|
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 aprepitant
|
$10.66 |
$10.66 |
$10.66 |
$410.20
|
|
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
|
$94.96 |
$94.96 |
$94.96 |
$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
|
|
Ortho shoe add full sole
|
$122.40 |
$122.40 |
$122.40 |
$109.15
|
|
Orthovisc inj per dose
|
$364.80 |
$364.80 |
$364.80 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$750.40 |
$750.40 |
$750.40 |
$454.40
|
|
Oscillation chest wall mechanical per session
|
$328.62 |
$328.62 |
$328.62 |
$193.20
|
|
Osmolality blood
|
$33.57 |
$33.57 |
$33.57 |
$68.80
|
|
Osmolality urine
|
$33.57 |
$33.57 |
$33.57 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
$3,266.96
|
|
Ostectomy scapula partial
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
$3,821.05
|
|
Osteoart algrft w/surf & b1
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$1,864.80
|
|
Osteochondral knee allograft
|
$6,753.60 |
$6,753.60 |
$6,753.60 |
$10,629.07
|
|
Osteochondral knee autograft
|
$4,822.40 |
$4,822.40 |
$4,822.40 |
$7,952.51
|
|
Osteochondral talus autogrft
|
$6,019.20 |
$6,019.20 |
$6,019.20 |
$6,982.66
|
|
Osteopath manip tx/5-6 body region 98927
|
$132.00 |
$132.00 |
$132.00 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$161.60 |
$161.60 |
$161.60 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$192.00 |
$192.00 |
$192.00 |
$89.00
|
|
Osteoplasty humerus
|
$5,048.00 |
$5,048.00 |
$5,048.00 |
$7,913.97
|
|
Osteot dsc ant 1 vrt sgm crv
|
$3,925.60 |
$3,925.60 |
$3,925.60 |
$3,925.60
|
|
Osteot dsc ant 1vrt sgm ea
|
$879.20 |
$879.20 |
$879.20 |
$562.44
|
|
Osteot dsc ant 1vrt sgm thrc
|
$4,100.00 |
$4,100.00 |
$4,100.00 |
$6,063.98
|
|
Osteot humerus w/wo int fixj
|
$4,049.60 |
$4,049.60 |
$4,049.60 |
$7,907.11
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$7,906.00
|
|
Other immunoelectrophoresis
|
$46.40 |
$46.40 |
$46.40 |
$107.52
|
|
Oth resp proc, group
|
$200.30 |
$200.30 |
$200.30 |
$126.40
|
|
Oth resp proc, indiv
|
$97.79 |
$97.79 |
$97.79 |
$81.73
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$94.40 |
$94.40 |
$94.40 |
$96.00
|
|
Otolaryngo binocular microscopy 92504
|
$63.20 |
$63.20 |
$63.20 |
$59.40
|
|
Otoplasty 69300
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$3,592.74
|
|
Ot re-evaluation patient/family
|
$278.35 |
$278.35 |
$278.35 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$91.91 |
$91.91 |
$91.91 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.91 |
$91.91 |
$91.91 |
$91.80
|
|
Out of office emerg med serv
|
$56.00 |
$56.00 |
$56.00 |
$56.00
|
|
Ovarian cystectomy 58925
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$5,841.60
|
|
Ovulation tests
|
$29.60 |
$29.60 |
$29.60 |
$29.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.80 |
$0.80 |
$0.80 |
$348.69
|
|
Oxytetracycline injection
|
$1.60 |
$1.60 |
$1.60 |
$1.60
|
|
Oxytocin 10 unit/ml injection solution
|
$75.52 |
$75.52 |
$75.52 |
$50.40
|
|
P-32 sod phosphate ther per mci
|
$436.00 |
$436.00 |
$436.00 |
$469.34
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$4.31 |
$4.31 |
$4.31 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$16.80 |
$16.80 |
$16.80 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$649.44 |
$649.44 |
$649.44 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$15.20 |
$15.20 |
$15.20 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$5,569.20
|
|
Palonosetron hcl
|
$23.20 |
$23.20 |
$23.20 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$92.79 |
$92.79 |
$92.79 |
$121.86
|
|
Pancreatectomy
|
$4,616.80 |
$4,616.80 |
$4,616.80 |
$4,616.80
|
|
Pancreatectomy
|
$7,116.00 |
$7,116.00 |
$7,116.00 |
$7,116.00
|
|
Pancreatectomy 48153
|
$7,609.60 |
$7,609.60 |
$7,609.60 |
$7,609.60
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
$2,927.40
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$165.60 |
$165.60 |
$165.60 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$75.35 |
$75.35 |
$75.35 |
$28.90
|
|
Papaverin hcl injection
|
$111.44 |
$111.44 |
$111.44 |
$76.40
|
|
Parathormone (pth) intact
|
$109.28 |
$109.28 |
$109.28 |
$206.18
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$3,424.80 |
$3,424.80 |
$3,424.80 |
$2,681.40
|
|
Parathyrd planar w/spect&ct
|
$869.60 |
$869.60 |
$869.60 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$598.40 |
$598.40 |
$598.40 |
$1,716.15
|
|
Parathyroid planar imaging
|
$1,019.32 |
$1,019.32 |
$1,019.32 |
$1,109.00
|
|
Parathyroid planar img w/tomo spect
|
$970.12 |
$970.12 |
$970.12 |
$1,350.00
|
|
Paravaginal defect repair 57284
|
$2,071.20 |
$2,071.20 |
$2,071.20 |
$5,841.60
|
|
Parial mast w/lymph removal 19302
|
$4,406.40 |
$4,406.40 |
$4,406.40 |
$5,763.23
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$153.60 |
$153.60 |
$153.60 |
$245.89
|
|
Parotid duct diversion
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$6,547.81
|
|
Parotid duct diversion
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
$6,839.00
|
|
Parotid duct diversion
|
$1,517.60 |
$1,517.60 |
$1,517.60 |
$3,837.72
|
|
Part exc/post vert comp/sng/thorac 22101
|
$2,093.60 |
$2,093.60 |
$2,093.60 |
$5,855.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$488.80 |
$488.80 |
$488.80 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$3,190.40 |
$3,190.40 |
$3,190.40 |
$2,497.20
|
|
Partial exc bone humerus
|
$3,460.80 |
$3,460.80 |
$3,460.80 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$4,914.00
|
|
Partial excision of lip
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$4,133.59
|
|
Partial hip replacement
|
$5,574.40 |
$5,574.40 |
$5,574.40 |
$3,303.00
|
|
Partial hysterectomy
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$1,993.68
|
|
Partial proctectomy; perineal 45123
|
$2,772.80 |
$2,772.80 |
$2,772.80 |
$2,772.80
|
|
Partial removal finger bone
|
$3,402.03 |
$3,402.03 |
$3,402.03 |
$2,211.05
|
|
Partial removal finger bone
|
$3,402.03 |
$3,402.03 |
$3,402.03 |
$2,134.33
|
