|
Incisn of toe tndn
CPT 28010
|
$1,867.00
|
$3,734.00
|
$144.10 – $2,876.82
|
31 |
|
Incisn windpipe
CPT 31600
|
$3,810.50
|
$7,621.00
|
$205.80 – $5,931.62
|
31 |
|
Incobotulinumtoxin a
HCPCS J0588
|
$5.50
|
$11.00
|
$5.28 – $9.24
|
25 |
|
Induced abortion d&c
CPT 59840
|
$3,711.50
|
$7,423.00
|
$205.80 – $5,791.45
|
31 |
|
Infect ag drug suscept pheno predict
CPT 87900
|
$63.50
|
$127.00
|
$123.19 – $205.95
|
31 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$71.50
|
$143.00
|
$6.70 – $22.33
|
31 |
|
Infect ag genotype na dna hepatitis b
CPT 87912
|
$230.00
|
$460.00
|
$243.30 – $406.77
|
31 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$185.00
|
$370.00
|
$121.65 – $203.39
|
31 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$356.50
|
$713.00
|
$243.30 – $406.77
|
31 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$195.00
|
$390.00
|
$12.49 – $26.15
|
31 |
|
Infect ag if legionella pneumophila
CPT 87278
|
$59.00
|
$118.00
|
$14.74 – $24.65
|
30 |
|
Infect ag if varicella zoster
CPT 87290
|
$77.00
|
$154.00
|
$12.68 – $21.20
|
30 |
|
Infect ag na herpes simplex quant
CPT 87530
|
$81.50
|
$163.00
|
$40.49 – $67.69
|
30 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$410.00
|
$820.00
|
$33.16 – $55.44
|
31 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$97.50
|
$195.00
|
$90.53 – $151.36
|
31 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$90.00
|
$180.00
|
$43.75 – $81.07
|
31 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$1,259.00
|
$2,518.00
|
$393.86 – $658.51
|
31 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$67.00
|
$134.00
|
$12.66 – $65.38
|
31 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$77.50
|
$155.00
|
$11.32 – $18.93
|
30 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
CPT 87327
|
$85.00
|
$170.00
|
$12.68 – $21.20
|
31 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$53.85
|
$107.70
|
$13.06 – $21.84
|
30 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$125.50
|
$251.00
|
$11.32 – $18.93
|
31 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$32.50
|
$65.00
|
$13.59 – $22.72
|
30 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$54.00
|
$108.00
|
$9.77 – $16.32
|
31 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$25.00
|
$50.00
|
$9.77 – $16.32
|
31 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$64.00
|
$128.00
|
$22.75 – $38.05
|
31 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$98.00
|
$196.00
|
$11.32 – $18.93
|
30 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$90.00
|
$180.00
|
$11.32 – $18.93
|
30 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$54.00
|
$108.00
|
$11.32 – $18.93
|
31 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$490.50
|
$981.00
|
$25.51 – $55.44
|
31 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$124.50
|
$249.00
|
$25.51 – $55.44
|
31 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$97.50
|
$195.00
|
$35.22 – $58.89
|
31 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$426.50
|
$853.00
|
$393.86 – $658.51
|
30 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$121.50
|
$243.00
|
$33.16 – $55.44
|
30 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$178.00
|
$356.00
|
$33.16 – $55.44
|
31 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$87.00
|
$174.00
|
$39.39 – $65.85
|
30 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$85.00
|
$170.00
|
$25.51 – $55.44
|
31 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$65.00
|
$130.00
|
$39.04 – $81.07
|
31 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$100.00
|
$200.00
|
$124.15 – $225.36
|
31 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$278.50
|
$557.00
|
$124.15 – $225.36
|
31 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$99.00
|
$198.00
|
$33.16 – $55.44
|
30 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$80.50
|
$161.00
|
$33.16 – $55.44
|
31 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$293.00
|
$586.00
|
$72.54 – $121.30
|
30 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$582.50
|
$1,165.00
|
$393.86 – $658.51
|
30 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$337.50
|
$675.00
|
$248.52 – $415.52
|
30 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$478.00
|
$956.00
|
$40.49 – $67.69
|
30 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$445.00
|
$890.00
|
$40.49 – $67.69
|
31 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$356.50
|
$713.00
|
$40.49 – $67.69
|
31 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$371.50
|
$743.00
|
$80.42 – $134.46
|
31 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$277.50
|
$555.00
|
$134.79 – $225.36
|
31 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$3,142.13
|
$6,284.25
|
$30.83 – $53.95
|
25 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$4,984.65
|
$9,969.30
|
$27.71 – $48.49
|
24 |
|
Influenza virus vaccine, live trivalent intranasal
CPT 90660
|
$24.50
|
$49.00
|
$11.00 – $27.56
|
2 |
|
Inf thrc fascial pln blk bi w/wo image
CPT 64469
|
$320.00
|
$640.00
|
$76.00 – $209.72
|
30 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$187.50
|
$375.00
|
$72.27 – $209.72
|
30 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$238.00
|
$476.00
|
$34.32 – $391.77
|
25 |
|
Initial nursing facility care/day 35 minutes
CPT 99305
|
$134.00
|
$268.00
|
$98.83 – $207.41
|
29 |
|
Initial nursing facility care/day 45 minutes
CPT 99306
|
$170.00
|
$340.00
|
$135.37 – $282.73
|
29 |
|
Initial nursing facility care/day low severity 99304
CPT 99304
|
$94.50
|
$189.00
|
$59.97 – $122.64
|
29 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$268.50
|
$537.00
|
not published
|
0 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$199.50
|
$399.00
|
$91.36 – $93.10
|
7 |
|
Init/sub psych care m 1st 30
HCPCS G2214
|
$103.00
|
$206.00
|
$28.31 – $181.75
|
31 |
|
Inj, abilify asimtufii, 1 mg
HCPCS J0402
|
$12.50
|
$25.00
|
$6.18 – $10.82
|
25 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$14.50
|
$29.00
|
$7.46 – $13.06
|
25 |
|
Inj, acetaminophen (b braun)
HCPCS J0136
|
$10.80
|
$21.60
|
$0.10 – $0.10
|
1 |
|
Inj, adstiladrin, per tx dos
HCPCS J9029
|
$80,745.00
|
$161,490.00
|
$64,331.61 – $112,580.32
|
25 |
|
Inj, aflibercept hd, 1 mg
HCPCS J0177
|
$768.50
|
$1,537.00
|
$298.68 – $522.69
|
24 |
|
Inj anifrolumab-fnia 1mg
HCPCS J0491
|
$41.00
|
$82.00
|
$18.51 – $32.39
|
25 |
|
Inj avacincaptad pegol 0.1mg
HCPCS J2782
|
$236.50
|
$473.00
|
$103.20 – $180.60
|
24 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$439.00
|
$878.00
|
$165.56 – $289.73
|
25 |
|
Inj, bezlotoxumab, 10 mg
HCPCS J0565
|
$103.00
|
$206.00
|
$39.83 – $69.70
|
25 |
|
Inj bimatoprost itc imp1mcg
HCPCS J7351
|
$456.00
|
$912.00
|
$213.76 – $374.08
|
25 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$889.07
|
$1,778.13
|
$1.37 – $2.40
|
24 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$6.89
|
$13.78
|
$1.72 – $1.72
|
1 |
|
Inj cefazolin (wg crit care)
HCPCS J0687
|
$7.34
|
$14.68
|
not published
|
0 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$18.50
|
$37.00
|
$10.04 – $17.57
|
25 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$277.00
|
$554.00
|
$88.00 – $232.80
|
31 |
|
Inj dupuytren cord w/enzyme
CPT 20527
|
$353.00
|
$706.00
|
$49.93 – $549.17
|
31 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$4,337.15
|
$8,674.30
|
$6.24 – $10.92
|
25 |
|
Inj dx for sinogram
CPT 20501
|
$639.00
|
$1,278.00
|
$31.55 – $107.00
|
31 |
|
Inject for sacroiliac joint
HCPCS G0259
|
$1,014.00
|
$2,028.00
|
not published
|
0 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$3,431.00
|
$6,862.00
|
$721.64 – $1,262.87
|
24 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$456.00
|
$912.00
|
$51.47 – $102.53
|
31 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$435.00
|
$870.00
|
$43.24 – $549.17
|
31 |
|
Injection, casimersen, 10 mg
HCPCS J1426
|
$271.50
|
$543.00
|
$166.17 – $290.80
|
25 |
|
Injection epidural blood patch or clot
CPT 62273
|
$862.00
|
$1,724.00
|
$52.80 – $1,262.87
|
31 |
|
Injection eye drug
CPT 67028
|
$445.50
|
$891.00
|
$116.47 – $590.94
|
30 |
|
Injection for bladder x-ray
CPT 51600
|
$493.00
|
$986.00
|
$35.20 – $209.72
|
31 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$148.00
|
$296.00
|
$36.30 – $209.72
|
31 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$7,608.20
|
$15,216.39
|
$12.90 – $22.58
|
25 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$1,400.00
|
$2,800.00
|
$6.51 – $11.39
|
25 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$653.00
|
$1,306.00
|
$24.19 – $715.23
|
30 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$3,125.00
|
$6,250.00
|
$721.64 – $1,262.87
|
24 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$1,058.50
|
$2,117.00
|
$48.38 – $1,262.87
|
30 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$1,058.50
|
$2,117.00
|
$23.10 – $1,262.87
|
31 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$4,205.00
|
$8,410.00
|
$104.54 – $1,582.40
|
31 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,761.67
|
$3,523.33
|
$51.13 – $209.72
|
31 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$3,523.34
|
$7,046.67
|
$94.12 – $1,582.40
|
31 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$981.67
|
$1,963.33
|
$43.81 – $209.72
|
31 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$1,963.34
|
$3,926.67
|
$79.21 – $1,582.40
|
31 |