|
Incobotulinumtoxin a
HCPCS J0588
|
$127.50
|
$255.00
|
$8.56 – $8.56
|
1 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$63.50
|
$127.00
|
not published
|
0 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$35.00
|
$70.00
|
not published
|
0 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$185.00
|
$370.00
|
not published
|
0 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$125.00
|
$250.00
|
not published
|
0 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$31.00
|
$62.00
|
not published
|
0 |
|
Infect ag if varicella zoster
CPT 87290
|
$77.00
|
$154.00
|
not published
|
0 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$50.00
|
$100.00
|
not published
|
0 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$155.50
|
$311.00
|
not published
|
0 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$534.00
|
$1,068.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$67.00
|
$134.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$124.50
|
$249.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$72.00
|
$144.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$59.00
|
$118.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$32.50
|
$65.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$133.50
|
$267.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$30.00
|
$60.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$68.00
|
$136.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$98.00
|
$196.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$56.00
|
$112.00
|
not published
|
0 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$24.00
|
$48.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$617.00
|
$1,234.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$97.50
|
$195.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$151.50
|
$303.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$622.50
|
$1,245.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$163.50
|
$327.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$65.50
|
$131.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$174.00
|
$348.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$97.50
|
$195.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$71.50
|
$143.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$393.00
|
$786.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$132.50
|
$265.00
|
not published
|
0 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$158.50
|
$317.00
|
not published
|
0 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$293.00
|
$586.00
|
not published
|
0 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$744.50
|
$1,489.00
|
not published
|
0 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$689.50
|
$1,379.00
|
not published
|
0 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$190.00
|
$380.00
|
not published
|
0 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$161.50
|
$323.00
|
not published
|
0 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$336.50
|
$673.00
|
not published
|
0 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$139.50
|
$279.00
|
not published
|
0 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$370.00
|
$740.00
|
not published
|
0 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$6,758.34
|
$13,516.68
|
$53.06 – $53.06
|
1 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$5,586.00
|
$11,172.00
|
$42.17 – $42.17
|
1 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$4,984.65
|
$9,969.30
|
not published
|
0 |
|
Influenza virus vaccine, live trivalent intranasal
CPT 90660
|
$36.50
|
$73.00
|
$27.56 – $27.56
|
1 |
|
Inf thrc fascial pln blk bi w/wo image
CPT 64469
|
$266.50
|
$533.00
|
not published
|
0 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$156.50
|
$313.00
|
not published
|
0 |
|
Initial hosp neonate 28 d/less than not critically ill 99477
CPT 99477
|
$368.00
|
$736.00
|
not published
|
0 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$144.00
|
$288.00
|
not published
|
0 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$185.00
|
$370.00
|
not published
|
0 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$82.50
|
$165.00
|
not published
|
0 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$419.00
|
$838.00
|
not published
|
0 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$132.50
|
$265.00
|
not published
|
0 |
|
Init/sub psych care m 1st 30
HCPCS G2214
|
$38.50
|
$77.00
|
not published
|
0 |
|
Inj, abilify asimtufii, 1 mg
HCPCS J0402
|
$8.50
|
$17.00
|
$9.70 – $9.70
|
1 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$10.00
|
$20.00
|
$11.24 – $11.24
|
1 |
|
Inj, acetaminophen (b braun)
HCPCS J0136
|
$7.20
|
$14.40
|
$0.10 – $0.10
|
1 |
|
Inj acetaminophen -fresenius
HCPCS J0134
|
$5.85
|
$11.70
|
$0.08 – $0.08
|
1 |
|
Inj, adstiladrin, per tx dos
HCPCS J9029
|
$69,210.00
|
$138,420.00
|
$101,970.00 – $101,970.00
|
1 |
|
Inj, aflibercept hd, 1 mg
HCPCS J0177
|
$5,800.00
|
$11,600.00
|
not published
|
0 |
|
Inj anifrolumab-fnia 1mg
HCPCS J0491
|
$7,844.06
|
$15,688.11
|
$28.35 – $28.35
|
1 |
|
Inj avacincaptad pegol 0.1mg
HCPCS J2782
|
$157.50
|
$315.00
|
not published
|
0 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$7,761.96
|
$15,523.92
|
$279.68 – $279.68
|
1 |
|
Inj, bezlotoxumab, 10 mg
HCPCS J0565
|
$68.50
|
$137.00
|
$65.77 – $65.77
|
1 |
|
Inj bimatoprost itc imp1mcg
HCPCS J7351
|
$304.00
|
$608.00
|
$340.25 – $340.25
|
1 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$740.89
|
$1,481.78
|
not published
|
0 |
|
Inj, cefepime hcl (b braun)
HCPCS J0703
|
$25.82
|
$51.63
|
$8.70 – $8.70
|
1 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$12.50
|
$25.00
|
$12.16 – $12.16
|
1 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$238.50
|
$477.00
|
not published
|
0 |
|
Inj dupuytren cord w/enzyme
CPT 20527
|
$67.00
|
$134.00
|
not published
|
0 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$1,445.72
|
$2,891.43
|
$10.13 – $10.13
|
1 |
|
Inj dx for sinogram
CPT 20501
|
$36.00
|
$72.00
|
not published
|
0 |
|
Inject for sacroiliac joint
HCPCS G0259
|
$805.00
|
$1,610.00
|
not published
|
0 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$2,590.50
|
$5,181.00
|
not published
|
0 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$393.00
|
$786.00
|
not published
|
0 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$57.50
|
$115.00
|
not published
|
0 |
|
Injection, casimersen, 10 mg
HCPCS J1426
|
$181.00
|
$362.00
|
$274.28 – $274.28
|
1 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,047.00
|
$2,094.00
|
not published
|
0 |
|
Injection eye drug
CPT 67028
|
$843.00
|
$1,686.00
|
not published
|
0 |
|
Injection for bladder x-ray
CPT 51600
|
$844.50
|
$1,689.00
|
not published
|
0 |
|
Injection for hip x-ray
CPT 27095
|
$81.50
|
$163.00
|
not published
|
0 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$48.50
|
$97.00
|
not published
|
0 |
|
Injection, fulvestrant
HCPCS J9395
|
$487.50
|
$975.00
|
$13.94 – $13.94
|
1 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$18.00
|
$36.00
|
$20.01 – $20.01
|
1 |
|
Injection into hemorrhoid(s)
CPT 46500
|
$208.00
|
$416.00
|
not published
|
0 |
|
Injection jugular
CPT 36299
|
$118.50
|
$237.00
|
not published
|
0 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$1,000.00
|
$2,000.00
|
$10.44 – $10.44
|
1 |
|
Injection px peyronie ds
CPT 54200
|
$91.50
|
$183.00
|
not published
|
0 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$712.00
|
$1,424.00
|
not published
|
0 |
|
Injection, renflexis
HCPCS Q5104
|
$3,993.72
|
$7,987.44
|
not published
|
0 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$1,022.50
|
$2,045.00
|
not published
|
0 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$4,368.00
|
$8,736.00
|
not published
|
0 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$4,928.00
|
$9,856.00
|
not published
|
0 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$1,491.50
|
$2,983.00
|
not published
|
0 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$507.00
|
$1,014.00
|
not published
|
0 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$1,014.00
|
$2,028.00
|
not published
|
0 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$402.50
|
$805.00
|
not published
|
0 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$805.00
|
$1,610.00
|
not published
|
0 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$1,394.00
|
$2,788.00
|
not published
|
0 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,025.34
|
$2,050.67
|
not published
|
0 |