|
Incision of burn scab initi
CPT 16035
|
$63.15
|
$421.00
|
$265.85 – $804.03
|
16 |
|
Incision of tongue fold
CPT 41010
|
$670.95
|
$4,473.00
|
$1,051.09 – $3,068.81
|
16 |
|
Incisn of toe tndn
CPT 28010
|
$753.60
|
$5,024.00
|
$1,246.75 – $3,180.38
|
16 |
|
Incisn windpipe
CPT 31600
|
$1,298.70
|
$8,658.00
|
$2,030.97 – $6,557.51
|
16 |
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
CPT 87626
|
$30.15
|
$201.00
|
$35.10 – $153.04
|
15 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$228.15
|
$1,521.00
|
$65.18 – $284.16
|
16 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$20.10
|
$134.00
|
$7.07 – $30.80
|
16 |
|
Infect ag genotype na cytomegalovirus
CPT 87910
|
$388.80
|
$2,592.00
|
$128.73 – $561.24
|
16 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$388.80
|
$2,592.00
|
$128.73 – $561.24
|
16 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$178.05
|
$1,187.00
|
$64.37 – $280.63
|
16 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$388.35
|
$2,589.00
|
$128.73 – $561.24
|
16 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$20.10
|
$134.00
|
$8.28 – $36.08
|
16 |
|
Infect ag if hep delta agent
CPT 87380
|
$28.80
|
$192.00
|
$9.18 – $40.02
|
16 |
|
Infect ag if legionella pneumophila
CPT 87278
|
$20.10
|
$134.00
|
$7.80 – $34.01
|
16 |
|
Infect ag if nos ea
CPT 87299
|
$20.10
|
$134.00
|
$8.05 – $35.10
|
16 |
|
Infect ag if varicella zoster
CPT 87290
|
$20.10
|
$134.00
|
$6.71 – $29.26
|
16 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$30.75
|
$205.00
|
$17.55 – $76.50
|
16 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$148.95
|
$993.00
|
$47.90 – $208.84
|
16 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$15.00
|
$100.00
|
$25.66 – $111.86
|
16 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$374.85
|
$2,499.00
|
$204.38 – $908.58
|
16 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$12.15
|
$81.00
|
$11.21 – $90.21
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$20.10
|
$134.00
|
$6.71 – $29.26
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$20.10
|
$134.00
|
$6.91 – $30.13
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$21.00
|
$140.00
|
$5.99 – $26.12
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$25.20
|
$168.00
|
$7.19 – $31.35
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$17.40
|
$116.00
|
$5.17 – $22.52
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$17.40
|
$116.00
|
$5.17 – $22.52
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$42.15
|
$281.00
|
$11.21 – $52.49
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
16 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
16 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
16 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
16 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$61.50
|
$410.00
|
$18.64 – $81.25
|
16 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$733.80
|
$4,892.00
|
$204.38 – $908.58
|
16 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
16 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
16 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$61.50
|
$410.00
|
$20.84 – $90.86
|
16 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
16 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$15.00
|
$100.00
|
$25.66 – $111.86
|
16 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$47.10
|
$314.00
|
$66.09 – $310.93
|
16 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$61.50
|
$410.00
|
$66.09 – $310.93
|
16 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
16 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$30.90
|
$206.00
|
$17.55 – $76.50
|
16 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$34.80
|
$232.00
|
$38.39 – $167.36
|
15 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$402.60
|
$2,684.00
|
$204.38 – $908.58
|
16 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$224.10
|
$1,494.00
|
$64.15 – $279.67
|
16 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$372.75
|
$2,485.00
|
$131.50 – $573.32
|
16 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$75.15
|
$501.00
|
$21.42 – $93.39
|
16 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$75.15
|
$501.00
|
$21.42 – $93.39
|
16 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$75.15
|
$501.00
|
$21.42 – $93.39
|
16 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$148.95
|
$993.00
|
$42.55 – $185.52
|
16 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$124.20
|
$828.00
|
$71.32 – $310.93
|
16 |
|
Influenza dna amp prob addl
CPT 87503
|
$36.45
|
$243.00
|
$14.61 – $66.09
|
16 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$53.55
|
$357.00
|
$79.13 – $433.11
|
16 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$234.75
|
$1,565.00
|
$56.16 – $433.11
|
16 |
|
Inj., aristada initio, 1 mg
HCPCS J1943
|
$0.15
|
$1.00
|
$1.00 – $1,369.92
|
6 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$189.44
|
$1,262.93
|
$3.85 – $165.31
|
16 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$169.05
|
$1,127.00
|
$476.19 – $495.24
|
4 |
|
Inj dx for sinogram
CPT 20501
|
$202.65
|
$1,351.00
|
$476.19 – $495.24
|
4 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$312.90
|
$2,086.00
|
$501.84 – $1,396.13
|
16 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$169.05
|
$1,127.00
|
$476.19 – $495.24
|
4 |
|
Injection, cangrelor
HCPCS C9460
|
$922.96
|
$6,153.07
|
$14.29 – $661.83
|
16 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$165.90
|
$1,106.00
|
$56.91 – $607.11
|
16 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$67.35
|
$449.00
|
$126.86 – $495.24
|
4 |
|
Injection epidural blood patch or clot
CPT 62273
|
$352.95
|
$2,353.00
|
$172.83 – $1,396.13
|
16 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$60.75
|
$405.00
|
$37.67 – $495.24
|
4 |
|
Injection for bladder x-ray
CPT 51600
|
$66.90
|
$446.00
|
$476.19 – $495.24
|
4 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$197.40
|
$1,316.00
|
$476.19 – $495.24
|
4 |
|
Injection for ureter x-ray
CPT 50690
|
$264.30
|
$1,762.00
|
$476.19 – $495.24
|
4 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$701.93
|
$4,679.55
|
$4.84 – $661.83
|
16 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$482.85
|
$3,219.00
|
$322.73 – $790.69
|
16 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$471.15
|
$3,141.00
|
$501.84 – $1,396.13
|
16 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$293.70
|
$1,958.00
|
$57.16 – $1,396.13
|
16 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$352.80
|
$2,352.00
|
$211.82 – $1,749.36
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$787.50
|
$5,250.00
|
$1,050.52 – $1,092.54
|
4 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$828.90
|
$5,526.00
|
$620.80 – $1,749.36
|
16 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$129.90
|
$866.00
|
$79.67 – $1,092.54
|
5 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$552.30
|
$3,682.00
|
$154.89 – $1,749.36
|
16 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$152.25
|
$1,015.00
|
$377.58 – $1,396.13
|
16 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$447.90
|
$2,986.00
|
$501.84 – $1,396.13
|
16 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$235.35
|
$1,569.00
|
$47.63 – $607.11
|
16 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$245.85
|
$1,639.00
|
$56.91 – $607.11
|
16 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$235.35
|
$1,569.00
|
$56.91 – $607.11
|
16 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$27.75
|
$185.00
|
$21.16 – $92.61
|
16 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$43.65
|
$291.00
|
$12.41 – $95.00
|
5 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$59.70
|
$398.00
|
$31.33 – $420.70
|
16 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$31.95
|
$213.00
|
$19.18 – $142.41
|
16 |
|
Inject sacroiliac joint
CPT 27096
|
$342.15
|
$2,281.00
|
$393.75 – $638.80
|
5 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$138.45
|
$923.00
|
$343.36 – $1,396.13
|
16 |
|
Inj for ext venography
CPT 36005
|
$552.45
|
$3,683.00
|
$925.28 – $962.29
|
4 |
|
Inj for mammo ductogram
CPT 19030
|
$242.10
|
$1,614.00
|
$476.19 – $495.24
|
4 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$1,818.15
|
$12,121.00
|
$134.44 – $495.24
|
4 |
|
Inj intralesional <= 7 lsn(s)
CPT 11900
|
$83.55
|
$557.00
|
$14.13 – $396.83
|
16 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$6,506.50
|
$43,376.67
|
$30.96 – $1,712.10
|
16 |
|
Inj levocarnitine per 1 gm
HCPCS J1955
|
$83.27
|
$555.12
|
$36.29 – $41.55
|
2 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$2.93
|
$19.50
|
$7.25 – $7.25
|
1 |
|
Inj nephrosto/ureterogram w/img exstng access
CPT 50431
|
$702.45
|
$4,683.00
|
$522.37 – $1,379.15
|
16 |
|
Inj peritoneal venous shunt
CPT 49427
|
$54.90
|
$366.00
|
$476.19 – $495.24
|
4 |