|
Optx lunate dislocation
|
$2,212.60 |
$2,212.60 |
$2,212.60 |
$8,128.38
|
|
Optx medial ankle fx
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$6,653.00
|
|
Optx mndblr cndylr fx
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$2,420.60 |
$2,420.60 |
$2,420.60 |
$6,465.11
|
|
Optx mndblr fx xtrnl fixj
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$6,547.81
|
|
Optx mndblr/max alv ridge fx
|
$1,627.60 |
$1,627.60 |
$1,627.60 |
$7,000.36
|
|
Optx palatal/max fracture
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$5,855.00
|
|
Optx palatal/max fx comp
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$4,295.20
|
|
Optx partclr fx&/dslc elbw w
|
$4,105.40 |
$4,105.40 |
$4,105.40 |
$10,629.07
|
|
Optx post ankle fx
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$3,198.00 |
$3,198.00 |
$3,198.00 |
$13,780.53
|
|
Optx prx hmrl fx fix rpr rpl
|
$4,776.20 |
$4,776.20 |
$4,776.20 |
$8,159.00
|
|
Optx radial shaft fracture
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$5,419.00
|
|
Optx rad/uln dislc aqt/chrnc
|
$2,155.40 |
$2,155.40 |
$2,155.40 |
$5,886.74
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$2,103.40 |
$2,103.40 |
$2,103.40 |
$6,311.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$2,743.00 |
$2,743.00 |
$2,743.00 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$3,419.00 |
$3,419.00 |
$3,419.00 |
$7,807.24
|
|
Optx rdl&uln shft fx rds&uln
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$7,807.24
|
|
Optx rdl&uln shft fx rds/uln
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$3,699.80 |
$3,699.80 |
$3,699.80 |
$7,906.00
|
|
Optx sho dislc fx
|
$3,192.80 |
$3,192.80 |
$3,192.80 |
$5,110.00
|
|
Optx sho dislc neck fx fixj
|
$3,419.00 |
$3,419.00 |
$3,419.00 |
$6,411.60
|
|
Optx strnclav dislc aqt/chrn
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$7,807.24
|
|
Optx thigh fx
|
$4,911.40 |
$4,911.40 |
$4,911.40 |
$1,362.00
|
|
Optx tmprmand dislocation
|
$3,367.00 |
$3,367.00 |
$3,367.00 |
$4,179.20
|
|
Optx trns-scphprlnr fx dislc
|
$2,623.40 |
$2,623.40 |
$2,623.40 |
$5,741.00
|
|
Optx ulnar shft fx int fixj
|
$2,064.40 |
$2,064.40 |
$2,064.40 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$2,095.60 |
$2,095.60 |
$2,095.60 |
$5,295.25
|
|
Oral aprepitant
|
$413.91 |
$413.91 |
$413.91 |
$410.20
|
|
Oral busulfan
|
$468.56 |
$468.56 |
$468.56 |
$176.80
|
|
Oral everolimus
|
$51.32 |
$51.32 |
$51.32 |
$30.30
|
|
Orbitocranial approach/skull
|
$10,782.20 |
$10,782.20 |
$10,782.20 |
$4,306.44
|
|
Orbitocranial approach/skull
|
$11,068.20 |
$11,068.20 |
$11,068.20 |
$4,984.23
|
|
Orbitocranial approach/skull
|
$11,200.80 |
$11,200.80 |
$11,200.80 |
$4,643.15
|
|
Orchiectomy partial
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$4,061.71
|
|
Orchiopexy (fowler-stephens)
|
$3,543.80 |
$3,543.80 |
$3,543.80 |
$3,909.56
|
|
Orchiopexy ingun/scrot appr
|
$2,210.65 |
$2,210.65 |
$2,210.65 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$276.25 |
$276.25 |
$276.25 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$13,112.70 |
$13,112.70 |
$13,112.70 |
$11,017.26
|
|
Oropharyngeal biopsy 42800
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$18.25 |
$18.25 |
$18.25 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$173.86 |
$173.86 |
$173.86 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$333.45 |
$333.45 |
$333.45 |
$550.50
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$173.86 |
$173.86 |
$173.86 |
$750.36
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$113.75 |
$113.75 |
$113.75 |
$261.50
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$195.00 |
$195.00 |
$195.00 |
$315.01
|
|
Ortho hnd without jnt w/fit&adj
|
$32.50 |
$32.50 |
$32.50 |
$243.00
|
|
Orthosis lso rigd frm hyperex
|
$313.30 |
$313.30 |
$313.30 |
$816.00
|
|
Orthovisc inj per dose
|
$559.26 |
$559.26 |
$559.26 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$91.65 |
$91.65 |
$91.65 |
$454.40
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$201.50 |
$201.50 |
$201.50 |
$731.20
|
|
Oscillation chest wall mechanical per session
|
$760.50 |
$760.50 |
$760.50 |
$196.70
|
|
Osmolality blood
|
$70.85 |
$70.85 |
$70.85 |
$68.80
|
|
Osmolality urine
|
$70.85 |
$70.85 |
$70.85 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$3,266.96
|
|
Ostectomy scapula partial
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$3,821.05
|
|
Osteoart algrft w/surf & b1
|
$3,382.60 |
$3,382.60 |
$3,382.60 |
$1,864.80
|
|
Osteochondral knee allograft
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$10,629.07
|
|
Osteochondral knee autograft
|
$3,681.60 |
$3,681.60 |
$3,681.60 |
$7,952.51
|
|
Osteochondral talus autogrft
|
$4,604.60 |
$4,604.60 |
$4,604.60 |
$6,982.66
|
|
Osteopath manip tx/5-6 body region 98927
|
$274.30 |
$274.30 |
$274.30 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$345.80 |
$345.80 |
$345.80 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$417.30 |
$417.30 |
$417.30 |
$89.00
|
|
Osteoplasty humerus
|
$3,569.80 |
$3,569.80 |
$3,569.80 |
$7,913.97
|
|
Osteot dsc ant 1 vrt sgm crv
|
$5,964.40 |
$5,964.40 |
$5,964.40 |
$3,925.60
|
|
Osteot dsc ant 1vrt sgm ea
|
$1,567.80 |
$1,567.80 |
$1,567.80 |
$562.44
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$6,003.40 |
$6,003.40 |
$6,003.40 |
$2,480.51
|
|
Osteot dsc ant 1vrt sgm thrc
|
$6,003.40 |
$6,003.40 |
$6,003.40 |
$6,063.98
|
|
Osteot humerus w/wo int fixj
|
$3,240.25 |
$3,240.25 |
$3,240.25 |
$7,907.11
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$2,800.20 |
$2,800.20 |
$2,800.20 |
$7,906.00
|
|
Ostomy irrigation set
|
$217.10 |
$217.10 |
$217.10 |
$41.58
|
|
Ost pch drain 2 piece system
|
$40.95 |
$40.95 |
$40.95 |
$5.37
|
|
Other bone graft microvasc
|
$10,194.60 |
$10,194.60 |
$10,194.60 |
$7,413.38
|
|
Oth resp proc, group
|
$127.40 |
$127.40 |
$127.40 |
$126.26
|
|
Oth resp proc, indiv
|
$77.35 |
$77.35 |
$77.35 |
$84.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$260.00 |
$260.00 |
$260.00 |
$98.40
|
|
Otolaryngo binocular microscopy 92504
|
$75.40 |
$75.40 |
$75.40 |
$59.40
|
|
Otoplasty 69300
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$3,592.74
|
|
Ot re-evaluation patient/family
|
$311.35 |
$311.35 |
$311.35 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$166.40 |
$166.40 |
$166.40 |
$88.50
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$166.40 |
$166.40 |
$166.40 |
$91.91
|
|
Outflow tarct agmntj heart chamber 33478
|
$7,160.40 |
$7,160.40 |
$7,160.40 |
$2,256.34
|
|
Ovarian cystectomy 58925
|
$3,231.80 |
$3,231.80 |
$3,231.80 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$273.31 |
$273.31 |
$273.31 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$15.60 |
$15.60 |
$15.60 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$8.42 |
$8.42 |
$8.42 |
$50.40
|
|
Pabpn1 gene detc abnor allel
|
$393.25 |
$393.25 |
$393.25 |
$225.42
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$26,845.00 |
$26,845.00 |
$26,845.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$6.24 |
$6.24 |
$6.24 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,113.58 |
$5,113.58 |
$5,113.58 |
$3,435.42
|
|
Palifermin injection
|
$46.80 |
$46.80 |
$46.80 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,568.01 |
$5,568.01 |
$5,568.01 |
$6,238.82
|
|
Palonosetron hcl
|
$46.80 |
$46.80 |
$46.80 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$849.55 |
$849.55 |
$849.55 |
$122.00
|
|
Pancreas removal/transplant
|
$8,863.40 |
$8,863.40 |
$8,863.40 |
$7,644.00
|
|
Pancreatectomy
|
$12,649.00 |
$12,649.00 |
$12,649.00 |
$4,058.32
|
|
Pancreatectomy
|
$12,708.80 |
$12,708.80 |
$12,708.80 |
$7,116.00
|
|
Pancreatectomy 48153
|
$13,725.40 |
$13,725.40 |
$13,725.40 |
$7,609.60
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$6,843.20 |
$6,843.20 |
$6,843.20 |
$2,927.40
|
|
Pancreatorrhaphy
|
$5,779.80 |
$5,779.80 |
$5,779.80 |
$1,909.73
|
