|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$80.05
|
$133.41
|
$10.00 – $100.06
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$93.89
|
$156.49
|
$10.00 – $28.84
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$140.84
|
$234.74
|
$10.00 – $75.00
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$118.25
|
$197.09
|
$2.94 – $24.79
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$93.38
|
$155.64
|
$8.68 – $116.73
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$145.09
|
$241.82
|
$10.00 – $181.37
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$324.45
|
$540.75
|
$10.00 – $56.66
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$153.61
|
$256.01
|
$10.00 – $192.01
|
24 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$68.11
|
$113.52
|
$10.00 – $85.14
|
24 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$849.00
|
$1,415.00
|
$2.94 – $84.22
|
24 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$165.34
|
$275.56
|
$10.00 – $84.22
|
24 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$215.18
|
$358.64
|
$10.00 – $268.98
|
24 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$855.45
|
$1,425.75
|
$10.00 – $1,000.27
|
24 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$652.67
|
$1,087.78
|
$10.00 – $154.69
|
24 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$168.42
|
$280.70
|
$10.00 – $210.53
|
24 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$345.17
|
$575.28
|
$10.00 – $299.01
|
24 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$162.62
|
$271.03
|
$10.00 – $84.22
|
24 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$900.00
|
$1,500.00
|
$10.00 – $129.38
|
24 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$61.45
|
$102.41
|
$10.00 – $342.31
|
24 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$104.93
|
$174.88
|
$10.00 – $342.31
|
24 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$126.60
|
$211.00
|
$10.00 – $158.25
|
24 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$162.85
|
$271.42
|
$10.00 – $84.22
|
24 |
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
CPT 87494
|
$327.95
|
$546.59
|
$10.00 – $409.94
|
23 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$248.18
|
$413.64
|
$10.00 – $310.23
|
23 |
|
Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets
CPT 87627
|
$1,069.61
|
$1,782.68
|
$10.00 – $1,461.51
|
23 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$727.50
|
$1,212.50
|
$10.00 – $1,000.27
|
24 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$375.00
|
$625.00
|
$10.00 – $468.75
|
24 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$515.40
|
$859.00
|
$10.00 – $644.25
|
24 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$1,105.50
|
$1,842.50
|
$10.00 – $102.82
|
24 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$331.97
|
$553.28
|
$10.00 – $184.69
|
24 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$381.92
|
$636.53
|
$10.00 – $150.00
|
24 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$448.31
|
$747.18
|
$10.00 – $560.38
|
24 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$345.55
|
$575.91
|
$10.00 – $342.31
|
24 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$2,102.08
|
$3,503.46
|
$29.49 – $2,627.59
|
24 |
|
Influenza dna amp prob addl
CPT 87503
|
$94.30
|
$157.16
|
$10.00 – $117.87
|
24 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$1,321.38
|
$2,202.30
|
$242.25 – $1,871.95
|
18 |
|
Infuse radioactive materials
CPT 77750
|
$600.89
|
$1,001.49
|
$110.16 – $833.02
|
24 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$394.10
|
$656.83
|
$72.25 – $528.37
|
24 |
|
Init/sub psych care m 1st 30
HCPCS G2214
|
$89.84
|
$149.74
|
$16.47 – $220.82
|
24 |
|
Inj acetaminophen -fresenius
HCPCS J0134
|
$34.56
|
$57.60
|
$0.06 – $48.96
|
19 |
|
Inj, alfentanil hcl, 500mcg
HCPCS J0216
|
$16.63
|
$27.72
|
$3.05 – $23.56
|
18 |
|
Inj allopurinol sodium 1 mg
HCPCS J0206
|
$7,176.71
|
$11,961.18
|
$3.62 – $8,775.00
|
24 |
|
Inj alymsys 10 mg
HCPCS Q5126
|
$676.74
|
$1,127.90
|
$49.01 – $845.92
|
24 |
|
Inj, biorphen, 20 micrograms
HCPCS J2372
|
$20.40
|
$34.00
|
$0.17 – $28.90
|
19 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$507.76
|
$846.27
|
$1.32 – $634.70
|
24 |
|
Inj calcitriol per 0.1 mcg
HCPCS J0636
|
$35.82
|
$59.70
|
$4.95 – $38.26
|
18 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$34.59
|
$57.65
|
$0.94 – $49.00
|
19 |
|
Inj cefazolin (wg crit care)
HCPCS J0687
|
$24.24
|
$40.40
|
$0.81 – $34.34
|
19 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$596.08
|
$993.47
|
$2.28 – $745.10
|
24 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$431.36
|
$718.93
|
$8.40 – $539.20
|
24 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$571.31
|
$952.18
|
$104.74 – $809.35
|
18 |
|
Inj crotalidae im f(ab')2 eq
HCPCS J0841
|
$1,584.60
|
$2,641.00
|
$290.51 – $2,746.61
|
19 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$875.28
|
$1,458.80
|
$160.47 – $1,239.98
|
18 |
|
Inj dx for sinogram
CPT 20501
|
$700.52
|
$1,167.54
|
$128.43 – $992.41
|
18 |
|
Inject for sacroiliac joint
HCPCS G0259
|
$836.40
|
$1,394.00
|
$153.34 – $1,841.00
|
17 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$1,030.57
|
$1,717.62
|
$139.81 – $1,713.14
|
24 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$609.20
|
$1,015.34
|
$111.69 – $863.04
|
18 |
|
Injection, belinostat, 10mg
HCPCS J9032
|
$3,631.78
|
$6,052.97
|
$47.46 – $4,539.73
|
24 |
|
Injection, cangrelor
HCPCS C9460
|
$1,734.77
|
$2,891.29
|
$19.02 – $2,168.47
|
24 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$421.33
|
$702.21
|
$36.54 – $733.72
|
24 |
|
Injection, daratumumab 10 mg
HCPCS J9145
|
$5,324.34
|
$8,873.90
|
$67.23 – $1,691.99
|
24 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$2,449.14
|
$4,081.90
|
$449.01 – $22,906.00
|
16 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,790.34
|
$2,983.90
|
$262.86 – $2,237.93
|
24 |
|
Injection eye drug
CPT 67028
|
$825.10
|
$1,375.17
|
$48.45 – $1,031.38
|
24 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$521.18
|
$868.64
|
$95.55 – $738.34
|
18 |
|
Injection for bladder x-ray
CPT 51600
|
$780.00
|
$1,300.00
|
$143.00 – $1,105.00
|
18 |
|
Injection for hip x-ray
CPT 27095
|
$1,210.53
|
$2,017.55
|
$221.93 – $1,714.92
|
18 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$514.36
|
$857.26
|
$94.30 – $728.67
|
18 |
|
Injection for spleen x-ray
CPT 38200
|
$982.72
|
$1,637.87
|
$180.17 – $1,392.19
|
15 |
|
Injection for ureter x-ray
CPT 50684
|
$841.49
|
$1,402.48
|
$154.27 – $1,192.11
|
18 |
|
Injection for ureter x-ray
CPT 50690
|
$515.21
|
$858.68
|
$94.45 – $729.88
|
18 |
|
Injection, fulvestrant
HCPCS J9395
|
$3,520.29
|
$5,867.15
|
$5.43 – $2,528.75
|
19 |
|
Injection, glucarpidase
HCPCS C9293
|
$74,113.20
|
$123,522.00
|
$426.64 – $92,641.50
|
23 |
|
Injection into brain canal
CPT 61055
|
$1,090.69
|
$1,817.81
|
$108.15 – $1,363.36
|
24 |
|
Injection into hemorrhoid(s)
CPT 46500
|
$2,926.20
|
$4,877.00
|
$210.13 – $3,657.75
|
24 |
|
Injection, isavuconazonium
HCPCS J1833
|
$987.58
|
$1,645.97
|
$0.96 – $1,234.48
|
24 |
|
Injection jaw joint x-ray
CPT 21116
|
$229.06
|
$381.77
|
$41.99 – $324.50
|
17 |
|
Injection jugular
CPT 36299
|
$1,048.20
|
$1,747.00
|
$297.77 – $1,013.26
|
17 |
|
Injection of sinus tract
CPT 20500
|
$1,006.81
|
$1,678.02
|
$60.63 – $3,777.93
|
24 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$1,162.80
|
$1,938.00
|
$6.01 – $1,453.50
|
24 |
|
Injection, peramivir
HCPCS J2547
|
$857.98
|
$1,429.97
|
$1.46 – $1,072.48
|
24 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$1,481.87
|
$2,469.78
|
$271.68 – $1,852.34
|
24 |
|
Injection, renflexis
HCPCS Q5104
|
$1,356.10
|
$2,260.17
|
$25.46 – $1,695.13
|
24 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$1,582.12
|
$2,636.87
|
$290.06 – $1,977.65
|
24 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$2,618.36
|
$4,363.94
|
$39.86 – $3,272.95
|
24 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$1,139.12
|
$1,898.54
|
$39.31 – $1,713.14
|
24 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$2,251.00
|
$3,751.66
|
$340.77 – $2,813.74
|
24 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,131.41
|
$1,885.68
|
$207.42 – $1,602.83
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$2,195.95
|
$3,659.91
|
$340.77 – $2,744.93
|
24 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$966.32
|
$1,610.54
|
$177.16 – $1,368.96
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$2,165.84
|
$3,609.74
|
$340.77 – $2,707.30
|
24 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$2,033.74
|
$3,389.57
|
$262.86 – $2,542.18
|
24 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,882.52
|
$3,137.53
|
$262.86 – $2,353.15
|
24 |
|
Injection, siltuximab
HCPCS J2860
|
$8,477.45
|
$14,129.09
|
$151.74 – $2,677.34
|
24 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$460.94
|
$768.23
|
$23.54 – $733.72
|
24 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$624.56
|
$1,040.94
|
$23.26 – $780.71
|
24 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$684.48
|
$1,140.80
|
$27.13 – $855.60
|
24 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$216.67
|
$361.12
|
$39.72 – $306.95
|
18 |
|
Injection treatment of nerve
CPT 64605
|
$2,792.73
|
$4,654.55
|
$659.94 – $4,783.04
|
24 |
|
Inject sacroiliac joint
CPT 27096
|
$950.29
|
$1,583.81
|
$111.00 – $1,346.24
|
18 |