|
Open skull for drainage 61312
|
$3,220.80 |
$3,220.80 |
$3,220.80 |
$4,872.80
|
|
Opn ilac art expos cndt crtj
|
$921.00 |
$921.00 |
$921.00 |
$1,169.29
|
|
Optx carpl scphd fx int fixj
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$9,013.88
|
|
Optx crpl fx oth/thn scph ea
|
$908.40 |
$908.40 |
$908.40 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$7,157.53
|
|
Optx lunate dislocation
|
$1,013.40 |
$1,013.40 |
$1,013.40 |
$8,412.89
|
|
Optx medial ankle fx
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$7,807.24
|
|
Optx post ankle fx
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$1,791.60 |
$1,791.60 |
$1,791.60 |
$13,938.00
|
|
Optx radial shaft fracture
|
$1,326.60 |
$1,326.60 |
$1,326.60 |
$5,301.66
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$964.20 |
$964.20 |
$964.20 |
$5,741.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$7,275.00 |
$7,275.00 |
$7,275.00 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$7,275.00 |
$7,275.00 |
$7,275.00 |
$7,275.00
|
|
Optx rdl&uln shft fx rds&uln
|
$1,596.60 |
$1,596.60 |
$1,596.60 |
$6,915.75
|
|
Optx rdl&uln shft fx rds/uln
|
$1,079.40 |
$1,079.40 |
$1,079.40 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$10,110.60 |
$10,110.60 |
$10,110.60 |
$7,907.11
|
|
Optx sho dislc fx
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$5,339.00
|
|
Optx sho dislc neck fx fixj
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$6,839.00
|
|
Optx thigh fx
|
$2,270.40 |
$2,270.40 |
$2,270.40 |
$1,767.20
|
|
Optx ulnar shft fx int fixj
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$984.60 |
$984.60 |
$984.60 |
$4,627.00
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$163.80 |
$163.80 |
$163.80 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$265.20 |
$265.20 |
$265.20 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$396.60 |
$396.60 |
$396.60 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$157.80 |
$157.80 |
$157.80 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$176.40 |
$176.40 |
$176.40 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$585.60 |
$585.60 |
$585.60 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$148.20 |
$148.20 |
$148.20 |
$231.00
|
|
Orthopantogram
|
$1,518.60 |
$1,518.60 |
$1,518.60 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$204.60 |
$204.60 |
$204.60 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$538.80 |
$538.80 |
$538.80 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$89.40 |
$89.40 |
$89.40 |
$195.00
|
|
Osmolality blood
|
$137.40 |
$137.40 |
$137.40 |
$67.60
|
|
Osmolality urine
|
$118.80 |
$118.80 |
$118.80 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$766.80 |
$766.80 |
$766.80 |
$3,542.56
|
|
Osteot humerus w/wo int fixj
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$7,807.24
|
|
Ot evaluation high complexity patient/family
|
$278.40 |
$278.40 |
$278.40 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$231.60 |
$231.60 |
$231.60 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$247.20 |
$247.20 |
$247.20 |
$263.50
|
|
Oth resp proc, group
|
$76.20 |
$76.20 |
$76.20 |
$123.05
|
|
Oth resp proc, indiv
|
$76.20 |
$76.20 |
$76.20 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$160.80 |
$160.80 |
$160.80 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$94.25
|
|
Ovulation tests
|
$232.20 |
$232.20 |
$232.20 |
$29.60
|
|
Parathormone (pth) intact
|
$327.00 |
$327.00 |
$327.00 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,417.40 |
$2,417.40 |
$2,417.40 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,581.60 |
$1,581.60 |
$1,581.60 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,962.00 |
$1,962.00 |
$1,962.00 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$250.20 |
$250.20 |
$250.20 |
$245.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$4,914.00
|
|
Partial hip replacement
|
$2,526.60 |
$2,526.60 |
$2,526.60 |
$3,874.00
|
|
Partial removal finger bone
|
$2,716.20 |
$2,716.20 |
$2,716.20 |
$2,021.04
|
|
Partial removal finger bone
|
$2,716.20 |
$2,716.20 |
$2,716.20 |
$2,049.27
|
|
Partial removal foot fascia
|
$2,949.60 |
$2,949.60 |
$2,949.60 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$4,315.20
|
|
Partial removal of foot bone
|
$2,694.60 |
$2,694.60 |
$2,694.60 |
$3,839.54
|
|
Partial removal of lung 32480
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
$2,868.60
|
|
Partial removal of radius
|
$1,354.80 |
$1,354.80 |
$1,354.80 |
$3,839.54
|
|
Partial removal of tibia
|
$2,077.20 |
$2,077.20 |
$2,077.20 |
$4,108.80
|
|
Partial removal of ulna
|
$1,282.80 |
$1,282.80 |
$1,282.80 |
$3,594.44
|
|
Part removal of metatarsal
|
$679.20 |
$679.20 |
$679.20 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$534.00 |
$534.00 |
$534.00 |
$3,839.54
|
|
Pelvic CT scan (with and without contrast)
|
$2,456.40 |
$2,456.40 |
$2,456.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,127.00 |
$2,127.00 |
$2,127.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,217.20 |
$3,217.20 |
$3,217.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,091.80 |
$3,091.80 |
$3,091.80 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$715.80 |
$715.80 |
$715.80 |
$430.00
|
|
Penile vascular study
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$576.40
|
|
Penile vascular study
|
$587.40 |
$587.40 |
$587.40 |
$574.60
|
|
Perc cryo ablate renal tum
|
$12,571.80 |
$12,571.80 |
$12,571.80 |
$11,458.04
|
|
Perc rf ablate renal tumor
|
$7,491.60 |
$7,491.60 |
$7,491.60 |
$7,243.60
|
|
Pericardiocentesis wwo imaging
|
$2,682.60 |
$2,682.60 |
$2,682.60 |
$2,251.20
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,797.00
|
|
Peripheral vascular rehab
|
$138.00 |
$138.00 |
$138.00 |
$132.50
|
|
Peri-proc device eval icd
|
$83.40 |
$83.40 |
$83.40 |
$192.40
|
|
Peri-proc device eval pm
|
$83.40 |
$83.40 |
$83.40 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$8,059.80 |
$8,059.80 |
$8,059.80 |
$5,625.74
|
|
Peritoneogram rs&i
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$695.89
|
|
Perit-vens shunt pat tst
|
$1,623.60 |
$1,623.60 |
$1,623.60 |
$758.37
|
|
Perq art m-thrombect &/nfs
|
$11,503.20 |
$11,503.20 |
$11,503.20 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$49,757.40 |
$49,757.40 |
$49,757.40 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$7,224.00 |
$7,224.00 |
$7,224.00 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$2,411.40 |
$2,411.40 |
$2,411.40 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$8,864.40 |
$8,864.40 |
$8,864.40 |
$6,870.89
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$634.20 |
$634.20 |
$634.20 |
$625.93
|
|
Perq skel fix ulnar styld fx
|
$744.00 |
$744.00 |
$744.00 |
$3,839.54
|
|
Perq transcath closure each
|
$35,366.40 |
$35,366.40 |
$35,366.40 |
$9,204.00
|
|
Perq transcath cls aortic
|
$35,366.40 |
$35,366.40 |
$35,366.40 |
$22,633.26
|