|
Occupational Therapy Evaluation (high complexity)
|
$96.48 |
$221.12 |
$407.00 |
|
|
Occupational Therapy Evaluation (low complexity)
|
$91.98 |
$213.00 |
$54,115.63 |
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$96.48 |
$223.80 |
$35,849.03 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$99.68 |
$47,314.32 |
$132,117.95 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$2.35 |
$32.20 |
$269.48 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$244.80 |
$13,143.90 |
$19,011.30 |
|
|
Ocular function screen
|
$41.60 |
$41.60 |
$51.00 |
|
|
Ocular instrumnt screen bil
|
$13.60 |
$13.60 |
$13.60 |
|
|
Ocular instrumnt screen bil
|
$9.60 |
$9.60 |
$15.00 |
|
|
Ocular photodynamic ther
|
$696.80 |
$696.80 |
$696.80 |
|
|
Ocular reconst transplant
|
$3,297.60 |
$3,297.60 |
$3,297.60 |
|
|
Ocular reconst transplant
|
$6,619.20 |
$6,619.20 |
$6,619.20 |
|
|
Ocular reconst transplant
|
$5,710.40 |
$5,710.40 |
$5,710.40 |
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,810.15 |
$1,810.15 |
$1,810.15 |
|
|
Office consultation
|
$68.64 |
$70.80 |
$74.40 |
|
|
Office emergency care
|
$50.40 |
$50.40 |
$104.40 |
|
|
Off/op cnsltj new/est low 30
|
$126.24 |
$219.20 |
$219.20 |
|
|
Off/op cnsltj new/est mod 40
|
$189.12 |
$328.80 |
$328.80 |
|
|
Off/op consltj new/est hi 55
|
$230.88 |
$401.60 |
$401.60 |
|
|
Off/op consltj new/est sf 20
|
$92.16 |
$160.00 |
$193.60 |
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$700.68 |
$725.10 |
$1,115.54 |
|
|
Olanzapine 10 mg intramuscular solution
|
$11.73 |
$64.40 |
$163.00 |
|
|
Ol dig e/m svc 11-20 min
|
$29.40 |
$54.40 |
$74.00 |
|
|
Ol dig e/m svc 21+ min
|
$49.80 |
$87.20 |
$119.00 |
|
|
Ol dig e/m svc 5-10 min
|
$20.40 |
$28.00 |
$43.67 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$44.00 |
$5,947.71 |
$7,768.80 |
|
|
Omental flap extra-abdom 49904
|
$2,635.20 |
$3,446.40 |
$3,446.40 |
|
|
Omental flap intra-abdom 49905
|
$705.60 |
$871.20 |
$1,254.00 |
|
|
Onc breast mrna 58 genes
|
$5,020.80 |
$5,020.80 |
$5,020.80 |
|
|
Onc breast mrna 70 genes
|
$7,746.40 |
$7,746.40 |
$7,746.40 |
|
|
Onc brst mrna 70 cnt 31 gene
|
$3,718.08 |
$3,718.08 |
$3,718.08 |
|
|
Oncology colon mrna
|
$6,232.00 |
$6,232.00 |
$11,381.50 |
|
|
Oncology colorectal scr
|
$1,018.40 |
$1,018.40 |
$1,018.40 |
|
|
Oncology gynecologic
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
|
|
Oncology gynecologic
|
$355.20 |
$355.20 |
$355.20 |
|
|
Oncology lung
|
$5,742.40 |
$5,742.40 |
$5,742.40 |
|
|
Oncology prostate prob score
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
|
|
Oncology tum unknown origin
|
$7,500.00 |
$7,500.00 |
$7,500.00 |
|
|
Onco (ovar) five proteins
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
|
|
Onco (ovar) two proteins
|
$250.08 |
$250.08 |
$250.08 |
|
|
Oncoprotein dcp
|
$161.60 |
$161.60 |
$161.60 |
|
|
Oncoprotein her-2/neu
|
$161.60 |
$161.60 |
$161.60 |
|
|
Onc prostate mrna 46 genes
|
$7,746.40 |
$7,746.40 |
$7,746.40 |
|
|
Ondansetron 4 mg s0119
|
$0.60 |
$1.28 |
$14.38 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.20 |
$1.00 |
$40,100.55 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$3.00 |
$18.03 |
$27,349.79 |
|
|
One-way allow prorated trip
|
$0.96 |
$18.57 |
$18.57 |
|
|
One way chest drain valve
|
$49.14 |
$49.14 |
$49.14 |
|
|
Oocyte identification
|
$401.60 |
$401.60 |
$401.60 |
|
|
Oophorectomy partial or total 58943
|
$2,092.20 |
$2,901.60 |
$2,901.60 |
|
|
Open ablate liver tumor rf
|
$3,552.80 |
$3,552.80 |
$3,552.80 |
|
|
Open aortic tube prosth repair 34830
|
$3,387.00 |
$4,289.60 |
$4,289.60 |
|
|
Open aortofemor prosth repr
|
$4,612.80 |
$4,612.80 |
$4,612.80 |
|
|
Open aortoiliac prosth repr 34831
|
$1,914.24 |
$3,209.40 |
$3,369.60 |
|
|
Open bx/exc inguinofem nodes
|
$816.60 |
$2,152.00 |
$44,498.67 |
|
|
Open bx of lung pleura 32098
|
$1,124.40 |
$1,852.00 |
$2,340.00 |
|
|
Open cor endarterect w cabg/ea ves 33572
|
$429.60 |
$1,439.20 |
$1,439.20 |
|
|
Open nasoethmoid fx with fixj
|
$1,837.60 |
$1,837.60 |
$1,837.60 |
|
|
Open nasoethmoid fx without fixj
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
|
|
Open periprosthetic breast capsule 19370
|
$1,260.60 |
$3,408.00 |
$50,618.15 |
|
|
Open skull for drainage 61312
|
$3,645.00 |
$4,872.80 |
$6,238.00 |
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$783.60 |
$2,180.80 |
$3,600.62 |
|
|
Open thrombectomy of av fistula without revision 36831
|
$860.40 |
$1,503.20 |
$10,324.20 |
|
|
Open tx compl front sinus fx
|
$52,504.09 |
$52,504.09 |
$52,504.09 |
|
|
Open tx nose fx w/skele fixj
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
|
|
Open tx nose & septal fx
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
|
|
Open tx rib 1-3 fx w/fix 21811
|
$1,243.80 |
$2,913.60 |
$2,913.60 |
|
|
Open tx rib 4-6 fx w/fix 21812
|
$1,491.60 |
$3,552.00 |
$3,552.00 |
|
|
Open tx rib 7+ fx w/fix 21813
|
$2,029.80 |
$4,822.40 |
$4,822.40 |
|
|
Open tx/sternum fracture 21825
|
$1,003.80 |
$1,323.20 |
$1,323.20 |
|
|
Open wedge/bx lung infiltr
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
|
|
Open wedge bx lung nodule 32097
|
$1,479.60 |
$1,955.20 |
$1,955.20 |
|
|
Ophthalmic biometry
|
$180.80 |
$180.80 |
$180.80 |
|
|
Ophthalmic endoscope add-on
|
$225.60 |
$225.60 |
$27,454.70 |
|
|
Ophthalmic mitomycin
|
$112.77 |
$128.88 |
$131.57 |
|
|
Ophthalmodynamometry
|
$40.80 |
$40.80 |
$40.80 |
|
|
Ophth Ultrasound b & quant a
|
$190.20 |
$301.60 |
$301.60 |
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$186.40 |
$186.40 |
$186.40 |
|
|
Oph Ultrasound dx quan a-scan only
|
$176.00 |
$176.00 |
$176.00 |
|
|
Opioids & opiate analogs 3/4
|
$24.00 |
$24.00 |
$24.00 |
|
|
Opn ax/subcla art expos
|
$1,464.00 |
$1,464.00 |
$4,903.88 |
|
|
Opn exc/dst ntra-abd
|
$2,880.00 |
$4,110.40 |
$8,083.00 |
|
|
Opn exc/dst ntra-abd 10.1-20
|
$3,534.40 |
$3,534.40 |
$3,534.40 |
|
|
Opn exc/dstr ntra-abd >30 cm
|
$5,073.60 |
$5,073.60 |
$5,073.60 |
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$2,957.60 |
$2,957.60 |
$5,817.00 |
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$2,327.20 |
$2,327.20 |
$4,577.00 |
|
|
Opn fem art expos cndt crtj 34714
|
$540.00 |
$1,324.80 |
$4,046.36 |
|
|
Opn impltj crnl nrv nea&pg
|
$3,025.60 |
$3,025.60 |
$51,774.41 |
|
|
Opn impltj nea neuromuscular
|
$755.20 |
$755.20 |
$755.20 |
|
|
Opn impltj nea perph nerve
|
$825.60 |
$825.60 |
$825.60 |
|
|
Opn impltj nea sacral nerve
|
$1,669.60 |
$1,669.60 |
$1,669.60 |
|
|
Opn mpltj hpglsl nstm ary pg
|
$4,360.00 |
$4,360.00 |
$94,723.74 |
|
|
Opn tx complx malar fx
|
$2,053.20 |
$5,475.20 |
$30,936.59 |
|
|
Opn tx depress front sinus fx 21343
|
$2,229.00 |
$2,340.60 |
$2,340.60 |
|
|
Opn tx dprsd zygomatic arch
|
$915.60 |
$2,452.80 |
$2,452.80 |
|
|
Opn tx nasomax fx w/fixj
|
$2,364.80 |
$2,364.80 |
$2,364.80 |
|
|
Opn tx nasomax fx w/graft
|
$2,694.40 |
$2,694.40 |
$2,694.40 |
|
|
Opn tx orbit fx combined
|
$3,857.60 |
$3,857.60 |
$3,857.60 |
|
|
Opn tx orbit fx periorbital
|
$3,243.20 |
$3,243.20 |
$3,243.20 |
|
|
Opn tx orbit fx transantral
|
$3,694.40 |
$3,694.40 |
$3,694.40 |
|
