|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$90.15
|
$187.00
|
$22.15 – $170.17
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$113.29
|
$235.00
|
$9.73 – $213.85
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$56.89
|
$118.00
|
$9.73 – $107.38
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$38.09
|
$79.00
|
$9.73 – $71.89
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$110.40
|
$229.00
|
$12.22 – $208.39
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$66.53
|
$138.00
|
$8.78 – $125.58
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$39.53
|
$82.00
|
$8.78 – $74.62
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$27.48
|
$57.00
|
$15.96 – $51.87
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$155.71
|
$323.00
|
$9.73 – $53.69
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$41.46
|
$86.00
|
$9.73 – $78.26
|
9 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$52.07
|
$108.00
|
$29.83 – $98.28
|
9 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$136.43
|
$283.00
|
$29.83 – $257.53
|
9 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$103.65
|
$215.00
|
$29.83 – $195.65
|
9 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$527.37
|
$1,094.00
|
$306.32 – $995.54
|
9 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$153.78
|
$319.00
|
$29.83 – $290.29
|
9 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$36.16
|
$75.00
|
$21.00 – $68.25
|
9 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$237.18
|
$492.00
|
$29.83 – $447.72
|
9 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$101.24
|
$210.00
|
$29.83 – $191.10
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$69.42
|
$144.00
|
$20.52 – $131.04
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$172.10
|
$357.00
|
$57.05 – $324.87
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$180.78
|
$375.00
|
$57.05 – $341.25
|
9 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$70.87
|
$147.00
|
$29.83 – $133.77
|
9 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$44.35
|
$92.00
|
$25.76 – $83.72
|
9 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$476.27
|
$988.00
|
$276.64 – $899.08
|
9 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$328.77
|
$682.00
|
$128.29 – $620.62
|
9 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$211.63
|
$439.00
|
$36.40 – $399.49
|
9 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$512.91
|
$1,064.00
|
$36.40 – $968.24
|
9 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$225.61
|
$468.00
|
$36.40 – $425.88
|
9 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$180.78
|
$375.00
|
$72.31 – $341.25
|
9 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$3,671.48
|
$7,616.32
|
$91.59 – $6,930.86
|
9 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$1,519.87
|
$3,152.89
|
$34.65 – $2,869.13
|
9 |
|
Inf lwr xtr fscl pln blk uni w/wo image
CPT 64474
|
$638.73
|
$1,325.00
|
$365.57 – $1,205.75
|
9 |
|
Inf thrc fascial pln blk bi w/wo image
CPT 64469
|
$466.15
|
$967.00
|
$266.80 – $879.97
|
9 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$467.60
|
$970.00
|
$267.63 – $882.70
|
9 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$292.61
|
$607.00
|
$103.74 – $342.16
|
9 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$14,880.67
|
$30,869.27
|
$497.67 – $28,091.04
|
9 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$36.24
|
$75.16
|
$20.74 – $68.40
|
9 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$56.02
|
$116.20
|
$32.06 – $105.75
|
9 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$367.81
|
$763.00
|
$210.52 – $694.33
|
9 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$250.62
|
$519.89
|
$24.45 – $473.10
|
9 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$85.33
|
$177.00
|
$48.84 – $161.07
|
9 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$503.75
|
$1,045.00
|
$288.32 – $950.95
|
9 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$105.57
|
$219.00
|
$60.43 – $199.29
|
9 |
|
Injection, cangrelor
HCPCS C9460
|
$1,459.40
|
$3,027.45
|
$56.46 – $2,754.98
|
9 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$679.22
|
$1,409.00
|
$388.75 – $1,282.19
|
9 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$8,075.57
|
$16,752.40
|
$86.34 – $4,022.65
|
9 |
|
Injection, doxercalciferol
HCPCS J1270
|
$34.95
|
$72.50
|
$20.01 – $65.98
|
9 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,072.09
|
$2,224.00
|
$613.61 – $2,023.84
|
9 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$268.99
|
$558.00
|
$153.96 – $507.78
|
9 |
|
Injection for bladder x-ray
CPT 51600
|
$328.28
|
$681.00
|
$187.89 – $619.71
|
9 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$171.62
|
$356.00
|
$98.23 – $323.96
|
9 |
|
Injection, fulvestrant
HCPCS J9395
|
$3,143.02
|
$6,520.05
|
$11.82 – $1,194.61
|
9 |
|
Injection, isavuconazonium
HCPCS J1833
|
$616.86
|
$1,279.64
|
$2.97 – $1,164.48
|
9 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$2,084.29
|
$4,323.76
|
$19.41 – $3,934.63
|
9 |
|
Injection, renflexis
HCPCS Q5104
|
$1,485.24
|
$3,081.06
|
$78.78 – $2,803.77
|
9 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$267.55
|
$555.00
|
$153.13 – $505.05
|
9 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$220.79
|
$458.00
|
$126.37 – $416.78
|
9 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$902.41
|
$1,872.00
|
$516.49 – $1,703.52
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$637.76
|
$1,323.00
|
$365.02 – $1,203.93
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$851.31
|
$1,766.00
|
$487.24 – $1,607.06
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$542.32
|
$1,125.00
|
$310.39 – $1,023.75
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$919.28
|
$1,907.00
|
$526.15 – $1,735.37
|
9 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$815.64
|
$1,692.00
|
$466.83 – $1,539.72
|
9 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$819.50
|
$1,700.00
|
$469.03 – $1,547.00
|
9 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$433.37
|
$899.00
|
$248.04 – $818.09
|
9 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$607.39
|
$1,260.00
|
$347.64 – $1,146.60
|
9 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$749.60
|
$1,555.00
|
$429.03 – $1,415.05
|
9 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$126.30
|
$262.00
|
$72.29 – $238.42
|
9 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$141.73
|
$294.00
|
$81.12 – $267.54
|
9 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$142.69
|
$296.00
|
$81.67 – $269.36
|
9 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$146.55
|
$304.00
|
$50.77 – $167.44
|
9 |
|
Inject sacroiliac joint
CPT 27096
|
$1,104.39
|
$2,291.00
|
$632.09 – $2,084.81
|
9 |
|
Inject/treat eye socket
CPT 67500
|
$353.83
|
$734.00
|
$202.52 – $667.94
|
9 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$737.07
|
$1,529.00
|
$421.86 – $1,391.39
|
9 |
|
Inj heparin, pfizer, 1000u
HCPCS J1643
|
$30.50
|
$63.27
|
$17.46 – $57.58
|
9 |
|
Inj levocarnitine per 1 gm
HCPCS J1955
|
$75.34
|
$156.27
|
$43.12 – $142.21
|
9 |
|
Inj lwr xtr fscl pln blk uni w/wo image
CPT 64473
|
$650.78
|
$1,350.00
|
$372.47 – $1,228.50
|
9 |
|
Inj mepivacaine hcl/10 ml
HCPCS J0670
|
$38.22
|
$79.28
|
$19.74 – $65.10
|
9 |
|
Inj., meropenem, vaborbactam
HCPCS J2186
|
$9,360.97
|
$19,418.90
|
$6.30 – $648.13
|
9 |
|
Inj nephrosto/ureterogram w/img exstng access
CPT 50431
|
$703.32
|
$1,459.00
|
$402.54 – $1,327.69
|
9 |
|
Inj., omadacycline, 1 mg
HCPCS J0121
|
$778.23
|
$1,614.39
|
$11.76 – $1,469.10
|
9 |
|
Inj pegfilgrastim-bmez 0.5mg
HCPCS Q5120
|
$9,436.86
|
$19,576.33
|
$74.13 – $17,814.47
|
9 |
|
Inj proc elbow arthro
CPT 24220
|
$156.19
|
$324.00
|
$89.40 – $294.84
|
9 |
|
Inj proc myelogram lumbar
CPT 62284
|
$838.30
|
$1,739.00
|
$479.80 – $1,582.49
|
9 |
|
Inj retacrit esrd on dialysi
HCPCS Q5105
|
$337.13
|
$699.36
|
$2.25 – $103.83
|
9 |
|
Inj scleros sol mult veins
CPT 36471
|
$446.87
|
$927.00
|
$255.76 – $843.57
|
9 |
|
Inj testosterone cypionate
HCPCS J1071
|
$92.16
|
$191.17
|
$23.15 – $76.34
|
9 |
|
Inj thrc fascial pln blk bi w/wo image
CPT 64468
|
$478.68
|
$993.00
|
$273.97 – $903.63
|
9 |
|
Inj thrc fascial pln blk uni w/wo image
CPT 64466
|
$475.79
|
$987.00
|
$272.32 – $898.17
|
9 |
|
Inj w/fluor eval cv device
CPT 36598
|
$743.33
|
$1,542.00
|
$425.44 – $1,403.22
|
9 |
|
Insert cath pleura with image
CPT 32557
|
$1,271.18
|
$2,637.00
|
$427.10 – $1,408.68
|
9 |
|
Insert cath pleura without image
CPT 32556
|
$2,019.81
|
$4,190.00
|
$1,156.03 – $3,812.90
|
9 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$343.71
|
$713.00
|
$32.84 – $108.29
|
9 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$60.26
|
$125.00
|
$34.49 – $113.75
|
9 |
|
Insertion catheter pleural indwelling tunneled with cuff
CPT 32550
|
$2,591.53
|
$5,376.00
|
$1,483.24 – $4,892.16
|
9 |
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
CPT 37191
|
$965.08
|
$2,002.00
|
$552.36 – $1,821.82
|
9 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$773.70
|
$1,605.00
|
$442.82 – $1,460.55
|
9 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$627.16
|
$1,301.00
|
$358.95 – $1,183.91
|
9 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$639.69
|
$1,327.00
|
$366.12 – $1,207.57
|
9 |
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
CPT 33210
|
$965.08
|
$2,002.00
|
$552.36 – $1,821.82
|
9 |