|
Opn exc/dstr ntra-abd 5 cm/<
|
$397.60 |
$397.60 |
$397.60 |
$1,822.08
|
|
Opn fem art expos cndt crtj 34714
|
$666.40 |
$666.40 |
$666.40 |
$2,041.65
|
|
Opn impltj crnl nrv nea&pg
|
$35,498.40 |
$35,498.40 |
$35,498.40 |
$35,498.40
|
|
Opn impltj nea neuromuscular
|
$23,049.60 |
$23,049.60 |
$23,049.60 |
$23,049.60
|
|
Opn impltj nea perph nerve
|
$18,334.40 |
$18,334.40 |
$18,334.40 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$15,131.20 |
$15,131.20 |
$15,131.20 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$66,354.40 |
$66,354.40 |
$66,354.40 |
$36,076.18
|
|
Opn tx complx malar fx
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$6,605.19
|
|
Opn tx dprsd zygomatic arch
|
$10,634.40 |
$10,634.40 |
$10,634.40 |
$5,419.00
|
|
Opn tx nasomax fx w/fixj
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Opn tx orbit fx combined
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,966.64
|
|
Opn tx orbit fx transantral
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Opn tx orbit fx w/bone grft
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,553.49
|
|
Opn tx orbit fx w/implant
|
$16,357.60 |
$16,357.60 |
$16,357.60 |
$6,553.49
|
|
Opn tx orbit fx without impl 21406
|
$4,082.40 |
$4,082.40 |
$4,082.40 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$16,357.60 |
$16,357.60 |
$16,357.60 |
$6,547.81
|
|
Opn tx orbit periorbt w/grft
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,553.49
|
|
Opps service,sched team conf
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$503.90
|
|
Opscpy extnd on/mac draw
|
$169.68 |
$169.68 |
$169.68 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$199.36 |
$199.36 |
$199.36 |
$71.00
|
|
Optical endomicroscpy interp
|
$132.16 |
$132.16 |
$132.16 |
$86.40
|
|
Optokinetic nystagmus test
|
$35.84 |
$35.84 |
$35.84 |
$40.80
|
|
Optx acrclv dslc aq/chrn grf
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$6,721.67
|
|
Optx acute shoulder dislc
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$10,600.80 |
$10,600.80 |
$10,600.80 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$19,857.60 |
$19,857.60 |
$19,857.60 |
$9,013.88
|
|
Optx complicated mndblr fx
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$6,839.00
|
|
Optx crpl fx oth/thn scph ea
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$19,510.40 |
$19,510.40 |
$19,510.40 |
$7,157.53
|
|
Optx lunate dislocation
|
$9,744.00 |
$9,744.00 |
$9,744.00 |
$8,412.89
|
|
Optx medial ankle fx
|
$13,759.20 |
$13,759.20 |
$13,759.20 |
$7,807.24
|
|
Optx mndblr cndylr fx
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$6,547.81
|
|
Optx mndblr fx xtrnl fixj
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Optx mndblr/max alv ridge fx
|
$9,828.00 |
$9,828.00 |
$9,828.00 |
$7,000.36
|
|
Optx partclr fx&/dslc elbw w
|
$24,287.20 |
$24,287.20 |
$24,287.20 |
$10,629.07
|
|
Optx post ankle fx
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$24,197.60 |
$24,197.60 |
$24,197.60 |
$13,938.00
|
|
Optx prx hmrl fx fix rpr rpl
|
$16,385.60 |
$16,385.60 |
$16,385.60 |
$16,139.55
|
|
Optx radial shaft fracture
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$5,301.66
|
|
Optx rad/uln dislc aqt/chrnc
|
$11,692.80 |
$11,692.80 |
$11,692.80 |
$5,883.95
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$8,915.20 |
$8,915.20 |
$8,915.20 |
$5,741.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,275.00
|
|
Optx rdl&uln shft fx rds&uln
|
$19,465.60 |
$19,465.60 |
$19,465.60 |
$6,915.75
|
|
Optx rdl&uln shft fx rds/uln
|
$15,467.20 |
$15,467.20 |
$15,467.20 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$19,857.60 |
$19,857.60 |
$19,857.60 |
$7,907.11
|
|
Optx sho dislc fx
|
$11,138.40 |
$11,138.40 |
$11,138.40 |
$5,339.00
|
|
Optx sho dislc neck fx fixj
|
$20,160.00 |
$20,160.00 |
$20,160.00 |
$6,839.00
|
|
Optx strclv dslc aq/chrn grf
|
$11,692.80 |
$11,692.80 |
$11,692.80 |
$7,907.11
|
|
Optx strnclav dislc aqt/chrn
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$7,907.11
|
|
Optx tmprmand dislocation
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$4,179.20
|
|
Optx trns-scphprlnr fx dislc
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$5,419.00
|
|
Optx ulnar shft fx int fixj
|
$19,857.60 |
$19,857.60 |
$19,857.60 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$13,854.40 |
$13,854.40 |
$13,854.40 |
$4,627.00
|
|
Oral aprepitant
|
$598.37 |
$598.37 |
$598.37 |
$410.20
|
|
Oral busulfan
|
$527.59 |
$527.59 |
$527.59 |
$176.80
|
|
Oral everolimus
|
$1,196.85 |
$1,196.85 |
$1,196.85 |
$33.34
|
|
Oral methotrexate (xatmep)
|
$4,371.50 |
$4,371.50 |
$4,371.50 |
$4,371.50
|
|
Oral netupitant, palonosetro
|
$1,206.86 |
$1,206.86 |
$1,206.86 |
$1,120.66
|
|
Orchiectomy partial
|
$11,043.20 |
$11,043.20 |
$11,043.20 |
$4,081.37
|
|
Orchiopexy (fowler-stephens)
|
$8,965.60 |
$8,965.60 |
$8,965.60 |
$4,156.03
|
|
Orchiopexy ingun/scrot appr
|
$12,286.40 |
$12,286.40 |
$12,286.40 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$73.92 |
$73.92 |
$73.92 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$9,327.40 |
$9,327.40 |
$9,327.40 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$2,030.97 |
$2,030.97 |
$2,030.97 |
$3,082.73
|
|
Oropharyngeal biopsy 42800
|
$6,501.60 |
$6,501.60 |
$6,501.60 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$23.94 |
$23.94 |
$23.94 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$291.20 |
$291.20 |
$291.20 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$504.00 |
$504.00 |
$504.00 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$911.68 |
$911.68 |
$911.68 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$271.60 |
$271.60 |
$271.60 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$324.80 |
$324.80 |
$324.80 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$106.40 |
$106.40 |
$106.40 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$271.60 |
$271.60 |
$271.60 |
$231.00
|
|
Orthopantogram
|
$364.00 |
$364.00 |
$364.00 |
$241.50
|
|
Orthopedic shoe add rub insl
|
$33.60 |
$33.60 |
$33.60 |
$70.40
|
|
Orthop traing pfrmd phys/qhp
|
$256.48 |
$256.48 |
$256.48 |
$148.20
|
|
Orthop traing supvj phys/qhp
|
$127.68 |
$127.68 |
$127.68 |
$112.32
|
|
Ortho shoe add full sole
|
$58.80 |
$58.80 |
$58.80 |
$109.93
|
|
Ortho shoe add half sole
|
$36.40 |
$36.40 |
$36.40 |
$36.40
|
|
Ortho shoe add leather insol
|
$33.60 |
$33.60 |
$33.60 |
$63.22
|
|
Ortho shoe add march bar
|
$47.60 |
$47.60 |
$47.60 |
$90.66
|
|
Ortho sidebar disconnect
|
$145.60 |
$145.60 |
$145.60 |
$145.60
|
|
Orthosis lso rigd frm hyperex
|
$571.20 |
$571.20 |
$571.20 |
$816.00
|
|
Orthovisc inj per dose
|
$837.96 |
$837.96 |
$837.96 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$491.68 |
$491.68 |
$491.68 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$996.80 |
$996.80 |
$996.80 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$532.00 |
$532.00 |
$532.00 |
$195.00
|
|
O shoe add felt w leath insl
|
$36.40 |
$36.40 |
$36.40 |
$36.40
|
|
O shoe add horseshoe toe tap
|
$28.00 |
$28.00 |
$28.00 |
$49.45
|
|
O shoe add instep extension
|
$95.20 |
$95.20 |
$95.20 |
$201.67
|
|
O shoe add instep velcro clo
|
$72.80 |
$72.80 |
$72.80 |
$140.22
|
|
O shoe add standard toe tap
|
$11.20 |
$11.20 |
$11.20 |
$19.38
|
|
O shoe convert to sof counte
|
$61.60 |
$61.60 |
$61.60 |
$115.53
|
|
Osmolality blood
|
$114.80 |
$114.80 |
$114.80 |
$67.60
|
|
Osmolality urine
|
$105.84 |
$105.84 |
$105.84 |
$65.00
|
