|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$60.03
|
$261.00
|
$35.09 – $77.23
|
7 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$60.03
|
$261.00
|
$35.09 – $77.23
|
7 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$60.03
|
$261.00
|
$37.27 – $82.28
|
7 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$720.13
|
$3,131.00
|
$204.38 – $918.83
|
7 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$60.03
|
$261.00
|
$35.09 – $77.23
|
7 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$60.03
|
$261.00
|
$35.09 – $77.23
|
7 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$60.03
|
$261.00
|
$41.68 – $91.67
|
7 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$60.03
|
$261.00
|
$35.09 – $77.23
|
7 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$14.72
|
$64.00
|
$46.18 – $68.74
|
6 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$46.23
|
$201.00
|
$66.09 – $201.00
|
6 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$60.26
|
$262.00
|
$66.09 – $262.00
|
6 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$60.03
|
$261.00
|
$35.09 – $77.23
|
7 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$30.36
|
$132.00
|
$35.09 – $77.23
|
7 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$34.27
|
$149.00
|
$69.09 – $72.35
|
2 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$395.14
|
$1,718.00
|
$204.38 – $918.83
|
7 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$219.88
|
$956.00
|
$128.29 – $282.94
|
7 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$365.93
|
$1,591.00
|
$204.38 – $579.59
|
7 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$73.83
|
$321.00
|
$42.84 – $94.55
|
7 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$73.83
|
$321.00
|
$42.84 – $94.55
|
7 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$73.83
|
$321.00
|
$42.84 – $94.55
|
7 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$146.28
|
$636.00
|
$66.09 – $187.66
|
7 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$52.67
|
$229.00
|
$79.13 – $123.40
|
6 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$230.23
|
$1,001.00
|
$56.16 – $203.60
|
6 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$474.03
|
$2,061.00
|
$497.41 – $792.85
|
6 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$201.94
|
$878.00
|
$57.16 – $574.07
|
5 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$231.15
|
$1,005.00
|
$47.63 – $354.99
|
5 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$241.50
|
$1,050.00
|
$56.91 – $354.99
|
5 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$27.37
|
$119.00
|
$21.16 – $73.96
|
7 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$42.78
|
$186.00
|
$12.41 – $73.96
|
5 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$58.65
|
$255.00
|
$31.33 – $255.00
|
7 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$31.51
|
$137.00
|
$19.18 – $82.60
|
7 |
|
Inj intralesional <= 7 lsn(s)
CPT 11900
|
$81.88
|
$356.00
|
$14.13 – $249.88
|
6 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$9,976.63
|
$43,376.67
|
$30.96 – $1,780.59
|
7 |
|
Inj levocarnitine per 1 gm
HCPCS J1955
|
$127.68
|
$555.12
|
$36.29 – $41.55
|
2 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$4.49
|
$19.50
|
$7.62 – $7.62
|
1 |
|
Inj sulf hexa lipid microsph
HCPCS Q9950
|
$132.10
|
$574.35
|
$0.24 – $29.75
|
2 |
|
Insert and remove bone pin
CPT 20650
|
$497.26
|
$2,162.00
|
$130.45 – $3,426.31
|
5 |
|
Insert cath pleura without image
CPT 32556
|
$1,039.60
|
$4,520.00
|
$1,390.68 – $1,446.31
|
5 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$34.27
|
$149.00
|
$115.45 – $149.00
|
6 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$42.32
|
$184.00
|
$115.45 – $149.52
|
6 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$529.00
|
$2,300.00
|
$285.81 – $1,685.84
|
5 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$505.08
|
$2,196.00
|
$1,399.22 – $1,685.84
|
6 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$1,027.64
|
$4,468.00
|
$1,399.22 – $1,685.84
|
6 |
|
Insert swan-ganz cath
CPT 93503
|
$1,784.11
|
$7,757.00
|
$185.47 – $1,685.84
|
6 |
|
Insitu hybridization auto
CPT 88367
|
$218.27
|
$949.00
|
$33.13 – $229.87
|
7 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$91.54
|
$398.00
|
$44.84 – $217.69
|
7 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$132.25
|
$575.00
|
$12.40 – $293.92
|
7 |
|
Insj phrnc nrv stim sys
CPT 33276
|
$13,714.21
|
$59,627.00
|
$26,676.25 – $59,627.00
|
6 |
|
Insj phrnc nrv stim transvns
CPT 33277
|
$5,233.65
|
$22,755.00
|
$4,391.82 – $4,567.49
|
5 |
|
Ins left heart vent thor inscn ecmo
CPT 33988
|
$454.48
|
$1,976.00
|
$1,976.00 – $11,393.49
|
5 |
|
Ins picc wo subq prt/pmp w image guidnc <5yr
CPT 36572
|
$1,008.55
|
$4,385.00
|
$871.97 – $1,685.84
|
6 |
|
Instll rx agnt into rnal tub
CPT 50391
|
$126.50
|
$550.00
|
$326.73 – $572.85
|
6 |
|
Insulin total
CPT 83525
|
$19.55
|
$85.00
|
$11.43 – $25.26
|
7 |
|
Integra meshed bil wound mat
HCPCS C9363
|
$114.59
|
$498.21
|
$17.92 – $121.11
|
2 |
|
Interrog&prgrmg ipnss
CPT 93151
|
$46.69
|
$203.00
|
$49.44 – $163.47
|
6 |
|
Interrog&prgrmg ipnss polysm
CPT 93152
|
$144.21
|
$627.00
|
$49.44 – $371.69
|
6 |
|
Interrog without prgrmg ipnss
CPT 93153
|
$144.21
|
$627.00
|
$49.44 – $163.47
|
6 |
|
Intrinsic factor antibody
CPT 86340
|
$25.76
|
$112.00
|
$12.80 – $33.20
|
7 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$230.46
|
$1,002.00
|
$254.09 – $1,062.17
|
6 |
|
Iodine i-123 sod iodide mil
HCPCS A9509
|
$48.99
|
$213.00
|
$133.96 – $213.00
|
2 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$80.92
|
$351.84
|
$0.30 – $13.70
|
2 |
|
Ip/obs cnsltj new/est low 45
CPT 99253
|
$70.84
|
$308.00
|
$97.09 – $99.86
|
2 |
|
Ipratropium bromide non-comp
HCPCS J7644
|
$1.67
|
$7.25
|
$2.83 – $7.25
|
2 |
|
Iron
CPT 83540
|
$11.04
|
$48.00
|
$2.31 – $14.44
|
7 |
|
Iron binding capacity
CPT 83550
|
$15.18
|
$66.00
|
$2.31 – $19.49
|
7 |
|
Irradiation of blood product each unit reference
CPT 86945
|
$119.83
|
$521.00
|
$13.44 – $123.12
|
6 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$28.98
|
$126.00
|
$24.74 – $79.42
|
7 |
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
CPT 96367
|
$43.24
|
$188.00
|
$31.14 – $406.06
|
7 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$25.07
|
$109.00
|
$18.55 – $406.06
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
CPT 96366
|
$35.42
|
$154.00
|
$19.87 – $734.25
|
7 |
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
CPT 96365
|
$90.85
|
$395.00
|
$61.37 – $406.06
|
7 |
|
Jak2 targeted sequence analysis
CPT 81279
|
$118.68
|
$516.00
|
$166.68 – $408.53
|
6 |
|
Ketamine and metabolite screen - quest
CPT 80357
|
$20.01
|
$87.00
|
$15.73 – $16.36
|
5 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$14.26
|
$62.00
|
$6.19 – $18.04
|
7 |
|
Ketorolac 15 mg/ml injection (wrapper)
HCPCS J1885
|
$4.49
|
$19.50
|
$0.53 – $1.04
|
3 |
|
Kidney (Retroperitoneal) Ultrasound (complete)
CPT 76770
|
$99.82
|
$434.00
|
$64.60 – $236.49
|
7 |
|
Kit gene analys d816 variant
CPT 81273
|
$106.26
|
$462.00
|
$49.44 – $275.00
|
7 |
|
Knee MRI (with and without contrast)
CPT 73723
|
$656.19
|
$2,853.00
|
$480.63 – $786.00
|
7 |
|
Knee MRI (without contrast)
CPT 73721
|
$603.52
|
$2,624.00
|
$304.57 – $786.00
|
7 |
|
Knee X-ray
CPT 73564
|
$78.66
|
$342.00
|
$20.54 – $162.93
|
7 |
|
Lactate dehydrogenase (ldh)
CPT 83615
|
$10.35
|
$45.00
|
$6.04 – $12.99
|
7 |
|
Lactated ringers intravenous solution
HCPCS J7120
|
$11.13
|
$48.38
|
$12.61 – $18.92
|
2 |
|
Lactic acid
CPT 83605
|
$18.40
|
$80.00
|
$11.57 – $25.26
|
7 |
|
Lactoferrin fecal qualitative
CPT 83630
|
$33.81
|
$147.00
|
$13.72 – $43.31
|
7 |
|
Lactoferrin fecal quant
CPT 83631
|
$20.70
|
$90.00
|
$13.72 – $43.31
|
7 |
|
Laryngoscopy w/fb removal
CPT 31530
|
$588.11
|
$2,557.00
|
$298.66 – $838.05
|
5 |
|
Lead capillary
CPT 83655
|
$20.70
|
$90.00
|
$12.11 – $26.71
|
7 |
|
Leg Vein Ultrasound (DVT study, both legs)
CPT 93970
|
$337.87
|
$1,469.00
|
$123.50 – $632.56
|
7 |
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
HCPCS J0640
|
$69.00
|
$300.01
|
$5.67 – $18.76
|
2 |
|
Levetiracetam 500 mg/5 ml intravenous solution
HCPCS J1953
|
$225.52
|
$980.54
|
$0.07 – $0.48
|
2 |
|
Levetiracetam therapeutic drug level
CPT 80177
|
$23.00
|
$100.00
|
$13.25 – $28.87
|
7 |
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
HCPCS J1956
|
$592.02
|
$2,573.98
|
$4.47 – $21.00
|
2 |
|
Ligation/major artery/extremity 37618
CPT 37618
|
$632.50
|
$2,750.00
|
$2,750.00 – $3,046.27
|
5 |
|
Ligation vericose vein cluster(s) 1 leg
CPT 37785
|
$310.04
|
$1,348.00
|
$1,348.00 – $3,786.00
|
6 |
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
HCPCS J2020
|
$44.31
|
$192.67
|
$3.99 – $31.82
|
3 |
|
Lipase
CPT 83690
|
$11.73
|
$51.00
|
$6.19 – $15.16
|
7 |
|
Lipoprotein blood high res frac & quant
CPT 83701
|
$42.55
|
$185.00
|
$31.64 – $74.34
|
7 |
|
Lipoprotein blood quant
CPT 83704
|
$54.28
|
$236.00
|
$31.87 – $75.07
|
7 |
|
Lipoprotein direct measurement hdl
CPT 83718
|
$14.26
|
$62.00
|
$6.19 – $18.04
|
7 |
|
Lipoprotein direct measurement ldl
CPT 83721
|
$16.33
|
$71.00
|
$6.19 – $23.10
|
7 |