|
Infect ag phenotype na hiv-1 1-10 drugs
CPT 87903
|
$113.75
|
$227.50
|
$461.78 – $772.08
|
28 |
|
Infect ag phenotype na hiv-1 ea addl drg
CPT 87904
|
$1,368.75
|
$2,737.50
|
$24.63 – $41.19
|
28 |
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
CPT 87811
|
$67.00
|
$134.00
|
$39.10 – $65.38
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$106.50
|
$213.00
|
$11.32 – $18.93
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$44.50
|
$89.00
|
$13.06 – $21.84
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$52.50
|
$105.00
|
$11.32 – $18.93
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$32.50
|
$65.00
|
$13.59 – $22.72
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$61.00
|
$122.00
|
$9.77 – $16.32
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$25.00
|
$50.00
|
$9.77 – $16.32
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$45.50
|
$91.00
|
$22.75 – $38.05
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$98.00
|
$196.00
|
$11.32 – $18.93
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$194.50
|
$389.00
|
$11.32 – $18.93
|
28 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$46.00
|
$92.00
|
$11.32 – $18.93
|
28 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$489.00
|
$978.00
|
$33.16 – $55.44
|
28 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$184.50
|
$369.00
|
$33.16 – $55.44
|
28 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$44.50
|
$89.00
|
$35.22 – $58.89
|
28 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$504.00
|
$1,008.00
|
$393.86 – $658.51
|
28 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$112.50
|
$225.00
|
$33.16 – $55.44
|
28 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$49.50
|
$99.00
|
$33.16 – $55.44
|
28 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$290.00
|
$580.00
|
$39.39 – $65.85
|
28 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$198.00
|
$396.00
|
$33.16 – $55.44
|
28 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$65.00
|
$130.00
|
$48.49 – $81.07
|
28 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$95.00
|
$190.00
|
$134.79 – $225.36
|
28 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
CPT 87637
|
$265.00
|
$530.00
|
$134.79 – $225.36
|
28 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$88.00
|
$176.00
|
$33.16 – $55.44
|
28 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$149.00
|
$298.00
|
$33.16 – $55.44
|
28 |
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
CPT 87564
|
$293.00
|
$586.00
|
$72.54 – $121.30
|
28 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$598.00
|
$1,196.00
|
$393.86 – $658.51
|
28 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$353.00
|
$706.00
|
$248.52 – $415.52
|
28 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$613.13
|
$1,226.25
|
$40.49 – $67.69
|
28 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$239.50
|
$479.00
|
$40.49 – $67.69
|
28 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$306.50
|
$613.00
|
$40.49 – $67.69
|
28 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$611.50
|
$1,223.00
|
$80.42 – $134.46
|
28 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$534.00
|
$1,068.00
|
$134.79 – $225.36
|
28 |
|
Infliximab 100 mg intravenous solution
HCPCS J1745
|
$18,022.24
|
$36,044.48
|
$31.48 – $55.09
|
22 |
|
Infliximab-axxq 100 mg intravenous solution
HCPCS Q5121
|
$6,284.25
|
$12,568.50
|
$30.83 – $53.95
|
22 |
|
Infliximab-dyyb 100 mg intravenous solution
HCPCS Q5103
|
$17,723.20
|
$35,446.40
|
$27.71 – $48.49
|
22 |
|
Influenza virus vaccine, live trivalent intranasal
CPT 90660
|
$24.50
|
$49.00
|
$49.00 – $49.00
|
1 |
|
Inf thrc fascial pln blk bi w/wo image
CPT 64469
|
$320.00
|
$640.00
|
$76.00 – $209.72
|
28 |
|
Inf thrc fascial pln blk uni w/wo image
CPT 64467
|
$187.50
|
$375.00
|
$72.27 – $209.72
|
28 |
|
Infuse radioactive materials
CPT 77750
|
$739.50
|
$1,479.00
|
$196.88 – $644.30
|
28 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$252.00
|
$504.00
|
$209.03 – $365.80
|
21 |
|
Initiation & management bipap/cpap initial day
CPT 94660
|
$407.50
|
$815.00
|
not published
|
0 |
|
Init pm e/m new pat 65+ yrs
CPT 99387
|
$98.50
|
$197.00
|
$91.36 – $93.10
|
7 |
|
Init/sub psych care m 1st 30
HCPCS G2214
|
$156.50
|
$313.00
|
$28.31 – $67.88
|
28 |
|
Inj, abilify asimtufii, 1 mg
HCPCS J0402
|
$12.50
|
$25.00
|
$6.18 – $10.82
|
22 |
|
Inj, abilify maintena, 1 mg
HCPCS J0401
|
$5,762.30
|
$11,524.59
|
$7.46 – $13.06
|
22 |
|
Inj, acetaminophen (b braun)
HCPCS J0136
|
$25.32
|
$50.64
|
$0.08 – $0.08
|
1 |
|
Inj acetaminophen -fresenius
HCPCS J0134
|
$17.55
|
$35.10
|
$0.10 – $0.10
|
1 |
|
Inj, adstiladrin, per tx dos
HCPCS J9029
|
$80,745.00
|
$161,490.00
|
$64,331.61 – $112,580.32
|
22 |
|
Inj, aflibercept hd, 1 mg
HCPCS J0177
|
$768.50
|
$1,537.00
|
$298.68 – $522.69
|
22 |
|
Inj, amisulpride, 1 mg
HCPCS J0184
|
$193.21
|
$386.42
|
$9.57 – $16.75
|
22 |
|
Inj anifrolumab-fnia 1mg
HCPCS J0491
|
$10,458.74
|
$20,917.48
|
$18.51 – $32.39
|
22 |
|
Inj avacincaptad pegol 0.1mg
HCPCS J2782
|
$236.50
|
$473.00
|
$103.20 – $180.60
|
22 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$10,349.28
|
$20,698.56
|
$165.56 – $289.73
|
22 |
|
Inj, bezlotoxumab, 10 mg
HCPCS J0565
|
$103.00
|
$206.00
|
$39.83 – $69.70
|
22 |
|
Inj bimatoprost itc imp1mcg
HCPCS J7351
|
$456.00
|
$912.00
|
$213.76 – $374.08
|
22 |
|
Inj, bupivacaine liposome
HCPCS J0666
|
$755.91
|
$1,511.82
|
$1.37 – $2.40
|
22 |
|
Inj cefazolin sodium, baxter
HCPCS J0689
|
$62.78
|
$125.55
|
$2.10 – $2.10
|
1 |
|
Inj cefazolin sodium, hikma
HCPCS J0688
|
$20.67
|
$41.34
|
$1.45 – $1.45
|
1 |
|
Inj cefazolin (wg crit care)
HCPCS J0687
|
$27.90
|
$55.80
|
$1.45 – $1.45
|
1 |
|
Inj ceftolozane tazobactam
HCPCS J0695
|
$163.97
|
$327.93
|
$10.04 – $17.57
|
22 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$1,454.50
|
$2,909.00
|
$30.37 – $60.18
|
28 |
|
Inj, daptomycin (hospira)
HCPCS J0877
|
$80.71
|
$161.42
|
$0.10 – $0.10
|
1 |
|
Inj disk cerv-thor ea lev
CPT 62291
|
$305.00
|
$610.00
|
$107.57 – $232.80
|
28 |
|
Inj, donanemab-azbt, 2 mg
HCPCS J0175
|
$1,565.24
|
$3,130.47
|
$4.16 – $7.28
|
22 |
|
Inj dupuytren cord w/enzyme
CPT 20527
|
$353.00
|
$706.00
|
$49.93 – $512.77
|
28 |
|
Inj, durolane 1 mg
HCPCS J7318
|
$4,337.15
|
$8,674.30
|
$6.24 – $10.92
|
22 |
|
Inj dx for sinogram
CPT 20501
|
$226.00
|
$452.00
|
$31.55 – $107.00
|
28 |
|
Inject for sacroiliac joint
HCPCS G0259
|
$1,143.50
|
$2,287.00
|
not published
|
0 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$2,707.00
|
$5,414.00
|
$62.02 – $1,179.15
|
28 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$503.50
|
$1,007.00
|
$51.47 – $102.53
|
28 |
|
Injection, burosumab-twza 1m
HCPCS J0584
|
$70,110.39
|
$140,220.78
|
$513.37 – $898.40
|
22 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$706.00
|
$1,412.00
|
$43.24 – $512.77
|
28 |
|
Injection, casimersen, 10 mg
HCPCS J1426
|
$271.50
|
$543.00
|
$166.17 – $290.80
|
22 |
|
Injection during cath supravalvular aortography
CPT 93567
|
$2,423.50
|
$4,847.00
|
$28.82 – $59.74
|
28 |
|
Injection epidural blood patch or clot
CPT 62273
|
$1,098.50
|
$2,197.00
|
$205.80 – $1,179.15
|
28 |
|
Injection eye drug
CPT 67028
|
$413.50
|
$827.00
|
$205.80 – $551.78
|
28 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$400.00
|
$800.00
|
$54.82 – $108.85
|
28 |
|
Injection for bladder x-ray
CPT 51600
|
$256.00
|
$512.00
|
$37.96 – $209.72
|
28 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$507.50
|
$1,015.00
|
$42.55 – $209.72
|
28 |
|
Injection for spleen x-ray
CPT 38200
|
$900.00
|
$1,800.00
|
$97.53 – $193.66
|
28 |
|
Injection for tear sac x-ray
CPT 68850
|
$269.50
|
$539.00
|
$44.49 – $107.00
|
28 |
|
Injection for ureter x-ray
CPT 50690
|
$387.00
|
$774.00
|
$61.18 – $209.72
|
28 |
|
Injection, fulvestrant
HCPCS J9395
|
$617.09
|
$1,234.17
|
$9.44 – $9.44
|
1 |
|
Injection, inclisiran, 1 mg
HCPCS J1306
|
$7,628.40
|
$15,256.80
|
$12.90 – $22.58
|
22 |
|
Injection into brain canal
CPT 61055
|
$844.50
|
$1,689.00
|
$205.80 – $512.77
|
28 |
|
Injection jugular
CPT 36299
|
$233.50
|
$467.00
|
not published
|
0 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$1,292.00
|
$2,584.00
|
$6.51 – $11.39
|
22 |
|
Injection px peyronie ds
CPT 54200
|
$287.50
|
$575.00
|
$105.00 – $417.38
|
28 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$529.00
|
$1,058.00
|
$24.19 – $667.80
|
28 |
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
HCPCS G0260
|
$2,673.00
|
$5,346.00
|
$269.52 – $471.66
|
21 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$3,725.67
|
$7,451.33
|
$48.38 – $1,179.15
|
28 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$2,673.00
|
$5,346.00
|
$105.00 – $1,179.15
|
28 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$3,413.00
|
$6,826.00
|
$205.80 – $1,477.49
|
28 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,365.00
|
$2,730.00
|
$51.13 – $209.72
|
28 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$3,413.00
|
$6,826.00
|
$205.80 – $1,477.49
|
28 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,177.00
|
$2,354.00
|
$43.81 – $209.72
|
28 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$4,204.00
|
$8,408.00
|
$205.80 – $1,477.49
|
28 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$2,438.50
|
$4,877.00
|
$205.80 – $1,179.15
|
28 |