|
Hip X-ray
CPT 73502
|
$294.60
|
$491.00
|
$55.43 – $55.43
|
7 |
|
Histamine
CPT 83088
|
$170.40
|
$284.00
|
$25.10 – $36.46
|
12 |
|
Hla i low res one antigen equiv ea
CPT 81374
|
$109.80
|
$183.00
|
$74.33 – $89.81
|
12 |
|
Hocm 350-399mg/ml iodine,1ml
HCPCS Q9963
|
$296.40
|
$494.00
|
$0.26 – $0.26
|
2 |
|
Homocysteine
CPT 83090
|
$220.80
|
$368.00
|
$14.33 – $20.83
|
12 |
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
HCPCS J3473
|
$194.40
|
$324.00
|
$0.43 – $0.43
|
2 |
|
Hydralazine 20 mg/ml injection solution
HCPCS J0360
|
$42.60
|
$71.00
|
$5.18 – $5.18
|
2 |
|
Hydration IV infusion each additional hour
CPT 96361
|
$72.00
|
$120.00
|
$29.05 – $29.05
|
7 |
|
Hydration IV infusion initial 31minutes - 1 hour
CPT 96360
|
$282.00
|
$470.00
|
$132.64 – $132.64
|
7 |
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
HCPCS J1720
|
$47.40
|
$79.00
|
$26.01 – $26.01
|
2 |
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
HCPCS J1171
|
$17.40
|
$29.00
|
$0.16 – $0.16
|
2 |
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
HCPCS J7999
|
$44.10
|
$73.50
|
not published
|
0 |
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
HCPCS J3410
|
$72.00
|
$120.00
|
$15.33 – $15.33
|
2 |
|
Hyperbaric oxygen therapy
CPT 99183
|
$235.80
|
$393.00
|
$105.78 – $120.61
|
6 |
|
I-123 sod iodide diag per 100 uci
HCPCS A9516
|
$154.20
|
$257.00
|
$113.03 – $113.03
|
2 |
|
Ihc/icc per specimen each additional single antibody stain
CPT 88341
|
$281.40
|
$469.00
|
$50.45 – $64.94
|
8 |
|
Ihc/icc per specimen initial single antibody stain
CPT 88342
|
$399.60
|
$666.00
|
$33.77 – $165.61
|
12 |
|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$640.80
|
$1,068.00
|
$17.69 – $25.70
|
12 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$180.00
|
$300.00
|
$17.69 – $25.70
|
12 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$339.00
|
$565.00
|
$18.98 – $27.59
|
12 |
|
In-111 satumomab pend
HCPCS A4642
|
$42.60
|
$71.00
|
not published
|
0 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$2,052.60
|
$3,421.00
|
$51.08 – $1,020.00
|
8 |
|
Incision tendon sheath
CPT 26055
|
$661.20
|
$1,102.00
|
$176.70 – $347.97
|
6 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$319.80
|
$533.00
|
$110.77 – $160.92
|
12 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$979.80
|
$1,633.00
|
$257.45 – $317.84
|
12 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$41.40
|
$69.00
|
$9.73 – $16.55
|
12 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$154.80
|
$258.00
|
$72.31 – $105.06
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$45.00
|
$75.00
|
$9.73 – $14.80
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$179.40
|
$299.00
|
$12.22 – $17.76
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$231.60
|
$386.00
|
$8.78 – $12.75
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$243.60
|
$406.00
|
$20.47 – $29.73
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$393.00
|
$655.00
|
$9.73 – $14.80
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$45.60
|
$76.00
|
$9.73 – $14.80
|
12 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$20.40
|
$34.00
|
$9.73 – $14.80
|
12 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$337.80
|
$563.00
|
$29.83 – $43.33
|
12 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$82.80
|
$138.00
|
$29.83 – $43.33
|
12 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$956.40
|
$1,594.00
|
$416.78 – $514.55
|
12 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$146.40
|
$244.00
|
$128.34 – $142.63
|
12 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$63.00
|
$105.00
|
$29.83 – $43.33
|
12 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$265.80
|
$443.00
|
$416.78 – $514.55
|
12 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$239.40
|
$399.00
|
$36.40 – $52.88
|
12 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$421.20
|
$702.00
|
$36.40 – $52.88
|
12 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$180.60
|
$301.00
|
$36.40 – $52.88
|
12 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$703.80
|
$1,173.00
|
$72.31 – $105.06
|
12 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$262.80
|
$438.00
|
$142.63 – $158.38
|
12 |
|
Influenza dna amp prob addl
CPT 87503
|
$115.20
|
$192.00
|
$17.65 – $29.22
|
12 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$498.60
|
$831.00
|
$128.04 – $128.04
|
7 |
|
Inj, acetaminophen (hikma)
HCPCS J0137
|
$49.20
|
$82.00
|
$0.06 – $0.06
|
2 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$908.40
|
$1,514.00
|
$1.47 – $1.70
|
9 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$695.70
|
$1,159.50
|
$9.07 – $10.55
|
9 |
|
Inj, clindamycin (baxter)
HCPCS J0737
|
$43.20
|
$72.00
|
$2.76 – $2.76
|
2 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$99.60
|
$166.00
|
$36.32 – $185.83
|
8 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$22.80
|
$38.00
|
$6.50 – $7.68
|
9 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$616.80
|
$1,028.00
|
$252.97 – $252.97
|
7 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$306.00
|
$510.00
|
$34.23 – $435.96
|
8 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$640.80
|
$1,068.00
|
$95.97 – $148.68
|
6 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$588.00
|
$980.00
|
$46.83 – $80.43
|
6 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,177.20
|
$1,962.00
|
$88.94 – $560.47
|
8 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,115.40
|
$1,859.00
|
$40.06 – $69.32
|
6 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$2,175.00
|
$3,625.00
|
$68.79 – $560.47
|
8 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$881.40
|
$1,469.00
|
$89.07 – $435.96
|
8 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$881.40
|
$1,469.00
|
$81.33 – $435.96
|
8 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$113.40
|
$189.00
|
$31.93 – $185.83
|
8 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$370.80
|
$618.00
|
$34.38 – $185.83
|
8 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$355.20
|
$592.00
|
$36.32 – $185.83
|
8 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$91.80
|
$153.00
|
$29.05 – $29.05
|
7 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$91.80
|
$153.00
|
not published
|
0 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$282.00
|
$470.00
|
$132.64 – $132.64
|
7 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$86.40
|
$144.00
|
$44.80 – $44.80
|
7 |
|
Inject sacroiliac joint
CPT 27096
|
$963.00
|
$1,605.00
|
$71.44 – $98.76
|
6 |
|
Inj. fe derisomaltose 10 mg
HCPCS J1437
|
$12,084.00
|
$20,140.00
|
$22.02 – $26.93
|
9 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$20.40
|
$34.00
|
$0.01 – $0.01
|
2 |
|
Inj multihance
HCPCS A9577
|
$426.60
|
$711.00
|
$2.13 – $2.13
|
2 |
|
Inj octafluoropropane mic,ml
HCPCS Q9956
|
$541.80
|
$903.00
|
$47.41 – $47.41
|
2 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$155.40
|
$259.00
|
$81.15 – $81.15
|
7 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$155.40
|
$259.00
|
$81.15 – $81.15
|
7 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$3,974.40
|
$6,624.00
|
$1,981.46 – $1,981.46
|
7 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,953.60
|
$3,256.00
|
$977.94 – $977.94
|
7 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$2,497.80
|
$4,163.00
|
$977.94 – $977.94
|
7 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$165.60
|
$276.00
|
$36.70 – $86.89
|
8 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$165.60
|
$276.00
|
$57.08 – $107.88
|
12 |
|
Insulin total
CPT 83525
|
$143.40
|
$239.00
|
$9.71 – $14.11
|
12 |
|
Intrinsic factor antibody
CPT 86340
|
$275.40
|
$459.00
|
$12.81 – $18.61
|
12 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$415.80
|
$693.00
|
$146.19 – $146.19
|
7 |
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
HCPCS Q9966
|
$368.40
|
$614.00
|
$0.48 – $0.48
|
2 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$537.60
|
$896.00
|
$0.18 – $0.18
|
2 |
|
Ip/obs cnsltj new/est low 45
CPT 99253
|
$110.40
|
$184.00
|
$74.75 – $114.13
|
2 |
|
Ip/obs cnsltj new/est mod 60
CPT 99254
|
$180.60
|
$301.00
|
$107.50 – $164.85
|
2 |
|
Ip/obs consltj new/est sf 35
CPT 99252
|
$88.20
|
$147.00
|
$55.73 – $74.80
|
2 |
|
Iron
CPT 83540
|
$133.20
|
$222.00
|
$5.51 – $7.99
|
12 |
|
Iron binding capacity
CPT 83550
|
$118.80
|
$198.00
|
$7.43 – $10.79
|
12 |
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
HCPCS J1756
|
$321.00
|
$535.00
|
$0.28 – $0.28
|
2 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$86.40
|
$144.00
|
$37.39 – $37.39
|
7 |
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
CPT 96367
|
$86.40
|
$144.00
|
$44.80 – $44.80
|
7 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$289.20
|
$482.00
|
not published
|
0 |
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
CPT 96366
|
$72.00
|
$120.00
|
$29.05 – $29.05
|
7 |
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
CPT 96365
|
$363.00
|
$605.00
|
$132.64 – $132.64
|
7 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$234.00
|
$390.00
|
$6.94 – $10.09
|
12 |
|
Ketorolac 15 mg/ml injection (wrapper)
HCPCS J1885
|
$18.00
|
$30.00
|
$0.30 – $0.39
|
9 |
|
Kidney img w/bldflw sgl without rx
CPT 78707
|
$1,539.60
|
$2,566.00
|
$338.86 – $338.86
|
7 |