|
Infect ag ia optc obs influenza
CPT 87804
|
$40.26
|
$71.90
|
$13.43 – $53.05
|
13 |
|
Infect ag na hep b amp
CPT 87516
|
$63.73
|
$113.80
|
$20.71 – $83.97
|
13 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$160.78
|
$287.10
|
$20.71 – $194.36
|
13 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$122.08
|
$218.00
|
$25.07 – $160.86
|
13 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$138.88
|
$248.00
|
$29.11 – $92.31
|
12 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$132.78
|
$237.10
|
$20.71 – $244.21
|
13 |
|
Infect ag phenotype na hiv-1 1-10 drugs
CPT 87903
|
$886.26
|
$1,582.60
|
$20.71 – $1,167.80
|
13 |
|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$49.22
|
$87.90
|
$20.71 – $64.86
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$130.82
|
$233.60
|
$11.15 – $53.02
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$76.05
|
$135.80
|
$12.49 – $53.02
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$57.29
|
$102.30
|
$12.86 – $53.02
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$51.24
|
$91.50
|
$11.15 – $53.02
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$79.63
|
$142.20
|
$13.39 – $59.37
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$50.96
|
$91.00
|
$9.61 – $53.02
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$79.52
|
$142.00
|
$9.61 – $96.13
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$38.70
|
$69.10
|
$18.29 – $53.02
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$194.15
|
$346.70
|
$11.15 – $53.02
|
13 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$32.09
|
$57.30
|
$11.15 – $53.02
|
13 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$1,098.16
|
$1,961.00
|
$20.71 – $60.01
|
13 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$118.72
|
$212.00
|
$18.29 – $53.02
|
13 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$95.03
|
$169.70
|
$18.29 – $125.22
|
13 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$889.50
|
$1,588.40
|
$20.71 – $1,172.08
|
13 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$163.86
|
$292.60
|
$20.71 – $60.43
|
13 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$94.30
|
$168.40
|
$20.71 – $117.78
|
13 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$1,122.07
|
$2,003.70
|
$20.71 – $405.17
|
13 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$118.72
|
$212.00
|
$20.65 – $60.01
|
13 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$140.11
|
$250.20
|
$39.29 – $155.50
|
13 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$292.66
|
$522.60
|
$109.23 – $380.20
|
13 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$392.11
|
$700.20
|
$109.23 – $380.20
|
13 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$68.82
|
$122.90
|
$20.71 – $90.69
|
13 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$228.09
|
$407.30
|
$20.71 – $60.01
|
13 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$110.43
|
$197.20
|
$19.83 – $72.22
|
9 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$392.11
|
$700.20
|
$71.47 – $474.01
|
9 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$264.60
|
$472.50
|
$20.71 – $270.63
|
13 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$191.13
|
$341.30
|
$20.71 – $165.32
|
13 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$156.91
|
$280.20
|
$20.71 – $147.85
|
13 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$156.91
|
$280.20
|
$20.71 – $155.23
|
13 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$158.76
|
$283.50
|
$20.71 – $151.42
|
13 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$291.82
|
$521.10
|
$20.71 – $384.52
|
13 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$2,248.19
|
$4,014.62
|
$30.23 – $96.32
|
13 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$927.31
|
$1,655.91
|
$20.11 – $63.63
|
13 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$974.05
|
$1,739.37
|
$16.20 – $40.72
|
13 |
|
Influenza virus vaccine, live trivalent intranasal
CPT 90660
|
$31.70
|
$56.60
|
$14.75 – $49.79
|
10 |
|
Infuse radioactive materials
CPT 77750
|
$464.07
|
$828.70
|
$367.47 – $1,491.02
|
13 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$157.98
|
$282.10
|
$56.26 – $236.95
|
13 |
|
Init ak ischal plstr direct
HCPCS L5505
|
$4,368.90
|
$7,801.60
|
$1,426.02 – $5,756.78
|
13 |
|
Init bk ptb plaster direct
HCPCS L5500
|
$3,105.70
|
$5,545.90
|
$1,013.72 – $4,092.30
|
13 |
|
Initial custom socket insert
HCPCS L5683
|
$2,770.32
|
$4,947.00
|
$904.24 – $3,650.38
|
13 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$4,913.05
|
$8,773.31
|
$6.74 – $4,462.09
|
13 |
|
Inj, acetaminophen (b braun)
HCPCS J0136
|
$36.18
|
$64.61
|
$0.05 – $47.68
|
5 |
|
Inj acetaminophen -fresenius
HCPCS J0134
|
$36.60
|
$65.35
|
$0.04 – $48.22
|
8 |
|
Inj, acetaminophen (hikma)
HCPCS J0137
|
$47.58
|
$84.96
|
$0.03 – $62.69
|
5 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$756.08
|
$1,350.14
|
$1.33 – $550.06
|
8 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$35.02
|
$62.53
|
$1.00 – $42.33
|
5 |
|
Inj, clindamycin (baxter)
HCPCS J0737
|
$56.07
|
$100.13
|
$2.58 – $46.58
|
5 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$581.84
|
$1,039.00
|
$103.08 – $1,002.38
|
9 |
|
Inj cyclophosphamd (ingenus)
HCPCS J9073
|
$640.08
|
$1,143.00
|
$0.64 – $459.00
|
13 |
|
Inj daptomycin (xellia)
HCPCS J0873
|
$50.00
|
$89.29
|
$0.03 – $60.45
|
5 |
|
Inj, decitabine (sun pharma)
HCPCS J0893
|
$310.09
|
$553.73
|
$0.72 – $408.60
|
8 |
|
Inj. denosumab-bbdz, 1 mg
HCPCS Q5136
|
$5,384.66
|
$9,615.47
|
$26.82 – $3,313.94
|
9 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$522.82
|
$933.60
|
$432.00 – $1,574.46
|
9 |
|
Inj dx for sinogram
CPT 20501
|
$260.23
|
$464.70
|
$55.48 – $1,002.38
|
9 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$348.82
|
$622.90
|
$190.22 – $3,760.50
|
16 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$574.28
|
$1,025.50
|
$102.31 – $1,002.38
|
9 |
|
Injection, belinostat, 10mg
HCPCS J9032
|
$4,692.36
|
$8,379.22
|
$45.69 – $101.06
|
13 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$422.97
|
$755.30
|
$292.45 – $2,594.96
|
13 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$5,188.91
|
$9,265.91
|
$39.77 – $194.72
|
13 |
|
Injection epidural blood patch or clot
CPT 62273
|
$545.33
|
$973.80
|
$287.23 – $3,760.50
|
16 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$300.05
|
$535.80
|
$109.95 – $1,002.38
|
9 |
|
Injection for hip x-ray
CPT 27095
|
$582.12
|
$1,039.50
|
$122.68 – $1,002.38
|
9 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$581.84
|
$1,039.00
|
$129.52 – $1,002.38
|
9 |
|
Injection for tear sac x-ray
CPT 68850
|
$67.31
|
$120.20
|
$80.94 – $187.87
|
5 |
|
Injection for ureter x-ray
CPT 50684
|
$314.27
|
$561.20
|
$73.82 – $1,002.38
|
9 |
|
Injection for ureter x-ray
CPT 50690
|
$317.91
|
$567.70
|
$102.83 – $1,002.38
|
9 |
|
Injection, fulvestrant
HCPCS J9395
|
$3,518.45
|
$6,282.95
|
$7.37 – $14.45
|
5 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$6,383.95
|
$11,399.91
|
$11.52 – $7,717.40
|
13 |
|
Injection into brain canal
CPT 61055
|
$237.66
|
$424.40
|
$153.57 – $1,002.38
|
16 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$2,504.21
|
$4,471.80
|
$6.10 – $1,661.08
|
14 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$145.04
|
$259.00
|
$84.59 – $1,002.38
|
16 |
|
Injection, renflexis
HCPCS Q5104
|
$915.59
|
$1,634.98
|
$25.40 – $81.24
|
13 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$1,846.10
|
$3,296.60
|
$604.78 – $8,382.89
|
16 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$1,004.25
|
$1,793.30
|
$672.53 – $3,760.50
|
16 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$1,004.25
|
$1,793.30
|
$672.53 – $3,760.50
|
16 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,521.07
|
$2,716.20
|
$281.06 – $3,760.50
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$141.62
|
$252.90
|
$85.57 – $1,002.38
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,521.07
|
$2,716.20
|
$266.97 – $3,760.50
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$581.84
|
$1,039.00
|
$85.57 – $2,248.47
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,521.07
|
$2,716.20
|
$775.65 – $3,760.50
|
16 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$989.52
|
$1,767.00
|
$672.53 – $3,760.50
|
16 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$855.74
|
$1,528.10
|
$564.97 – $3,760.50
|
16 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$827.74
|
$1,478.10
|
$292.45 – $4,732.90
|
16 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$434.17
|
$775.30
|
$292.45 – $1,002.38
|
16 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$130.70
|
$233.40
|
$14.85 – $565.00
|
6 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$764.46
|
$1,365.10
|
$672.53 – $3,760.50
|
16 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$610.57
|
$1,090.30
|
$587.54 – $3,760.50
|
16 |
|
Inj fluphenazine hcl 1.25 mg
HCPCS J2679
|
$234.45
|
$418.66
|
$7.28 – $283.42
|
5 |
|
Inj for mammo ductogram
CPT 19030
|
$193.03
|
$344.70
|
$185.69 – $1,002.38
|
9 |
|
Inj, fulvestrant (fresenius)
HCPCS J9394
|
$462.67
|
$826.20
|
$3.55 – $559.31
|
13 |
|
Inj, fulvestrant (teva)
HCPCS J9393
|
$882.69
|
$1,576.23
|
$9.13 – $1,067.06
|
13 |
|
Inj heparin, pfizer, 1000u
HCPCS J1643
|
$53.17
|
$94.95
|
$2.99 – $41.70
|
5 |