|
Igh gene rearrange amp meth
CPT 81261
|
$282.00
|
$564.00
|
$157.99 – $680.54
|
61 |
|
Igh@ var region somatic mutation analy
CPT 81263
|
$371.50
|
$743.00
|
$235.03 – $1,012.36
|
61 |
|
Igk rearrangeabn clonal pop
CPT 81264
|
$250.00
|
$500.00
|
$137.84 – $593.71
|
61 |
|
Ihc/icc per specimen each additional single antibody stain
CPT 88341
|
$67.50
|
$135.00
|
$73.39 – $316.11
|
5 |
|
Ihc/icc per specimen each multiplex antibody stain
CPT 88344
|
$56.50
|
$113.00
|
$131.29 – $950.92
|
61 |
|
Ihc/icc per specimen initial single antibody stain
CPT 88342
|
$168.50
|
$337.00
|
$85.32 – $451.97
|
61 |
|
Ikbkap gene
CPT 81260
|
$36.00
|
$72.00
|
$31.37 – $135.12
|
61 |
|
Iliac/fem angio cath insert
HCPCS G0278
|
$1,625.50
|
$3,251.00
|
$22.06 – $22.06
|
1 |
|
Img rta detc/mntr ds phy/qhp
CPT 92228
|
$36.00
|
$72.00
|
$36.70 – $99.09
|
56 |
|
Immobilizer shldr cntor adlt
HCPCS L3670
|
$62.39
|
$124.79
|
$132.02 – $356.45
|
54 |
|
Immobilizer shldr dlx str 24-36in med
HCPCS L1830
|
$14.80
|
$29.61
|
$63.18 – $170.59
|
54 |
|
Immune complex assay
CPT 86332
|
$16.50
|
$33.00
|
$19.45 – $83.76
|
61 |
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
HCPCS J1569
|
$2,200.12
|
$4,400.25
|
$47.29 – $2,226.52
|
55 |
|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$173.50
|
$347.00
|
$16.61 – $71.53
|
61 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$263.00
|
$526.00
|
$16.61 – $71.53
|
61 |
|
Immunodiff gel qual ea antigen/ab
CPT 86331
|
$8.50
|
$17.00
|
$9.56 – $41.17
|
61 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$407.00
|
$814.00
|
$17.83 – $76.81
|
61 |
|
Immunofluorescence per specimen each additional single antibody stain
CPT 88350
|
$315.50
|
$631.00
|
$76.87 – $362.06
|
5 |
|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$557.50
|
$1,115.00
|
$109.95 – $473.61
|
61 |
|
Immunoglobulin assay
CPT 86023
|
$516.00
|
$1,032.00
|
$9.95 – $42.84
|
61 |
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
CPT 87626
|
$41.50
|
$83.00
|
$56.02 – $241.31
|
60 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$264.50
|
$529.00
|
$104.02 – $448.03
|
61 |
|
Infect ag genotype na cytomegalovirus
CPT 87910
|
$544.00
|
$1,088.00
|
$205.45 – $884.94
|
61 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$278.00
|
$556.00
|
$205.45 – $884.94
|
61 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$427.50
|
$855.00
|
$102.72 – $442.47
|
61 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$262.50
|
$525.00
|
$205.45 – $884.94
|
61 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$193.50
|
$387.00
|
$13.21 – $56.88
|
61 |
|
Infect ag if ea plyvlnt antsrm
CPT 87300
|
$96.50
|
$193.00
|
$9.56 – $41.17
|
61 |
|
Infect ag if hep delta agent
CPT 87380
|
$94.00
|
$188.00
|
$14.65 – $63.10
|
61 |
|
Infect ag if influenza a
CPT 87276
|
$96.50
|
$193.00
|
$12.83 – $55.24
|
61 |
|
Infect ag if influenza b
CPT 87275
|
$96.50
|
$193.00
|
$9.78 – $42.11
|
61 |
|
Infect ag if legionella pneumophila
CPT 87278
|
$28.00
|
$56.00
|
$12.45 – $53.61
|
61 |
|
Infect ag if nos ea
CPT 87299
|
$96.50
|
$193.00
|
$12.84 – $55.32
|
61 |
|
Infect ag if pneumocystis carinii
CPT 87281
|
$65.50
|
$131.00
|
$9.56 – $41.17
|
61 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$105.00
|
$210.00
|
$34.19 – $147.27
|
61 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$65.50
|
$131.00
|
$28.01 – $120.63
|
61 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$205.00
|
$410.00
|
$76.45 – $329.28
|
61 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$32.00
|
$64.00
|
$40.95 – $176.37
|
60 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$612.00
|
$1,224.00
|
$332.60 – $1,432.61
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$58.50
|
$117.00
|
$9.56 – $41.17
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$13.50
|
$27.00
|
$11.03 – $47.51
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$74.00
|
$148.00
|
$9.56 – $41.17
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$231.00
|
$462.00
|
$11.48 – $49.43
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$202.50
|
$405.00
|
$8.25 – $35.52
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$64.00
|
$128.00
|
$8.25 – $35.52
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$79.00
|
$158.00
|
$19.22 – $82.78
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$124.00
|
$248.00
|
$9.56 – $41.17
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$11.00
|
$22.00
|
$9.56 – $41.17
|
61 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$45.00
|
$90.00
|
$9.56 – $41.17
|
61 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$433.50
|
$867.00
|
$28.01 – $120.63
|
61 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$133.00
|
$266.00
|
$28.01 – $120.63
|
61 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$292.50
|
$585.00
|
$29.74 – $128.12
|
61 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$274.00
|
$548.00
|
$416.78 – $1,125.31
|
57 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$82.50
|
$165.00
|
$28.01 – $120.63
|
61 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$126.00
|
$252.00
|
$28.01 – $120.63
|
61 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$296.00
|
$592.00
|
$33.26 – $143.26
|
61 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$133.00
|
$266.00
|
$28.01 – $120.63
|
61 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$450.00
|
$900.00
|
$40.95 – $176.37
|
61 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$197.00
|
$394.00
|
$113.82 – $490.26
|
61 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$227.00
|
$454.00
|
$113.82 – $490.26
|
61 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$80.50
|
$161.00
|
$28.01 – $120.63
|
61 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$86.50
|
$173.00
|
$28.01 – $120.63
|
61 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$16.50
|
$33.00
|
$70.18 – $189.49
|
57 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$138.00
|
$276.00
|
$61.27 – $263.89
|
60 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$654.00
|
$1,308.00
|
$332.60 – $1,432.61
|
61 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$397.50
|
$795.00
|
$209.86 – $903.96
|
61 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$171.50
|
$343.00
|
$34.19 – $147.27
|
61 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$102.00
|
$204.00
|
$34.19 – $147.27
|
61 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$79.00
|
$158.00
|
$34.19 – $147.27
|
61 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$60.00
|
$120.00
|
$67.91 – $292.50
|
61 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$1,192.37
|
$2,384.75
|
$24.22 – $2,142.16
|
55 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$157.00
|
$314.00
|
$71.96 – $580.92
|
57 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$1,581.50
|
$3,163.00
|
$91.31 – $580.92
|
57 |
|
Inj, acetaminophen (b braun)
HCPCS J0136
|
$15.12
|
$30.25
|
$14.34 – $14.34
|
1 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$775.00
|
$1,550.00
|
$1.44 – $1,020.24
|
55 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$605.25
|
$1,210.50
|
$554.48 – $554.48
|
1 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$459.12
|
$918.25
|
$2.42 – $451.71
|
55 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$356.50
|
$713.00
|
$8.95 – $272.46
|
55 |
|
Injection, caplacizumab-yhdp
HCPCS C9047
|
$11,232.37
|
$22,464.75
|
$802.25 – $18,124.06
|
55 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$151.00
|
$302.00
|
$3,884.57 – $3,884.57
|
1 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$820.37
|
$1,640.75
|
$6.51 – $1,395.76
|
55 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$445.50
|
$891.00
|
$23.54 – $814.31
|
60 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$230.50
|
$461.00
|
$26.40 – $124.22
|
57 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$230.50
|
$461.00
|
$39.91 – $39.91
|
1 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$230.50
|
$461.00
|
$26.40 – $564.28
|
57 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$168.50
|
$337.00
|
$25.15 – $191.01
|
57 |
|
Inject sacroiliac joint
CPT 27096
|
$1,107.50
|
$2,215.00
|
$693.56 – $1,109.70
|
27 |
|
Inj., eravacycline, 1 mg
HCPCS J0122
|
$135.62
|
$271.25
|
$1.29 – $117.11
|
55 |
|
Inj hrt cath w/s&i nonsel p-art angrp
CPT 93568
|
$185.00
|
$370.00
|
$3,884.57 – $3,884.57
|
1 |
|
Inj hydroxocobalamin IV 25mg
HCPCS J3424
|
$1,320.50
|
$2,641.00
|
$5.44 – $2,332.64
|
55 |
|
Inj moxifloxacin (fres kabi)
HCPCS J2281
|
$87.50
|
$175.00
|
$103.53 – $103.53
|
1 |
|
Inj retacrit esrd on dialysi
HCPCS Q5105
|
$775.00
|
$1,550.00
|
$102.29 – $102.29
|
1 |
|
Inj secretin synthetic human
HCPCS J2850
|
$775.00
|
$1,550.00
|
$40.44 – $1,254.65
|
55 |
|
Inj sulf hexa lipid microsph
HCPCS Q9950
|
$269.75
|
$539.50
|
$346.55 – $346.55
|
1 |
|
Inj testosterone cypionate
HCPCS J1071
|
$50.00
|
$100.00
|
$9.56 – $9.56
|
1 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$190.50
|
$381.00
|
$130.73 – $352.96
|
57 |
|
Insert swan-ganz cath
CPT 93503
|
$1,855.50
|
$3,711.00
|
$1,546.69 – $4,176.05
|
57 |
|
Insitu hybridization auto
CPT 88367
|
$155.50
|
$311.00
|
$83.04 – $950.92
|
61 |
|
Insitu hybridization (fish)
CPT 88366
|
$366.00
|
$732.00
|
$167.40 – $879.41
|
61 |
|
Insitu hybridization manual
CPT 88368
|
$325.50
|
$651.00
|
$110.30 – $950.92
|
61 |