|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$26.42
|
$42.00
|
$18.48 – $40.74
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$41.51
|
$66.00
|
$15.84 – $34.92
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$47.17
|
$75.00
|
$19.36 – $42.68
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$145.30
|
$231.00
|
$19.80 – $43.65
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$53.47
|
$85.00
|
$25.52 – $56.26
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$54.72
|
$87.00
|
$38.28 – $84.39
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$98.75
|
$157.00
|
$15.84 – $34.92
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$22.64
|
$36.00
|
$15.84 – $34.92
|
19 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$40.26
|
$64.00
|
$28.16 – $62.08
|
19 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$325.82
|
$518.00
|
$46.64 – $102.82
|
19 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$72.33
|
$115.00
|
$46.64 – $102.82
|
19 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$70.45
|
$112.00
|
$49.28 – $108.64
|
19 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$786.88
|
$1,251.00
|
$550.44 – $1,213.47
|
19 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$66.67
|
$106.00
|
$46.64 – $102.82
|
19 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$66.67
|
$106.00
|
$46.64 – $102.82
|
19 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$79.25
|
$126.00
|
$55.44 – $122.22
|
19 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$66.67
|
$106.00
|
$46.64 – $102.82
|
19 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$96.87
|
$154.00
|
$67.76 – $149.38
|
19 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$60.38
|
$96.00
|
$42.24 – $93.12
|
19 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$66.67
|
$106.00
|
$46.64 – $102.82
|
19 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$69.82
|
$111.00
|
$46.64 – $102.82
|
19 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$786.88
|
$1,251.00
|
$550.44 – $1,213.47
|
19 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$242.16
|
$385.00
|
$169.40 – $373.45
|
19 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$496.28
|
$789.00
|
$347.16 – $765.33
|
19 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$172.98
|
$275.00
|
$56.76 – $125.13
|
19 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$81.14
|
$129.00
|
$56.76 – $125.13
|
19 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$92.46
|
$147.00
|
$56.76 – $125.13
|
19 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$161.02
|
$256.00
|
$112.64 – $248.32
|
19 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$269.21
|
$428.00
|
$188.32 – $415.16
|
19 |
|
Inj., benralizumab, 1 mg
HCPCS J0517
|
$256.98
|
$515.00
|
$226.60 – $499.55
|
19 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$166.05
|
$246.00
|
$72.16 – $159.08
|
19 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$253.13
|
$375.00
|
$110.00 – $242.50
|
19 |
|
Injection epidural blood patch or clot
CPT 62273
|
$650.03
|
$963.00
|
$227.92 – $502.46
|
19 |
|
Injection for arthrography wrist (both sides)
CPT 25246
|
$327.38
|
$485.00
|
$142.12 – $313.31
|
19 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$392.18
|
$581.00
|
$170.28 – $375.39
|
19 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$220.46
|
$365.00
|
$106.92 – $235.71
|
19 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$177.58
|
$294.00
|
$86.24 – $190.12
|
19 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$2,577.15
|
$3,818.00
|
$1,119.80 – $2,468.65
|
19 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,445.18
|
$2,141.00
|
$627.88 – $1,384.19
|
19 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$2,577.15
|
$3,818.00
|
$1,119.80 – $2,468.65
|
19 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,813.73
|
$2,687.00
|
$788.04 – $1,737.27
|
19 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$3,171.15
|
$4,698.00
|
$1,378.08 – $3,038.04
|
19 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$1,657.80
|
$2,456.00
|
$1,080.64 – $2,382.32
|
19 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,146.83
|
$1,699.00
|
$200.20 – $441.35
|
19 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$94.87
|
$177.00
|
$77.88 – $171.69
|
19 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$387.70
|
$656.00
|
$87.56 – $193.03
|
19 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$100.20
|
$164.00
|
$72.16 – $159.08
|
19 |
|
Inject sacroiliac joint
CPT 27096
|
$1,394.55
|
$2,066.00
|
$605.88 – $1,335.69
|
19 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$1,160.33
|
$1,719.00
|
$756.36 – $1,667.43
|
19 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$903.15
|
$1,338.00
|
$169.84 – $374.42
|
19 |
|
Inj, fulvestrant (fresenius)
HCPCS J9394
|
$25.80
|
$51.70
|
$6.64 – $50.15
|
19 |
|
Inj ivig privigen 500 mg
HCPCS J1459
|
$17.55
|
$35.17
|
$15.47 – $34.11
|
19 |
|
Inj proc ankle arthr
CPT 27648
|
$193.73
|
$287.00
|
$84.04 – $185.27
|
19 |
|
Inj proc elbow arthro
CPT 24220
|
$244.35
|
$362.00
|
$106.04 – $233.77
|
19 |
|
Inj proc myelogram lumbar
CPT 62284
|
$434.03
|
$643.00
|
$282.92 – $623.71
|
19 |
|
Inj retacrit esrd on dialysi
HCPCS Q5105
|
$4.16
|
$5.80
|
$0.22 – $0.49
|
19 |
|
Inj w/fluor eval cv device
CPT 36598
|
$577.80
|
$856.00
|
$376.64 – $830.32
|
19 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$366.72
|
$511.00
|
$224.84 – $495.67
|
19 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$158.62
|
$235.00
|
$103.40 – $227.95
|
19 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$236.16
|
$391.00
|
$172.04 – $379.27
|
19 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,337.18
|
$1,981.00
|
$871.64 – $1,921.57
|
19 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$1,844.10
|
$2,732.00
|
$1,202.08 – $2,650.04
|
19 |
|
Insitu hybridization manual
CPT 88368
|
$495.42
|
$718.00
|
$315.92 – $696.46
|
19 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$147.66
|
$214.00
|
$94.16 – $207.58
|
19 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$237.36
|
$344.00
|
$151.36 – $333.68
|
19 |
|
Ins picc wo subq prt/pmp w image guidnc <5yr
CPT 36572
|
$1,298.03
|
$1,923.00
|
$846.12 – $1,865.31
|
19 |
|
Insulin total
CPT 83525
|
$35.06
|
$57.00
|
$25.08 – $55.29
|
19 |
|
Intracranial limited study
CPT 93888
|
$388.02
|
$580.00
|
$255.20 – $562.60
|
19 |
|
Intrinsic factor antibody
CPT 86340
|
$41.06
|
$59.00
|
$25.96 – $57.23
|
19 |
|
Intro long gi tube w/mult fluo
CPT 74340
|
$325.25
|
$462.00
|
$203.28 – $448.14
|
19 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$397.43
|
$658.00
|
$155.76 – $343.38
|
19 |
|
Iron
CPT 83540
|
$127.92
|
$208.00
|
$8.80 – $19.40
|
19 |
|
Iron binding capacity
CPT 83550
|
$16.60
|
$27.00
|
$11.88 – $26.19
|
19 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$155.19
|
$254.00
|
$111.76 – $246.38
|
19 |
|
IV Fluids (each additional hour)
CPT 96361
|
$76.95
|
$114.00
|
$50.16 – $110.58
|
19 |
|
IV Fluids (first hour)
CPT 96360
|
$286.20
|
$424.00
|
$186.56 – $411.28
|
19 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$170.78
|
$253.00
|
$111.32 – $245.41
|
19 |
|
IV Medicine Infusion (additional drug)
CPT 96367
|
$89.78
|
$133.00
|
$58.52 – $129.01
|
19 |
|
IV Medicine Infusion (each additional hour)
CPT 96366
|
$82.35
|
$122.00
|
$53.68 – $118.34
|
19 |
|
IV Medicine Infusion (first hour)
CPT 96365
|
$303.75
|
$450.00
|
$198.00 – $436.50
|
19 |
|
IV Push Injection (each additional drug)
CPT 96375
|
$135.64
|
$222.00
|
$97.68 – $215.34
|
19 |
|
IV Push Injection (first drug)
CPT 96374
|
$195.52
|
$320.00
|
$140.80 – $310.40
|
19 |
|
Ivp w/nephrotomography
CPT 74415
|
$980.67
|
$1,393.00
|
$612.92 – $1,351.21
|
19 |
|
Ivp w/wo kub w/wo tomography
CPT 74400
|
$1,085.57
|
$1,542.00
|
$678.48 – $1,495.74
|
19 |
|
Jak2 targeted sequence analysis
CPT 81279
|
$597.14
|
$556.00
|
$244.64 – $539.32
|
19 |
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
CPT 70330
|
$274.56
|
$390.00
|
$171.60 – $378.30
|
19 |
|
Jaw (Mandible) X-ray (complete)
CPT 70110
|
$349.89
|
$497.00
|
$218.68 – $482.09
|
19 |
|
John cunningham antibody
CPT 86711
|
$35.50
|
$51.00
|
$22.44 – $49.47
|
19 |
|
Ketamine and metabolite screen - quest
CPT 80357
|
$89.17
|
$145.00
|
$63.80 – $140.65
|
19 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$37.52
|
$61.00
|
$26.40 – $58.20
|
19 |
|
Kidney imaging morphology
CPT 78700
|
$485.78
|
$765.00
|
$336.60 – $742.05
|
19 |
|
Kidney imag w/bld flow multi
CPT 78709
|
$1,054.10
|
$1,660.00
|
$730.40 – $1,610.20
|
19 |
|
Kidney img w/bldflw sgl without rx
CPT 78707
|
$664.84
|
$1,047.00
|
$460.68 – $1,015.59
|
19 |
|
Kidney (Retroperitoneal) Ultrasound (complete)
CPT 76770
|
$859.60
|
$1,027.00
|
$451.88 – $996.19
|
19 |
|
Kidney (Retroperitoneal) Ultrasound (limited)
CPT 76775
|
$282.07
|
$337.00
|
$148.28 – $326.89
|
19 |
|
Knee MRI (with and without contrast)
CPT 73723
|
$2,778.38
|
$3,585.00
|
$1,577.40 – $3,477.45
|
19 |
|
Knee MRI (with contrast)
CPT 73722
|
$2,315.70
|
$2,988.00
|
$1,314.72 – $2,898.36
|
19 |
|
Knee MRI (without contrast)
CPT 73721
|
$1,852.25
|
$2,390.00
|
$1,051.60 – $2,318.30
|
19 |
|
Knee X-ray
CPT 73564
|
$411.84
|
$585.00
|
$257.40 – $567.45
|
19 |
|
Knee X-ray (1 to 2 views, both knees)
CPT 73560
|
$221.76
|
$315.00
|
$138.60 – $305.55
|
19 |