|
Optx scapular fx w/int fixj
|
$4,825.60 |
$4,825.60 |
$10,110.60 |
|
|
Optx sho dislc fx
|
$1,539.60 |
$1,539.60 |
$4,302.40 |
|
|
Optx sho dislc neck fx fixj
|
$1,828.80 |
$1,828.80 |
$4,576.00 |
|
|
Optx strclv dslc aq/chrn grf
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
|
|
Optx strnclav dislc aqt/chrn
|
$2,819.20 |
$2,819.20 |
$2,819.20 |
|
|
Optx thigh fx
|
$2,270.40 |
$2,270.40 |
$2,270.40 |
|
|
Optx tmprmand dislocation
|
$4,179.20 |
$4,179.20 |
$4,179.20 |
|
|
Optx trns-scphprlnr fx dislc
|
$3,616.00 |
$3,616.00 |
$3,616.00 |
|
|
Optx ulnar shft fx int fixj
|
$1,641.60 |
$1,641.60 |
$3,062.40 |
|
|
Optx ulnar styloid fracture
|
$984.60 |
$984.60 |
$3,060.80 |
|
|
Oral aprepitant
|
$10.66 |
$197.05 |
$2,268.70 |
|
|
Oral busulfan
|
$8.03 |
$437.42 |
$437.42 |
|
|
Oral everolimus
|
$104.99 |
$104.99 |
$1,182.59 |
|
|
Oral hiv-1/hiv-2 screen
|
$38.58 |
$38.58 |
$140.70 |
|
|
Oral methotrexate (xatmep)
|
$4.60 |
$4.60 |
$359.97 |
|
|
Orchiectomy partial
|
$2,974.40 |
$2,974.40 |
$17,326.39 |
|
|
Orchiopexy (fowler-stephens)
|
$3,592.00 |
$3,592.00 |
$3,592.00 |
|
|
Orchiopexy ingun/scrot appr
|
$658.20 |
$15,782.55 |
$30,902.14 |
|
|
Organic acids total quant ea spec
|
$47.20 |
$210.60 |
$472.80 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$3,734.81 |
$3,734.81 |
$7,010.98 |
|
|
Oritavancin 400 mg intravenous solution
|
$75.22 |
$1,570.92 |
$4,666.46 |
|
|
Oropharyngeal biopsy 42800
|
$312.60 |
$3,199.68 |
$26,133.92 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$17.67 |
$53.93 |
$436.10 |
|
|
Ortho dvc repair per 15 min
|
$33.60 |
$33.60 |
$33.60 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$158.40 |
$230.00 |
$630.40 |
|
|
Ortho elbow w/lock w/ft&adj
|
$265.20 |
$583.20 |
$1,092.00 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$970.55 |
$2,359.70 |
$2,359.70 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$250.00 |
$396.60 |
$1,377.60 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$67.90 |
$190.00 |
$499.20 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$176.40 |
$310.00 |
$459.90 |
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$82.20 |
$585.60 |
$780.80 |
|
|
Ortho hnd without jnt w/fit&adj
|
$148.20 |
$255.00 |
$498.40 |
|
|
Orthopantogram
|
$44.80 |
$215.00 |
$2,548.20 |
|
|
Orthopedic shoe add rub insl
|
$70.40 |
$70.40 |
$70.40 |
|
|
Orthop traing pfrmd phys/qhp
|
$111.20 |
$111.20 |
$115.20 |
|
|
Ortho shoe add full sole
|
$122.40 |
$122.40 |
$122.40 |
|
|
Orthosis lso rigd frm hyperex
|
$550.20 |
$550.20 |
$749.70 |
|
|
Orthovisc inj per dose
|
$171.46 |
$171.46 |
$859.06 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$85.20 |
$322.00 |
$750.40 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$538.80 |
$985.00 |
$1,274.70 |
|
|
Oscillation chest wall mechanical per session
|
$50.00 |
$186.90 |
$443.52 |
|
|
Osmolality blood
|
$18.48 |
$84.00 |
$300.80 |
|
|
Osmolality urine
|
$15.51 |
$72.80 |
$300.80 |
|
|
Ostectomy complete 1st metatarsal head 28111
|
$766.80 |
$964.80 |
$2,441.60 |
|
|
Ostectomy scapula partial
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
|
|
Osteoart algrft w/surf & b1
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
|
|
Osteochondral knee allograft
|
$6,753.60 |
$6,753.60 |
$6,753.60 |
|
|
Osteochondral knee autograft
|
$4,822.40 |
$4,822.40 |
$4,822.40 |
|
|
Osteochondral talus autogrft
|
$6,019.20 |
$6,019.20 |
$6,019.20 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$132.00 |
$135.00 |
$135.00 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$139.80 |
$139.80 |
$161.60 |
|
|
Osteopath manip tx/9-10 body region98929
|
$167.40 |
$167.40 |
$192.00 |
|
|
Osteoplasty humerus
|
$5,048.00 |
$5,048.00 |
$5,048.00 |
|
|
Osteot dsc ant 1 vrt sgm crv
|
$3,925.60 |
$3,925.60 |
$3,925.60 |
|
|
Osteot dsc ant 1vrt sgm ea
|
$879.20 |
$879.20 |
$879.20 |
|
|
Osteot dsc ant 1vrt sgm thrc
|
$4,100.00 |
$4,100.00 |
$4,100.00 |
|
|
Osteot humerus w/wo int fixj
|
$1,323.00 |
$1,323.00 |
$4,049.60 |
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$1,446.60 |
$1,446.60 |
$3,360.00 |
|
|
Ost pch for bar w flange/flt
|
$5.91 |
$5.91 |
$5.91 |
|
|
Other immunoelectrophoresis
|
$29.37 |
$46.40 |
$64.08 |
|
|
Oth resp proc, group
|
$39.90 |
$80.40 |
$431.90 |
|
|
Oth resp proc, indiv
|
$30.10 |
$65.00 |
$142.40 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$32.50 |
$108.00 |
$235.90 |
|
|
Otolaryngo binocular microscopy 92504
|
$59.40 |
$59.40 |
$137.52 |
|
|
Otoplasty 69300
|
$1,738.20 |
$3,043.20 |
$33,045.41 |
|
|
Ot re-evaluation patient/family
|
$52.50 |
$160.80 |
$328.30 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$32.67 |
$108.00 |
$318.24 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$33.99 |
$108.00 |
$383.76 |
|
|
Outflow tarct agmntj heart chamber 33478
|
$4,301.40 |
$4,301.40 |
$4,301.40 |
|
|
Out of office emerg med serv
|
$56.00 |
$56.00 |
$56.00 |
|
|
Ovarian cystectomy 58925
|
$1,433.40 |
$26,685.57 |
$41,735.20 |
|
|
Ovulation tests
|
$29.60 |
$217.20 |
$323.20 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$5.22 |
$62.46 |
$148.05 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.69 |
$428.34 |
$2,901.32 |
|
|
Oxytetracycline injection
|
$1.60 |
$1.60 |
$1.60 |
|
|
Oxytocin 10 unit/ml injection solution
|
$12.96 |
$35.40 |
$489.30 |
|
|
P-32 chromic phos ther per mci
|
$243.54 |
$243.54 |
$243.54 |
|
|
P-32 sod phosphate ther per mci
|
$243.54 |
$436.00 |
$719.95 |
|
|
Pabpn1 gene detc abnor allel
|
$316.40 |
$316.40 |
$316.40 |
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$8,542.66 |
$67,840.00 |
$105,959.82 |
|
|
Packing strips, non-impreg
|
$48.60 |
$48.60 |
$48.60 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.17 |
$18.30 |
$1,569.57 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$26.14 |
$1,720.30 |
$9,653.52 |
|
|
Pad repl cerv collr univ adult
|
$573.84 |
$1,655.50 |
$1,657.60 |
|
|
Palb2 gene full gene seq
|
$611.05 |
$1,641.50 |
$1,641.50 |
|
|
Palifermin injection
|
$2,389.27 |
$2,389.27 |
$14,119.96 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$15.20 |
$610.91 |
$10,684.80 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,749.60 |
$2,760.56 |
$2,798.91 |
|
|
Palonosetron hcl
|
$6.64 |
$151.20 |
$627.90 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$26.67 |
$109.72 |
$1,129.10 |
|
|
Pancreatectomy
|
$4,616.80 |
$4,616.80 |
$4,616.80 |
|
|
Pancreatectomy
|
$7,116.00 |
$7,116.00 |
$7,116.00 |
|
|
Pancreatectomy 48153
|
$4,801.80 |
$4,801.80 |
$7,609.60 |
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$2,927.40 |
$2,927.40 |
$3,836.00 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$271.88 |
$11,067.35 |
$44,268.87 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.55 |
$61.92 |
$115.80 |
|
|
Papaverin hcl injection
|
$45.88 |
$77.96 |
$286.45 |
|
|
Parathormone (pth) intact
|
$41.25 |
$220.00 |
$494.40 |
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$2,681.40 |
$2,681.40 |
$3,424.80 |
|
|
Parathyrd planar w/spect&ct
|
$997.61 |
$1,593.60 |
$6,990.20 |
|
