|
Immunofixation electrophoresis serum
CPT 86334
|
$155.35
|
$239.00
|
$21.64 – $239.00
|
45 |
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
HCPCS L8612
|
$5,473.00
|
$8,420.00
|
$1,464.85 – $2,253.62
|
29 |
|
Implant 11 volt lithium-ion backup battery for controller pocket
HCPCS Q0506
|
$913.25
|
$1,405.00
|
$913.25 – $1,405.00
|
29 |
|
Implant cartilage 10mm synthetic
HCPCS L8699
|
$4,241.57
|
$6,525.50
|
$35.23 – $54.20
|
29 |
|
Implant cochlear osia osi300
HCPCS L8690
|
$6,357.14
|
$9,780.21
|
$283.84 – $436.67
|
29 |
|
Implant power module patient cable cable 14 volt
HCPCS Q0477
|
$2,283.12
|
$3,512.50
|
$2,283.13 – $3,512.50
|
29 |
|
Implant pulse generator remede el
HCPCS C1823
|
$12,314.25
|
$18,945.00
|
$6,373.76 – $9,805.78
|
29 |
|
Implant spine infusion pump
CPT 62362
|
$23,274.55
|
$35,807.00
|
$23,274.55 – $35,807.00
|
29 |
|
Implant ureth bulk agent
HCPCS L8606
|
$2,100.47
|
$3,231.50
|
$968.96 – $1,490.71
|
29 |
|
Impl ear abutment ba300 9mm
HCPCS L8693
|
$3,704.37
|
$5,699.03
|
$727.21 – $3,210.00
|
37 |
|
Impl eye bio-eye 16mm
HCPCS L8042
|
$1,657.55
|
$2,550.08
|
$340.06 – $523.17
|
29 |
|
Impl neurostim electr perc
CPT 63650
|
$56,786.95
|
$17,910.00
|
$0.32 – $17,910.00
|
111 |
|
Implnt spinl canal catheter 62350
CPT 62350
|
$13,092.95
|
$20,143.00
|
$13,092.95 – $20,143.00
|
29 |
|
In-111 autologous plt stdy dx
HCPCS A9571
|
$1,494.95
|
$1,494.95
|
$971.72 – $1,494.95
|
29 |
|
In-111 autol wbc diag per dose
HCPCS A9570
|
$10,776.60
|
$10,776.60
|
$1,081.13 – $10,776.60
|
108 |
|
In-111 capromab pendet
HCPCS A9507
|
$7,024.00
|
$7,024.00
|
$4,565.60 – $7,024.00
|
29 |
|
In-111 ibritumomab tiux dx
HCPCS A9542
|
$7,246.75
|
$7,246.75
|
$4,710.39 – $7,246.75
|
29 |
|
In-111 oxyquinolin per 0.5 mci
HCPCS A9547
|
$10,776.60
|
$10,776.60
|
$814.83 – $10,776.60
|
108 |
|
In-111 pentetate dtpa / 0.5 mci
HCPCS A9548
|
$11,163.95
|
$11,163.95
|
$730.71 – $11,163.95
|
108 |
|
In-111 pentetreotide
HCPCS A9572
|
$15,327.00
|
$15,327.00
|
$1,960.92 – $15,327.00
|
108 |
|
In-111 satumomab pend
HCPCS A4642
|
$3,524.25
|
$3,524.25
|
$2,290.76 – $3,524.25
|
29 |
|
Incision of eardrum
CPT 69421
|
$11,382.01
|
not published
|
$0.36 – $11,492.83
|
83 |
|
Incision of foot tendon 28234
CPT 28234
|
$35,136.12
|
not published
|
$0.36 – $24,925.18
|
83 |
|
Incision of metatarsal
CPT 28308
|
$35,136.12
|
not published
|
$0.36 – $24,925.18
|
83 |
|
Incision tendon sheath
CPT 26055
|
$6,600.90
|
$1,016.00
|
$71.06 – $3,121.78
|
769 |
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
CPT 87626
|
$137.15
|
$211.00
|
$68.80 – $211.00
|
42 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$65.00
|
$100.00
|
$40.10 – $100.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$997.00
|
$105.00
|
$11.61 – $105.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$64.35
|
$99.00
|
$13.01 – $99.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$103.35
|
$159.00
|
$13.39 – $159.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$100.10
|
$154.00
|
$11.61 – $154.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$210.60
|
$324.00
|
$13.93 – $324.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$94.25
|
$145.00
|
$10.01 – $145.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$49.40
|
$76.00
|
$10.01 – $76.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$123.50
|
$190.00
|
$23.34 – $190.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$53.30
|
$82.00
|
$11.61 – $82.00
|
45 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$118.30
|
$182.00
|
$11.61 – $182.00
|
45 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$213.85
|
$329.00
|
$34.01 – $329.00
|
45 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$200.85
|
$309.00
|
$34.01 – $309.00
|
45 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$126.10
|
$194.00
|
$36.12 – $194.00
|
45 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$1,146.60
|
$1,764.00
|
$403.86 – $1,764.00
|
45 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$193.70
|
$298.00
|
$34.01 – $298.00
|
45 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$181.35
|
$279.00
|
$34.01 – $279.00
|
45 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$109.20
|
$168.00
|
$40.39 – $168.00
|
45 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$193.05
|
$297.00
|
$34.01 – $297.00
|
45 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$187.20
|
$288.00
|
$49.71 – $288.00
|
45 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$361.40
|
$556.00
|
$138.21 – $556.00
|
45 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$459.00
|
$459.00
|
$138.21 – $459.00
|
45 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$483.00
|
$154.00
|
$34.01 – $154.00
|
45 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$137.15
|
$211.00
|
$68.78 – $211.00
|
42 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$209.95
|
$323.00
|
$75.23 – $323.00
|
42 |
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
CPT 87627
|
$1,325.35
|
$2,039.00
|
$666.17 – $2,039.00
|
42 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$987.00
|
$892.00
|
$403.86 – $892.00
|
45 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$313.95
|
$483.00
|
$124.32 – $483.00
|
45 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$831.00
|
$637.00
|
$254.84 – $637.00
|
45 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$231.40
|
$356.00
|
$41.51 – $356.00
|
45 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$310.70
|
$478.00
|
$41.51 – $478.00
|
45 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$308.10
|
$474.00
|
$41.51 – $474.00
|
45 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$219.05
|
$337.00
|
$82.47 – $337.00
|
45 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$287.30
|
$442.00
|
$138.21 – $442.00
|
45 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$3,222.55
|
$3,222.55
|
$31.77 – $3,222.55
|
111 |
|
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
|
111 |
|
Inj alymsys 10 mg
HCPCS Q5126
|
$1,199.10
|
$1,199.10
|
$32.35 – $1,199.10
|
111 |
|
Inj, cyclophosphamd, sandoz
HCPCS J9074
|
$1,937.10
|
$1,937.10
|
$3.76 – $1,937.10
|
108 |
|
Inj. denosumab-bbdz, 1 mg
HCPCS Q5136
|
$7,377.40
|
$7,377.40
|
$27.67 – $7,377.40
|
108 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$1,686.75
|
$2,595.00
|
$668.16 – $1,730.00
|
111 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$535.60
|
$824.00
|
$356.85 – $549.00
|
29 |
|
Injection, fulvestrant
HCPCS J9395
|
$817.50
|
$817.50
|
$531.38 – $817.50
|
29 |
|
Injection, renflexis
HCPCS Q5104
|
$1,933.40
|
$1,933.40
|
$27.20 – $1,933.40
|
111 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$2,261.28
|
$1,733.00
|
$9.60 – $1,155.00
|
111 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$238.00
|
$238.00
|
$19.23 – $200.00
|
768 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$190.00
|
$190.00
|
$12.25 – $89.00
|
768 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$6,399.90
|
$9,846.00
|
$837.21 – $6,564.00
|
111 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$2,080.00
|
$3,200.00
|
$1,386.45 – $2,133.00
|
29 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$2,907.45
|
$4,473.00
|
$837.21 – $2,982.00
|
111 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$9,481.93
|
$3,879.00
|
$837.21 – $2,586.00
|
111 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$9,480.17
|
$3,861.00
|
$837.21 – $2,574.00
|
111 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$1,006.85
|
$1,549.00
|
$668.16 – $1,549.00
|
111 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,006.85
|
$1,549.00
|
$668.16 – $1,549.00
|
111 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$1,472.45
|
$999.00
|
$290.55 – $999.00
|
111 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$742.30
|
$1,142.00
|
$290.55 – $1,142.00
|
111 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$741.30
|
$224.00
|
$145.60 – $412.94
|
111 |
|
Inj efgart-alfa 2mg hya-qvfc
HCPCS J9334
|
$49,230.70
|
$49,230.70
|
$32.32 – $49,230.70
|
111 |
|
Inj lwr xtr fscl pln blk uni w/wo image
CPT 64473
|
$326.00
|
$326.00
|
$17.47 – $180.00
|
768 |
|
Inj mepivacaine hcl/10 ml
HCPCS J0670
|
$51.30
|
$51.30
|
$33.35 – $51.30
|
29 |
|
Inj, nithiodote, 3mg / 125mg
HCPCS J0211
|
$984.90
|
$984.90
|
$157.00 – $984.90
|
95 |
|
Inj ocrelizumab 1mg hya-ocsq
HCPCS J2351
|
$130,285.75
|
$130,285.75
|
$46.10 – $130,285.75
|
108 |
|
Inj., tildrakizumab, 1 mg
HCPCS J3245
|
$53,884.35
|
$53,884.35
|
$169.60 – $53,884.35
|
32 |
|
Inj, vegzelma, 10 mg
HCPCS Q5129
|
$981.40
|
$981.40
|
$436.20 – $981.40
|
95 |
|
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
|
111 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$2,022.15
|
$3,111.00
|
$1,490.03 – $3,111.00
|
111 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$158.60
|
$244.00
|
$115.96 – $244.00
|
29 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$280.15
|
$431.00
|
$156.19 – $431.00
|
111 |
|
Insole orthotic freedom sz6 6816
HCPCS L3060
|
$44.30
|
$68.15
|
$44.30 – $68.15
|
29 |
|
Ins/rplc spi npg/rcvr pocket
CPT 63685
|
$56,786.95
|
$66,147.00
|
$0.32 – $66,147.00
|
111 |
|
Insulin total
CPT 83525
|
$85.80
|
$132.00
|
$11.08 – $132.00
|
45 |
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
HCPCS Q4114
|
$2,333.79
|
$3,590.44
|
$718.09 – $3,590.44
|
37 |
|
Integra os putty 2.5cc - cost per 0.5cc
HCPCS C9359
|
$146.76
|
$225.79
|
$146.76 – $225.79
|
29 |
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
HCPCS Q3027
|
$10,427.90
|
$10,427.90
|
$2,159.40 – $10,427.90
|
95 |