00
|
$495.01 – $2,469.00
|
4 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,923.12
|
$2,671.00
|
$947.95 – $2,671.00
|
4 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$531.36
|
$738.00
|
$738.00 – $1,042.75
|
4 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,923.12
|
$2,671.00
|
$947.95 – $2,671.00
|
4 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$498.24
|
$692.00
|
$692.00 – $1,042.75
|
4 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,923.12
|
$2,671.00
|
$947.95 – $2,671.00
|
4 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$662.40
|
$920.00
|
$305.47 – $920.00
|
4 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$554.40
|
$770.00
|
$305.47 – $770.00
|
4 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$189.36
|
$263.00
|
$57.48 – $263.00
|
4 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$186.48
|
$259.00
|
$57.48 – $259.00
|
4 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$396.00
|
$550.00
|
$57.48 – $550.00
|
4 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$178.56
|
$248.00
|
$57.48 – $248.00
|
4 |
|
Inj for mammo ductogram
CPT 19030
|
$1,041.12
|
$1,446.00
|
$406.43 – $1,446.00
|
4 |
|
Inj intralesional <= 7 lsn(s)
CPT 11900
|
$429.12
|
$596.00
|
$204.86 – $596.00
|
4 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$331.53
|
$460.46
|
$82.96 – $1,721.15
|
6 |
|
Inj labetalol hcl hikma, 5mg
HCPCS J1921
|
$1.21
|
$1.68
|
$1.68 – $1.80
|
3 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$0.32
|
$0.45
|
$0.07 – $0.25
|
3 |
|
Inj meropenem (wg crit care)
HCPCS J2183
|
$5.69
|
$7.90
|
$2.59 – $7.90
|
3 |
|
Inj multihance
HCPCS A9577
|
$15.93
|
$22.13
|
$2.97 – $19.61
|
3 |
|
Inj nivolumab 2 mg hyaluron
HCPCS J9289
|
$45.87
|
$63.71
|
$45.87 – $63.71
|
3 |
|
Inj ogivri 10 mg
HCPCS Q5114
|
$194.41
|
$270.01
|
$62.22 – $2,444.06
|
6 |
|
Inj retro urethrocysto
CPT 51610
|
$98.64
|
$137.00
|
$137.00 – $447.07
|
4 |
|
Inj w/fluor eval cv device
CPT 36598
|
$455.04
|
$632.00
|
$406.43 – $632.00
|
4 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$656.64
|
$912.00
|
$715.91 – $912.00
|
4 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$370.80
|
$515.00
|
$106.93 – $515.00
|
4 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$444.96
|
$618.00
|
$106.93 – $618.00
|
4 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$5,911.92
|
$8,211.00
|
$1,361.51 – $8,211.00
|
4 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$3,355.20
|
$4,660.00
|
$1,361.51 – $4,660.00
|
4 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$4,011.84
|
$5,572.00
|
$1,361.51 – $5,572.00
|
4 |