|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
CPT 87341
|
$60.18
|
$85.00
|
$27.84 – $56.26
|
15 |
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
CPT 87389
|
$61.60
|
$87.00
|
$41.76 – $84.39
|
15 |
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
CPT 87449
|
$111.16
|
$157.00
|
$17.28 – $34.92
|
15 |
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
CPT 87425
|
$25.49
|
$36.00
|
$17.28 – $34.92
|
15 |
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
CPT 87427
|
$45.31
|
$64.00
|
$30.72 – $62.08
|
15 |
|
Infectious agent nucleic acid amplified probe
CPT 87798
|
$355.42
|
$502.00
|
$50.88 – $102.82
|
15 |
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
CPT 87491
|
$81.42
|
$115.00
|
$50.88 – $102.82
|
15 |
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
CPT 87493
|
$79.30
|
$112.00
|
$53.76 – $108.64
|
15 |
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
CPT 87483
|
$885.71
|
$1,251.00
|
$600.48 – $1,213.47
|
15 |
|
Infectious agent nucleic acid amplified probe hsv-1
CPT 87529
|
$75.05
|
$106.00
|
$50.88 – $102.82
|
15 |
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
CPT 87641
|
$75.05
|
$106.00
|
$50.88 – $102.82
|
15 |
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
CPT 87556
|
$89.21
|
$126.00
|
$60.48 – $122.22
|
15 |
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
CPT 87591
|
$75.05
|
$106.00
|
$50.88 – $102.82
|
15 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
CPT 87635
|
$109.03
|
$154.00
|
$73.92 – $149.38
|
15 |
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
CPT 87636
|
$67.97
|
$96.00
|
$46.08 – $93.12
|
15 |
|
Infectious agent nucleic acid amplified probe streptococcus group a
CPT 87651
|
$75.05
|
$106.00
|
$50.88 – $102.82
|
15 |
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
CPT 87661
|
$78.59
|
$111.00
|
$50.88 – $102.82
|
15 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
CPT 87507
|
$885.71
|
$1,251.00
|
$600.48 – $1,213.47
|
15 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
CPT 87505
|
$272.58
|
$385.00
|
$184.80 – $373.45
|
15 |
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
CPT 87506
|
$558.61
|
$789.00
|
$378.72 – $765.33
|
15 |
|
Infectious agent nucleic acid quantification bk virus
CPT 87799
|
$194.70
|
$275.00
|
$61.92 – $125.13
|
15 |
|
Infectious agent nucleic acid quantification hepatitis b
CPT 87517
|
$91.33
|
$129.00
|
$61.92 – $125.13
|
15 |
|
Infectious agent nucleic acid quantification hepatitis c
CPT 87522
|
$104.08
|
$147.00
|
$61.92 – $125.13
|
15 |
|
Infectious agent nucleic acid quantification hiv-1
CPT 87536
|
$181.25
|
$256.00
|
$122.88 – $248.32
|
15 |
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
CPT 87631
|
$303.02
|
$428.00
|
$205.44 – $415.16
|
15 |
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
CPT 94642
|
$231.15
|
$402.00
|
$192.96 – $389.94
|
15 |
|
Inj, bortezomib, hospira
HCPCS J9049
|
$10.87
|
$21.10
|
$10.13 – $20.47
|
15 |
|
Inj cntr knee arthro incl ct/mri
CPT 27369
|
$182.53
|
$246.00
|
$41.28 – $83.42
|
15 |
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
CPT 64454
|
$2,534.56
|
$4,526.00
|
$180.00 – $363.75
|
15 |
|
Injection arthrography hip without anesthesia (both sides)
CPT 27093
|
$278.25
|
$375.00
|
$69.60 – $140.65
|
15 |
|
Injection carpal tunnel therapeutic (both sides)
CPT 20526
|
$425.91
|
$668.00
|
$126.24 – $255.11
|
15 |
|
Injection epidural blood patch or clot
CPT 62273
|
$714.55
|
$963.00
|
$248.64 – $502.46
|
15 |
|
Injection for bladder x-ray
CPT 51600
|
$270.09
|
$364.00
|
$44.64 – $90.21
|
15 |
|
Injection for hip x-ray
CPT 27095
|
$287.15
|
$387.00
|
$84.48 – $170.72
|
15 |
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
CPT 23350
|
$431.10
|
$581.00
|
$51.36 – $103.79
|
15 |
|
Injection radioactive tracer sentinel node (both sides)
CPT 38792
|
$674.48
|
$909.00
|
$290.88 – $587.82
|
15 |
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
CPT 64447
|
$875.28
|
$1,563.00
|
$116.64 – $235.71
|
15 |
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
CPT 64450
|
$834.96
|
$1,491.00
|
$94.08 – $190.12
|
15 |
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
CPT 64483
|
$2,832.96
|
$3,818.00
|
$244.80 – $494.70
|
15 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
CPT 64491
|
$1,198.96
|
$2,141.00
|
$132.00 – $266.75
|
15 |
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
CPT 64490
|
$2,138.08
|
$3,818.00
|
$231.84 – $468.51
|
15 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
CPT 64494
|
$1,504.72
|
$2,687.00
|
$113.76 – $229.89
|
15 |
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
CPT 64493
|
$2,630.88
|
$4,698.00
|
$196.80 – $397.70
|
15 |
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
CPT 62321
|
$1,375.36
|
$2,456.00
|
$235.68 – $476.27
|
15 |
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
CPT 62323
|
$951.44
|
$1,699.00
|
$218.40 – $441.35
|
15 |
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
CPT 20550
|
$400.96
|
$716.00
|
$86.40 – $174.60
|
15 |
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
CPT 20552
|
$344.40
|
$615.00
|
$84.96 – $171.69
|
15 |
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
CPT 20553
|
$486.75
|
$656.00
|
$95.52 – $193.03
|
15 |
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
CPT 96376
|
$98.40
|
$164.00
|
$78.72 – $159.08
|
15 |
|
Inject sacroiliac joint
CPT 27096
|
$1,156.96
|
$2,066.00
|
$182.40 – $368.60
|
15 |
|
Inj epidural sgl cerv-thor without img
CPT 62320
|
$962.64
|
$1,719.00
|
$218.40 – $441.35
|
15 |
|
Inj epidural sgl lumb-sacral without img
CPT 62322
|
$749.28
|
$1,338.00
|
$185.28 – $374.42
|
15 |
|
Inj for ext venography
CPT 36005
|
$515.69
|
$695.00
|
$48.00 – $97.00
|
15 |
|
Inj for mammo ductogram
CPT 19030
|
$241.89
|
$326.00
|
$77.28 – $156.17
|
15 |
|
Inj, mirikizumab-mrkz, 1 mg
HCPCS J2267
|
$51.19
|
$99.40
|
$47.71 – $96.42
|
15 |
|
Inj pegfilgrastim-bmez 0.5mg
HCPCS Q5120
|
$154.07
|
$299.16
|
$119.59 – $290.19
|
15 |
|
Inj proc myelogram lumbar
CPT 62284
|
$477.11
|
$643.00
|
$86.88 – $175.57
|
15 |
|
Inj retacrit esrd on dialysi
HCPCS Q5105
|
$4.69
|
$5.80
|
$0.24 – $0.49
|
15 |
|
Inj retro urethrocysto
CPT 51610
|
$224.08
|
$302.00
|
$64.32 – $129.98
|
15 |
|
Inj w/fluor eval cv device
CPT 36598
|
$635.15
|
$856.00
|
$37.44 – $75.66
|
15 |
|
Ins cerv dilator (sep proc)
CPT 59200
|
$412.78
|
$511.00
|
$245.28 – $495.67
|
15 |
|
Insert cath pleura with image
CPT 32557
|
$2,899.74
|
$3,908.00
|
$152.64 – $308.46
|
15 |
|
Insert cath pleura without image
CPT 32556
|
$2,832.96
|
$3,818.00
|
$123.36 – $249.29
|
15 |
|
Insertion catheter bladder non indwelling
CPT 51701
|
$174.37
|
$235.00
|
$26.40 – $53.35
|
15 |
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
CPT 36556
|
$2,209.20
|
$3,945.00
|
$187.68 – $379.27
|
15 |
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
CPT 36569
|
$1,469.90
|
$1,981.00
|
$950.88 – $1,921.57
|
15 |
|
Insertion picc without port or pump with imaging guidance=>5y
CPT 36573
|
$2,027.14
|
$2,732.00
|
$1,311.36 – $2,650.04
|
15 |
|
Insitu hybridization manual
CPT 88368
|
$407.11
|
$718.00
|
$344.64 – $696.46
|
15 |
|
In situ hybridization per specimen initial single probe stain
CPT 88365
|
$195.05
|
$344.00
|
$165.12 – $333.68
|
15 |
|
Ins picc wo subq prt/pmp w image guidnc <5yr
CPT 36572
|
$1,426.87
|
$1,923.00
|
$923.04 – $1,865.31
|
15 |
|
Instillation anticarcinogenic agent bladder
CPT 51720
|
$459.76
|
$821.00
|
$394.08 – $796.37
|
15 |
|
Insulin total
CPT 83525
|
$36.59
|
$57.00
|
$27.36 – $55.29
|
15 |
|
Intrapul surf admin endo tube
CPT 94610
|
$74.66
|
$153.00
|
$73.44 – $148.41
|
15 |
|
Intrinsic factor antibody
CPT 86340
|
$69.80
|
$59.00
|
$28.32 – $57.23
|
15 |
|
Intubation endotracheal emergency procedure
CPT 31500
|
$455.99
|
$658.00
|
$169.92 – $343.38
|
15 |
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
HCPCS Q9967
|
$0.20
|
$0.70
|
$0.34 – $0.68
|
15 |
|
Iron
CPT 83540
|
$133.54
|
$208.00
|
$9.60 – $19.40
|
15 |
|
Iron binding capacity
CPT 83550
|
$17.33
|
$27.00
|
$12.96 – $26.19
|
15 |
|
Irrigation implantable venous access device for drug delivery systems
CPT 96523
|
$143.76
|
$254.00
|
$121.92 – $246.38
|
15 |
|
IV Fluids (each additional hour)
CPT 96361
|
$68.40
|
$114.00
|
$54.72 – $110.58
|
15 |
|
IV Fluids (first hour)
CPT 96360
|
$254.40
|
$424.00
|
$203.52 – $411.28
|
15 |
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
CPT 96368
|
$151.80
|
$253.00
|
$121.44 – $245.41
|
15 |
|
IV Medicine Infusion (additional drug)
CPT 96367
|
$79.80
|
$133.00
|
$63.84 – $129.01
|
15 |
|
IV Medicine Infusion (each additional hour)
CPT 96366
|
$73.20
|
$122.00
|
$58.56 – $118.34
|
15 |
|
IV Medicine Infusion (first hour)
CPT 96365
|
$270.00
|
$450.00
|
$216.00 – $436.50
|
15 |
|
IV Push Injection (each additional drug)
CPT 96375
|
$133.20
|
$222.00
|
$106.56 – $215.34
|
15 |
|
IV Push Injection (first drug)
CPT 96374
|
$192.00
|
$320.00
|
$153.60 – $310.40
|
15 |
|
Ivp w/wo kub w/wo tomography
CPT 74400
|
$1,181.17
|
$1,542.00
|
$24.00 – $48.50
|
15 |
|
Jak2 targeted sequence analysis
CPT 81279
|
$399.76
|
$556.00
|
$266.88 – $539.32
|
15 |
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
CPT 70330
|
$298.74
|
$390.00
|
$12.48 – $25.22
|
15 |
|
Jaw (Mandible) X-ray (complete)
CPT 70110
|
$380.70
|
$497.00
|
$12.48 – $25.22
|
15 |
|
John cunningham antibody
CPT 86711
|
$60.33
|
$51.00
|
$24.48 – $49.47
|
15 |
|
Ketamine and metabolite screen - quest
CPT 80357
|
$93.09
|
$145.00
|
$69.60 – $140.65
|
15 |
|
Ketone body(s) beta-hydroxybutyrate quantitative
CPT 82010
|
$39.16
|
$61.00
|
$28.80 – $58.20
|
15 |
|
Kidney imaging morphology
CPT 78700
|
$559.22
|
$765.00
|
$367.20 – $742.05
|
15 |
|
Kidney imag w/bld flow multi
CPT 78709
|
$1,213.46
|
$1,660.00
|
$796.80 – $1,610.20
|
15 |
|
Kidney img w/bldflw sgl without rx
CPT 78707
|
$765.36
|
$1,047.00
|
$46.08 – $93.12
|
15 |
|
Kidney (Retroperitoneal) Ultrasound (complete)
CPT 76770
|
$926.35
|
$1,027.00
|
$36.48 – $73.72
|
15 |
|
Kidney (Retroperitoneal) Ultrasound (limited)
CPT 76775
|
$303.97
|
$337.00
|
$28.80 – $58.20
|
15 |
|
Knee MRI (with and without contrast)
CPT 73723
|
$3,079.51
|
$3,585.00
|
$105.60 – $213.40
|
15 |