|
Immunoglobulin assay
CPT 86023
|
$178.42
|
$236.00
|
$113.28 – $228.92
|
18 |
|
Implant cartilage 10mm synthetic
HCPCS L8699
|
$95,882.18
|
$96,364.00
|
$76.32 – $154.23
|
18 |
|
Implant ureth bulk agent
HCPCS L8606
|
$3,062.61
|
$3,078.00
|
$79.68 – $161.02
|
18 |
|
In-111 pentetate dtpa / 0.5 mci
HCPCS A9548
|
$863.75
|
$1,203.00
|
$577.44 – $1,166.91
|
18 |
|
Incision & drainage hematoma/seroma/fluid collection
CPT 10140
|
$332.25
|
$542.00
|
$260.16 – $525.74
|
18 |
|
Infect ag eia influenza a or b ea
CPT 87400
|
$30.19
|
$43.00
|
$20.64 – $41.71
|
18 |
|
Infect ag genotype na cytomegalovirus
CPT 87910
|
$542.65
|
$773.00
|
$371.04 – $749.81
|
18 |
|
Infect ag genotype na hiv-1 other region
CPT 87906
|
$271.67
|
$387.00
|
$185.76 – $375.39
|
18 |
|
Infect ag genotype na hiv-1 revr trn/prt
CPT 87901
|
$542.65
|
$773.00
|
$371.04 – $749.81
|
18 |
|
Infect ag ia optc obs influenza
CPT 87804
|
$35.10
|
$50.00
|
$24.00 – $48.50
|
18 |
|
Infect ag if ea plyvlnt antsrm
CPT 87300
|
$42.12
|
$60.00
|
$28.80 – $58.20
|
18 |
|
Infect ag if influenza a
CPT 87276
|
$42.12
|
$60.00
|
$28.80 – $58.20
|
18 |
|
Infect ag if influenza b
CPT 87275
|
$42.12
|
$60.00
|
$28.80 – $58.20
|
18 |
|
Infect ag if pneumocystis carinii
CPT 87281
|
$53.35
|
$76.00
|
$36.48 – $73.72
|
18 |
|
Infect ag if varicella zoster
CPT 87290
|
$42.12
|
$60.00
|
$28.80 – $58.20
|
18 |
|
Infect ag na hep b amp
CPT 87516
|
$94.77
|
$135.00
|
$64.80 – $130.95
|
18 |
|
Infect ag na hpv high-risk types
CPT 87624
|
$74.41
|
$106.00
|
$50.88 – $102.82
|
18 |
|
Infect ag na influenza r/amp 1st 2 types
CPT 87502
|
$202.18
|
$288.00
|
$138.24 – $279.36
|
18 |
|
Infect ag na orthopoxvirus amp prb each
CPT 87593
|
$108.11
|
$154.00
|
$73.92 – $149.38
|
18 |
|
Infect ag na resp virus 12-25 targets
CPT 87633
|
$878.20
|
$1,251.00
|
$600.48 – $1,213.47
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
CPT 87324
|
$42.12
|
$60.00
|
$28.80 – $58.20
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
CPT 87328
|
$29.48
|
$42.00
|
$20.16 – $40.74
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step giardia
CPT 87329
|
$46.33
|
$66.00
|
$17.28 – $34.92
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
CPT 87338
|
$52.65
|
$75.00
|
$21.12 – $42.68
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
CPT 87340
|
$162.16
|
$231.00
|
$21.60 – $43.65
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$59.67
|
$85.00
|
$27.84 – $56.26
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$61.07
|
$87.00
|
$41.76 – $84.39
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$110.21
|
$157.00
|
$17.28 – $34.92
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$25.27
|
$36.00
|
$17.28 – $34.92
|
18 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$44.93
|
$64.00
|
$30.72 – $62.08
|
18 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$295.54
|
$421.00
|
$50.88 – $102.82
|
18 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$80.73
|
$115.00
|
$50.88 – $102.82
|
18 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$78.62
|
$112.00
|
$53.76 – $108.64
|
18 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$878.20
|
$1,251.00
|
$600.48 – $1,213.47
|
18 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$74.41
|
$106.00
|
$50.88 – $102.82
|
18 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$74.41
|
$106.00
|
$50.88 – $102.82
|
18 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$88.45
|
$126.00
|
$60.48 – $122.22
|
18 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$74.41
|
$106.00
|
$50.88 – $102.82
|
18 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$108.11
|
$154.00
|
$73.92 – $149.38
|
18 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$67.39
|
$96.00
|
$46.08 – $93.12
|
18 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$74.41
|
$106.00
|
$50.88 – $102.82
|
18 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$77.92
|
$111.00
|
$50.88 – $102.82
|
18 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$878.20
|
$1,251.00
|
$600.48 – $1,213.47
|
18 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$270.27
|
$385.00
|
$184.80 – $373.45
|
18 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$553.88
|
$789.00
|
$378.72 – $765.33
|
18 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$193.05
|
$275.00
|
$61.92 – $125.13
|
18 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$90.56
|
$129.00
|
$61.92 – $125.13
|
18 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$103.19
|
$147.00
|
$61.92 – $125.13
|
18 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$179.71
|
$256.00
|
$122.88 – $248.32
|
18 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$300.46
|
$428.00
|
$205.44 – $415.16
|
18 |
|
Inj dx for sinogram
CPT 20501
|
$169.34
|
$244.00
|
$117.12 – $236.68
|
18 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$260.25
|
$375.00
|
$120.00 – $242.50
|
18 |
|
Injection epidural blood patch or clot
CPT 62273
|
$668.32
|
$963.00
|
$248.64 – $502.46
|
18 |
|
Injection for bladder x-ray
CPT 51600
|
$252.62
|
$364.00
|
$174.72 – $353.08
|
18 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$403.21
|
$581.00
|
$185.76 – $375.39
|
18 |
|
Injection,onabotulinumtoxina
HCPCS J0585
|
$13.10
|
$19.40
|
$9.31 – $18.82
|
18 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$284.34
|
$365.00
|
$116.64 – $235.71
|
18 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$976.60
|
$1,491.00
|
$477.12 – $964.18
|
18 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$2,649.69
|
$3,818.00
|
$1,221.60 – $2,468.65
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,402.36
|
$2,141.00
|
$684.96 – $1,384.19
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$2,500.79
|
$3,818.00
|
$1,221.60 – $2,468.65
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,864.78
|
$2,687.00
|
$859.68 – $1,737.27
|
18 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$3,260.41
|
$4,698.00
|
$1,503.36 – $3,038.04
|
18 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$1,704.46
|
$2,456.00
|
$1,178.88 – $2,382.32
|
18 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$1,179.11
|
$1,699.00
|
$218.40 – $441.35
|
18 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$468.98
|
$716.00
|
$228.96 – $462.69
|
18 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$108.50
|
$177.00
|
$84.96 – $171.69
|
18 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$455.26
|
$656.00
|
$95.52 – $193.03
|
18 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$110.37
|
$164.00
|
$78.72 – $159.08
|
18 |
|
Inject sacroiliac joint
CPT 27096
|
$1,433.80
|
$2,066.00
|
$660.96 – $1,335.69
|
18 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$1,125.94
|
$1,719.00
|
$825.12 – $1,667.43
|
18 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$876.39
|
$1,338.00
|
$642.24 – $1,297.86
|
18 |
|
Inj/inf neurolyt sbst spinal canal lesion 62282
CPT 62282
|
$928.57
|
$1,338.00
|
$642.24 – $1,297.86
|
18 |
|
Inj mepivacaine hcl/10 ml
HCPCS J0670
|
$3.96
|
$10.70
|
$5.14 – $10.38
|
18 |
|
Inj proc myelogram lumbar
CPT 62284
|
$446.24
|
$643.00
|
$308.64 – $623.71
|
18 |
|
Inj retacrit esrd on dialysi
HCPCS Q5105
|
$4.95
|
$5.80
|
$0.24 – $0.49
|
18 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$436.24
|
$511.00
|
$245.28 – $495.67
|
18 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$163.09
|
$235.00
|
$112.80 – $227.95
|
18 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$304.59
|
$391.00
|
$187.68 – $379.27
|
18 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,374.81
|
$1,981.00
|
$950.88 – $1,921.57
|
18 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$1,896.01
|
$2,732.00
|
$1,311.36 – $2,650.04
|
18 |
|
Insitu hybridization auto
CPT 88367
|
$573.68
|
$718.00
|
$344.64 – $696.46
|
18 |
|
Insitu hybridization manual
CPT 88368
|
$573.68
|
$718.00
|
$344.64 – $696.46
|
18 |
|
In situ hybridization per specimen each additional single probe stain
CPT 88364
|
$170.99
|
$214.00
|
$102.72 – $207.58
|
18 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$274.86
|
$344.00
|
$165.12 – $333.68
|
18 |
|
Ins picc wo subq prt/pmp w image guidnc <5yr
CPT 36572
|
$1,334.56
|
$1,923.00
|
$923.04 – $1,865.31
|
18 |
|
Insulin total
CPT 83525
|
$37.91
|
$57.00
|
$27.36 – $55.29
|
18 |
|
Intrapul surf admin endo tube
CPT 94610
|
$101.29
|
$153.00
|
$73.44 – $148.41
|
18 |
|
Intrinsic factor antibody
CPT 86340
|
$44.60
|
$59.00
|
$28.32 – $57.23
|
18 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$512.58
|
$658.00
|
$315.84 – $638.26
|
18 |
|
Iron
CPT 83540
|
$138.32
|
$208.00
|
$9.60 – $19.40
|
18 |
|
Iron binding capacity
CPT 83550
|
$17.96
|
$27.00
|
$12.96 – $26.19
|
18 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$170.94
|
$254.00
|
$121.92 – $246.38
|
18 |
|
IV Fluids (each additional hour)
CPT 96361
|
$103.17
|
$114.00
|
$54.72 – $110.58
|
18 |
|
IV Fluids (first hour)
CPT 96360
|
$383.72
|
$424.00
|
$203.52 – $411.28
|
18 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$228.96
|
$253.00
|
$121.44 – $245.41
|
18 |
|
IV Medicine Infusion (additional drug)
CPT 96367
|
$120.37
|
$133.00
|
$63.84 – $129.01
|
18 |
|
IV Medicine Infusion (each additional hour)
CPT 96366
|
$110.41
|
$122.00
|
$58.56 – $118.34
|
18 |
|
IV Medicine Infusion (first hour)
CPT 96365
|
$407.25
|
$450.00
|
$216.00 – $436.50
|
18 |
|
IV Push Injection (each additional drug)
CPT 96375
|
$149.41
|
$222.00
|
$106.56 – $215.34
|
18 |