|
Optx radial shaft fracture
|
$23,643.00 |
$23,643.00 |
$23,643.00 |
$5,287.97
|
|
Optx rdl&uln shft fx rds&uln
|
$23,643.00 |
$23,643.00 |
$23,643.00 |
$6,839.00
|
|
Optx ulnar shft fx int fixj
|
$17,282.00 |
$17,282.00 |
$17,282.00 |
$7,913.97
|
|
Optx ulnar styloid fracture
|
$18,947.00 |
$18,947.00 |
$18,947.00 |
$5,886.74
|
|
Oral aprepitant
|
$330.00 |
$330.00 |
$330.00 |
$302.47
|
|
Organic acids total quant ea spec
|
$475.00 |
$475.00 |
$475.00 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$3,047.75 |
$3,047.75 |
$3,047.75 |
$3,513.35
|
|
Oropharyngeal biopsy 42800
|
$7,729.00 |
$7,729.00 |
$7,729.00 |
$1,855.10
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$205.39 |
$217.00 |
$233.50 |
$62.56
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$328.00 |
$328.00 |
$328.00 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$297.00 |
$297.00 |
$297.00 |
$693.87
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$663.00 |
$663.00 |
$663.00 |
$267.60
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$989.00 |
$989.00 |
$989.00 |
$231.00
|
|
Orthopantogram
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$219.22
|
|
Orthosis lso rigd frm hyperex
|
$527.00 |
$527.00 |
$527.00 |
$841.90
|
|
Orthovisc inj per dose
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$443.85
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$798.00 |
$798.00 |
$798.00 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$123.50 |
$166.00 |
$364.93 |
$221.34
|
|
Osmolality blood
|
$255.63 |
$255.63 |
$348.00 |
$67.60
|
|
Osmolality urine
|
$255.63 |
$255.63 |
$348.00 |
$65.65
|
|
Ostectomy complete 1st metatarsal head 28111
|
$12,923.00 |
$12,923.00 |
$12,923.00 |
$3,821.05
|
|
Osteopath manip tx/5-6 body region 98927
|
$94.00 |
$94.00 |
$94.00 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$94.00 |
$94.00 |
$94.00 |
$72.80
|
|
Osteopath manip tx/9-10 body region98929
|
$94.00 |
$94.00 |
$94.00 |
$95.16
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$9,434.00 |
$9,434.00 |
$9,434.00 |
$5,855.00
|
|
Ot evaluation high complexity patient/family
|
$1,016.00 |
$1,517.13 |
$1,799.05 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$828.00 |
$1,083.34 |
$1,284.50 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$924.00 |
$1,301.35 |
$1,541.30 |
$270.58
|
|
Oth resp proc, group
|
$282.00 |
$282.00 |
$282.00 |
$141.55
|
|
Oth resp proc, indiv
|
$282.00 |
$282.00 |
$282.00 |
$100.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$182.00 |
$182.00 |
$182.00 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$185.00 |
$185.00 |
$185.00 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$246.00 |
$246.00 |
$963.72 |
$107.32
|
|
Otolaryngo binocular microscopy 92504
|
$590.00 |
$590.00 |
$590.00 |
$63.20
|
|
Ot re-evaluation patient/family
|
$1,015.14 |
$1,200.55 |
$1,532.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$225.00 |
$225.00 |
$225.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$155.00 |
$155.00 |
$200.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$178.00 |
$178.00 |
$178.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$236.00 |
$236.00 |
$236.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$228.00 |
$228.00 |
$228.00 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$258.00 |
$258.00 |
$1,746.32 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$183.25 |
$183.25 |
$183.25 |
$48.86
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,009.01 |
$1,009.01 |
$2,077.00 |
$346.65
|
|
Oxytocin 10 unit/ml injection solution
|
$13.00 |
$13.00 |
$63.50 |
$46.75
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2.75 |
$3.00 |
$3,654.56 |
$222.51
|
|
Palivizumab 50 mg/0.5 ml inj
|
$5,010.50 |
$5,010.50 |
$5,010.50 |
$5,156.88
|
|
Palonosetron hcl
|
$2,918.37 |
$2,918.37 |
$3,672.00 |
$354.74
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$553.71 |
$553.71 |
$553.71 |
$132.11
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$3,397.75 |
$3,397.75 |
$38,145.17 |
$16,565.51
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.55 |
$24.00 |
$211.32 |
$36.04
|
|
Papaverin hcl injection
|
$281.51 |
$281.51 |
$281.51 |
$83.77
|
|
Parathormone (pth) intact
|
$313.57 |
$313.57 |
$1,200.00 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$3,047.00 |
$3,047.00 |
$3,047.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$2,347.00 |
$3,493.37 |
$3,737.60 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,347.00 |
$2,347.00 |
$2,347.00 |
$1,398.75
|
|
Paricalcitol
|
$907.00 |
$907.00 |
$907.00 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$923.00 |
$923.00 |
$923.00 |
$270.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$11,270.00 |
$11,270.00 |
$11,270.00 |
$3,881.50
|
|
Partial removal finger bone
|
$6,246.00 |
$6,246.00 |
$6,246.00 |
$2,211.05
|
|
Partial removal of eye fluid
|
$11,147.00 |
$11,147.00 |
$11,147.00 |
$2,698.92
|
|
Partial removal of foot bone
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,839.54
|
|
Part removal of metatarsal
|
$12,599.00 |
$12,599.00 |
$12,599.00 |
$3,795.71
|
|
Pdgfra gene
|
$802.00 |
$802.00 |
$802.00 |
$659.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$49,183.48 |
$49,183.48 |
$49,183.48 |
$11,839.46
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$17,233.27 |
$17,233.27 |
$17,233.27 |
$8,072.54
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$34,659.77 |
$34,659.77 |
$34,659.77 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,112.40 |
$4,112.40 |
$18,354.67 |
$4,897.81
|
|
Pelvic CT scan (with and without contrast)
|
$10,086.00 |
$10,086.00 |
$22,141.42 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$9,115.00 |
$9,115.00 |
$22,141.42 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$5,960.00 |
$5,960.00 |
$22,141.42 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$10,500.00 |
$10,500.00 |
$14,386.38 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$10,500.00 |
$10,500.00 |
$10,500.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$6,655.00 |
$6,655.00 |
$6,655.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,880.00 |
$1,880.00 |
$5,107.75 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$597.00 |
$597.00 |
$4,635.11 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$57,803.64 |
$57,803.64 |
$57,803.64 |
$16,050.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,664.25 |
$2,664.25 |
$2,664.25 |
$5,099.66
|
|
Peng benzathine/procaine inj
|
$304.00 |
$304.00 |
$304.00 |
$229.84
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$179.50 |
$179.50 |
$6,425.71 |
$730.96
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$114.00 |
$114.00 |
$114.00 |
$100.50
|
|
Penile injection
|
$723.00 |
$723.00 |
$723.00 |
$418.00
|
|
Penile vascular study
|
$790.00 |
$790.00 |
$790.00 |
$561.00
|
|
Penile vascular study
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$460.20
|
|
Pentobarbital sodium inj
|
$242.00 |
$242.00 |
$242.00 |
$218.30
|
|
Pentostatin 10 mg intravenous solution
|
$4,665.50 |
$4,665.50 |
$4,665.50 |
$6,342.90
|
|
Perc cryo ablate renal tum
|
$27,192.00 |
$27,192.00 |
$27,192.00 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$29,314.00 |
$29,314.00 |
$29,314.00 |
$12,191.74
|
|
Perc d-e cor revasc chro sin
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$19,083.35
|
|
Perc d-e cor revasc t cabg b
|
$29,314.00 |
$29,314.00 |
$29,314.00 |
$11,072.05
|
|
Perc d-e cor revasc t cabg s
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$15,603.00
|
|
Perc d-e cor stent ather br
|
$29,314.00 |
$29,314.00 |
$29,314.00 |
$12,467.24
|
|
Perc d-e cor stent ather s
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$18,556.80
|
|
Perc drug-el cor stent bran
|
$29,314.00 |
$29,314.00 |
$29,314.00 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$39,451.00 |
$39,451.00 |
$39,451.00 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$27,849.00 |
$27,849.00 |
$27,849.00 |
$6,949.48
|
|
Percut ablate liver rf
|
$27,849.00 |
$27,849.00 |
$27,849.00 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$449.00 |
$449.00 |
$548.37 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$16,180.00 |
$16,180.00 |
$16,180.00 |
$2,816.25
|
