|
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
|
$124.20 |
$124.20 |
$124.20 |
$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
|
|
Parathormone (pth) intact
|
$232.80 |
$232.80 |
$232.80 |
$206.18
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$2,681.40 |
$2,681.40 |
$2,681.40 |
$3,164.04
|
|
Parathyroid autotransplantation 60512
|
$465.60 |
$465.60 |
$465.60 |
$4,080.85
|
|
Parathyroid planar imaging
|
$528.00 |
$528.00 |
$528.00 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$707.40 |
$707.40 |
$707.40 |
$1,374.75
|
|
Paravaginal defect repair 57284
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
$5,841.60
|
|
Parial mast w/lymph removal 19302
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$6,087.59
|
|
Paricalcitol
|
$50.18 |
$50.18 |
$50.18 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$159.60 |
$159.60 |
$159.60 |
$245.67
|
|
Part exc/post vert comp/sng/thorac 22101
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$6,028.71
|
|
Part hymenectomy/revi hymenal ring 56700
|
$364.80 |
$364.80 |
$364.80 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$2,497.20 |
$2,497.20 |
$2,497.20 |
$2,497.20
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$4,914.00
|
|
Partial hysterectomy
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$3,846.00 |
$3,846.00 |
$3,846.00 |
$2,772.80
|
|
Partial removal foot fascia
|
$4,659.60 |
$4,659.60 |
$4,659.60 |
$3,839.54
|
|
Partial removal of bladder
|
$1,465.20 |
$1,465.20 |
$1,465.20 |
$1,465.20
|
|
Partial removal of esophagus 43117
|
$4,973.40 |
$4,973.40 |
$4,973.40 |
$7,937.60
|
|
Partial removal of esophagus 43122
|
$3,921.00 |
$3,921.00 |
$3,921.00 |
$6,258.40
|
|
Partial removal of heart sac 33030
|
$3,809.40 |
$3,809.40 |
$3,809.40 |
$4,877.60
|
|
Partial removal of lip
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$3,544.29
|
|
Partial removal of lung 32480
|
$2,868.60 |
$2,868.60 |
$2,868.60 |
$2,868.60
|
|
Partial removal of pharynx 42890
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$6,465.11
|
|
Partial removal of rib
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$5,376.00
|
|
Partial removal of sternum
|
$972.00 |
$972.00 |
$972.00 |
$1,236.00
|
|
Partial removal of thyroid
|
$1,367.40 |
$1,367.40 |
$1,367.40 |
$6,376.26
|
|
Partial removal of thyroid
|
$1,783.80 |
$1,783.80 |
$1,783.80 |
$5,855.00
|
|
Partial removal of toe
|
$802.20 |
$802.20 |
$802.20 |
$3,674.58
|
|
Partial removal of tongue
|
$2,065.20 |
$2,065.20 |
$2,065.20 |
$6,311.00
|
|
Partial removal of vaginal wall 57106
|
$936.60 |
$936.60 |
$936.60 |
$3,762.53
|
|
Partial thyroid excision
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$6,870.89
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$1,939.80 |
$1,939.80 |
$1,939.80 |
$6,376.26
|
|
Part removal of metatarsal
|
$877.80 |
$877.80 |
$877.80 |
$3,821.05
|
|
Part removal of metatarsal
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$3,371.50
|
|
Part removal of metatarsal 28112
|
$934.20 |
$934.20 |
$934.20 |
$3,839.54
|