|
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
|
$79.23 |
$79.23 |
$79.23 |
$2,218.86
|
|
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
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$468.54 |
$468.54 |
$468.54 |
$420.76
|
|
Osmolality blood
|
$64.03 |
$64.03 |
$64.03 |
$67.60
|
|
Osmolality urine
|
$69.73 |
$69.73 |
$69.73 |
$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
|
$21.47 |
$21.47 |
$21.47 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$27.17 |
$27.17 |
$27.17 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$32.30 |
$32.30 |
$32.30 |
$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
|
|
Ot evaluation low complexity patient/family
|
$94.62 |
$94.62 |
$94.62 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$104.50 |
$104.50 |
$104.50 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$50.35 |
$50.35 |
$50.35 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$42.94 |
$42.94 |
$42.94 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$45.41 |
$45.41 |
$45.41 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$4.37 |
$4.37 |
$4.37 |
$60.45
|
|
Otoplasty 69300
|
$314.26 |
$314.26 |
$314.26 |
$3,589.62
|
|
Ot re-evaluation patient/family
|
$69.92 |
$69.92 |
$69.92 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$42.56 |
$42.56 |
$42.56 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$38.38 |
$38.38 |
$38.38 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$38.38 |
$38.38 |
$38.38 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$40.47 |
$40.47 |
$40.47 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$44.84 |
$44.84 |
$44.84 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$56.62 |
$56.62 |
$56.62 |
$94.25
|
|
Ovarian cystectomy 58925
|
$498.18 |
$498.18 |
$498.18 |
$5,841.60
|
|
Oxytocin 10 unit/ml injection solution
|
$3.51 |
$3.51 |
$3.51 |
$50.40
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$991.23 |
$991.23 |
$991.23 |
$2,927.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.44 |
$8.44 |
$8.44 |
$29.31
|
|
Parathormone (pth) intact
|
$138.51 |
$138.51 |
$138.51 |
$204.87
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$910.86 |
$910.86 |
$910.86 |
$3,164.04
|
|
Parathyroid planar imaging
|
$463.41 |
$463.41 |
$463.41 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$535.99 |
$535.99 |
$535.99 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$582.35 |
$582.35 |
$582.35 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$89.11 |
$89.11 |
$89.11 |
$245.00
|
|
Part exc/post vert comp/sng/thorac 22101
|
$582.16 |
$582.16 |
$582.16 |
$6,028.71
|
|
Part hymenectomy/revi hymenal ring 56700
|
$133.95 |
$133.95 |
$133.95 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$813.58 |
$813.58 |
$813.58 |
$2,497.20
|
|
Partial exc bone humerus
|
$469.87 |
$469.87 |
$469.87 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$295.64 |
$295.64 |
$295.64 |
$4,914.00
|
|
Partial excision of lip
|
$250.42 |
$250.42 |
$250.42 |
$3,837.72
|
|
Partial hip replacement
|
$741.95 |
$741.95 |
$741.95 |
$3,874.00
|
|
Partial hysterectomy
|
$620.92 |
$620.92 |
$620.92 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$716.30 |
$716.30 |
$716.30 |
$2,772.80
|
|
Partial removal finger bone
|
$334.40 |
$334.40 |
$334.40 |
$2,021.04
|
|
Partial removal finger bone
|
$301.34 |
$301.34 |
$301.34 |
$2,049.27
|
|
Partial removal foot fascia
|
$242.44 |
$242.44 |
$242.44 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$599.64 |
$599.64 |
$599.64 |
$4,315.20
|
|
Partial removal of bladder
|
$622.82 |
$622.82 |
$622.82 |
$1,465.20
|
|
Partial removal of eye fluid
|
$319.01 |
$319.01 |
$319.01 |
$2,698.92
|
|
Partial removal of eye fluid
|
$363.28 |
$363.28 |
$363.28 |
$2,698.92
|
|
Partial removal of fibula
|
$436.62 |
$436.62 |
$436.62 |
$3,786.00
|
|
Partial removal of foot bone
|
$294.88 |
$294.88 |
$294.88 |
$3,839.54
|
|
Partial removal of hand bone
|
$338.77 |
$338.77 |
$338.77 |
$3,839.54
|
|
Partial removal of lip
|
$270.56 |
$270.56 |
$270.56 |
$3,544.29
|
|
Partial removal of lung 32480
|
$917.32 |
$917.32 |
$917.32 |
$2,868.60
|
|
Partial removal of nose
|
$529.53 |
$529.53 |
$529.53 |
$6,603.11
|
|
Partial removal of penis
|
$414.58 |
$414.58 |
$414.58 |
$4,081.37
|
|
Partial removal of radius
|
$394.63 |
$394.63 |
$394.63 |
$3,839.54
|
|
Partial removal of radius
|
$295.83 |
$295.83 |
$295.83 |
$3,472.00
|
|
Partial removal of rectum
|
$695.21 |
$695.21 |
$695.21 |
$2,684.00
|
|
Partial removal of rib
|
$379.43 |
$379.43 |
$379.43 |
$5,376.00
|
|
Partial removal of sternum
|
$326.42 |
$326.42 |
$326.42 |
$1,236.00
|
|
Partial removal of thyroid
|
$459.61 |
$459.61 |
$459.61 |
$6,457.82
|
|
Partial removal of thyroid
|
$609.33 |
$609.33 |
$609.33 |
$5,855.00
|
|
Partial removal of tibia
|
$547.39 |
$547.39 |
$547.39 |
$4,108.80
|
|
Partial removal of tongue
|
$707.18 |
$707.18 |
$707.18 |
$5,978.70
|
|
Partial removal of ulna
|
$340.67 |
$340.67 |
$340.67 |
$3,839.54
|
|
Partial removal of ulna
|
$293.93 |
$293.93 |
$293.93 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$354.73 |
$354.73 |
$354.73 |
$3,762.53
|
|
Partial thyroid excision
|
$459.61 |
$459.61 |
$459.61 |
$6,457.82
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$653.79 |
$653.79 |
$653.79 |
$6,376.26
|
|
Part removal hip bone deep
|
$641.82 |
$641.82 |
$641.82 |
$2,229.48
|
|
Part removal of metatarsal
|
$200.07 |
$200.07 |
$200.07 |
$3,795.71
|
|
Part removal of metatarsal
|
$290.51 |
$290.51 |
$290.51 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$211.85 |
$211.85 |
$211.85 |
$3,839.54
|
|
Pca3/klk3 antigen
|
$48.46 |
$48.46 |
$48.46 |
$510.40
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$478.04 |
$478.04 |
$478.04 |
$2,837.09
|
|
Ped crit care transport
|
$106.40 |
$106.40 |
$106.40 |
$434.40
|
|
Ped crit care transport addl
|
$53.39 |
$53.39 |
$53.39 |
$217.60
|
|
Ped critical care initial
|
$354.92 |
$354.92 |
$354.92 |
$1,446.40
|
|
Ped critical care subsq
|
$182.97 |
$182.97 |
$182.97 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$432.44 |
$432.44 |
$432.44 |
$2,501.10
|
|
Pelvic CT scan (with and without contrast)
|
$1,116.25 |
$1,116.25 |
$1,116.25 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,016.50 |
$1,016.50 |
$1,016.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$806.17 |
$806.17 |
$806.17 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,593.34 |
$1,593.34 |
$1,593.34 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,226.45 |
$1,226.45 |
$1,226.45 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,141.52 |
$1,141.52 |
$1,141.52 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$278.73 |
$278.73 |
$278.73 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$197.79 |
$197.79 |
$197.79 |
$430.00
|