|
Optx clavicular fx w/int fix
|
$760.20 |
$760.20 |
$760.20 |
$9,013.88
|
|
Optx complicated mndblr fx
|
$1,217.40 |
$1,217.40 |
$1,217.40 |
$6,839.00
|
|
Optx crpl fx oth/thn scph ea
|
$607.80 |
$607.80 |
$607.80 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$823.50 |
$823.50 |
$823.50 |
$7,157.53
|
|
Optx lunate dislocation
|
$671.10 |
$671.10 |
$671.10 |
$8,412.89
|
|
Optx medial ankle fx
|
$642.60 |
$642.60 |
$642.60 |
$7,807.24
|
|
Optx mndblr cndylr fx
|
$849.60 |
$849.60 |
$849.60 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$1,112.40 |
$1,112.40 |
$1,112.40 |
$6,547.81
|
|
Optx partclr fx&/dslc elbw w
|
$1,129.50 |
$1,129.50 |
$1,129.50 |
$10,629.07
|
|
Optx post ankle fx
|
$762.60 |
$762.60 |
$762.60 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$925.80 |
$925.80 |
$925.80 |
$13,938.00
|
|
Optx prx hmrl fx fix rpr rpl
|
$1,276.50 |
$1,276.50 |
$1,276.50 |
$16,139.55
|
|
Optx radial shaft fracture
|
$712.50 |
$712.50 |
$712.50 |
$5,301.66
|
|
Optx rad/uln dislc aqt/chrnc
|
$670.80 |
$670.80 |
$670.80 |
$5,883.95
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$643.50 |
$643.50 |
$643.50 |
$5,741.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$835.50 |
$835.50 |
$835.50 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$7,275.00
|
|
Optx rdl&uln shft fx rds&uln
|
$952.50 |
$952.50 |
$952.50 |
$6,915.75
|
|
Optx rdl&uln shft fx rds/uln
|
$718.80 |
$718.80 |
$718.80 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$7,907.11
|
|
Optx sho dislc fx
|
$914.70 |
$914.70 |
$914.70 |
$5,339.00
|
|
Optx sho dislc neck fx fixj
|
$972.60 |
$972.60 |
$972.60 |
$6,839.00
|
|
Optx thigh fx
|
$1,276.50 |
$1,276.50 |
$1,276.50 |
$1,767.20
|
|
Optx trns-scphprlnr fx dislc
|
$774.00 |
$774.00 |
$774.00 |
$5,419.00
|
|
Optx ulnar shft fx int fixj
|
$667.80 |
$667.80 |
$667.80 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$666.30 |
$666.30 |
$666.30 |
$4,627.00
|
|
Orchiectomy partial
|
$607.80 |
$607.80 |
$607.80 |
$4,081.37
|
|
Orchiopexy (fowler-stephens)
|
$736.50 |
$736.50 |
$736.50 |
$4,156.03
|
|
Orchiopexy ingun/scrot appr
|
$446.10 |
$446.10 |
$446.10 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$48.17 |
$48.17 |
$48.17 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$168.60 |
$168.60 |
$168.60 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$7.80 |
$7.80 |
$7.80 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$231.90 |
$231.90 |
$231.90 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$401.40 |
$401.40 |
$401.40 |
$536.90
|
|
Orthosis lso rigd frm hyperex
|
$183.30 |
$183.30 |
$183.30 |
$816.00
|
|
Orthovisc inj per dose
|
$102.60 |
$102.60 |
$102.60 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$365.10 |
$365.10 |
$365.10 |
$420.76
|
|
Osmolality blood
|
$73.20 |
$73.20 |
$73.20 |
$67.60
|
|
Osmolality urine
|
$69.00 |
$69.00 |
$69.00 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$337.20 |
$337.20 |
$337.20 |
$3,542.56
|
|
Ostectomy scapula partial
|
$611.10 |
$611.10 |
$611.10 |
$3,839.54
|
|
Osteochondral knee allograft
|
$1,422.30 |
$1,422.30 |
$1,422.30 |
$10,629.07
|
|
Osteochondral knee autograft
|
$1,020.30 |
$1,020.30 |
$1,020.30 |
$7,952.51
|
|
Osteopath manip tx/5-6 body region 98927
|
$44.40 |
$44.40 |
$44.40 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$72.30 |
$72.30 |
$72.30 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$63.30 |
$63.30 |
$63.30 |
$92.42
|
|
Osteot dsc ant 1 vrt sgm crv
|
$1,656.30 |
$1,656.30 |
$1,656.30 |
$3,925.60
|
|
Osteot dsc ant 1vrt sgm ea
|
$354.00 |
$354.00 |
$354.00 |
$778.80
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$1,624.50 |
$1,624.50 |
$1,624.50 |
$3,573.90
|
|
Osteot dsc ant 1vrt sgm thrc
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$6,063.98
|
|
Ot evaluation high complexity patient/family
|
$154.50 |
$154.50 |
$154.50 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$135.00 |
$135.00 |
$135.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$149.40 |
$149.40 |
$149.40 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$59.40 |
$59.40 |
$59.40 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$52.80 |
$52.80 |
$52.80 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$53.40 |
$53.40 |
$53.40 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$22.20 |
$22.20 |
$22.20 |
$60.45
|
|
Otoplasty 69300
|
$496.20 |
$496.20 |
$496.20 |
$3,589.62
|
|
Ot re-evaluation patient/family
|
$80.40 |
$80.40 |
$80.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$66.90 |
$66.90 |
$66.90 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.10 |
$26.10 |
$26.10 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$31.80 |
$31.80 |
$31.80 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$54.30 |
$54.30 |
$54.30 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$52.80 |
$52.80 |
$52.80 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$69.00 |
$69.00 |
$69.00 |
$94.25
|
|
Ovarian cystectomy 58925
|
$786.60 |
$786.60 |
$786.60 |
$5,841.60
|
|
Pad repl cerv collr univ adult
|
$94.20 |
$94.20 |
$94.20 |
$192.01
|
|
Palivizumab 50 mg/0.5 ml inj
|
$956.40 |
$956.40 |
$956.40 |
$5,569.20
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$1,565.10 |
$1,565.10 |
$1,565.10 |
$2,927.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$14.17 |
$14.17 |
$14.17 |
$29.31
|
|
Papaverin hcl injection
|
$26.10 |
$26.10 |
$26.10 |
$77.05
|
|
Parathormone (pth) intact
|
$244.80 |
$244.80 |
$244.80 |
$204.87
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$1,438.20 |
$1,438.20 |
$1,438.20 |
$3,164.04
|
|
Parathyroid planar imaging
|
$44.10 |
$44.10 |
$44.10 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$65.40 |
$65.40 |
$65.40 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$919.50 |
$919.50 |
$919.50 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$120.30 |
$120.30 |
$120.30 |
$245.00
|
|
Part exc/post vert comp/sng/thorac 22101
|
$919.20 |
$919.20 |
$919.20 |
$6,028.71
|
|
Part hymenectomy/revi hymenal ring 56700
|
$211.50 |
$211.50 |
$211.50 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$1,284.60 |
$1,284.60 |
$1,284.60 |
$2,497.20
|
|
Partial exc bone humerus
|
$741.90 |
$741.90 |
$741.90 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$466.80 |
$466.80 |
$466.80 |
$4,914.00
|
|
Partial excision of lip
|
$395.40 |
$395.40 |
$395.40 |
$3,837.72
|
|
Partial hip replacement
|
$1,171.50 |
$1,171.50 |
$1,171.50 |
$3,874.00
|
|
Partial hysterectomy
|
$980.40 |
$980.40 |
$980.40 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$2,772.80
|
|
Partial removal finger bone
|
$528.00 |
$528.00 |
$528.00 |
$2,021.04
|
|
Partial removal finger bone
|
$475.80 |
$475.80 |
$475.80 |
$2,049.27
|
|
Partial removal foot fascia
|
$382.80 |
$382.80 |
$382.80 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$946.80 |
$946.80 |
$946.80 |
$4,315.20
|
|
Partial removal of bladder
|
$983.40 |
$983.40 |
$983.40 |
$1,465.20
|
|
Partial removal of eye fluid
|
$503.70 |
$503.70 |
$503.70 |
$2,698.92
|
|
Partial removal of eye fluid
|
$573.60 |
$573.60 |
$573.60 |
$2,698.92
|
|
Partial removal of fibula
|
$689.40 |
$689.40 |
$689.40 |
$3,786.00
|
|
Partial removal of foot bone
|
$642.00 |
$642.00 |
$642.00 |
$3,839.54
|
|
Partial removal of hand bone
|
$534.90 |
$534.90 |
$534.90 |
$3,839.54
|
|
Partial removal of lip
|
$427.20 |
$427.20 |
$427.20 |
$3,544.29
|
|
Partial removal of lung 32480
|
$1,448.40 |
$1,448.40 |
$1,448.40 |
$2,868.60
|
|
Partial removal of nose
|
$836.10 |
$836.10 |
$836.10 |
$6,603.11
|
|
Partial removal of penis
|
$654.60 |
$654.60 |
$654.60 |
$4,081.37
|
