|
Infect ag if influenza b
CPT 87275
|
$59.80
|
$92.00
|
$10.90 – $27.04
|
56 |
|
Infect ag if varicella zoster
CPT 87290
|
$96.20
|
$148.00
|
$11.94 – $29.62
|
56 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$85.15
|
$131.00
|
$31.21 – $77.45
|
58 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$268.45
|
$413.00
|
$85.21 – $211.46
|
59 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$105.30
|
$162.00
|
$45.64 – $113.26
|
55 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$417.30
|
$642.00
|
$408.86 – $919.96
|
52 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$97.50
|
$150.00
|
$10.66 – $26.44
|
59 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$99.45
|
$153.00
|
$11.94 – $29.62
|
56 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$42.90
|
$66.00
|
$12.29 – $30.50
|
58 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$42.90
|
$66.00
|
$10.66 – $26.44
|
58 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$135.85
|
$209.00
|
$12.79 – $31.74
|
59 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$37.05
|
$57.00
|
$9.19 – $22.80
|
58 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$65.00
|
$100.00
|
$9.19 – $22.80
|
56 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$48.75
|
$75.00
|
$21.42 – $53.15
|
58 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$193.70
|
$298.00
|
$10.66 – $26.44
|
59 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$101.40
|
$156.00
|
$10.66 – $26.44
|
59 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$72.80
|
$112.00
|
$10.66 – $26.44
|
59 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$500.50
|
$770.00
|
$31.21 – $77.45
|
58 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$185.90
|
$286.00
|
$31.21 – $77.45
|
58 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$128.70
|
$198.00
|
$33.15 – $82.27
|
58 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$514.80
|
$792.00
|
$408.86 – $919.96
|
53 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$102.70
|
$158.00
|
$31.21 – $77.45
|
58 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$100.75
|
$155.00
|
$31.21 – $77.45
|
58 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$150.15
|
$231.00
|
$37.07 – $92.00
|
58 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$91.00
|
$140.00
|
$31.21 – $77.45
|
58 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$149.50
|
$230.00
|
$45.64 – $113.26
|
58 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$178.75
|
$275.00
|
$126.87 – $314.83
|
57 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$256.75
|
$395.00
|
$126.87 – $314.83
|
57 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$65.00
|
$100.00
|
$34.42 – $77.45
|
54 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$118.30
|
$182.00
|
$31.21 – $77.45
|
58 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$125.45
|
$193.00
|
$68.85 – $154.91
|
51 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$143.00
|
$220.00
|
$68.28 – $169.45
|
54 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$479.70
|
$738.00
|
$408.86 – $919.96
|
52 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$273.65
|
$421.00
|
$38.11 – $94.56
|
59 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$235.30
|
$362.00
|
$38.11 – $94.56
|
59 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$191.10
|
$294.00
|
$38.11 – $94.56
|
58 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$190.45
|
$293.00
|
$75.70 – $187.84
|
59 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$367.90
|
$566.00
|
$126.87 – $314.83
|
56 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$1,395.87
|
$2,147.50
|
$30.45 – $878.40
|
59 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$1,469.00
|
$2,260.00
|
$27.51 – $771.00
|
59 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$2,774.37
|
$4,268.26
|
$25.54 – $710.70
|
59 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$1,682.20
|
$2,588.00
|
$196.02 – $196.02
|
4 |
|
Ingest challenge ea addl 60 min
CPT 95079
|
$289.90
|
$446.00
|
$75.63 – $75.63
|
4 |
|
Ingest challenge ini 120 min
CPT 95076
|
$863.85
|
$1,329.00
|
$107.70 – $848.43
|
51 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$445.90
|
$686.00
|
$221.27 – $497.88
|
52 |
|
Inj alymsys 10 mg
HCPCS Q5126
|
$8,414.12
|
$12,944.80
|
$50.61 – $1,379.40
|
59 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$17,622.23
|
$27,111.12
|
$160.25 – $13,869.90
|
59 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$816.31
|
$1,255.86
|
$1.38 – $422.94
|
57 |
|
Inj cefazolin (wg crit care)
HCPCS J0687
|
$23.79
|
$36.60
|
$0.92 – $2.07
|
7 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$934.20
|
$1,437.23
|
$8.67 – $500.40
|
59 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$218.40
|
$336.00
|
not published
|
0 |
|
Inj cyclophosphamd (ingenus)
HCPCS J9073
|
$1,720.55
|
$2,647.00
|
$0.49 – $438.00
|
58 |
|
Inj. denosumab-bbdz, 1 mg
HCPCS Q5136
|
$9,390.67
|
$14,447.18
|
$27.38 – $4,624.20
|
54 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$5,435.63
|
$8,362.51
|
$6.60 – $1,143.00
|
55 |
|
Inj dx for sinogram
CPT 20501
|
$576.55
|
$887.00
|
not published
|
0 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$2,715.83
|
$4,178.20
|
$0.50 – $3,047.00
|
58 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$270.40
|
$416.00
|
not published
|
0 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$243.10
|
$374.00
|
not published
|
0 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$1,022.45
|
$1,573.00
|
$32.54 – $32.54
|
4 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,828.45
|
$2,813.00
|
$3.75 – $1,442.34
|
59 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$480.35
|
$739.00
|
not published
|
0 |
|
Injection for bladder x-ray
CPT 51600
|
$875.55
|
$1,347.00
|
$36.71 – $548.48
|
55 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$205.40
|
$316.00
|
not published
|
0 |
|
Injection for ureter x-ray
CPT 50684
|
$1,625.00
|
$2,500.00
|
not published
|
0 |
|
Injection for ureter x-ray
CPT 50690
|
$376.35
|
$579.00
|
$60.00 – $169.55
|
2 |
|
Injection, fulvestrant
HCPCS J9395
|
$299.00
|
$460.00
|
$122.60 – $279.60
|
8 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$9,943.76
|
$15,298.09
|
$12.37 – $10,138.80
|
59 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$1,734.91
|
$2,669.10
|
$6.39 – $1,842.00
|
59 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$2,328.95
|
$3,583.00
|
not published
|
0 |
|
Injection, renflexis
HCPCS Q5104
|
$2,210.17
|
$3,400.26
|
$26.29 – $733.80
|
59 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$1,353.30
|
$2,082.00
|
not published
|
0 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$27,537.07
|
$42,364.73
|
$1,105.47 – $29,190.56
|
57 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$19,273.96
|
$29,652.25
|
$37.23 – $3,047.00
|
58 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$6,399.97
|
$9,846.11
|
$96.36 – $3,047.00
|
54 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,855.01
|
$2,853.86
|
$49.73 – $3,047.00
|
54 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,855.01
|
$2,853.86
|
$91.22 – $3,047.00
|
54 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$4,924.13
|
$7,575.58
|
$42.95 – $3,047.00
|
54 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$4,924.13
|
$7,575.58
|
$78.77 – $3,047.00
|
54 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$3,125.91
|
$4,809.10
|
$92.86 – $3,047.00
|
54 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$2,589.02
|
$3,983.11
|
$86.63 – $3,047.00
|
54 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$339.30
|
$522.00
|
not published
|
0 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$1,112.15
|
$1,711.00
|
$45.92 – $697.90
|
56 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$1,033.50
|
$1,590.00
|
$52.87 – $697.90
|
56 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$163.80
|
$252.00
|
$41.09 – $106.47
|
56 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$163.80
|
$252.00
|
$38.12 – $38.12
|
1 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$321.10
|
$494.00
|
$187.62 – $483.61
|
56 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$135.85
|
$209.00
|
$63.38 – $163.70
|
56 |
|
Injection treatment of nerve
CPT 64681
|
$3,857.10
|
$5,934.00
|
not published
|
0 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$3,958.50
|
$6,090.00
|
not published
|
0 |
|
Inj. fe derisomaltose 10 mg
HCPCS J1437
|
$18,516.57
|
$28,487.03
|
$21.51 – $6,207.00
|
55 |
|
Inj for ext venography
CPT 36005
|
$631.80
|
$972.00
|
not published
|
0 |
|
Inj for mammo ductogram
CPT 19030
|
$492.70
|
$758.00
|
not published
|
0 |
|
Inj herzuma 10 mg
HCPCS Q5113
|
$8,939.74
|
$13,753.45
|
$54.95 – $6,360.48
|
59 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$1,870.70
|
$2,878.00
|
$40.32 – $40.32
|
4 |
|
Inj hrt cath w/s&i sel left vent
CPT 93565
|
$2,299.70
|
$3,538.00
|
$23.35 – $23.35
|
4 |
|
Inj hrt cath w/s&i sel right vent
CPT 93566
|
$980.85
|
$1,509.00
|
$22.59 – $22.59
|
4 |
|
Inj hydroxocobalamin IV 25mg
HCPCS J3424
|
$5,109.00
|
$7,860.00
|
$5.34 – $12.01
|
48 |
|
Inj/inf neurolyt sbst spinal canal lesion 62282
CPT 62282
|
$3,579.55
|
$5,507.00
|
not published
|
0 |
|
Inj intralesional <= 7 lsn(s)
CPT 11900
|
$403.00
|
$620.00
|
not published
|
0 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$21,066.29
|
$32,409.68
|
$48.59 – $1,401.90
|
59 |