|
Infect ag if legionella pneumophila
CPT 87278
|
$44.59
|
$111.00
|
$9.73 – $101.01
|
9 |
|
Infect ag if pneumocystis carinii
CPT 87281
|
$42.18
|
$105.00
|
$9.73 – $95.55
|
9 |
|
Infect ag na hep b amp
CPT 87516
|
$66.28
|
$165.00
|
$29.83 – $150.15
|
9 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$103.64
|
$258.00
|
$36.40 – $234.78
|
9 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$168.31
|
$419.00
|
$16.76 – $381.29
|
9 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$190.80
|
$475.00
|
$72.31 – $432.25
|
9 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$68.29
|
$170.00
|
$41.55 – $154.70
|
8 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$847.94
|
$2,111.00
|
$416.78 – $1,921.01
|
9 |
|
Infect ag phenotype na hiv-1 1-10 drugs
CPT 87903
|
$535.84
|
$1,334.00
|
$415.26 – $1,213.94
|
9 |
|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$29.73
|
$74.00
|
$22.15 – $67.34
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$68.69
|
$171.00
|
$9.73 – $155.61
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$65.08
|
$162.00
|
$9.73 – $147.42
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$33.75
|
$84.00
|
$9.73 – $76.44
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$25.71
|
$64.00
|
$9.73 – $58.24
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$59.45
|
$148.00
|
$12.22 – $134.68
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$66.28
|
$165.00
|
$8.78 – $150.15
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$32.54
|
$81.00
|
$8.78 – $73.71
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$71.10
|
$177.00
|
$20.47 – $161.07
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$123.32
|
$307.00
|
$9.73 – $279.37
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$14.87
|
$37.00
|
$9.73 – $33.67
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$56.24
|
$140.00
|
$9.73 – $127.40
|
9 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$24.51
|
$61.00
|
$29.83 – $70.18
|
9 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$57.04
|
$142.00
|
$29.83 – $129.22
|
9 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$95.60
|
$238.00
|
$29.83 – $216.58
|
9 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$703.34
|
$1,751.00
|
$416.78 – $1,593.41
|
9 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$141.39
|
$352.00
|
$29.83 – $320.32
|
9 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$33.34
|
$83.00
|
$29.83 – $75.53
|
9 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$1,215.07
|
$3,025.00
|
$29.83 – $2,752.75
|
9 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$135.77
|
$338.00
|
$29.83 – $307.58
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$66.68
|
$166.00
|
$20.52 – $151.06
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$143.40
|
$357.00
|
$57.05 – $324.87
|
9 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$143.40
|
$357.00
|
$57.05 – $324.87
|
9 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$44.59
|
$111.00
|
$29.83 – $101.01
|
9 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$36.96
|
$92.00
|
$35.09 – $83.72
|
9 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$424.58
|
$1,057.00
|
$416.78 – $961.87
|
9 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$165.49
|
$412.00
|
$259.56 – $525.98
|
9 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$339.42
|
$845.00
|
$36.40 – $768.95
|
9 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$153.04
|
$381.00
|
$36.40 – $346.71
|
9 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$420.56
|
$1,047.00
|
$36.40 – $952.77
|
9 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$148.22
|
$369.00
|
$72.31 – $335.79
|
9 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$356.29
|
$887.00
|
$142.63 – $807.17
|
9 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$3,059.29
|
$7,616.32
|
$36.00 – $6,930.86
|
8 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$1,266.44
|
$3,152.89
|
$13.63 – $2,869.13
|
8 |
|
Influenza dna amp prob addl
CPT 87503
|
$190.80
|
$475.00
|
$17.65 – $432.25
|
9 |
|
Inf lwr xtr fscl pln blk uni w/wo image
CPT 64474
|
$532.22
|
$1,325.00
|
$323.83 – $1,205.75
|
8 |
|
Inf thrc fascial pln blk bi w/wo image
CPT 64469
|
$388.42
|
$967.00
|
$236.34 – $879.97
|
8 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$389.63
|
$970.00
|
$237.07 – $882.70
|
8 |
|
Infuse radioactive materials
CPT 77750
|
$465.55
|
$1,159.00
|
$283.26 – $1,054.69
|
8 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$75.92
|
$189.00
|
$46.20 – $171.99
|
8 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$255.87
|
$637.00
|
$155.69 – $579.67
|
8 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$12,399.41
|
$30,869.27
|
$195.63 – $28,091.04
|
8 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$30.19
|
$75.16
|
$0.94 – $68.40
|
8 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$46.68
|
$116.20
|
$28.40 – $105.75
|
8 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$306.48
|
$763.00
|
$186.48 – $694.33
|
8 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$208.83
|
$519.89
|
$9.61 – $473.10
|
8 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$70.70
|
$176.00
|
$43.02 – $160.16
|
8 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$749.53
|
$1,866.00
|
$456.06 – $1,698.06
|
8 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$273.55
|
$681.00
|
$166.44 – $619.71
|
8 |
|
Injection, cangrelor
HCPCS C9460
|
$1,216.06
|
$3,027.45
|
$17.66 – $2,754.98
|
8 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$560.74
|
$1,396.00
|
$341.19 – $1,270.36
|
8 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$6,729.02
|
$16,752.40
|
$77.03 – $4,022.65
|
8 |
|
Injection, doxercalciferol
HCPCS J1270
|
$29.13
|
$72.50
|
$0.45 – $65.98
|
8 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$115.29
|
$287.00
|
$70.15 – $261.17
|
8 |
|
Injection epidural blood patch or clot
CPT 62273
|
$889.31
|
$2,214.00
|
$541.11 – $2,014.74
|
8 |
|
Injection eye drug
CPT 67028
|
$433.81
|
$1,080.00
|
$263.96 – $982.80
|
8 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$174.33
|
$434.00
|
$106.07 – $394.94
|
8 |
|
Injection for bladder x-ray
CPT 51600
|
$260.69
|
$649.00
|
$158.62 – $590.59
|
8 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$222.93
|
$555.00
|
$135.65 – $505.05
|
8 |
|
Injection, fulvestrant
HCPCS J9395
|
$2,618.94
|
$6,520.05
|
$7.85 – $1,194.61
|
8 |
|
Injection, isavuconazonium
HCPCS J1833
|
$514.00
|
$1,279.64
|
$0.86 – $1,164.48
|
8 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$1,736.75
|
$4,323.76
|
$7.63 – $3,934.63
|
8 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$562.35
|
$1,400.00
|
$342.16 – $1,274.00
|
8 |
|
Injection, renflexis
HCPCS Q5104
|
$1,237.59
|
$3,081.06
|
$30.98 – $2,803.77
|
8 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$570.38
|
$1,420.00
|
$347.05 – $1,292.20
|
8 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$363.52
|
$905.00
|
$221.19 – $823.55
|
8 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$384.81
|
$958.00
|
$234.14 – $871.78
|
8 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,037.53
|
$2,583.00
|
$631.29 – $2,350.53
|
8 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$630.63
|
$1,570.00
|
$383.71 – $1,428.70
|
8 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,286.57
|
$3,203.00
|
$782.82 – $2,914.73
|
8 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$584.84
|
$1,456.00
|
$355.85 – $1,324.96
|
8 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,063.64
|
$2,648.00
|
$647.18 – $2,409.68
|
8 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$812.19
|
$2,022.00
|
$494.18 – $1,840.02
|
8 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$922.65
|
$2,297.00
|
$561.39 – $2,090.27
|
8 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$457.91
|
$1,140.00
|
$278.62 – $1,037.40
|
8 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$621.40
|
$1,547.00
|
$378.09 – $1,407.77
|
8 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$404.09
|
$1,006.00
|
$245.87 – $915.46
|
8 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$63.47
|
$158.00
|
$38.62 – $143.78
|
8 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$55.03
|
$137.00
|
$33.49 – $124.67
|
8 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$140.59
|
$350.00
|
$85.54 – $318.50
|
8 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$74.31
|
$185.00
|
$44.73 – $166.53
|
8 |
|
Inject sacroiliac joint
CPT 27096
|
$958.40
|
$2,386.00
|
$583.14 – $2,171.26
|
8 |
|
Inject/treat eye socket
CPT 67500
|
$294.83
|
$734.00
|
$179.39 – $667.94
|
8 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$664.37
|
$1,654.00
|
$404.24 – $1,505.14
|
8 |
|
Inj for ext venography
CPT 36005
|
$318.13
|
$792.00
|
$193.57 – $720.72
|
8 |
|
Inj for mammo ductogram
CPT 19030
|
$51.02
|
$127.00
|
$31.04 – $115.57
|
8 |
|
Inj heparin, pfizer, 1000u
HCPCS J1643
|
$25.42
|
$63.27
|
$15.47 – $57.58
|
8 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$103.24
|
$257.00
|
$62.82 – $233.87
|
8 |
|
Inj hrt cath w/s&i sel hrt ang
CPT 93563
|
$1,587.02
|
$3,951.00
|
$965.63 – $3,595.41
|
8 |
|
Inj hrt cath w/s&i sel hrt art
CPT 93564
|
$146.62
|
$365.00
|
$89.21 – $332.15
|
8 |
|
Inj hrt cath w/s&i sel left vent
CPT 93565
|
$641.08
|
$1,596.00
|
$390.07 – $1,452.36
|
8 |