|
Office emergency care
|
$19.17 |
$19.17 |
$19.17 |
$50.40
|
|
Off/op cnsltj new/est low 30
|
$75.87 |
$75.87 |
$75.87 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$108.81 |
$108.81 |
$108.81 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$143.10 |
$143.10 |
$143.10 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$49.41 |
$49.41 |
$49.41 |
$133.80
|
|
Ol dig e/m svc 11-20 min
|
$19.71 |
$19.71 |
$19.71 |
$37.92
|
|
Ol dig e/m svc 21+ min
|
$31.32 |
$31.32 |
$31.32 |
$60.00
|
|
Ol dig e/m svc 5-10 min
|
$9.99 |
$9.99 |
$9.99 |
$22.26
|
|
Omental flap intra-abdom 49905
|
$310.77 |
$310.77 |
$310.77 |
$871.20
|
|
Oncology prostate prob score
|
$207.90 |
$207.90 |
$207.90 |
$952.00
|
|
Onco (ovar) five proteins
|
$120.15 |
$120.15 |
$120.15 |
$986.70
|
|
Oncoprotein dcp
|
$15.46 |
$15.46 |
$15.46 |
$161.60
|
|
Oncoprotein her-2/neu
|
$91.60 |
$91.60 |
$91.60 |
$219.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$29.52 |
$29.52 |
$29.52 |
$22.62
|
|
Open aortofemor prosth repr
|
$1,612.98 |
$1,612.98 |
$1,612.98 |
$3,942.84
|
|
Open bx/exc inguinofem nodes
|
$411.75 |
$411.75 |
$411.75 |
$4,992.00
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$414.72 |
$414.72 |
$414.72 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$537.30 |
$537.30 |
$537.30 |
$6,366.08
|
|
Open tx nose fx w/skele fixj
|
$511.38 |
$511.38 |
$511.38 |
$6,465.11
|
|
Open tx nose & septal fx
|
$677.97 |
$677.97 |
$677.97 |
$3,837.72
|
|
Open wedge bx lung nodule 32097
|
$712.80 |
$712.80 |
$712.80 |
$1,955.20
|
|
Ophthalmic biometry
|
$32.40 |
$32.40 |
$32.40 |
$182.95
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$1,514.97 |
$1,514.97 |
$1,514.97 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$1,195.02 |
$1,195.02 |
$1,195.02 |
$1,822.08
|
|
Opn impltj nea sacral nerve
|
$602.10 |
$602.10 |
$602.10 |
$7,766.27
|
|
Opn tx complx malar fx
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$6,605.19
|
|
Opn tx dprsd zygomatic arch
|
$384.21 |
$384.21 |
$384.21 |
$5,419.00
|
|
Opn tx orbit fx combined
|
$720.63 |
$720.63 |
$720.63 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$652.05 |
$652.05 |
$652.05 |
$6,966.64
|
|
Opn tx orbit periorbtl implt
|
$755.46 |
$755.46 |
$755.46 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$9.72 |
$9.72 |
$9.72 |
$70.29
|
|
Optx acrclv dslc aq/chrn grf
|
$614.79 |
$614.79 |
$614.79 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$545.40 |
$545.40 |
$545.40 |
$6,721.67
|
|
Optx acute shoulder dislc
|
$559.17 |
$559.17 |
$559.17 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$687.42 |
$687.42 |
$687.42 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$684.18 |
$684.18 |
$684.18 |
$9,013.88
|
|
Optx complicated mndblr fx
|
$1,095.66 |
$1,095.66 |
$1,095.66 |
$6,839.00
|
|
Optx crpl fx oth/thn scph ea
|
$547.02 |
$547.02 |
$547.02 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$741.15 |
$741.15 |
$741.15 |
$7,157.53
|
|
Optx lunate dislocation
|
$603.99 |
$603.99 |
$603.99 |
$8,412.89
|
|
Optx medial ankle fx
|
$578.34 |
$578.34 |
$578.34 |
$7,807.24
|
|
Optx mndblr cndylr fx
|
$764.64 |
$764.64 |
$764.64 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$1,001.16 |
$1,001.16 |
$1,001.16 |
$6,547.81
|
|
Optx partclr fx&/dslc elbw w
|
$1,016.55 |
$1,016.55 |
$1,016.55 |
$10,629.07
|
|
Optx post ankle fx
|
$686.34 |
$686.34 |
$686.34 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$833.22 |
$833.22 |
$833.22 |
$13,938.00
|
|
Optx prx hmrl fx fix rpr rpl
|
$1,148.85 |
$1,148.85 |
$1,148.85 |
$16,139.55
|
|
Optx radial shaft fracture
|
$641.25 |
$641.25 |
$641.25 |
$5,301.66
|
|
Optx rad/uln dislc aqt/chrnc
|
$603.72 |
$603.72 |
$603.72 |
$5,883.95
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$579.15 |
$579.15 |
$579.15 |
$5,741.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$751.95 |
$751.95 |
$751.95 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$903.42 |
$903.42 |
$903.42 |
$7,275.00
|
|
Optx rdl&uln shft fx rds&uln
|
$857.25 |
$857.25 |
$857.25 |
$6,915.75
|
|
Optx rdl&uln shft fx rds/uln
|
$646.92 |
$646.92 |
$646.92 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$913.68 |
$913.68 |
$913.68 |
$7,907.11
|
|
Optx sho dislc fx
|
$823.23 |
$823.23 |
$823.23 |
$5,339.00
|
|
Optx sho dislc neck fx fixj
|
$875.34 |
$875.34 |
$875.34 |
$6,839.00
|
|
Optx thigh fx
|
$1,148.85 |
$1,148.85 |
$1,148.85 |
$1,767.20
|
|
Optx trns-scphprlnr fx dislc
|
$696.60 |
$696.60 |
$696.60 |
$5,419.00
|
|
Optx ulnar shft fx int fixj
|
$601.02 |
$601.02 |
$601.02 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$599.67 |
$599.67 |
$599.67 |
$4,627.00
|
|
Orchiectomy partial
|
$547.02 |
$547.02 |
$547.02 |
$4,081.37
|
|
Orchiopexy (fowler-stephens)
|
$662.85 |
$662.85 |
$662.85 |
$4,156.03
|
|
Orchiopexy ingun/scrot appr
|
$401.49 |
$401.49 |
$401.49 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$26.51 |
$26.51 |
$26.51 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$151.74 |
$151.74 |
$151.74 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$7.02 |
$7.02 |
$7.02 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$208.71 |
$208.71 |
$208.71 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$361.26 |
$361.26 |
$361.26 |
$536.90
|
|
Orthovisc inj per dose
|
$92.34 |
$92.34 |
$92.34 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$328.59 |
$328.59 |
$328.59 |
$420.76
|
|
Osmolality blood
|
$66.15 |
$66.15 |
$66.15 |
$67.60
|
|
Osmolality urine
|
$76.95 |
$76.95 |
$76.95 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$303.48 |
$303.48 |
$303.48 |
$3,542.56
|
|
Ostectomy scapula partial
|
$549.99 |
$549.99 |
$549.99 |
$3,839.54
|
|
Osteochondral knee allograft
|
$1,280.07 |
$1,280.07 |
$1,280.07 |
$10,629.07
|
|
Osteochondral knee autograft
|
$918.27 |
$918.27 |
$918.27 |
$7,952.51
|
|
Osteopath manip tx/5-6 body region 98927
|
$39.96 |
$39.96 |
$39.96 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$48.60 |
$48.60 |
$48.60 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$56.97 |
$56.97 |
$56.97 |
$92.42
|
|
Osteot dsc ant 1 vrt sgm crv
|
$1,490.67 |
$1,490.67 |
$1,490.67 |
$3,925.60
|
|
Osteot dsc ant 1vrt sgm ea
|
$318.60 |
$318.60 |
$318.60 |
$778.80
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$1,462.05 |
$1,462.05 |
$1,462.05 |
$3,573.90
|
|
Osteot dsc ant 1vrt sgm thrc
|
$1,597.05 |
$1,597.05 |
$1,597.05 |
$6,063.98
|
|
Ot evaluation high complexity patient/family
|
$192.24 |
$192.24 |
$192.24 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$136.08 |
$136.08 |
$136.08 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$144.72 |
$144.72 |
$144.72 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$61.56 |
$61.56 |
$61.56 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$65.61 |
$65.61 |
$65.61 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$75.33 |
$75.33 |
$75.33 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$19.98 |
$19.98 |
$19.98 |
$60.45
|
|
Otoplasty 69300
|
$446.58 |
$446.58 |
$446.58 |
$3,589.62
|
|
Ot re-evaluation patient/family
|
$120.42 |
$120.42 |
$120.42 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$72.36 |
$72.36 |
$72.36 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$17.82 |
$17.82 |
$17.82 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$18.36 |
$18.36 |
$18.36 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$59.67 |
$59.67 |
$59.67 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$76.41 |
$76.41 |
$76.41 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$54.54 |
$54.54 |
$54.54 |
$94.25
|
|
Ovarian cystectomy 58925
|
$707.94 |
$707.94 |
$707.94 |
$5,841.60
|