|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$56.55
|
$87.00
|
$11.61 – $87.00
|
40 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$124.80
|
$192.00
|
$34.01 – $192.00
|
40 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$170.95
|
$263.00
|
$34.01 – $263.00
|
40 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$175.50
|
$270.00
|
$36.12 – $270.00
|
40 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$749.45
|
$1,153.00
|
$270.96 – $1,153.00
|
40 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$124.80
|
$192.00
|
$34.01 – $192.00
|
40 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$156.00
|
$240.00
|
$34.01 – $240.00
|
40 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$389.35
|
$599.00
|
$40.39 – $599.00
|
40 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$170.95
|
$263.00
|
$34.01 – $263.00
|
40 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$152.75
|
$235.00
|
$49.71 – $181.33
|
40 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$361.40
|
$556.00
|
$130.66 – $556.00
|
40 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$361.40
|
$556.00
|
$130.66 – $556.00
|
40 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$67.60
|
$104.00
|
$24.44 – $104.00
|
40 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$170.95
|
$263.00
|
$34.01 – $263.00
|
40 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$137.15
|
$211.00
|
$49.59 – $211.00
|
37 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$97.50
|
$150.00
|
$35.25 – $208.89
|
37 |
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
CPT 87627
|
$1,325.35
|
$2,039.00
|
$479.17 – $2,039.00
|
37 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$964.00
|
$897.00
|
$210.80 – $1,134.13
|
40 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$191.75
|
$295.00
|
$69.33 – $349.09
|
40 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$357.50
|
$550.00
|
$129.25 – $715.64
|
40 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$206.70
|
$318.00
|
$41.51 – $318.00
|
40 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$317.20
|
$488.00
|
$41.51 – $488.00
|
40 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$373.75
|
$575.00
|
$41.51 – $575.00
|
40 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$706.55
|
$1,087.00
|
$82.47 – $1,087.00
|
40 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$309.40
|
$476.00
|
$111.86 – $476.00
|
40 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$3,222.55
|
$3,222.55
|
$31.77 – $3,222.55
|
99 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$1,379.70
|
$1,379.70
|
$23.33 – $1,379.70
|
111 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$2,739.55
|
$2,739.55
|
$23.74 – $2,739.55
|
99 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$13,357.55
|
$13,357.55
|
$7.03 – $13,357.55
|
27 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$18,067.45
|
$18,067.45
|
$189.79 – $18,067.45
|
27 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$614.25
|
$945.00
|
$148.05 – $3,576.15
|
23 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$2,860.65
|
$4,401.00
|
$665.02 – $3,576.15
|
110 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$13,468.60
|
$938.00
|
$6.00 – $3,576.15
|
110 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$503.10
|
$774.00
|
$121.26 – $3,576.15
|
23 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$788.45
|
$1,213.00
|
$190.12 – $3,576.15
|
23 |
|
Injection, renflexis
HCPCS Q5104
|
$1,933.40
|
$1,933.40
|
$27.20 – $1,933.40
|
99 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$1,877.85
|
$2,889.00
|
$92.05 – $3,576.15
|
110 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$59,313.89
|
$238.00
|
$9.09 – $24,808.12
|
776 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$19,539.20
|
$178.00
|
$0.96 – $4,235.59
|
776 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$6,747.35
|
$6,640.00
|
$833.27 – $4,427.00
|
110 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,296.10
|
$1,994.00
|
$312.32 – $3,576.15
|
23 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$4,316.00
|
$6,640.00
|
$833.27 – $4,427.00
|
110 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$23,498.50
|
$5,656.00
|
$833.27 – $3,771.00
|
110 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$4,316.00
|
$6,640.00
|
$833.27 – $4,427.00
|
110 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$2,325.70
|
$3,578.00
|
$665.02 – $3,578.00
|
110 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$2,325.70
|
$3,578.00
|
$665.02 – $3,578.00
|
110 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$136.00
|
$136.00
|
$9.16 – $88.40
|
768 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$1,014.50
|
not published
|
$289.18 – $3,576.15
|
99 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$7,079.60
|
$263.00
|
$46.40 – $2,704.63
|
111 |
|
Inj hydroxocobalamin IV 25mg
HCPCS J3424
|
$4,819.80
|
$4,819.80
|
$998.00 – $4,819.80
|
83 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$7,010.40
|
$7,010.40
|
$49.28 – $3,505.20
|
99 |
|
Inj lwr xtr fscl pln blk uni w/wo image
CPT 64473
|
$326.00
|
$326.00
|
$17.47 – $180.00
|
768 |
|
Inj, nithiodote, 3mg / 125mg
HCPCS J0211
|
$984.90
|
$984.90
|
$157.00 – $984.90
|
83 |
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
HCPCS J9229
|
$73,182.85
|
$73,182.85
|
$2,514.57 – $73,182.85
|
99 |
|
Insert ant drainage device
CPT 66183
|
$26,871.86
|
not published
|
$0.32 – $7,986.99
|
100 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$321.10
|
$494.00
|
$116.09 – $3,576.15
|
110 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$176.00
|
$176.00
|
$7.91 – $28.16
|
768 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,618.50
|
$2,490.00
|
$585.15 – $3,576.15
|
110 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$2,733.90
|
$4,206.00
|
$988.41 – $4,206.00
|
110 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$191.75
|
$295.00
|
$69.33 – $346.47
|
24 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$209.30
|
$322.00
|
$75.67 – $457.48
|
111 |
|
Insole orthotic freedom sz6 6816
HCPCS L3060
|
$44.30
|
$68.15
|
$16.02 – $68.15
|
24 |
|
Insulin total
CPT 83525
|
$105.30
|
$162.00
|
$11.08 – $162.00
|
40 |
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
HCPCS Q4114
|
$2,333.79
|
$3,590.44
|
$622.58 – $3,590.44
|
32 |
|
Integra os putty 2.5cc - cost per 0.5cc
HCPCS C9359
|
$146.76
|
$225.79
|
$53.06 – $225.79
|
24 |
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
HCPCS Q3027
|
$10,427.90
|
$10,427.90
|
$2,000.92 – $10,427.90
|
83 |
|
Intrinsic factor antibody
CPT 86340
|
$92.30
|
$142.00
|
$14.62 – $142.00
|
40 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$299.00
|
$299.00
|
$84.77 – $299.00
|
768 |
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
HCPCS Q9966
|
$192.00
|
$192.00
|
$45.12 – $192.00
|
12 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$227.50
|
$227.50
|
$2.76 – $11.75
|
12 |
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
HCPCS J9228
|
$110,829.85
|
$110,829.85
|
$172.83 – $27,707.50
|
99 |
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
HCPCS J9206
|
$522.90
|
$522.90
|
$15.03 – $63.95
|
24 |
|
Irinotecan liposomal 4.3 mg/ml intravenous
HCPCS J9205
|
$9,268.95
|
$9,268.95
|
$64.64 – $9,268.95
|
99 |
|
Iron
CPT 83540
|
$694.00
|
$48.00
|
$6.27 – $34.08
|
40 |
|
Iron binding capacity
CPT 83550
|
$39.65
|
$61.00
|
$8.47 – $61.00
|
40 |
|
Iron dextran 50 mg/ml injection solution
HCPCS J1750
|
$185.90
|
$185.90
|
$17.46 – $185.90
|
27 |
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
HCPCS J1756
|
$158.45
|
$158.45
|
$22.00 – $158.45
|
82 |
|
Irradiation of blood product each unit reference
CPT 86945
|
$32.50
|
$50.00
|
$11.75 – $72.17
|
40 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$171.60
|
$264.00
|
$55.58 – $923.00
|
111 |
|
Isatuximab-irfc 20 mg/ml intravenous solution
HCPCS J9227
|
$2,779.35
|
$2,779.35
|
$77.83 – $2,779.35
|
99 |
|
IV Fluids (each additional hour)
CPT 96361
|
$1,443.75
|
$254.00
|
$9.09 – $923.00
|
111 |
|
IV Fluids (first hour)
CPT 96360
|
$1,195.50
|
$900.00
|
$2.28 – $923.00
|
111 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$154.05
|
$237.00
|
$55.70 – $923.00
|
24 |
|
IV Medicine Infusion (additional drug)
CPT 96367
|
$136.50
|
$210.00
|
$49.35 – $923.00
|
111 |
|
IV Medicine Infusion (each additional hour)
CPT 96366
|
$3,633.00
|
$134.00
|
$31.49 – $923.00
|
111 |
|
IV Medicine Infusion (first hour)
CPT 96365
|
$1,209.85
|
$484.00
|
$113.74 – $923.00
|
111 |
|
IV Push Injection (each additional drug)
CPT 96375
|
$18,046.00
|
$174.00
|
$9.09 – $923.00
|
111 |
|
IV Push Injection (first drug)
CPT 96374
|
$4,054.70
|
$633.00
|
$9.09 – $923.00
|
111 |
|
Ixabepilone 15 mg intravenous solution
HCPCS J9207
|
$18,131.05
|
$18,131.05
|
$127.12 – $6,043.70
|
99 |
|
Jaw (Mandible) X-ray (complete)
CPT 70110
|
$323.70
|
$498.00
|
$98.49 – $498.00
|
111 |
|
Jkt lso inter
HCPCS L0560
|
$41.27
|
$63.49
|
$14.92 – $63.49
|
24 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$120.25
|
$185.00
|
$7.92 – $185.00
|
40 |
|
Ketorolac (Toradol) Pain Shot, 15 mg
HCPCS J1885
|
$37,868.60
|
$17.20
|
$0.70 – $14,021.15
|
111 |
|
Kidney (Retroperitoneal) Ultrasound (complete)
CPT 76770
|
$534.95
|
$823.00
|
$98.49 – $823.00
|
111 |
|
Kidney (Retroperitoneal) Ultrasound (limited)
CPT 76775
|
$471.25
|
$725.00
|
$98.49 – $725.00
|
111 |
|
Kit case 4.2mm spinejack
HCPCS C1062
|
$5,937.40
|
$9,134.46
|
$689.06 – $2,932.18
|
24 |
|
Kit cast tcc 3in w/2reg boots total contact cast
HCPCS Q4038
|
$257.21
|
$395.71
|
$80.07 – $340.71
|
24 |
|
Kit cath f 8f w/glv + wipe ster
HCPCS A4353
|
$1.31
|
$2.02
|
$0.31 – $1.33
|
24 |
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
HCPCS C1761
|
$6,430.77
|
$9,893.50
|
$1,360.36 – $5,788.75
|
24 |
|
Kit hfx iq ipg bundle
HCPCS C1822
|
$29,051.10
|
$44,694.00
|
$9,204.34 – $39,167.42
|
24 |