|
Opscpy extnd on/mac draw
|
$7.20 |
$7.20 |
$7.20 |
$70.29
|
|
Optx acrclv dslc aq/chrn grf
|
$455.40 |
$455.40 |
$455.40 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$404.00 |
$404.00 |
$404.00 |
$6,721.67
|
|
Optx acute shoulder dislc
|
$414.20 |
$414.20 |
$414.20 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$509.20 |
$509.20 |
$509.20 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$506.80 |
$506.80 |
$506.80 |
$9,013.88
|
|
Optx complicated mndblr fx
|
$811.60 |
$811.60 |
$811.60 |
$6,839.00
|
|
Optx crpl fx oth/thn scph ea
|
$405.20 |
$405.20 |
$405.20 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$549.00 |
$549.00 |
$549.00 |
$7,157.53
|
|
Optx lunate dislocation
|
$447.40 |
$447.40 |
$447.40 |
$8,412.89
|
|
Optx medial ankle fx
|
$428.40 |
$428.40 |
$428.40 |
$7,807.24
|
|
Optx mndblr cndylr fx
|
$566.40 |
$566.40 |
$566.40 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$741.60 |
$741.60 |
$741.60 |
$6,547.81
|
|
Optx partclr fx&/dslc elbw w
|
$753.00 |
$753.00 |
$753.00 |
$10,629.07
|
|
Optx post ankle fx
|
$508.40 |
$508.40 |
$508.40 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$617.20 |
$617.20 |
$617.20 |
$13,938.00
|
|
Optx prx hmrl fx fix rpr rpl
|
$851.00 |
$851.00 |
$851.00 |
$16,139.55
|
|
Optx radial shaft fracture
|
$475.00 |
$475.00 |
$475.00 |
$5,301.66
|
|
Optx rad/uln dislc aqt/chrnc
|
$447.20 |
$447.20 |
$447.20 |
$5,883.95
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$429.00 |
$429.00 |
$429.00 |
$5,741.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$557.00 |
$557.00 |
$557.00 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$669.20 |
$669.20 |
$669.20 |
$7,275.00
|
|
Optx rdl&uln shft fx rds&uln
|
$635.00 |
$635.00 |
$635.00 |
$6,915.75
|
|
Optx rdl&uln shft fx rds/uln
|
$479.20 |
$479.20 |
$479.20 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$676.80 |
$676.80 |
$676.80 |
$7,907.11
|
|
Optx sho dislc fx
|
$609.80 |
$609.80 |
$609.80 |
$5,339.00
|
|
Optx sho dislc neck fx fixj
|
$648.40 |
$648.40 |
$648.40 |
$6,839.00
|
|
Optx thigh fx
|
$851.00 |
$851.00 |
$851.00 |
$1,767.20
|
|
Optx trns-scphprlnr fx dislc
|
$516.00 |
$516.00 |
$516.00 |
$5,419.00
|
|
Optx ulnar shft fx int fixj
|
$445.20 |
$445.20 |
$445.20 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$444.20 |
$444.20 |
$444.20 |
$4,627.00
|
|
Orchiectomy partial
|
$405.20 |
$405.20 |
$405.20 |
$4,081.37
|
|
Orchiopexy (fowler-stephens)
|
$491.00 |
$491.00 |
$491.00 |
$4,156.03
|
|
Orchiopexy ingun/scrot appr
|
$297.40 |
$297.40 |
$297.40 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$32.11 |
$32.11 |
$32.11 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$443.40 |
$443.40 |
$443.40 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$5.20 |
$5.20 |
$5.20 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$18.60 |
$18.60 |
$18.60 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$154.60 |
$154.60 |
$154.60 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$267.60 |
$267.60 |
$267.60 |
$536.90
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$94.00 |
$94.00 |
$94.00 |
$238.34
|
|
Orthovisc inj per dose
|
$68.40 |
$68.40 |
$68.40 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$243.40 |
$243.40 |
$243.40 |
$420.76
|
|
Osmolality blood
|
$53.80 |
$53.80 |
$53.80 |
$67.60
|
|
Osmolality urine
|
$31.60 |
$31.60 |
$31.60 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$224.80 |
$224.80 |
$224.80 |
$3,542.56
|
|
Ostectomy scapula partial
|
$407.40 |
$407.40 |
$407.40 |
$3,839.54
|
|
Osteochondral knee allograft
|
$948.20 |
$948.20 |
$948.20 |
$10,629.07
|
|
Osteochondral knee autograft
|
$680.20 |
$680.20 |
$680.20 |
$7,952.51
|
|
Osteopath manip tx/5-6 body region 98927
|
$29.60 |
$29.60 |
$29.60 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$36.00 |
$36.00 |
$36.00 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$42.20 |
$42.20 |
$42.20 |
$92.42
|
|
Osteot dsc ant 1 vrt sgm crv
|
$1,104.20 |
$1,104.20 |
$1,104.20 |
$3,925.60
|
|
Osteot dsc ant 1vrt sgm ea
|
$236.00 |
$236.00 |
$236.00 |
$778.80
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$3,573.90
|
|
Osteot dsc ant 1vrt sgm thrc
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$6,063.98
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$56.80 |
$56.80 |
$56.80 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$38.80 |
$38.80 |
$38.80 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$14.80 |
$14.80 |
$14.80 |
$60.45
|
|
Otoplasty 69300
|
$330.80 |
$330.80 |
$330.80 |
$3,589.62
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$49.80 |
$49.80 |
$49.80 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$14.80 |
$14.80 |
$14.80 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$44.20 |
$44.20 |
$44.20 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$44.60 |
$44.60 |
$44.60 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$45.40 |
$45.40 |
$45.40 |
$94.25
|
|
Ovarian cystectomy 58925
|
$524.40 |
$524.40 |
$524.40 |
$5,841.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$128.76 |
$128.76 |
$128.76 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$7.12 |
$7.12 |
$7.12 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2.28 |
$2.28 |
$2.28 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,180.06 |
$1,180.06 |
$1,180.06 |
$3,435.42
|
|
Palivizumab 50 mg/0.5 ml inj
|
$637.60 |
$637.60 |
$637.60 |
$5,569.20
|
|
Palonosetron hcl
|
$87.06 |
$87.06 |
$87.06 |
$170.48
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$1,043.40 |
$1,043.40 |
$1,043.40 |
$2,927.40
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$5,217.55 |
$5,217.55 |
$5,217.55 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.84 |
$7.84 |
$7.84 |
$29.31
|
|
Papaverin hcl injection
|
$0.28 |
$0.28 |
$0.28 |
$77.05
|
|
Parathormone (pth) intact
|
$104.00 |
$104.00 |
$104.00 |
$204.87
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$958.80 |
$958.80 |
$958.80 |
$3,164.04
|
|
Parathyroid planar imaging
|
$743.00 |
$743.00 |
$743.00 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$556.20 |
$556.20 |
$556.20 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$613.00 |
$613.00 |
$613.00 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$270.00 |
$270.00 |
$270.00 |
$245.00
|
|
Part exc/post vert comp/sng/thorac 22101
|
$612.80 |
$612.80 |
$612.80 |
$6,028.71
|
|
Part hymenectomy/revi hymenal ring 56700
|
$141.00 |
$141.00 |
$141.00 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$856.40 |
$856.40 |
$856.40 |
$2,497.20
|
|
Partial exc bone humerus
|
$494.60 |
$494.60 |
$494.60 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$3,377.60 |
$3,377.60 |
$3,377.60 |
$4,914.00
|
|
Partial excision of lip
|
$263.60 |
$263.60 |
$263.60 |
$3,837.72
|
|
Partial hip replacement
|
$781.00 |
$781.00 |
$781.00 |
$3,874.00
|
|
Partial hysterectomy
|
$653.60 |
$653.60 |
$653.60 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$754.00 |
$754.00 |
$754.00 |
$2,772.80
|
|
Partial removal finger bone
|
$352.00 |
$352.00 |
$352.00 |
$2,021.04
|
|
Partial removal finger bone
|
$317.20 |
$317.20 |
$317.20 |
$2,049.27
|
|
Partial removal foot fascia
|
$255.20 |
$255.20 |
$255.20 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
$4,315.20
|
|
Partial removal of bladder
|
$655.60 |
$655.60 |
$655.60 |
$1,465.20
|
|
Partial removal of eye fluid
|
$335.80 |
$335.80 |
$335.80 |
$2,698.92
|
|
Partial removal of eye fluid
|
$382.40 |
$382.40 |
$382.40 |
$2,698.92
|
|
Partial removal of fibula
|
$459.60 |
$459.60 |
$459.60 |
$3,786.00
|
