|
Infect ag ia optc obs influenza
CPT 87804
|
$19.78
|
$86.00
|
$14.80 – $36.81
|
6 |
|
Infect ag if hep delta agent
CPT 87380
|
$28.29
|
$123.00
|
$14.80 – $40.42
|
6 |
|
Infect ag if varicella zoster
CPT 87290
|
$19.78
|
$86.00
|
$13.42 – $29.59
|
6 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$30.13
|
$131.00
|
$35.09 – $90.76
|
6 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$146.28
|
$636.00
|
$95.80 – $280.67
|
6 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$14.72
|
$64.00
|
$46.05 – $90.76
|
5 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$368.00
|
$1,600.00
|
$269.87 – $918.83
|
6 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$11.73
|
$51.00
|
$14.80 – $51.00
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$19.78
|
$86.00
|
$11.98 – $26.71
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$19.78
|
$86.00
|
$13.82 – $30.31
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$20.47
|
$89.00
|
$11.98 – $26.71
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$24.61
|
$107.00
|
$14.38 – $31.76
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$17.02
|
$74.00
|
$10.33 – $23.10
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$17.02
|
$74.00
|
$10.33 – $23.10
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$41.40
|
$180.00
|
$14.80 – $53.41
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$19.78
|
$86.00
|
$11.98 – $26.71
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$19.78
|
$86.00
|
$11.98 – $26.71
|
6 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$19.78
|
$86.00
|
$11.98 – $26.71
|
6 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$60.03
|
$261.00
|
$35.09 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$60.03
|
$261.00
|
$35.09 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$60.03
|
$261.00
|
$37.27 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$720.13
|
$3,131.00
|
$269.87 – $918.83
|
6 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$60.03
|
$261.00
|
$35.09 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$60.03
|
$261.00
|
$35.09 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$60.03
|
$261.00
|
$41.68 – $91.67
|
6 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$60.03
|
$261.00
|
$35.09 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$14.72
|
$64.00
|
$46.18 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$46.23
|
$201.00
|
$87.27 – $201.00
|
6 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$60.26
|
$262.00
|
$87.27 – $262.00
|
6 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$60.03
|
$261.00
|
$35.09 – $90.76
|
6 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$30.36
|
$132.00
|
$35.09 – $90.76
|
6 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$34.27
|
$149.00
|
$69.09 – $76.77
|
2 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$395.14
|
$1,718.00
|
$269.87 – $918.83
|
6 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$219.88
|
$956.00
|
$128.29 – $282.94
|
6 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$365.93
|
$1,591.00
|
$261.41 – $579.59
|
6 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$73.83
|
$321.00
|
$42.84 – $94.55
|
6 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$73.83
|
$321.00
|
$42.84 – $94.55
|
6 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$73.83
|
$321.00
|
$42.84 – $94.55
|
6 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$146.28
|
$636.00
|
$85.10 – $187.66
|
6 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$52.67
|
$229.00
|
$79.13 – $109.72
|
5 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$230.23
|
$1,001.00
|
$59.17 – $268.83
|
5 |
|
Injection, fulvestrant
HCPCS J9395
|
$1,983.83
|
$8,625.36
|
$8.73 – $212.65
|
6 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$474.03
|
$2,061.00
|
$1,006.63 – $1,046.90
|
5 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$201.94
|
$878.00
|
$57.16 – $758.02
|
5 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$231.15
|
$1,005.00
|
$47.63 – $468.74
|
5 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$241.50
|
$1,050.00
|
$56.91 – $468.74
|
5 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
CPT 96375
|
$27.37
|
$119.00
|
$21.16 – $97.66
|
5 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$42.78
|
$186.00
|
$13.13 – $97.66
|
5 |
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
CPT 96374
|
$58.65
|
$255.00
|
$31.33 – $97.66
|
5 |
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
CPT 96372
|
$31.51
|
$137.00
|
$19.18 – $97.66
|
5 |
|
Inj intralesional <= 7 lsn(s)
CPT 11900
|
$81.88
|
$356.00
|
$35.47 – $329.95
|
5 |
|
Inj, lidocaine w epinephrine
HCPCS J2004
|
$4.49
|
$19.50
|
$7.62 – $7.62
|
1 |
|
Inj mepivacaine hcl/10 ml
HCPCS J0670
|
$37.91
|
$164.82
|
$2.17 – $6.95
|
2 |
|
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 – $4,524.20
|
5 |
|
Insert cath pleura without image
CPT 32556
|
$1,039.60
|
$4,520.00
|
$1,836.29 – $1,909.74
|
5 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$34.27
|
$149.00
|
$149.00 – $158.54
|
5 |
|
Insertion catheter bladder temporary simple
CPT 51702
|
$42.32
|
$184.00
|
$152.44 – $158.54
|
5 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$529.00
|
$2,300.00
|
$285.81 – $2,226.03
|
5 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$505.08
|
$2,196.00
|
$2,140.41 – $2,226.03
|
5 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$1,027.64
|
$4,468.00
|
$2,140.41 – $2,226.03
|
5 |
|
Insert swan-ganz cath
CPT 93503
|
$1,784.11
|
$7,757.00
|
$2,140.41 – $2,226.03
|
5 |
|
Insitu hybridization auto
CPT 88367
|
$218.27
|
$949.00
|
$33.13 – $303.53
|
6 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$91.54
|
$398.00
|
$59.21 – $217.69
|
6 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$132.25
|
$575.00
|
$34.56 – $303.53
|
6 |
|
Insj phrnc nrv stim sys
CPT 33276
|
$13,714.21
|
$59,627.00
|
$35,224.06 – $36,633.02
|
5 |
|
Insj phrnc nrv stim transvns
CPT 33277
|
$5,233.65
|
$22,755.00
|
$5,799.08 – $6,031.04
|
5 |
|
Ins left heart vent thor inscn ecmo
CPT 33988
|
$454.48
|
$1,976.00
|
$14,465.65 – $15,044.28
|
5 |
|
Ins picc wo subq prt/pmp w image guidnc <5yr
CPT 36572
|
$1,008.55
|
$4,385.00
|
$1,931.41 – $2,226.03
|
5 |
|
Instll rx agnt into rnal tub
CPT 50391
|
$126.50
|
$550.00
|
$550.00 – $756.41
|
5 |
|
Insulin total
CPT 83525
|
$19.55
|
$85.00
|
$11.43 – $25.26
|
6 |
|
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
|
$65.29 – $67.90
|
5 |
|
Interrog&prgrmg ipnss polysm
CPT 93152
|
$144.21
|
$627.00
|
$65.29 – $67.90
|
5 |
|
Interrog without prgrmg ipnss
CPT 93153
|
$144.21
|
$627.00
|
$65.29 – $67.90
|
5 |
|
Intrinsic factor antibody
CPT 86340
|
$25.76
|
$112.00
|
$15.08 – $33.20
|
6 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$230.46
|
$1,002.00
|
$729.25 – $1,402.52
|
5 |
|
Iodine i-123 sod iodide mil
HCPCS A9509
|
$48.99
|
$213.00
|
$133.96 – $213.00
|
2 |
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
HCPCS Q9966
|
$70.27
|
$305.52
|
$1.14 – $119.46
|
2 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$93.38
|
$406.02
|
$0.30 – $46.77
|
2 |
|
Ip/obs cnsltj new/est low 45
CPT 99253
|
$70.84
|
$308.00
|
$99.86 – $106.74
|
2 |
|
Ipratropium bromide non-comp
HCPCS J7644
|
$1.67
|
$7.25
|
$0.40 – $2.83
|
2 |
|
Iron
CPT 83540
|
$11.04
|
$48.00
|
$2.31 – $14.44
|
6 |
|
Iron binding capacity
CPT 83550
|
$15.18
|
$66.00
|
$2.31 – $19.49
|
6 |
|
Iron dextran 50 mg/ml injection solution
HCPCS J1750
|
$30.19
|
$131.27
|
$10.65 – $201.74
|
6 |
|
Irradiation of blood product each unit reference
CPT 86945
|
$119.83
|
$521.00
|
$13.44 – $162.56
|
6 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$28.98
|
$126.00
|
$24.74 – $97.66
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
CPT 96367
|
$43.24
|
$188.00
|
$31.14 – $536.17
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$25.07
|
$109.00
|
$18.55 – $536.17
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
CPT 96366
|
$35.42
|
$154.00
|
$19.87 – $969.52
|
5 |
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
CPT 96365
|
$90.85
|
$395.00
|
$61.37 – $536.17
|
5 |
|
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
|
$20.77 – $21.60
|
5 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$14.26
|
$62.00
|
$8.17 – $18.04
|
6 |
|
Ketorolac 15 mg/ml injection (wrapper)
HCPCS J1885
|
$6.75
|
$29.35
|
$0.53 – $1.05
|
3 |
|
Kidney (Retroperitoneal) Ultrasound (complete)
CPT 76770
|
$99.82
|
$434.00
|
$86.68 – $312.26
|
6 |
|
Kit gene analys d816 variant
CPT 81273
|
$106.26
|
$462.00
|
$65.29 – $275.00
|
6 |
|
Knee MRI (with and without contrast)
CPT 73723
|
$656.19
|
$2,853.00
|
$480.63 – $786.00
|
6 |
|
Knee MRI (without contrast)
CPT 73721
|
$603.52
|
$2,624.00
|
$304.57 – $786.00
|
6 |
|
Knee X-ray
CPT 73564
|
$78.66
|
$342.00
|
$36.93 – $105.12
|
6 |