|
Infect ag eia influenza a or b ea
CPT 87400
|
$39.60
|
$55.00
|
$7.78 – $55.00
|
14 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$1,177.20
|
$1,635.00
|
$128.73 – $1,635.00
|
14 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$677.52
|
$941.00
|
$121.56 – $941.00
|
14 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$54.72
|
$76.00
|
$7.78 – $76.00
|
14 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$158.40
|
$220.00
|
$31.63 – $220.00
|
14 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$122.40
|
$170.00
|
$31.63 – $87.73
|
14 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$86.40
|
$120.00
|
$31.63 – $120.00
|
14 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$1,321.20
|
$1,835.00
|
$150.51 – $937.76
|
14 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$114.48
|
$159.00
|
$7.78 – $159.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$107.28
|
$149.00
|
$7.78 – $149.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$90.00
|
$125.00
|
$7.78 – $125.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$92.88
|
$129.00
|
$7.78 – $129.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$97.20
|
$135.00
|
$7.78 – $135.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$108.00
|
$150.00
|
$7.78 – $136.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$113.04
|
$157.00
|
$7.78 – $157.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$64.80
|
$90.00
|
$7.78 – $90.00
|
14 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$97.92
|
$136.00
|
$7.78 – $136.00
|
14 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$262.80
|
$365.00
|
$31.63 – $86.00
|
14 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$123.12
|
$171.00
|
$31.63 – $171.00
|
14 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$182.16
|
$253.00
|
$31.63 – $253.00
|
14 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$690.48
|
$959.00
|
$150.51 – $959.00
|
14 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$254.88
|
$354.00
|
$31.63 – $354.00
|
14 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$217.44
|
$302.00
|
$31.63 – $239.00
|
14 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$95.04
|
$132.00
|
$31.63 – $132.00
|
14 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$119.52
|
$166.00
|
$31.63 – $166.00
|
14 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$442.08
|
$614.00
|
$31.63 – $115.45
|
14 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$346.32
|
$481.00
|
$31.63 – $481.00
|
14 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$396.00
|
$550.00
|
$31.63 – $550.00
|
14 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$98.64
|
$137.00
|
$31.63 – $137.00
|
14 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$61.92
|
$86.00
|
$31.63 – $86.00
|
14 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$655.92
|
$911.00
|
$150.51 – $937.76
|
14 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$660.96
|
$918.00
|
$150.51 – $918.00
|
14 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$203.04
|
$282.00
|
$31.63 – $282.00
|
14 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$141.12
|
$196.00
|
$31.63 – $196.00
|
14 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$176.40
|
$245.00
|
$31.63 – $245.00
|
14 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$113.76
|
$158.00
|
$31.63 – $191.48
|
14 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$464.40
|
$645.00
|
$142.63 – $645.00
|
14 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$403.60
|
$560.55
|
$32.42 – $228.00
|
15 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$206.64
|
$287.00
|
$121.04 – $544.65
|
14 |
|
Inj, biorphen, 20 micrograms
HCPCS J2372
|
$2.12
|
$2.94
|
$0.26 – $2.94
|
3 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$15.48
|
$21.50
|
$1.45 – $21.50
|
3 |
|
Inj cefazolin (wg crit care)
HCPCS J0687
|
$12.92
|
$17.94
|
$1.45 – $17.94
|
3 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$92.28
|
$128.16
|
$8.95 – $128.16
|
15 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$304.56
|
$423.00
|
$298.08 – $423.00
|
3 |
|
Inj daptomycin (xellia)
HCPCS J0873
|
$1.21
|
$1.68
|
$0.05 – $1.68
|
3 |
|
Inj dx for sinogram
CPT 20501
|
$573.84
|
$797.00
|
$298.08 – $797.00
|
3 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$1,298.88
|
$1,804.00
|
$181.52 – $1,804.00
|
14 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$478.80
|
$665.00
|
$298.08 – $665.00
|
3 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$558.00
|
$775.00
|
$298.08 – $775.00
|
3 |
|
Injection epidural blood patch or clot
CPT 62273
|
$2,823.12
|
$3,921.00
|
$695.24 – $3,921.00
|
14 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$493.92
|
$686.00
|
$298.08 – $686.00
|
3 |
|
Injection for bladder x-ray
CPT 51600
|
$622.08
|
$864.00
|
$298.08 – $864.00
|
3 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$342.00
|
$475.00
|
$298.08 – $475.00
|
3 |
|
Injection for ureter x-ray
CPT 50690
|
$214.56
|
$298.00
|
$298.00 – $298.00
|
3 |
|
Injection, fulvestrant
HCPCS J9395
|
$30.24
|
$42.00
|
$9.44 – $42.00
|
5 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$68.37
|
$94.96
|
$6.51 – $46.87
|
15 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$910.80
|
$1,265.00
|
$334.42 – $1,265.00
|
14 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$3,629.52
|
$5,041.00
|
$417.55 – $3,799.00
|
14 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$1,846.80
|
$2,565.00
|
$810.14 – $2,106.00
|
14 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$1,846.80
|
$2,565.00
|
$363.04 – $1,965.00
|
14 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$4,835.52
|
$6,716.00
|
$695.24 – $4,477.00
|
14 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,062.00
|
$1,475.00
|
$695.24 – $1,475.00
|
3 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$4,968.72
|
$6,901.00
|
$695.24 – $4,601.00
|
14 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,176.48
|
$1,634.00
|
$695.24 – $1,634.00
|
3 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$4,968.72
|
$6,901.00
|
$695.24 – $4,601.00
|
14 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$2,823.12
|
$3,921.00
|
$695.24 – $3,921.00
|
14 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$2,747.52
|
$3,816.00
|
$695.24 – $3,816.00
|
14 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$485.28
|
$674.00
|
$224.03 – $763.46
|
14 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$767.52
|
$1,066.00
|
$224.03 – $1,066.00
|
14 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$667.44
|
$927.00
|
$224.03 – $927.00
|
14 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$147.60
|
$205.00
|
$20.07 – $205.00
|
14 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$171.36
|
$238.00
|
$42.15 – $238.00
|
3 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$214.56
|
$298.00
|
$42.15 – $298.00
|
14 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$209.52
|
$291.00
|
$30.86 – $276.00
|
14 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$1,328.40
|
$1,845.00
|
$695.24 – $1,845.00
|
14 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$2,509.20
|
$3,485.00
|
$695.24 – $3,485.00
|
14 |
|
Inj for ext venography
CPT 36005
|
$1,089.36
|
$1,513.00
|
$622.30 – $1,513.00
|
3 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$331.53
|
$460.46
|
$50.28 – $460.46
|
15 |
|
Inj labetalol hcl hikma, 5mg
HCPCS J1921
|
$6.48
|
$9.00
|
$1.80 – $9.00
|
3 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$2.59
|
$3.60
|
$0.07 – $0.18
|
3 |
|
Inj mepivacaine hcl/10 ml
HCPCS J0670
|
$65.45
|
$90.90
|
$6.19 – $54.65
|
3 |
|
Inj meropenem (wg crit care)
HCPCS J2183
|
$17.41
|
$24.18
|
$2.59 – $24.18
|
3 |
|
Inj multihance
HCPCS A9577
|
$15.93
|
$22.13
|
$2.97 – $19.61
|
3 |
|
Inj nephrosto/ureterogram w/img exstng access
CPT 50431
|
$4,716.72
|
$6,551.00
|
$367.22 – $6,551.00
|
14 |
|
Inj pantoprazole(hikma) 40mg
HCPCS J2471
|
$68.80
|
$95.55
|
$6.24 – $95.55
|
3 |
|
Inj proc ankle arthr
CPT 27648
|
$194.40
|
$270.00
|
$270.00 – $270.00
|
3 |
|
Inj proc elbow arthro
CPT 24220
|
$342.00
|
$475.00
|
$298.08 – $475.00
|
3 |
|
Inj retro urethrocysto
CPT 51610
|
$249.12
|
$346.00
|
$298.08 – $346.00
|
3 |
|
Inj scleros sol mult veins
CPT 36471
|
$923.76
|
$1,283.00
|
$466.56 – $1,283.00
|
14 |
|
Inj scleros sol sgl vein
CPT 36470
|
$899.28
|
$1,249.00
|
$466.56 – $1,249.00
|
14 |
|
Inj secukinumab intrav 1mg
HCPCS J3247
|
$60.85
|
$84.51
|
$18.07 – $84.51
|
14 |
|
Inj, tyenne, 1 mg
HCPCS Q5135
|
$16.92
|
$23.50
|
$4.19 – $23.50
|
14 |
|
Inj vancomycin (xellia) 10mg
HCPCS J3375
|
$1.57
|
$2.18
|
$0.21 – $2.06
|
3 |
|
Inj w/fluor eval cv device
CPT 36598
|
$446.40
|
$620.00
|
$244.12 – $620.00
|
14 |
|
Ins cath ren art 1st bi
CPT 36252
|
$4,744.80
|
$6,590.00
|
$3,623.85 – $7,853.37
|
14 |
|
Ins cath ren art 1st uni
CPT 36251
|
$3,682.80
|
$5,115.00
|
$3,623.85 – $7,853.37
|
14 |
|
Ins cath ren art 2nd+ bi
CPT 36254
|
$3,682.80
|
$5,115.00
|
$3,623.85 – $7,853.37
|
14 |
|
Ins cath ren art 2nd+ uni
CPT 36253
|
$8,490.96
|
$11,793.00
|
$4,022.48 – $13,840.14
|
14 |
|
Insert cath pleura with image
CPT 32557
|
$2,426.40
|
$3,370.00
|
$906.66 – $3,915.28
|
14 |
|
Insert cath pleura without image
CPT 32556
|
$2,219.76
|
$3,083.00
|
$906.66 – $4,772.76
|
14 |