|
Open bx/exc inguinofem nodes
|
$2,152.00 |
$2,152.00 |
$2,152.00 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$1,852.00 |
$1,852.00 |
$1,852.00 |
$1,852.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$1,154.40
|
|
Open nasoethmoid fx with fixj
|
$1,837.60 |
$1,837.60 |
$1,837.60 |
$6,547.81
|
|
Open nasoethmoid fx without fixj
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$3,408.00 |
$3,408.00 |
$3,408.00 |
$4,520.16
|
|
Open skull for drainage 61312
|
$4,872.80 |
$4,872.80 |
$4,872.80 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$2,180.80 |
$2,180.80 |
$2,180.80 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$1,503.20 |
$1,503.20 |
$1,503.20 |
$6,311.00
|
|
Open tx nose fx w/skele fixj
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$5,977.18
|
|
Open tx nose & septal fx
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$3,837.72
|
|
Open tx rib 1-3 fx w/fix 21811
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$3,552.00 |
$3,552.00 |
$3,552.00 |
$5,112.80
|
|
Open tx rib 7+ fx w/fix 21813
|
$4,822.40 |
$4,822.40 |
$4,822.40 |
$3,986.00
|
|
Open tx/sternum fracture 21825
|
$1,323.20 |
$1,323.20 |
$1,323.20 |
$1,323.20
|
|
Open wedge/bx lung infiltr
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$3,432.80
|
|
Open wedge bx lung nodule 32097
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,955.20
|
|
Ophthalmic biometry
|
$180.80 |
$180.80 |
$180.80 |
$193.29
|
|
Ophthalmic endoscope add-on
|
$225.60 |
$225.60 |
$225.60 |
$750.40
|
|
Ophthalmodynamometry
|
$40.80 |
$40.80 |
$40.80 |
$52.00
|
|
Ophth Ultrasound b & quant a
|
$301.60 |
$301.60 |
$301.60 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$186.40 |
$186.40 |
$186.40 |
$209.50
|
|
Oph Ultrasound dx quan a-scan only
|
$176.00 |
$176.00 |
$176.00 |
$273.00
|
|
Opioids & opiate analogs 3/4
|
$24.00 |
$24.00 |
$24.00 |
$24.00
|
|
Opn ax/subcla art expos
|
$4,762.00 |
$4,762.00 |
$4,762.00 |
$1,269.60
|
|
Opn exc/dst ntra-abd
|
$4,110.40 |
$4,110.40 |
$4,110.40 |
$3,221.64
|
|
Opn exc/dst ntra-abd 10.1-20
|
$3,534.40 |
$3,534.40 |
$3,534.40 |
$2,774.24
|
|
Opn exc/dstr ntra-abd >30 cm
|
$5,073.60 |
$5,073.60 |
$5,073.60 |
$3,961.69
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$2,957.60 |
$2,957.60 |
$2,957.60 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$2,327.20 |
$2,327.20 |
$2,327.20 |
$1,491.00
|
|
Opn fem art expos cndt crtj 34714
|
$4,046.36 |
$4,046.36 |
$4,046.36 |
$2,041.65
|
|
Opn impltj crnl nrv nea&pg
|
$3,025.60 |
$3,025.60 |
$3,025.60 |
$35,498.40
|
|
Opn impltj nea neuromuscular
|
$755.20 |
$755.20 |
$755.20 |
$23,049.60
|
|
Opn impltj nea perph nerve
|
$825.60 |
$825.60 |
$825.60 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$1,669.60 |
$1,669.60 |
$1,669.60 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$4,360.00 |
$4,360.00 |
$4,360.00 |
$36,076.18
|
|
Opn tx complx malar fx
|
$5,475.20 |
$5,475.20 |
$5,475.20 |
$6,605.19
|
|
Opn tx dprsd zygomatic arch
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$5,110.00
|
|
Opn tx nasomax fx w/fixj
|
$2,364.80 |
$2,364.80 |
$2,364.80 |
$6,465.11
|
|
Opn tx nasomax fx w/graft
|
$2,694.40 |
$2,694.40 |
$2,694.40 |
$2,694.40
|
|
Opn tx orbit fx combined
|
$3,857.60 |
$3,857.60 |
$3,857.60 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$3,243.20 |
$3,243.20 |
$3,243.20 |
$6,839.00
|
|
Opn tx orbit fx transantral
|
$3,694.40 |
$3,694.40 |
$3,694.40 |
$6,465.11
|
|
Opn tx orbit fx w/bone grft
|
$4,481.60 |
$4,481.60 |
$4,481.60 |
$6,547.81
|
|
Opn tx orbit fx w/implant
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$2,867.20 |
$2,867.20 |
$2,867.20 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$3,985.60 |
$3,985.60 |
$3,985.60 |
$6,553.49
|
|
Opn tx orbit periorbt w/grft
|
$5,022.40 |
$5,022.40 |
$5,022.40 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$40.80 |
$40.80 |
$40.80 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$52.80 |
$52.80 |
$52.80 |
$71.00
|
|
Optical endomicroscpy interp
|
$86.40 |
$86.40 |
$86.40 |
$86.40
|
|
Optokinetic nystagmus test
|
$40.80 |
$40.80 |
$40.80 |
$40.80
|
|
Optx acrclv dslc aq/chrn grf
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$2,820.80 |
$2,820.80 |
$2,820.80 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$2,873.60 |
$2,873.60 |
$2,873.60 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$3,547.20 |
$3,547.20 |
$3,547.20 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$3,540.80 |
$3,540.80 |
$3,540.80 |
$8,453.60
|
|
Optx complicated mndblr fx
|
$2,940.80 |
$2,940.80 |
$2,940.80 |
$6,553.49
|
|
Optx crpl fx oth/thn scph ea
|
$2,801.60 |
$2,801.60 |
$2,801.60 |
$4,499.12
|
|
Optx gr hmrl tbrs fx int fix
|
$3,836.80 |
$3,836.80 |
$3,836.80 |
$7,157.53
|
|
Optx lunate dislocation
|
$3,116.80 |
$3,116.80 |
$3,116.80 |
$8,128.38
|
|
Optx medial ankle fx
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$6,653.00
|
|
Optx mndblr cndylr fx
|
$4,236.80 |
$4,236.80 |
$4,236.80 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$4,925.60 |
$4,925.60 |
$4,925.60 |
$6,465.11
|
|
Optx mndblr fx xtrnl fixj
|
$1,285.60 |
$1,285.60 |
$1,285.60 |
$6,547.81
|
|
Optx mndblr/max alv ridge fx
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$7,000.36
|
|
Optx partclr fx&/dslc elbw w
|
$5,353.60 |
$5,353.60 |
$5,353.60 |
$10,629.07
|
|
Optx post ankle fx
|
$3,590.40 |
$3,590.40 |
$3,590.40 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$4,347.20 |
$4,347.20 |
$4,347.20 |
$13,780.53
|
|
Optx prx hmrl fx fix rpr rpl
|
$6,096.00 |
$6,096.00 |
$6,096.00 |
$8,159.00
|
|
Optx radial shaft fracture
|
$3,292.80 |
$3,292.80 |
$3,292.80 |
$5,419.00
|
|
Optx rad/uln dislc aqt/chrnc
|
$3,107.20 |
$3,107.20 |
$3,107.20 |
$5,886.74
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
$6,311.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$3,878.40 |
$3,878.40 |
$3,878.40 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$7,807.24
|
|
Optx rdl&uln shft fx rds&uln
|
$4,435.20 |
$4,435.20 |
$4,435.20 |
$7,807.24
|
|
Optx rdl&uln shft fx rds/uln
|
$3,312.00 |
$3,312.00 |
$3,312.00 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$4,825.60 |
$4,825.60 |
$4,825.60 |
$7,906.00
|
|
Optx sho dislc fx
|
$4,302.40 |
$4,302.40 |
$4,302.40 |
$5,110.00
|
|
Optx sho dislc neck fx fixj
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$6,411.60
|
|
Optx strclv dslc aq/chrn grf
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
$7,807.24
|
|
Optx strnclav dislc aqt/chrn
|
$2,819.20 |
$2,819.20 |
$2,819.20 |
$7,807.24
|
|
Optx tmprmand dislocation
|
$4,179.20 |
$4,179.20 |
$4,179.20 |
$4,179.20
|
|
Optx trns-scphprlnr fx dislc
|
$3,616.00 |
$3,616.00 |
$3,616.00 |
$5,741.00
|
|
Optx ulnar shft fx int fixj
|
$3,062.40 |
$3,062.40 |
$3,062.40 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$3,060.80 |
$3,060.80 |
$3,060.80 |
$5,295.25
|
|
Oral hiv-1/hiv-2 screen
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Orchiectomy partial
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$4,061.71
|
|
Orchiopexy (fowler-stephens)
|
$3,592.00 |
$3,592.00 |
$3,592.00 |
$3,909.56
|
|
Orchiopexy ingun/scrot appr
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$47.20 |
$47.20 |
$47.20 |
$152.50
|
|
Oropharyngeal biopsy 42800
|
$387.20 |
$387.20 |
$387.20 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$95.40 |
$95.40 |
$95.40 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$33.60 |
$33.60 |
$33.60 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$630.40 |
$630.40 |
$630.40 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$550.50
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$231.20 |
$231.20 |
$231.20 |
$174.40
|
|
Orthopantogram
|
$44.80 |
$44.80 |
$44.80 |
$248.04
|
|
Orthopedic shoe add rub insl
|
$70.40 |
$70.40 |
$70.40 |
$70.40
|
|
Orthop traing pfrmd phys/qhp
|
$111.20 |
$111.20 |
$111.20 |
$148.20
|
