|
Infect ag ia direct hiv-1 antgn
CPT 87806
|
$42.00
|
$280.00
|
$16.39 – $78.65
|
18 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$20.10
|
$134.00
|
$8.28 – $39.72
|
18 |
|
Infect ag if hep delta agent
CPT 87380
|
$28.80
|
$192.00
|
$9.18 – $44.06
|
18 |
|
Infect ag if influenza a
CPT 87276
|
$10.35
|
$69.00
|
$8.04 – $38.57
|
18 |
|
Infect ag if influenza b
CPT 87275
|
$10.35
|
$69.00
|
$6.13 – $29.40
|
18 |
|
Infect ag if legionella pneumophila
CPT 87278
|
$20.10
|
$134.00
|
$7.80 – $37.44
|
18 |
|
Infect ag if nos ea
CPT 87299
|
$20.10
|
$134.00
|
$8.05 – $38.64
|
18 |
|
Infect ag if varicella zoster
CPT 87290
|
$20.10
|
$134.00
|
$6.71 – $32.21
|
18 |
|
Infect ag na hep b amp
CPT 87516
|
$61.50
|
$410.00
|
$17.55 – $84.22
|
18 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$75.15
|
$501.00
|
$21.42 – $102.82
|
18 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$30.75
|
$205.00
|
$17.55 – $84.22
|
18 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$148.95
|
$993.00
|
$47.90 – $229.92
|
18 |
|
Infect ag na influenza revr/amp ea type
CPT 87501
|
$89.85
|
$599.00
|
$25.66 – $123.14
|
18 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$15.00
|
$100.00
|
$25.66 – $111.86
|
18 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$374.85
|
$2,499.00
|
$191.48 – $1,000.27
|
18 |
|
Infect ag phenotype na hiv-1 1-10 drugs
CPT 87903
|
$855.60
|
$5,704.00
|
$244.33 – $1,172.78
|
18 |
|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$45.75
|
$305.00
|
$13.04 – $62.57
|
18 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$12.15
|
$81.00
|
$10.50 – $90.21
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$20.10
|
$134.00
|
$5.99 – $28.75
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$20.10
|
$134.00
|
$6.71 – $32.21
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$20.10
|
$134.00
|
$6.91 – $33.17
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$21.00
|
$140.00
|
$5.99 – $28.75
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$25.20
|
$168.00
|
$7.19 – $34.51
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$17.40
|
$116.00
|
$5.17 – $24.79
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$17.40
|
$116.00
|
$5.17 – $24.79
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$42.15
|
$281.00
|
$10.50 – $57.79
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$20.10
|
$134.00
|
$5.99 – $28.75
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$20.10
|
$134.00
|
$5.99 – $28.75
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$20.10
|
$134.00
|
$5.99 – $28.75
|
18 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$61.50
|
$410.00
|
$17.55 – $84.22
|
18 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$61.50
|
$410.00
|
$17.55 – $84.22
|
18 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$61.50
|
$410.00
|
$18.64 – $89.45
|
18 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$733.80
|
$4,892.00
|
$191.48 – $1,000.27
|
18 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$61.50
|
$410.00
|
$17.55 – $84.22
|
18 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$61.50
|
$410.00
|
$17.55 – $84.22
|
18 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$61.50
|
$410.00
|
$20.84 – $100.03
|
18 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$61.50
|
$410.00
|
$17.55 – $84.22
|
18 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$15.00
|
$100.00
|
$25.66 – $111.86
|
18 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$47.10
|
$314.00
|
$61.92 – $314.00
|
18 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$61.50
|
$410.00
|
$61.92 – $342.31
|
18 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$61.50
|
$410.00
|
$17.55 – $84.22
|
18 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$30.90
|
$206.00
|
$17.55 – $84.22
|
18 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$34.80
|
$232.00
|
$38.39 – $184.25
|
17 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$402.60
|
$2,684.00
|
$191.48 – $1,000.27
|
18 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$224.10
|
$1,494.00
|
$64.15 – $307.90
|
18 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$372.75
|
$2,485.00
|
$131.50 – $631.18
|
18 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$75.15
|
$501.00
|
$21.42 – $102.82
|
18 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$75.15
|
$501.00
|
$21.42 – $102.82
|
18 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$75.15
|
$501.00
|
$21.42 – $102.82
|
18 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$148.95
|
$993.00
|
$42.55 – $204.24
|
18 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$124.20
|
$828.00
|
$71.32 – $342.31
|
18 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$1,297.97
|
$8,653.11
|
$32.42 – $1,235.27
|
18 |
|
Influenza dna amp prob addl
CPT 87503
|
$36.45
|
$243.00
|
$14.61 – $70.13
|
18 |
|
Infuse radioactive materials
CPT 77750
|
$418.80
|
$2,792.00
|
$43.72 – $878.14
|
18 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$53.55
|
$357.00
|
$59.28 – $452.86
|
18 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$64.95
|
$433.00
|
$83.68 – $83.68
|
1 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$82.95
|
$553.00
|
$103.31 – $103.31
|
1 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$48.00
|
$320.00
|
$63.00 – $63.00
|
1 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$234.75
|
$1,565.00
|
$56.16 – $498.56
|
18 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$76.50
|
$510.00
|
$74.75 – $80.97
|
2 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$0.15
|
$1.00
|
$1.00 – $1,635.17
|
6 |
|
Inj acetaminophen -fresenius
HCPCS J0134
|
$33.38
|
$222.54
|
$0.03 – $0.11
|
3 |
|
Inj., aristada initio, 1 mg
HCPCS J1943
|
$0.15
|
$1.00
|
$1.00 – $1,258.04
|
6 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$5,924.23
|
$39,494.85
|
$100.22 – $5,551.55
|
18 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$24.33
|
$162.21
|
$1.42 – $1.78
|
2 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$287.35
|
$1,915.69
|
$1.21 – $155.03
|
18 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$189.44
|
$1,262.93
|
$2.57 – $155.03
|
18 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$169.05
|
$1,127.00
|
$446.13 – $454.80
|
5 |
|
Inj, daptomycin (baxter)
HCPCS J0874
|
$161.40
|
$1,076.00
|
$0.06 – $0.11
|
2 |
|
Inj dupuytren cord w/enzyme
CPT 20527
|
$126.15
|
$841.00
|
$126.73 – $698.86
|
18 |
|
Inj dx for sinogram
CPT 20501
|
$202.65
|
$1,351.00
|
$446.13 – $454.80
|
5 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$312.90
|
$2,086.00
|
$374.99 – $1,607.12
|
18 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$169.05
|
$1,127.00
|
$446.13 – $454.80
|
5 |
|
Injection, cangrelor
HCPCS C9460
|
$922.96
|
$6,153.07
|
$9.53 – $620.66
|
18 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$165.90
|
$1,106.00
|
$56.91 – $634.79
|
18 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$3,268.71
|
$21,791.41
|
$28.15 – $5,551.55
|
18 |
|
Injection, doxercalciferol
HCPCS J1270
|
$7.34
|
$48.91
|
$0.62 – $5.81
|
2 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$67.35
|
$449.00
|
$126.86 – $454.80
|
5 |
|
Injection epidural blood patch or clot
CPT 62273
|
$352.95
|
$2,353.00
|
$172.83 – $1,607.12
|
18 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$60.75
|
$405.00
|
$37.67 – $454.80
|
5 |
|
Injection for bladder x-ray
CPT 51600
|
$66.90
|
$446.00
|
$446.00 – $454.80
|
5 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$197.40
|
$1,316.00
|
$446.13 – $454.80
|
5 |
|
Injection for spleen x-ray
CPT 38200
|
$91.20
|
$608.00
|
$446.13 – $454.80
|
5 |
|
Injection for ureter x-ray
CPT 50690
|
$264.30
|
$1,762.00
|
$446.13 – $454.80
|
5 |
|
Injection, fulvestrant
HCPCS J9395
|
$1,293.80
|
$8,625.36
|
$8.52 – $147.89
|
6 |
|
Injection into brain canal
CPT 61055
|
$320.10
|
$2,134.00
|
$291.19 – $698.86
|
18 |
|
Injection, isavuconazonium
HCPCS J1833
|
$525.93
|
$3,506.21
|
$0.38 – $246.67
|
18 |
|
Injection of sinus tract
CPT 20500
|
$265.95
|
$1,773.00
|
$79.53 – $3,208.77
|
18 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$701.93
|
$4,679.55
|
$3.23 – $620.66
|
18 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$482.85
|
$3,219.00
|
$379.24 – $910.18
|
18 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$471.15
|
$3,141.00
|
$575.46 – $1,607.12
|
18 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$187.95
|
$1,253.00
|
$79.02 – $1,894.76
|
18 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$293.70
|
$1,958.00
|
$57.16 – $1,459.80
|
18 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$352.80
|
$2,352.00
|
$211.82 – $1,829.14
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$787.50
|
$5,250.00
|
$984.20 – $1,003.32
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$828.90
|
$5,526.00
|
$839.06 – $2,013.74
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$129.90
|
$866.00
|
$79.67 – $1,003.32
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$552.30
|
$3,682.00
|
$154.89 – $1,829.14
|
18 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$152.25
|
$1,015.00
|
$304.31 – $1,459.80
|
18 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$447.90
|
$2,986.00
|
$669.64 – $1,607.12
|
18 |