|
Observation/inpatient hospital care mod severity 99235
|
$73.34 |
$73.34 |
$73.34 |
$303.20
|
|
Observation per hour
|
$46.55 |
$46.55 |
$46.55 |
$81.22
|
|
Obstetrical care 59410
|
$673.36 |
$673.36 |
$673.36 |
$2,112.80
|
|
Obstetrics panel
|
$99.94 |
$99.94 |
$99.94 |
$214.50
|
|
Obtaining screen pap smear
|
$21.85 |
$21.85 |
$21.85 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$258.78 |
$258.78 |
$258.78 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$133.19 |
$133.19 |
$133.19 |
$249.60
|
|
Occlude fallopian tube(s) device 58615
|
$164.92 |
$164.92 |
$164.92 |
$3,762.53
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$67.07 |
$67.07 |
$67.07 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$88.35 |
$88.35 |
$88.35 |
$12,080.43
|
|
Ocular instrumnt screen bil
|
$10.83 |
$10.83 |
$10.83 |
$13.60
|
|
Ocular instrumnt screen bil
|
$3.61 |
$3.61 |
$3.61 |
$37.50
|
|
Office emergency care
|
$13.49 |
$13.49 |
$13.49 |
$50.40
|
|
Off/op cnsltj new/est low 30
|
$53.39 |
$53.39 |
$53.39 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$76.57 |
$76.57 |
$76.57 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$100.70 |
$100.70 |
$100.70 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$34.77 |
$34.77 |
$34.77 |
$133.80
|
|
Ol dig e/m svc 11-20 min
|
$13.87 |
$13.87 |
$13.87 |
$37.92
|
|
Ol dig e/m svc 21+ min
|
$22.04 |
$22.04 |
$22.04 |
$60.00
|
|
Ol dig e/m svc 5-10 min
|
$7.03 |
$7.03 |
$7.03 |
$22.26
|
|
Omental flap intra-abdom 49905
|
$218.69 |
$218.69 |
$218.69 |
$871.20
|
|
Oncology prostate prob score
|
$146.30 |
$146.30 |
$146.30 |
$952.00
|
|
Onco (ovar) five proteins
|
$84.55 |
$84.55 |
$84.55 |
$986.70
|
|
Oncoprotein dcp
|
$10.88 |
$10.88 |
$10.88 |
$161.60
|
|
Oncoprotein her-2/neu
|
$64.46 |
$64.46 |
$64.46 |
$219.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$25.46 |
$25.46 |
$25.46 |
$22.62
|
|
Open aortofemor prosth repr
|
$1,135.06 |
$1,135.06 |
$1,135.06 |
$3,942.84
|
|
Open bx/exc inguinofem nodes
|
$289.75 |
$289.75 |
$289.75 |
$4,992.00
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$291.84 |
$291.84 |
$291.84 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$378.10 |
$378.10 |
$378.10 |
$6,366.08
|
|
Open tx nose fx w/skele fixj
|
$359.86 |
$359.86 |
$359.86 |
$6,465.11
|
|
Open tx nose & septal fx
|
$477.09 |
$477.09 |
$477.09 |
$3,837.72
|
|
Open wedge bx lung nodule 32097
|
$501.60 |
$501.60 |
$501.60 |
$1,955.20
|
|
Ophthalmic biometry
|
$22.80 |
$22.80 |
$22.80 |
$182.95
|
|
Opioids & opiate analogs 3/4
|
$1.90 |
$1.90 |
$1.90 |
$24.00
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$1,066.09 |
$1,066.09 |
$1,066.09 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$840.94 |
$840.94 |
$840.94 |
$1,822.08
|
|
Opn impltj nea sacral nerve
|
$423.70 |
$423.70 |
$423.70 |
$7,766.27
|
|
Opn tx complx malar fx
|
$714.40 |
$714.40 |
$714.40 |
$6,605.19
|
|
Opn tx dprsd zygomatic arch
|
$270.37 |
$270.37 |
$270.37 |
$5,419.00
|
|
Opn tx orbit fx combined
|
$507.11 |
$507.11 |
$507.11 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$458.85 |
$458.85 |
$458.85 |
$6,966.64
|
|
Opn tx orbit periorbtl implt
|
$531.62 |
$531.62 |
$531.62 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$6.84 |
$6.84 |
$6.84 |
$70.29
|
|
Optx acrclv dslc aq/chrn grf
|
$432.63 |
$432.63 |
$432.63 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$383.80 |
$383.80 |
$383.80 |
$6,721.67
|
|
Optx acute shoulder dislc
|
$393.49 |
$393.49 |
$393.49 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$483.74 |
$483.74 |
$483.74 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$481.46 |
$481.46 |
$481.46 |
$9,013.88
|
|
Optx complicated mndblr fx
|
$771.02 |
$771.02 |
$771.02 |
$6,839.00
|
|
Optx crpl fx oth/thn scph ea
|
$384.94 |
$384.94 |
$384.94 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$521.55 |
$521.55 |
$521.55 |
$7,157.53
|
|
Optx lunate dislocation
|
$425.03 |
$425.03 |
$425.03 |
$8,412.89
|
|
Optx medial ankle fx
|
$406.98 |
$406.98 |
$406.98 |
$7,807.24
|
|
Optx mndblr cndylr fx
|
$538.08 |
$538.08 |
$538.08 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$704.52 |
$704.52 |
$704.52 |
$6,547.81
|
|
Optx partclr fx&/dslc elbw w
|
$715.35 |
$715.35 |
$715.35 |
$10,629.07
|
|
Optx post ankle fx
|
$482.98 |
$482.98 |
$482.98 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$586.34 |
$586.34 |
$586.34 |
$13,938.00
|
|
Optx prx hmrl fx fix rpr rpl
|
$808.45 |
$808.45 |
$808.45 |
$16,139.55
|
|
Optx radial shaft fracture
|
$451.25 |
$451.25 |
$451.25 |
$5,301.66
|
|
Optx rad/uln dislc aqt/chrnc
|
$424.84 |
$424.84 |
$424.84 |
$5,883.95
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$407.55 |
$407.55 |
$407.55 |
$5,741.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$529.15 |
$529.15 |
$529.15 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$635.74 |
$635.74 |
$635.74 |
$7,275.00
|
|
Optx rdl&uln shft fx rds&uln
|
$603.25 |
$603.25 |
$603.25 |
$6,915.75
|
|
Optx rdl&uln shft fx rds/uln
|
$455.24 |
$455.24 |
$455.24 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$642.96 |
$642.96 |
$642.96 |
$7,907.11
|
|
Optx sho dislc fx
|
$579.31 |
$579.31 |
$579.31 |
$5,339.00
|
|
Optx sho dislc neck fx fixj
|
$615.98 |
$615.98 |
$615.98 |
$6,839.00
|
|
Optx thigh fx
|
$808.45 |
$808.45 |
$808.45 |
$1,767.20
|
|
Optx trns-scphprlnr fx dislc
|
$490.20 |
$490.20 |
$490.20 |
$5,419.00
|
|
Optx ulnar shft fx int fixj
|
$422.94 |
$422.94 |
$422.94 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$421.99 |
$421.99 |
$421.99 |
$4,627.00
|
|
Orchiectomy partial
|
$384.94 |
$384.94 |
$384.94 |
$4,081.37
|
|
Orchiopexy (fowler-stephens)
|
$466.45 |
$466.45 |
$466.45 |
$4,156.03
|
|
Orchiopexy ingun/scrot appr
|
$282.53 |
$282.53 |
$282.53 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$18.66 |
$18.66 |
$18.66 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$106.78 |
$106.78 |
$106.78 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$5.51 |
$5.51 |
$5.51 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$146.87 |
$146.87 |
$146.87 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$254.22 |
$254.22 |
$254.22 |
$536.90
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$295.83 |
$295.83 |
$295.83 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$330.98 |
$330.98 |
$330.98 |
$310.00
|
|
Orthovisc inj per dose
|
$64.98 |
$64.98 |
$64.98 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$468.54 |
$468.54 |
$468.54 |
$420.76
|
|
Osmolality blood
|
$34.20 |
$34.20 |
$34.20 |
$67.60
|
|
Osmolality urine
|
$34.20 |
$34.20 |
$34.20 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$213.56 |
$213.56 |
$213.56 |
$3,542.56
|
|
Ostectomy scapula partial
|
$387.03 |
$387.03 |
$387.03 |
$3,839.54
|
|
Osteochondral knee allograft
|
$900.79 |
$900.79 |
$900.79 |
$10,629.07
|
|
Osteochondral knee autograft
|
$646.19 |
$646.19 |
$646.19 |
$7,952.51
|
|
Osteopath manip tx/5-6 body region 98927
|
$28.12 |
$28.12 |
$28.12 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$34.20 |
$34.20 |
$34.20 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$40.09 |
$40.09 |
$40.09 |
$92.42
|
|
Osteot dsc ant 1 vrt sgm crv
|
$1,048.99 |
$1,048.99 |
$1,048.99 |
$3,925.60
|
|
Osteot dsc ant 1vrt sgm ea
|
$224.20 |
$224.20 |
$224.20 |
$778.80
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$1,028.85 |
$1,028.85 |
$1,028.85 |
$3,573.90
|
|
Osteot dsc ant 1vrt sgm thrc
|
$1,123.85 |
$1,123.85 |
$1,123.85 |
$6,063.98
|
|
Ot evaluation high complexity patient/family
|
$123.50 |
$123.50 |
$123.50 |
$297.00
|
