|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$172.20
|
$287.00
|
$17.69 – $20.81
|
8 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$172.20
|
$287.00
|
$17.69 – $20.81
|
8 |
|
Immunodiff gel qual ea antigen/ab
CPT 86331
|
$20.40
|
$34.00
|
$9.88 – $11.98
|
8 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$346.80
|
$578.00
|
$18.98 – $22.34
|
8 |
|
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 – $860.32
|
9 |
|
Incision of breast lesion
CPT 19020
|
$627.60
|
$1,046.00
|
$143.24 – $297.30
|
7 |
|
Incision tendon sheath
CPT 26055
|
$661.20
|
$1,102.00
|
$176.70 – $347.97
|
7 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$981.00
|
$1,635.00
|
$257.45 – $257.45
|
8 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$55.80
|
$93.00
|
$9.73 – $16.55
|
8 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$44.40
|
$74.00
|
$16.76 – $35.09
|
8 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$180.00
|
$300.00
|
$72.31 – $95.80
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$40.80
|
$68.00
|
$9.73 – $13.42
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$47.40
|
$79.00
|
$9.73 – $11.98
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$186.00
|
$310.00
|
$12.22 – $14.38
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$42.60
|
$71.00
|
$8.78 – $10.33
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$231.60
|
$386.00
|
$20.47 – $24.08
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$215.40
|
$359.00
|
$9.73 – $11.98
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$45.60
|
$76.00
|
$9.73 – $11.98
|
8 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$20.40
|
$34.00
|
$9.73 – $11.98
|
8 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$337.80
|
$563.00
|
$29.83 – $35.09
|
8 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$60.00
|
$100.00
|
$29.83 – $35.09
|
8 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$84.60
|
$141.00
|
$29.83 – $37.27
|
8 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$975.60
|
$1,626.00
|
$416.78 – $416.78
|
8 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$87.00
|
$145.00
|
$29.83 – $35.09
|
8 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$91.20
|
$152.00
|
$29.83 – $35.09
|
8 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$60.00
|
$100.00
|
$29.83 – $35.09
|
8 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$146.40
|
$244.00
|
$142.63 – $142.63
|
8 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$84.60
|
$141.00
|
$29.83 – $35.09
|
8 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$60.00
|
$100.00
|
$35.09 – $35.09
|
8 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$279.00
|
$465.00
|
$416.78 – $416.78
|
8 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$239.40
|
$399.00
|
$36.40 – $42.84
|
8 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$439.20
|
$732.00
|
$36.40 – $42.84
|
8 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$187.80
|
$313.00
|
$36.40 – $42.84
|
8 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$703.80
|
$1,173.00
|
$72.31 – $85.10
|
8 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$262.80
|
$438.00
|
$142.63 – $142.63
|
8 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$3,894.60
|
$6,491.00
|
$31.09 – $36.76
|
9 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$3,155.40
|
$5,259.00
|
$19.99 – $23.21
|
9 |
|
Influenza dna amp prob addl
CPT 87503
|
$115.20
|
$192.00
|
$17.65 – $29.22
|
8 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$136.80
|
$228.00
|
$65.66 – $128.22
|
7 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$96.00
|
$160.00
|
$49.40 – $89.84
|
7 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$452.40
|
$754.00
|
$108.00 – $108.00
|
7 |
|
Inj andexxa, 10 mg
HCPCS J7169
|
$20,193.00
|
$33,655.00
|
$131.38 – $147.40
|
9 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$16,081.80
|
$26,803.00
|
$164.59 – $198.26
|
9 |
|
Inj, bezlotoxumab, 10 mg
HCPCS J0565
|
$14,655.60
|
$24,426.00
|
$39.83 – $46.96
|
9 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$1,500.90
|
$2,501.50
|
$1.47 – $1.76
|
9 |
|
Inj daptomycin (xellia)
HCPCS J0873
|
$154.80
|
$258.00
|
$0.04 – $0.05
|
9 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$642.60
|
$1,071.00
|
not published
|
0 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$60.00
|
$100.00
|
$36.32 – $67.07
|
7 |
|
Injection epidural blood patch or clot
CPT 62273
|
$927.00
|
$1,545.00
|
$367.72 – $367.72
|
7 |
|
Injection for bladder x-ray
CPT 51600
|
$844.80
|
$1,408.00
|
not published
|
0 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$524.40
|
$874.00
|
not published
|
0 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$616.80
|
$1,028.00
|
$26.88 – $213.37
|
9 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$454.80
|
$758.00
|
$367.72 – $367.72
|
7 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,141.80
|
$1,903.00
|
$95.97 – $472.73
|
9 |
|
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
|
7 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$2,175.00
|
$3,625.00
|
$68.79 – $472.73
|
9 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$534.60
|
$891.00
|
$89.07 – $145.45
|
7 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$934.80
|
$1,558.00
|
$81.33 – $367.72
|
9 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$280.80
|
$468.00
|
$31.93 – $156.74
|
9 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$97.80
|
$163.00
|
$34.38 – $44.05
|
7 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$53.40
|
$89.00
|
$36.32 – $50.16
|
7 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$83.40
|
$139.00
|
$24.50 – $24.50
|
7 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$83.40
|
$139.00
|
not published
|
0 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$229.20
|
$382.00
|
$111.87 – $111.87
|
7 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$83.40
|
$139.00
|
$37.79 – $37.79
|
7 |
|
Inject sacroiliac joint
CPT 27096
|
$963.00
|
$1,605.00
|
$71.44 – $98.76
|
7 |
|
Inj., eravacycline, 1 mg
HCPCS J0122
|
$146.40
|
$244.00
|
$1.53 – $1.53
|
2 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$37.20
|
$62.00
|
$0.01 – $0.01
|
2 |
|
Inj., meropenem, vaborbactam
HCPCS J2186
|
$575.40
|
$959.00
|
$2.18 – $2.43
|
9 |
|
Inj octafluoropropane mic,ml
HCPCS Q9956
|
$541.80
|
$903.00
|
$48.59 – $48.59
|
2 |
|
Inj., omadacycline, 1 mg
HCPCS J0121
|
$1,498.20
|
$2,497.00
|
$4.02 – $4.73
|
9 |
|
Inj tedizolid phosphate
HCPCS J3090
|
$21.90
|
$36.50
|
$1.96 – $2.25
|
9 |
|
Inj vancomycin (xellia) 10mg
HCPCS J3375
|
$458.40
|
$764.00
|
$0.16 – $0.16
|
2 |
|
Inj w/fluor eval cv device
CPT 36598
|
$178.80
|
$298.00
|
$111.87 – $111.87
|
7 |
|
Insert cath pleura without image
CPT 32556
|
$887.40
|
$1,479.00
|
$1,007.27 – $1,007.27
|
7 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$207.00
|
$345.00
|
$68.44 – $68.44
|
7 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$207.00
|
$345.00
|
$68.44 – $68.44
|
7 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$1,615.80
|
$2,693.00
|
$1,671.28 – $1,671.28
|
7 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,759.20
|
$2,932.00
|
$824.85 – $824.85
|
7 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$2,497.80
|
$4,163.00
|
$824.85 – $824.85
|
7 |
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
CPT 36561
|
$1,176.00
|
$1,960.00
|
$269.91 – $513.46
|
7 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$165.60
|
$276.00
|
$57.08 – $90.99
|
8 |
|
Ins picad w subq port 5yr>
CPT 36571
|
$1,236.60
|
$2,061.00
|
$235.08 – $468.01
|
7 |
|
Ins tun cv cath wo subq prt/pm
CPT 36557
|
$2,393.40
|
$3,989.00
|
$2,870.35 – $2,870.35
|
7 |
|
Ins tun cv cath wo subq prt/pm
CPT 36558
|
$780.60
|
$1,301.00
|
$223.76 – $404.36
|
7 |
|
Insulin total
CPT 83525
|
$60.60
|
$101.00
|
$9.71 – $11.43
|
8 |
|
Intraop colon lavage add-on
CPT 44701
|
$309.60
|
$516.00
|
$122.17 – $223.21
|
7 |
|
Intrinsic factor antibody
CPT 86340
|
$263.40
|
$439.00
|
$12.81 – $15.08
|
8 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$764.40
|
$1,274.00
|
$123.31 – $123.31
|
7 |
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
HCPCS Q9966
|
$368.40
|
$614.00
|
$0.53 – $0.53
|
2 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$696.00
|
$1,160.00
|
$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 hi 80
CPT 99255
|
$238.80
|
$398.00
|
$148.20 – $199.33
|
2 |
|
Ip/obs consltj new/est sf 35
CPT 99252
|
$88.20
|
$147.00
|
$55.73 – $74.80
|
2 |
|
Iron
CPT 83540
|
$102.60
|
$171.00
|
$5.51 – $6.47
|
8 |
|
Iron binding capacity
CPT 83550
|
$121.80
|
$203.00
|
$7.43 – $8.74
|
8 |
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
HCPCS J1756
|
$321.00
|
$535.00
|
$0.26 – $0.26
|
2 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$168.00
|
$280.00
|
$31.54 – $31.54
|
7 |