|
Incision of tendon sheath
CPT 25000
|
$18,560.20
|
$1,208.00
|
$2.28 – $4,604.83
|
777 |
|
Incision of toe tendons 28011
CPT 28011
|
$1,300.00
|
$2,000.00
|
$470.00 – $4,604.83
|
111 |
|
Incision of tongue fold
CPT 41010
|
$510.00
|
$690.00
|
$23.72 – $2,998.12
|
781 |
|
Incision tendon sheath
CPT 26055
|
$18,220.45
|
$1,016.00
|
$0.96 – $4,235.59
|
777 |
|
Incisn of toe tndn
CPT 28010
|
$2,886.00
|
$934.00
|
$34.46 – $4,235.59
|
781 |
|
Incisn windpipe
CPT 31600
|
$1,201.00
|
$1,201.00
|
$12.01 – $107.20
|
768 |
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
CPT 87626
|
$208.00
|
$320.00
|
$68.80 – $227.20
|
38 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$685.10
|
$1,054.00
|
$126.31 – $1,054.00
|
41 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$63.05
|
$97.00
|
$13.69 – $97.00
|
41 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$390.00
|
$600.00
|
$124.74 – $600.00
|
41 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$273.00
|
$420.00
|
$98.70 – $700.58
|
41 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$708.00
|
$138.00
|
$13.24 – $97.98
|
778 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$68.25
|
$105.00
|
$24.68 – $95.49
|
41 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$251.55
|
$387.00
|
$90.95 – $387.00
|
41 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$2,009.15
|
$3,091.00
|
$403.86 – $3,091.00
|
41 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$592.00
|
$135.00
|
$18.33 – $146.24
|
778 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$964.00
|
$67.00
|
$11.61 – $67.00
|
41 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$63.70
|
$98.00
|
$13.01 – $98.00
|
41 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$73.45
|
$113.00
|
$13.39 – $113.00
|
41 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$284.00
|
$171.00
|
$11.61 – $171.00
|
41 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$358.15
|
$551.00
|
$13.93 – $551.00
|
41 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$3,374.00
|
$132.00
|
$9.09 – $135.93
|
112 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$65.00
|
$100.00
|
$10.01 – $100.00
|
41 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$1,950.00
|
$309.00
|
$23.34 – $219.39
|
112 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$1,379.00
|
$251.00
|
$11.61 – $136.02
|
112 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$24.05
|
$37.00
|
$8.70 – $37.00
|
41 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$70.20
|
$108.00
|
$11.61 – $108.00
|
41 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$734.00
|
$192.00
|
$34.01 – $136.32
|
112 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$1,753.00
|
$263.00
|
$34.01 – $186.73
|
112 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$175.50
|
$270.00
|
$36.12 – $270.00
|
41 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$749.45
|
$1,153.00
|
$270.96 – $1,153.00
|
41 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$1,453.00
|
$192.00
|
$34.01 – $136.02
|
112 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$1,606.00
|
$240.00
|
$34.01 – $170.40
|
112 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$282.75
|
$435.00
|
$40.39 – $435.00
|
41 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$170.95
|
$263.00
|
$34.01 – $263.00
|
41 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$152.75
|
$235.00
|
$49.71 – $181.33
|
41 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$361.40
|
$556.00
|
$130.66 – $556.00
|
41 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$875.00
|
$455.00
|
$21.67 – $504.05
|
112 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$67.60
|
$104.00
|
$24.44 – $104.00
|
41 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$3,339.00
|
$263.00
|
$26.61 – $186.73
|
112 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$137.15
|
$211.00
|
$49.59 – $211.00
|
38 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$97.50
|
$150.00
|
$35.25 – $208.89
|
38 |
|
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
|
38 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$1,118.00
|
$897.00
|
$98.49 – $1,134.13
|
112 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$191.75
|
$295.00
|
$69.33 – $349.09
|
41 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$357.50
|
$550.00
|
$129.25 – $715.64
|
41 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$356.20
|
$548.00
|
$41.51 – $259.00
|
41 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$317.20
|
$488.00
|
$41.51 – $264.00
|
41 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$373.75
|
$575.00
|
$41.51 – $575.00
|
41 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$1,983.00
|
$1,087.00
|
$9.09 – $771.77
|
41 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$309.40
|
$476.00
|
$111.86 – $476.00
|
41 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$1,310.75
|
$1,310.75
|
$31.77 – $1,310.75
|
99 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$1,379.70
|
$1,379.70
|
$23.33 – $1,379.70
|
112 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$2,739.55
|
$2,739.55
|
$23.74 – $2,739.55
|
99 |
|
Ingest challenge ea addl 60 min
CPT 95079
|
$239.00
|
$239.00
|
$4.23 – $239.00
|
780 |
|
Ingest challenge ini 120 min
CPT 95076
|
$259.00
|
$259.00
|
$4.23 – $721.05
|
781 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$184.60
|
$284.00
|
$66.74 – $423.13
|
112 |
|
Initial hosp neonate 28 d/less than not critically ill 99477
CPT 99477
|
$878.00
|
$878.00
|
$228.84 – $878.00
|
768 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$310.00
|
$310.00
|
$48.80 – $310.00
|
771 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$399.00
|
$399.00
|
$48.80 – $399.00
|
771 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$216.00
|
$216.00
|
$42.17 – $216.00
|
771 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$309.00
|
$309.00
|
$57.60 – $309.00
|
565 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$13,758.25
|
$13,758.25
|
$7.03 – $12,286.12
|
112 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$18,067.45
|
$18,067.45
|
$189.79 – $18,067.45
|
28 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$1,135.10
|
$1,135.10
|
$2.16 – $1,135.10
|
99 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$881.35
|
$881.35
|
$182.60 – $881.35
|
83 |
|
Inj. denosumab-bbdz, 1 mg
HCPCS Q5136
|
$7,377.40
|
$7,377.40
|
$12.80 – $6,588.02
|
513 |
|
Inj, donanemab-azbt, 2 mg
HCPCS J0175
|
$14,983.80
|
$3,555.20
|
$4.08 – $2,524.19
|
112 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$1,709.30
|
$1,709.30
|
$4.92 – $15.00
|
767 |
|
Inj dx for sinogram
CPT 20501
|
$474.50
|
$730.00
|
$171.55 – $3,576.15
|
24 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$4,404.00
|
$4,401.00
|
$23.10 – $3,576.15
|
778 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$609.70
|
$938.00
|
$146.88 – $3,576.15
|
24 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$17,393.20
|
$1,439.00
|
$2.28 – $3,576.15
|
781 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$9,893.85
|
$9,893.85
|
$69.12 – $2,473.50
|
99 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$19,372.76
|
$476.00
|
$9.09 – $6,264.37
|
778 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,661.40
|
$2,556.00
|
$21.24 – $3,576.15
|
778 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$528.45
|
$813.00
|
$127.37 – $3,576.15
|
24 |
|
Injection for bladder x-ray
CPT 51600
|
$986.05
|
$1,517.00
|
$356.50 – $1,517.00
|
11 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$789.10
|
$1,214.00
|
$190.12 – $3,576.15
|
24 |
|
Injection, fulvestrant
HCPCS J9395
|
$919.80
|
$919.80
|
$216.15 – $919.80
|
25 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$7,668.00
|
$7,668.00
|
$9.02 – $7,622.56
|
767 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$3,255.00
|
$3,255.00
|
$5.59 – $2,906.72
|
779 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$2,244.45
|
$3,453.00
|
$8.74 – $3,576.15
|
781 |
|
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
|
$4,303.30
|
$2,889.00
|
$4.80 – $3,576.15
|
111 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$62,408.95
|
$1,835.00
|
$9.09 – $6,595.61
|
778 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$5,128.00
|
$2,400.00
|
$12.25 – $3,576.15
|
781 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$6,755.60
|
$6,640.00
|
$25.81 – $3,576.15
|
778 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$8,635.00
|
$1,992.00
|
$32.38 – $3,576.15
|
778 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$4,316.00
|
$6,640.00
|
$30.04 – $3,576.15
|
778 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$19,622.80
|
$5,657.00
|
$27.90 – $3,576.15
|
778 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$14,192.20
|
$6,640.00
|
$25.99 – $3,576.15
|
778 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$2,325.70
|
$3,578.00
|
$30.46 – $3,576.15
|
778 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$3,725.90
|
$3,578.00
|
$28.44 – $3,576.15
|
781 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$2,391.00
|
$1,424.00
|
$9.16 – $3,576.15
|
781 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$1,290.00
|
$818.00
|
$11.40 – $3,576.15
|
781 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$10,225.80
|
$1,310.00
|
$0.96 – $3,576.15
|
781 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$11,586.15
|
$263.00
|
$46.40 – $2,580.28
|
112 |
|
Inject sacroiliac joint
CPT 27096
|
$2,956.90
|
$580.00
|
$4.80 – $3,576.15
|
777 |
|
Inj for ext venography
CPT 36005
|
$1,177.80
|
$1,812.00
|
$283.88 – $3,576.15
|
24 |