|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$89.40
|
$149.00
|
$17.85 – $179.71
|
10 |
|
Implant cartilage 10mm synthetic
HCPCS L8699
|
$6,955.80
|
$11,593.00
|
$3,380.89 – $3,380.89
|
1 |
|
Implant ureth bulk agent
HCPCS L8606
|
$495.60
|
$826.00
|
$141.13 – $1,713.66
|
3 |
|
Impl neurostim electr perc
CPT 63650
|
not published
|
not published
|
$410.25 – $6,882.63
|
9 |
|
In-111 oxyquinolin per 0.5 mci
HCPCS A9547
|
$2,223.00
|
$3,705.00
|
$547.21 – $849.90
|
7 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$1,684.20
|
$2,807.00
|
$25.85 – $1,699.17
|
9 |
|
Incision of breast lesion
CPT 19020
|
$3,484.80
|
$5,808.00
|
$80.30 – $1,699.17
|
9 |
|
Incisn windpipe
CPT 31600
|
$2,258.40
|
$3,764.00
|
$736.75 – $3,401.07
|
8 |
|
Induction of vomiting
CPT 99175
|
$532.80
|
$888.00
|
$29.46 – $262.25
|
4 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$3,052.80
|
$5,088.00
|
$87.59 – $341.73
|
10 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$1,004.40
|
$1,674.00
|
$238.63 – $311.41
|
10 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$1,114.20
|
$1,857.00
|
$91.56 – $339.91
|
10 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$3,052.80
|
$5,088.00
|
$238.63 – $689.88
|
10 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$468.60
|
$781.00
|
$39.71 – $114.79
|
9 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$335.40
|
$559.00
|
$32.52 – $42.03
|
10 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$520.20
|
$867.00
|
$88.80 – $224.71
|
10 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$2,801.40
|
$4,669.00
|
$386.31 – $504.16
|
10 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$128.40
|
$214.00
|
$11.10 – $31.73
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$70.80
|
$118.00
|
$12.81 – $16.06
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$126.60
|
$211.00
|
$11.10 – $29.84
|
10 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$146.40
|
$244.00
|
$13.33 – $25.90
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$105.00
|
$175.00
|
$9.57 – $26.78
|
10 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$168.60
|
$281.00
|
$22.32 – $43.87
|
10 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$129.60
|
$216.00
|
$11.10 – $29.52
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$153.00
|
$255.00
|
$11.10 – $31.66
|
9 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$116.40
|
$194.00
|
$11.10 – $29.52
|
10 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$928.80
|
$1,548.00
|
$25.51 – $91.01
|
10 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$402.00
|
$670.00
|
$25.51 – $91.01
|
10 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$345.00
|
$575.00
|
$34.55 – $94.33
|
10 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$1,408.20
|
$2,347.00
|
$374.29 – $458.46
|
9 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$457.20
|
$762.00
|
$32.52 – $91.01
|
9 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$397.80
|
$663.00
|
$32.52 – $92.02
|
10 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$363.60
|
$606.00
|
$38.63 – $91.01
|
9 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$436.20
|
$727.00
|
$25.51 – $91.01
|
10 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$75.00
|
$125.00
|
$39.04 – $96.32
|
10 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$210.00
|
$350.00
|
$117.60 – $267.65
|
10 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$142.20
|
$237.00
|
$32.52 – $42.13
|
10 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$147.00
|
$245.00
|
$27.27 – $84.45
|
9 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$454.20
|
$757.00
|
$386.31 – $458.46
|
9 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$791.40
|
$1,319.00
|
$198.20 – $289.29
|
9 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$508.20
|
$847.00
|
$38.17 – $114.79
|
9 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$799.20
|
$1,332.00
|
$39.71 – $114.79
|
10 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$585.00
|
$975.00
|
$39.71 – $114.79
|
10 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$1,144.80
|
$1,908.00
|
$78.88 – $228.01
|
10 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$539.20
|
$674.00
|
$19.63 – $1,249.56
|
9 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$1,062.00
|
$1,770.00
|
$12.88 – $42.95
|
8 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$203.20
|
$254.00
|
$12.62 – $66.50
|
8 |
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
CPT 90673
|
$40.00
|
$50.00
|
$11.00 – $107.98
|
9 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$832.80
|
$1,388.00
|
$34.32 – $213.30
|
9 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$8,046.00
|
$13,410.00
|
$3.08 – $2,293.72
|
9 |
|
Inj, adalimumab, 1 mg
HCPCS J0139
|
$117.60
|
$147.00
|
$85.02 – $3,702.35
|
7 |
|
Inj andexxa, 10 mg
HCPCS J7169
|
$14,184.00
|
$23,640.00
|
$121.78 – $236.25
|
7 |
|
Inj, aponvie, 1 mg
HCPCS C9145
|
$3.00
|
$5.00
|
$1.77 – $2.10
|
6 |
|
Inj atezolizumb 5mg hya-tqjs
HCPCS J9024
|
$54.60
|
$91.00
|
$19.94 – $34.74
|
7 |
|
Inj, bezlotoxumab, 10 mg
HCPCS J0565
|
$11,671.20
|
$19,452.00
|
$25.15 – $43.81
|
8 |
|
Inj., brexanolone, 1 mg
HCPCS J1632
|
$17,099.40
|
$28,499.00
|
$64.01 – $83.59
|
2 |
|
Inj brixadi, more than 7 day
HCPCS J0578
|
$4,344.80
|
$5,431.00
|
$691.66 – $1,850.81
|
8 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$2.40
|
$4.00
|
$0.83 – $1.54
|
8 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$9.20
|
$11.50
|
$1.11 – $2.33
|
2 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$75.00
|
$93.75
|
$3.13 – $5.51
|
6 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$19.00
|
$23.75
|
$3.34 – $9.98
|
8 |
|
Inj, cimerli, 0.1 mg
HCPCS Q5128
|
$519.00
|
$865.00
|
$54.40 – $116.89
|
8 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$241.20
|
$402.00
|
$39.51 – $317.80
|
5 |
|
Inj cyclophosphamd (ingenus)
HCPCS J9073
|
$1.20
|
$2.00
|
$0.50 – $1.48
|
8 |
|
Inj, donanemab-azbt, 2 mg
HCPCS J0175
|
$7.20
|
$12.00
|
$2.61 – $4.54
|
7 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$15.60
|
$26.00
|
$4.28 – $11.43
|
8 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$583.80
|
$973.00
|
$66.94 – $227.71
|
4 |
|
Injection, caplacizumab-yhdp
HCPCS C9047
|
$19,956.00
|
$33,260.00
|
$386.30 – $874.31
|
2 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$703.80
|
$1,173.00
|
$54.76 – $309.57
|
9 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$131.40
|
$219.00
|
$34.53 – $78.51
|
8 |
|
Injection, doxercalciferol
HCPCS J1270
|
$105.00
|
$175.00
|
$0.22 – $9.46
|
6 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$1,909.20
|
$3,182.00
|
$53.12 – $778.90
|
4 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,877.40
|
$3,129.00
|
$52.80 – $726.25
|
9 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$606.60
|
$1,011.00
|
$72.14 – $228.87
|
4 |
|
Injection for bladder x-ray
CPT 51600
|
$1,845.00
|
$3,075.00
|
$35.20 – $550.23
|
8 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$561.00
|
$935.00
|
$49.45 – $228.54
|
4 |
|
Injection, fulvestrant
HCPCS J9395
|
$6,970.20
|
$11,617.00
|
$4.25 – $168.34
|
8 |
|
Injection glatiramer acetate
HCPCS J1595
|
$805.60
|
$1,007.00
|
$72.00 – $545.44
|
8 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$22.80
|
$38.00
|
$5.25 – $13.55
|
8 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$3,987.00
|
$6,645.00
|
$4.10 – $7.15
|
8 |
|
Injection, pentamidine iseth
HCPCS S0080
|
$508.80
|
$636.00
|
$210.58 – $703.42
|
2 |
|
Injection, renflexis
HCPCS Q5104
|
$228.80
|
$286.00
|
$17.05 – $52.95
|
8 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$2,595.60
|
$4,326.00
|
$591.77 – $726.25
|
7 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$1,154.40
|
$1,924.00
|
$67.10 – $726.25
|
9 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$933.00
|
$1,555.00
|
$23.10 – $726.25
|
9 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$2,844.60
|
$4,741.00
|
$104.54 – $933.66
|
9 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$795.00
|
$1,325.00
|
$56.27 – $488.30
|
4 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,564.80
|
$2,608.00
|
$268.69 – $933.66
|
8 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$721.80
|
$1,203.00
|
$48.50 – $438.81
|
4 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,397.40
|
$2,329.00
|
$239.89 – $933.66
|
8 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$3,327.60
|
$5,546.00
|
$98.12 – $726.25
|
9 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$3,564.60
|
$5,941.00
|
$89.45 – $726.25
|
9 |
|
Injection, siltuximab
HCPCS J2860
|
$627.60
|
$1,046.00
|
$69.00 – $182.41
|
8 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$815.40
|
$1,359.00
|
$35.20 – $309.57
|
9 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$457.20
|
$762.00
|
$34.17 – $309.57
|
9 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$484.20
|
$807.00
|
$37.92 – $309.57
|
9 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$222.00
|
$370.00
|
$7.99 – $124.49
|
3 |
|
Inj, epinephrine (belcher)
HCPCS J0173
|
$1.20
|
$2.00
|
$0.47 – $2.08
|
2 |
|
Inj., evomela, 1 mg
HCPCS J9246
|
$106.80
|
$178.00
|
$11.68 – $34.36
|
8 |
|
Inj, factor x, (human), 1iu
HCPCS J7175
|
$52.80
|
$88.00
|
$5.78 – $10.76
|
8 |