|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$146.90
|
$226.00
|
$12.79 – $19.41
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$87.75
|
$135.00
|
$9.19 – $12.91
|
5 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$72.80
|
$112.00
|
$9.19 – $9.19
|
4 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$73.45
|
$113.00
|
$21.42 – $32.51
|
7 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$146.25
|
$225.00
|
$10.66 – $14.98
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$104.65
|
$161.00
|
$10.66 – $19.77
|
54 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$53.95
|
$83.00
|
$10.66 – $14.98
|
6 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$248.95
|
$383.00
|
$31.21 – $47.37
|
7 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$156.00
|
$240.00
|
$31.21 – $47.37
|
7 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$157.30
|
$242.00
|
$33.15 – $61.50
|
54 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$700.70
|
$1,078.00
|
$520.98 – $520.98
|
1 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$161.85
|
$249.00
|
$31.21 – $47.37
|
7 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$119.60
|
$184.00
|
$31.21 – $43.86
|
5 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$156.00
|
$240.00
|
$31.21 – $47.37
|
7 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$143.65
|
$221.00
|
$45.64 – $84.66
|
52 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$243.75
|
$375.00
|
$126.87 – $235.34
|
52 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$332.80
|
$512.00
|
$126.87 – $235.34
|
52 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$84.50
|
$130.00
|
$43.86 – $43.86
|
1 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$157.30
|
$242.00
|
$31.21 – $57.90
|
54 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$210.60
|
$324.00
|
$68.85 – $115.80
|
50 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$602.55
|
$927.00
|
$408.86 – $687.69
|
49 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$381.55
|
$587.00
|
$38.11 – $57.83
|
6 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$298.35
|
$459.00
|
$38.11 – $70.69
|
54 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$354.25
|
$545.00
|
$38.11 – $53.55
|
7 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$215.80
|
$332.00
|
$75.70 – $140.42
|
54 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$285.35
|
$439.00
|
$126.87 – $126.87
|
4 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$194.35
|
$299.00
|
$113.69 – $191.22
|
53 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$254.15
|
$391.00
|
$155.25 – $261.13
|
53 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$145.60
|
$224.00
|
$67.58 – $113.67
|
53 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$767.65
|
$1,181.00
|
$447.44 – $447.44
|
1 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$1,203.20
|
$1,851.08
|
$228.00 – $300.00
|
5 |
|
Inj. denosumab-bbdz, 1 mg
HCPCS Q5136
|
$4,698.58
|
$7,228.59
|
$2,076.60 – $2,076.60
|
1 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$1,560.65
|
$2,401.00
|
$32.54 – $32.54
|
4 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,134.25
|
$1,745.00
|
$146.73 – $1,442.34
|
5 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$317.20
|
$488.00
|
$36.12 – $1,442.34
|
54 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$169.65
|
$261.00
|
$33.45 – $627.20
|
54 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$193.70
|
$298.00
|
$38.14 – $627.20
|
54 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$141.70
|
$218.00
|
$41.09 – $81.33
|
5 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$141.70
|
$218.00
|
$38.12 – $38.12
|
1 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$141.70
|
$218.00
|
$187.62 – $369.43
|
5 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$96.85
|
$149.00
|
$63.38 – $125.05
|
5 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$1,637.35
|
$2,519.00
|
$40.32 – $40.32
|
4 |
|
Inj hrt cath w/s&i sel hrt ang
CPT 93563
|
$1,606.15
|
$2,471.00
|
$44.94 – $44.94
|
4 |
|
Inj hrt cath w/s&i sel hrt art
CPT 93564
|
$1,037.40
|
$1,596.00
|
$47.90 – $47.90
|
4 |
|
Inj hrt cath w/s&i sel left vent
CPT 93565
|
$1,589.25
|
$2,445.00
|
$23.35 – $23.35
|
4 |
|
Inj hrt cath w/s&i sel right vent
CPT 93566
|
$1,352.65
|
$2,081.00
|
$22.59 – $22.59
|
4 |
|
Inj meropenem (wg crit care)
HCPCS J2183
|
$23.16
|
$35.63
|
$16.50 – $18.40
|
5 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$297.05
|
$457.00
|
$89.88 – $622.66
|
5 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$173.55
|
$267.00
|
$38.74 – $271.86
|
5 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$203.45
|
$313.00
|
$21.45 – $271.86
|
54 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$384.80
|
$592.00
|
$73.37 – $6,451.74
|
54 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,537.25
|
$2,365.00
|
$1,383.36 – $3,216.50
|
5 |
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
CPT 36561
|
$1,955.20
|
$3,008.00
|
$280.10 – $6,451.74
|
54 |
|
Insert swan-ganz cath
CPT 93503
|
$2,626.00
|
$4,040.00
|
$1,383.36 – $1,383.36
|
4 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$241.80
|
$372.00
|
$113.41 – $144.63
|
5 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$280.80
|
$432.00
|
$150.65 – $304.61
|
5 |
|
Insulin total
CPT 83525
|
$79.30
|
$122.00
|
$10.17 – $15.43
|
6 |
|
Intra-atrial pacing
CPT 93610
|
$2,901.60
|
$4,464.00
|
$6,757.32 – $6,757.32
|
4 |
|
Intra-atrial recording
CPT 93602
|
$2,901.60
|
$4,464.00
|
$6,757.32 – $6,757.32
|
4 |
|
Intraventricular pacing
CPT 93612
|
$2,901.60
|
$4,464.00
|
$6,757.32 – $15,937.20
|
5 |
|
Intrinsic factor antibody
CPT 86340
|
$85.80
|
$132.00
|
$13.41 – $18.85
|
5 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$572.00
|
$880.00
|
$124.95 – $211.13
|
53 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$788.77
|
$1,213.50
|
$1.40 – $1.90
|
5 |
|
Iron
CPT 83540
|
$65.00
|
$100.00
|
$5.75 – $8.73
|
8 |
|
Iron binding capacity
CPT 83550
|
$70.20
|
$108.00
|
$7.77 – $11.80
|
7 |
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
HCPCS J1756
|
$292.06
|
$449.33
|
$23.00 – $27.00
|
5 |
|
Irradiation of blood product each unit reference
CPT 86945
|
$91.65
|
$141.00
|
$14.05 – $66.78
|
5 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$132.60
|
$204.00
|
$20.94 – $102.46
|
5 |
|
Ivc venogram s&i
CPT 75825
|
$2,171.65
|
$3,341.00
|
$51.35 – $7,258.21
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
CPT 96367
|
$186.55
|
$287.00
|
$63.38 – $125.05
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$186.55
|
$287.00
|
$16.94 – $32.40
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
CPT 96366
|
$186.55
|
$287.00
|
$41.09 – $81.33
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
CPT 96365
|
$186.55
|
$287.00
|
$187.62 – $369.43
|
5 |
|
Ivp w/wo kub w/wo tomography
CPT 74400
|
$733.20
|
$1,128.00
|
$93.26 – $403.20
|
5 |
|
John cunningham antibody
CPT 86711
|
$1,034.80
|
$1,592.00
|
$15.02 – $21.11
|
5 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$62.40
|
$96.00
|
$7.27 – $10.21
|
5 |
|
Ketorolac 15 mg/ml injection (wrapper)
HCPCS J1885
|
$13.90
|
$21.38
|
$0.84 – $3.30
|
5 |
|
Kidney (Retroperitoneal) Ultrasound (complete)
CPT 76770
|
$661.05
|
$1,017.00
|
$61.35 – $240.32
|
5 |
|
Knee MRI (with and without contrast)
CPT 73723
|
$4,329.00
|
$6,660.00
|
$246.53 – $801.97
|
5 |
|
Knee MRI (without contrast)
CPT 73721
|
$3,955.90
|
$6,086.00
|
$120.47 – $548.48
|
5 |
|
Knee X-ray
CPT 73564
|
$555.75
|
$855.00
|
$30.25 – $240.32
|
5 |
|
Kras gene addl variants
CPT 81276
|
$374.40
|
$576.00
|
$171.89 – $241.56
|
5 |
|
Kras gene variants exon 2
CPT 81275
|
$644.80
|
$992.00
|
$171.89 – $241.56
|
5 |
|
Labetalol 5 mg/ml IV (wrapper)
HCPCS J1920
|
$19.50
|
$30.00
|
$0.29 – $0.32
|
5 |
|
Lactate dehydrogenase (ldh)
CPT 83615
|
$49.40
|
$76.00
|
$5.37 – $7.55
|
7 |
|
Lactated ringers intravenous solution
HCPCS J7120
|
$42.25
|
$65.00
|
$2.41 – $3.22
|
5 |
|
Lactic acid
CPT 83605
|
$183.30
|
$282.00
|
$10.29 – $14.46
|
5 |
|
Lactoferrin fecal qualitative
CPT 83630
|
$53.95
|
$83.00
|
$17.52 – $24.63
|
5 |
|
Lead capillary
CPT 83655
|
$65.00
|
$100.00
|
$10.77 – $15.14
|
5 |
|
Leg Vein Ultrasound (DVT study, both legs)
CPT 93970
|
$915.85
|
$1,409.00
|
$157.95 – $487.54
|
5 |
|
Levetiracetam 500 mg/5 ml intravenous solution
HCPCS J1953
|
$14.62
|
$22.50
|
$2.00 – $2.50
|
5 |
|
Levetiracetam therapeutic drug level
CPT 80177
|
$115.05
|
$177.00
|
$11.79 – $16.56
|
6 |
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
HCPCS J1956
|
$65.08
|
$100.13
|
$1.89 – $2.68
|
5 |
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
HCPCS J2002
|
$34.12
|
$52.50
|
$20.00 – $20.00
|
5 |
|
Lidocaine therapeutic drug level
CPT 80176
|
$83.85
|
$129.00
|
$13.07 – $13.07
|
4 |
|
Lincomycin injection
HCPCS J2010
|
$13.41
|
$20.63
|
$6.73 – $6.73
|
4 |
|
Lipase
CPT 83690
|
$83.20
|
$128.00
|
$6.13 – $9.37
|
13 |
|
Lipoprotein blood high res frac & quant
CPT 83701
|
$70.85
|
$109.00
|
$30.12 – $30.12
|
4 |
|
Lipoprotein direct measurement hdl
CPT 83718
|
$48.10
|
$74.00
|
$7.28 – $7.28
|
4 |
|
Lipoprotein direct measurement ldl
CPT 83721
|
$45.50
|
$70.00
|
$9.34 – $13.13
|
5 |