|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$162.99 |
$162.99 |
$162.99 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$418.00 |
$418.00 |
$418.00 |
$238.20
|
|
Orthopantogram
|
$119.66 |
$119.66 |
$119.66 |
$248.04
|
|
Orthopedic shoe add rub insl
|
$49.58 |
$49.58 |
$49.58 |
$70.40
|
|
Orthop traing pfrmd phys/qhp
|
$37.92 |
$37.92 |
$37.92 |
$148.20
|
|
Orthop traing supvj phys/qhp
|
$81.12 |
$81.12 |
$81.12 |
$112.32
|
|
Ortho shoe add full sole
|
$86.28 |
$86.28 |
$86.28 |
$109.15
|
|
Ortho shoe add half sole
|
$53.93 |
$53.93 |
$53.93 |
$36.40
|
|
Ortho shoe add leather insol
|
$49.58 |
$49.58 |
$49.58 |
$63.22
|
|
Ortho shoe add march bar
|
$71.13 |
$71.13 |
$71.13 |
$90.66
|
|
Ortho sidebar disconnect
|
$220.95 |
$220.95 |
$220.95 |
$145.60
|
|
Orthosis lso rigd frm hyperex
|
$686.63 |
$686.63 |
$686.63 |
$816.00
|
|
Orthovisc inj per dose
|
$153.54 |
$153.54 |
$153.54 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$549.83 |
$549.83 |
$549.83 |
$454.40
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,530.64 |
$1,530.64 |
$1,530.64 |
$645.00
|
|
Oscillation chest wall mechanical per session
|
$301.10 |
$301.10 |
$301.10 |
$193.20
|
|
O shoe add felt w leath insl
|
$53.93 |
$53.93 |
$53.93 |
$36.40
|
|
O shoe add horseshoe toe tap
|
$38.79 |
$38.79 |
$38.79 |
$49.45
|
|
O shoe add instep extension
|
$144.54 |
$144.54 |
$144.54 |
$201.67
|
|
O shoe add instep velcro clo
|
$109.99 |
$109.99 |
$109.99 |
$140.22
|
|
O shoe add standard toe tap
|
$15.17 |
$15.17 |
$15.17 |
$19.38
|
|
O shoe convert to sof counte
|
$90.61 |
$90.61 |
$90.61 |
$115.53
|
|
Osmolality blood
|
$9.12 |
$9.12 |
$9.12 |
$68.80
|
|
Osmolality urine
|
$9.41 |
$9.41 |
$9.41 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,266.96
|
|
Ostectomy scapula partial
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Osteoart algrft w/surf & b1
|
$973.99 |
$973.99 |
$973.99 |
$1,864.80
|
|
Osteochondral knee allograft
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$10,629.07
|
|
Osteochondral knee autograft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,952.51
|
|
Osteochondral talus autogrft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,982.66
|
|
Osteopath manip tx/5-6 body region 98927
|
$56.88 |
$56.88 |
$56.88 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$70.95 |
$70.95 |
$70.95 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$83.79 |
$83.79 |
$83.79 |
$89.00
|
|
Osteoplasty humerus
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,913.97
|
|
Osteot dsc ant 1 vrt sgm crv
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$3,925.60
|
|
Osteot dsc ant 1vrt sgm ea
|
$493.65 |
$493.65 |
$493.65 |
$562.44
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$2,480.51
|
|
Osteot dsc ant 1vrt sgm thrc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,063.98
|
|
Osteot humerus w/wo int fixj
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Osteot mlt relignmt imed rod
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$13,116.76
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,906.00
|
|
Ostomy clamp, replacement
|
$4.66 |
$4.66 |
$4.66 |
$2.79
|
|
Ostomy irrigation set
|
$81.70 |
$81.70 |
$81.70 |
$41.58
|
|
Ost pch drain 2 piece system
|
$5.37 |
$5.37 |
$5.37 |
$5.37
|
|
Ost pch drain for barrier fl
|
$7.04 |
$7.04 |
$7.04 |
$11.45
|
|
Ost pch drain w bar & filter
|
$9.36 |
$9.36 |
$9.36 |
$2.92
|
|
Ost pch for bar w flange/flt
|
$3.39 |
$3.39 |
$3.39 |
$5.91
|
|
Ost skn barr extnd >4 sq
|
$17.77 |
$17.77 |
$17.77 |
$1.01
|
|
Ost urine pch w b/bltin conv
|
$16.75 |
$16.75 |
$16.75 |
$2.90
|
|
Other bone graft microvasc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,413.38
|
|
Other immunoelectrophoresis
|
$31.92 |
$31.92 |
$31.92 |
$107.52
|
|
Oth resp proc, group
|
$51.36 |
$51.36 |
$51.36 |
$126.40
|
|
Oth resp proc, indiv
|
$39.77 |
$39.77 |
$39.77 |
$81.73
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$67.83 |
$67.83 |
$67.83 |
$96.00
|
|
Otolaryngo binocular microscopy 92504
|
$10.85 |
$10.85 |
$10.85 |
$59.40
|
|
Otoplasty 69300
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,592.74
|
|
Ot re-evaluation patient/family
|
$93.07 |
$93.07 |
$93.07 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$25.24 |
$25.24 |
$25.24 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$27.38 |
$27.38 |
$27.38 |
$91.80
|
|
Outflow tarct agmntj heart chamber 33478
|
$2,256.34 |
$2,256.34 |
$2,256.34 |
$2,256.34
|
|
Outrigger
|
$88.73 |
$88.73 |
$88.73 |
$123.81
|
|
Outrigger bil with vert extens
|
$297.07 |
$297.07 |
$297.07 |
$378.67
|
|
Ovarian cystectomy 58925
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,841.60
|
|
Ovulation tests
|
$17.53 |
$17.53 |
$17.53 |
$29.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$0.79 |
$0.79 |
$0.79 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.06 |
$0.06 |
$0.06 |
$348.69
|
|
P-32 sod phosphate ther per mci
|
$383.97 |
$383.97 |
$383.97 |
$469.34
|
|
Pabpn1 gene detc abnor allel
|
$189.06 |
$189.06 |
$189.06 |
$225.42
|
|
Packing strips, non-impreg
|
$3.67 |
$3.67 |
$3.67 |
$6.24
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.14 |
$0.14 |
$0.14 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$11.29 |
$11.29 |
$11.29 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$933.57 |
$933.57 |
$933.57 |
$672.50
|
|
Palb2 gene known famil vrnt
|
$415.86 |
$415.86 |
$415.86 |
$496.86
|
|
Palifermin injection
|
$50.55 |
$50.55 |
$50.55 |
$5,464.63
|
|
Palingen or palingen xplus
|
$171.12 |
$171.12 |
$171.12 |
$171.12
|
|
Paliperidone 117 mg/0.75 ml inj
|
$20.85 |
$20.85 |
$20.85 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$602.72 |
$602.72 |
$602.72 |
$5,569.20
|
|
Palonosetron hcl
|
$0.49 |
$0.49 |
$0.49 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$15.58 |
$15.58 |
$15.58 |
$121.86
|
|
Pancreatectomy
|
$2,667.66 |
$2,667.66 |
$2,667.66 |
$4,616.80
|
|
Pancreatectomy
|
$4,058.32 |
$4,058.32 |
$4,058.32 |
$4,058.32
|
|
Pancreatectomy
|
$4,075.80 |
$4,075.80 |
$4,075.80 |
$7,116.00
|
|
Pancreatectomy 48153
|
$4,338.75 |
$4,338.75 |
$4,338.75 |
$7,609.60
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$2,195.19 |
$2,195.19 |
$2,195.19 |
$2,927.40
|
|
Pancreatorrhaphy
|
$1,909.73 |
$1,909.73 |
$1,909.73 |
$1,909.73
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$239.67 |
$239.67 |
$239.67 |
$13,051.61
|
|
Parathormone (pth) intact
|
$56.97 |
$56.97 |
$56.97 |
$206.18
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$1,743.11 |
$1,743.11 |
$1,743.11 |
$2,681.40
|
|
Parathyrd planar w/spect&ct
|
$746.61 |
$746.61 |
$746.61 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$318.34 |
$318.34 |
$318.34 |
$1,716.15
|
|
Parathyroid planar imaging
|
$549.70 |
$549.70 |
$549.70 |
$1,109.00
|
|
Parathyroid planar img w/tomo spect
|
$549.70 |
$549.70 |
$549.70 |
$1,350.00
|
|
Paravaginal defect repair 57284
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,841.60
|
|
Parial mast w/lymph removal 19302
|
$9,130.48 |
$9,130.48 |
$9,130.48 |
$5,763.23
|
|
Paricalcitol
|
$1.34 |
$1.34 |
$1.34 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$275.88 |
$275.88 |
$275.88 |
$245.89
|
|
Parotid duct diversion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Parotid duct diversion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,839.00
|
|
Parotid duct diversion
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Part exc/post vert comp/sng/thorac 22101
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,855.00
|
