|
Observation care discharge
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Observation direct referral from physician office for admission
|
$137.40 |
$137.40 |
$137.40 |
$384.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$438.60 |
$438.60 |
$438.60 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$269.40 |
$269.40 |
$269.40 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$340.80 |
$340.80 |
$340.80 |
$303.20
|
|
Obstetrical care 59410
|
$2,131.80 |
$2,131.80 |
$2,131.80 |
$2,112.80
|
|
Obstetrics panel
|
$84.00 |
$84.00 |
$84.00 |
$214.50
|
|
Obtaining screen pap smear
|
$87.00 |
$87.00 |
$87.00 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$220.80 |
$220.80 |
$220.80 |
$357.00
|
|
Occlude fallopian tube(s) device 58615
|
$477.00 |
$477.00 |
$477.00 |
$3,762.53
|
|
Occupational Therapy Evaluation (high complexity)
|
$258.60 |
$258.60 |
$258.60 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$213.00 |
$213.00 |
$213.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$223.80 |
$223.80 |
$223.80 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$36,571.69 |
$36,571.69 |
$36,571.69 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$246.34 |
$246.34 |
$246.34 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$12,255.94 |
$12,255.94 |
$12,255.94 |
$12,080.43
|
|
Office consultation
|
$74.40 |
$74.40 |
$74.40 |
$121.55
|
|
Office emergency care
|
$104.40 |
$104.40 |
$104.40 |
$50.40
|
|
Off/op cnsltj new/est low 30
|
$183.00 |
$183.00 |
$183.00 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$273.60 |
$273.60 |
$273.60 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$331.80 |
$331.80 |
$331.80 |
$352.50
|
|
Off/op consltj new/est sf 20
|
$133.80 |
$133.80 |
$133.80 |
$137.80
|
|
Olanzapine 10 mg intramuscular solution
|
$101.44 |
$101.44 |
$101.44 |
$109.62
|
|
Ol dig e/m svc 11-20 min
|
$30.60 |
$30.60 |
$30.60 |
$37.92
|
|
Ol dig e/m svc 21+ min
|
$52.20 |
$52.20 |
$52.20 |
$60.00
|
|
Ol dig e/m svc 5-10 min
|
$21.60 |
$21.60 |
$21.60 |
$22.26
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,520.65 |
$2,520.65 |
$2,520.65 |
$4,595.01
|
|
Omental flap extra-abdom 49904
|
$2,767.20 |
$2,767.20 |
$2,767.20 |
$3,446.40
|
|
Omental flap intra-abdom 49905
|
$741.00 |
$741.00 |
$741.00 |
$871.20
|
|
Ondansetron 4 mg s0119
|
$0.60 |
$0.60 |
$0.60 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$50.26 |
$50.26 |
$50.26 |
$22.62
|
|
One-way allow prorated trip
|
$16.20 |
$16.20 |
$16.20 |
$18.57
|
|
Oophorectomy partial or total 58943
|
$2,196.60 |
$2,196.60 |
$2,196.60 |
$2,901.60
|
|
Open aortic tube prosth repair 34830
|
$3,556.20 |
$3,556.20 |
$3,556.20 |
$4,289.60
|
|
Open aortoiliac prosth repr 34831
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$3,678.92
|
|
Open bx/exc inguinofem nodes
|
$857.40 |
$857.40 |
$857.40 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$2,708.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$451.20 |
$451.20 |
$451.20 |
$1,154.40
|
|
Open periprosthetic breast capsule 19370
|
$1,323.60 |
$1,323.60 |
$1,323.60 |
$4,531.42
|
|
Open skull for drainage 61312
|
$3,827.40 |
$3,827.40 |
$3,827.40 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$822.60 |
$822.60 |
$822.60 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$903.60 |
$903.60 |
$903.60 |
$6,366.08
|
|
Open tx rib 1-3 fx w/fix 21811
|
$1,306.20 |
$1,306.20 |
$1,306.20 |
$6,311.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$1,566.00 |
$1,566.00 |
$1,566.00 |
$5,112.80
|
|
Open tx rib 7+ fx w/fix 21813
|
$2,131.20 |
$2,131.20 |
$2,131.20 |
$4,578.60
|
|
Open tx/sternum fracture 21825
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$1,323.20
|
|
Open wedge bx lung nodule 32097
|
$1,553.40 |
$1,553.40 |
$1,553.40 |
$1,955.20
|
|
Opn exc/dst ntra-abd
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$3,221.64
|
|
Opn fem art expos cndt crtj 34714
|
$567.00 |
$567.00 |
$567.00 |
$2,041.65
|
|
Opn tx complx malar fx
|
$2,155.80 |
$2,155.80 |
$2,155.80 |
$6,605.19
|
|
Opn tx depress front sinus fx 21343
|
$2,340.60 |
$2,340.60 |
$2,340.60 |
$3,723.20
|
|
Opn tx dprsd zygomatic arch
|
$961.20 |
$961.20 |
$961.20 |
$5,419.00
|
|
Opn tx orbit fx without impl 21406
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$6,839.00
|
|
Oprelvekin injection
|
$464.08 |
$464.08 |
$464.08 |
$574.00
|
|
Optokinetic nystagmus test
|
$40.80 |
$40.80 |
$40.80 |
$40.80
|
|
Optx complicated mndblr fx
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$6,839.00
|
|
Optx medial ankle fx
|
$848.40 |
$848.40 |
$848.40 |
$6,653.00
|
|
Oral aprepitant
|
$302.47 |
$302.47 |
$302.47 |
$410.20
|
|
Oral busulfan
|
$8.03 |
$8.03 |
$8.03 |
$176.80
|
|
Oral everolimus
|
$1,182.59 |
$1,182.59 |
$1,182.59 |
$30.30
|
|
Orchiopexy ingun/scrot appr
|
$658.20 |
$658.20 |
$658.20 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$210.60 |
$210.60 |
$210.60 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$1,741.77 |
$1,741.77 |
$1,741.77 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$312.60 |
$312.60 |
$312.60 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$56.42 |
$56.42 |
$56.42 |
$50.63
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$82.20 |
$82.20 |
$82.20 |
$174.40
|
|
Orthopantogram
|
$127.80 |
$127.80 |
$127.80 |
$241.50
|
|
Orthovisc inj per dose
|
$859.06 |
$859.06 |
$859.06 |
$537.58
|
|
Osmolality blood
|
$64.20 |
$64.20 |
$64.20 |
$70.85
|
|
Osmolality urine
|
$69.00 |
$69.00 |
$69.00 |
$65.52
|
|
Ostectomy complete 1st metatarsal head 28111
|
$964.80 |
$964.80 |
$964.80 |
$3,542.56
|
|
Osteopath manip tx/5-6 body region 98927
|
$135.00 |
$135.00 |
$135.00 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$139.80 |
$139.80 |
$139.80 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$167.40 |
$167.40 |
$167.40 |
$92.42
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$1,446.60 |
$1,446.60 |
$1,446.60 |
$7,906.00
|
|
Oth resp proc, group
|
$156.00 |
$156.00 |
$156.00 |
$126.00
|
|
Oth resp proc, indiv
|
$58.80 |
$58.80 |
$58.80 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$88.20 |
$88.20 |
$88.20 |
$97.80
|
|
Otolaryngo binocular microscopy 92504
|
$59.40 |
$59.40 |
$59.40 |
$60.45
|
|
Otoplasty 69300
|
$1,738.20 |
$1,738.20 |
$1,738.20 |
$3,786.00
|
|
Ot re-evaluation patient/family
|
$213.00 |
$213.00 |
$213.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$36.60 |
$36.60 |
$36.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$48.60 |
$48.60 |
$48.60 |
$93.12
|
|
Outflow tarct agmntj heart chamber 33478
|
$4,301.40 |
$4,301.40 |
$4,301.40 |
$4,301.40
|
|
Ovarian cystectomy 58925
|
$1,433.40 |
$1,433.40 |
$1,433.40 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$69.17 |
$69.17 |
$69.17 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,276.71 |
$2,276.71 |
$2,276.71 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$15.06 |
$15.06 |
$15.06 |
$50.40
|
|
Packing strips, non-impreg
|
$48.60 |
$48.60 |
$48.60 |
$6.24
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$938.32 |
$938.32 |
$938.32 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,944.34 |
$2,944.34 |
$2,944.34 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,334.10 |
$6,334.10 |
$6,334.10 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,798.91 |
$2,798.91 |
$2,798.91 |
$5,580.28
|
|
Palonosetron hcl
|
$366.66 |
$366.66 |
$366.66 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$77.43 |
$77.43 |
$77.43 |
$123.55
|
|
Pancreatectomy 48153
|
$4,801.80 |
$4,801.80 |
$4,801.80 |
$7,609.60
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$2,927.40 |
$2,927.40 |
$2,927.40 |
$2,927.40
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$12,876.58 |
$12,876.58 |
$12,876.58 |
$13,051.61
|
|
Papaverin hcl injection
|
$85.76 |
$85.76 |
$85.76 |
$78.75
|
