|
Ihc/icc per specimen each multiplex antibody stain
CPT 88344
|
$52.50
|
$350.00
|
$64.94 – $762.41
|
17 |
|
Ihc/icc per specimen initial single antibody stain
CPT 88342
|
$54.90
|
$366.00
|
$26.61 – $362.38
|
17 |
|
Iliac revasc add-on 37222
CPT 37222
|
$1,564.20
|
$10,428.00
|
$861.52 – $14,665.92
|
5 |
|
Img rta detcj/mntr ds staff
CPT 92227
|
$25.05
|
$167.00
|
$10.79 – $125.48
|
17 |
|
Immobilizer shldr sling med
HCPCS L3660
|
$21.75
|
$145.00
|
$115.57 – $264.77
|
16 |
|
Immune complex assay
CPT 86332
|
$42.75
|
$285.00
|
$11.83 – $53.13
|
17 |
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
HCPCS J1569
|
$9,316.39
|
$62,109.25
|
$31.65 – $2,213.69
|
17 |
|
Immunoassay tumor antigen quantitative ca 125
CPT 86304
|
$36.45
|
$243.00
|
$10.41 – $45.37
|
17 |
|
Immunoassay tumor antigen quantitative ca 19-9
CPT 86301
|
$36.45
|
$243.00
|
$10.41 – $45.37
|
17 |
|
Immunodiff gel qual ea antigen/ab
CPT 86331
|
$21.00
|
$140.00
|
$5.99 – $26.12
|
17 |
|
Immunodiffusion nes
CPT 86329
|
$22.80
|
$152.00
|
$7.03 – $30.63
|
17 |
|
Immunofixation electrophoresis serum
CPT 86334
|
$39.15
|
$261.00
|
$11.17 – $48.70
|
17 |
|
Immunofluorescence per specimen each additional single antibody stain
CPT 88350
|
$52.35
|
$349.00
|
$39.34 – $185.94
|
6 |
|
Immunofluorescence per specimen initial single antibody stain
CPT 88346
|
$93.75
|
$625.00
|
$26.61 – $362.38
|
17 |
|
Immunoglobulin assay
CPT 86023
|
$21.90
|
$146.00
|
$6.23 – $27.16
|
17 |
|
Immunology procedure
CPT 86849
|
$28.95
|
$193.00
|
$11.50 – $12.42
|
6 |
|
Implant neuroelectrodes
CPT 64561
|
$2,989.95
|
$19,933.00
|
$836.94 – $13,555.31
|
17 |
|
In-111 autol wbc diag per dose
HCPCS A9570
|
$654.30
|
$4,362.00
|
$928.25 – $2,404.95
|
16 |
|
In-111 ibritumomab tiux dx
HCPCS A9542
|
$1,447.05
|
$9,647.00
|
$718.22 – $5,956.05
|
2 |
|
In-111 pentetate dtpa / 0.5 mci
HCPCS A9548
|
$592.95
|
$3,953.00
|
$640.78 – $1,625.45
|
16 |
|
In-111 pentetreotide
HCPCS A9572
|
$1,179.75
|
$7,865.00
|
$1,723.15 – $4,362.05
|
16 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$471.15
|
$3,141.00
|
$85.01 – $3,512.94
|
17 |
|
Incision of achilles tendon
CPT 27605
|
$690.90
|
$4,606.00
|
$1,340.76 – $3,420.19
|
17 |
|
Incision of burn scab initi
CPT 16035
|
$63.15
|
$421.00
|
$265.85 – $864.65
|
17 |
|
Incision of tongue fold
CPT 41010
|
$670.95
|
$4,473.00
|
$1,130.34 – $3,300.21
|
17 |
|
Incisn of toe tndn
CPT 28010
|
$753.60
|
$5,024.00
|
$1,340.76 – $3,420.19
|
17 |
|
Incisn windpipe
CPT 31600
|
$1,298.70
|
$8,658.00
|
$2,184.11 – $7,051.96
|
17 |
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
HCPCS J9220
|
$355.08
|
$2,367.20
|
$8.96 – $20.28
|
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
|
16 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$228.15
|
$1,521.00
|
$65.18 – $284.16
|
17 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$20.10
|
$134.00
|
$7.07 – $30.80
|
17 |
|
Infect ag genotype na cytomegalovirus
CPT 87910
|
$388.80
|
$2,592.00
|
$128.73 – $561.24
|
17 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$388.80
|
$2,592.00
|
$128.73 – $561.24
|
17 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$178.05
|
$1,187.00
|
$64.37 – $280.63
|
17 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$388.35
|
$2,589.00
|
$128.73 – $561.24
|
17 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$20.10
|
$134.00
|
$8.28 – $36.08
|
17 |
|
Infect ag if hep delta agent
CPT 87380
|
$28.80
|
$192.00
|
$9.18 – $40.02
|
17 |
|
Infect ag if legionella pneumophila
CPT 87278
|
$20.10
|
$134.00
|
$7.80 – $34.01
|
17 |
|
Infect ag if nos ea
CPT 87299
|
$20.10
|
$134.00
|
$8.05 – $35.10
|
17 |
|
Infect ag if varicella zoster
CPT 87290
|
$20.10
|
$134.00
|
$6.71 – $29.26
|
17 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$30.75
|
$205.00
|
$17.55 – $76.50
|
17 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$148.95
|
$993.00
|
$47.90 – $208.84
|
17 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$15.00
|
$100.00
|
$25.66 – $111.86
|
17 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$374.85
|
$2,499.00
|
$188.84 – $908.58
|
17 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$12.15
|
$81.00
|
$10.36 – $90.21
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$20.10
|
$134.00
|
$6.71 – $29.26
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$20.10
|
$134.00
|
$6.91 – $30.13
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$21.00
|
$140.00
|
$5.99 – $26.12
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$25.20
|
$168.00
|
$7.19 – $31.35
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$17.40
|
$116.00
|
$5.17 – $22.52
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$17.40
|
$116.00
|
$5.17 – $22.52
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$42.15
|
$281.00
|
$10.36 – $52.49
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
17 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$20.10
|
$134.00
|
$5.99 – $26.12
|
17 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
17 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
17 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$61.50
|
$410.00
|
$18.64 – $81.25
|
17 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$733.80
|
$4,892.00
|
$188.84 – $908.58
|
17 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
17 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
17 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$61.50
|
$410.00
|
$20.84 – $90.86
|
17 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
17 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$15.00
|
$100.00
|
$25.66 – $111.86
|
17 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$47.10
|
$314.00
|
$61.07 – $310.93
|
17 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$61.50
|
$410.00
|
$61.07 – $310.93
|
17 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$61.50
|
$410.00
|
$17.55 – $76.50
|
17 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$30.90
|
$206.00
|
$17.55 – $76.50
|
17 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$34.80
|
$232.00
|
$38.39 – $167.36
|
16 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$402.60
|
$2,684.00
|
$188.84 – $908.58
|
17 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$224.10
|
$1,494.00
|
$64.15 – $279.67
|
17 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$372.75
|
$2,485.00
|
$131.50 – $573.32
|
17 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$75.15
|
$501.00
|
$21.42 – $93.39
|
17 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$75.15
|
$501.00
|
$21.42 – $93.39
|
17 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$75.15
|
$501.00
|
$21.42 – $93.39
|
17 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$148.95
|
$993.00
|
$42.55 – $185.52
|
17 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$124.20
|
$828.00
|
$71.32 – $310.93
|
17 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$636.43
|
$4,242.88
|
$31.71 – $1,217.07
|
17 |
|
Influenza dna amp prob addl
CPT 87503
|
$36.45
|
$243.00
|
$14.61 – $63.70
|
17 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$53.55
|
$357.00
|
$73.82 – $465.76
|
17 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$234.75
|
$1,565.00
|
$56.16 – $465.76
|
17 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$0.15
|
$1.00
|
$1.00 – $1,661.02
|
6 |
|
Inj acetaminophen -fresenius
HCPCS J0134
|
$33.38
|
$222.54
|
$0.05 – $0.14
|
3 |
|
Inj., aristada initio, 1 mg
HCPCS J1943
|
$0.15
|
$1.00
|
$1.00 – $1,277.92
|
6 |
|
Inj, cefiderocol, 10 mg
HCPCS J0699
|
$287.35
|
$1,915.69
|
$1.81 – $152.74
|
17 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$189.44
|
$1,262.93
|
$3.85 – $152.74
|
17 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$169.05
|
$1,127.00
|
$439.99 – $461.99
|
5 |
|
Inj dx for sinogram
CPT 20501
|
$202.65
|
$1,351.00
|
$439.99 – $461.99
|
5 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$312.90
|
$2,086.00
|
$510.02 – $1,501.40
|
17 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$169.05
|
$1,127.00
|
$439.99 – $461.99
|
5 |
|
Injection, cangrelor
HCPCS C9460
|
$922.96
|
$6,153.07
|
$14.29 – $611.51
|
17 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$165.90
|
$1,106.00
|
$56.91 – $652.88
|
17 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$67.35
|
$449.00
|
$126.86 – $461.99
|
5 |
|
Injection epidural blood patch or clot
CPT 62273
|
$352.95
|
$2,353.00
|
$172.83 – $1,501.40
|
17 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$60.75
|
$405.00
|
$37.67 – $461.99
|
5 |
|
Injection for bladder x-ray
CPT 51600
|
$66.90
|
$446.00
|
$439.99 – $461.99
|
5 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$197.40
|
$1,316.00
|
$439.99 – $461.99
|
5 |
|
Injection for ureter x-ray
CPT 50690
|
$264.30
|
$1,762.00
|
$439.99 – $461.99
|
5 |
|
Injection, fulvestrant
HCPCS J9395
|
$1,293.80
|
$8,625.36
|
$8.73 – $150.23
|
6 |