|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$112.64 |
$112.64 |
$112.64 |
$14,865.31
|
|
Obltrj a-pulm sep def w/byp
|
$2,189.25 |
$2,189.25 |
$2,189.25 |
$2,189.25
|
|
Observation direct referral from physician office for admission
|
$818.88 |
$818.88 |
$818.88 |
$386.40
|
|
Observation/inpatient hospital care hi severity 99236
|
$271.54 |
$271.54 |
$271.54 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$126.63 |
$126.63 |
$126.63 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$203.91 |
$203.91 |
$203.91 |
$303.20
|
|
Obstetrical care 59410
|
$1,507.88 |
$1,507.88 |
$1,507.88 |
$2,112.80
|
|
Obstetric panel inc HIV tstg
|
$103.31 |
$103.31 |
$103.31 |
$271.00
|
|
Obstetrics panel
|
$65.98 |
$65.98 |
$65.98 |
$214.50
|
|
Obtaining screen pap smear
|
$39.77 |
$39.77 |
$39.77 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$143.75 |
$143.75 |
$143.75 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$66.39 |
$66.39 |
$66.39 |
$249.60
|
|
Occlude fallopian tube(s) device 58615
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,744.41
|
|
Occupational Therapy Evaluation (high complexity)
|
$136.70 |
$136.70 |
$136.70 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$136.70 |
$136.70 |
$136.70 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$136.70 |
$136.70 |
$136.70 |
$265.10
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$81.87 |
$81.87 |
$81.87 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$0.91 |
$0.91 |
$0.91 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$274.85 |
$274.85 |
$274.85 |
$12,080.43
|
|
Ocular instrumnt screen bil
|
$30.00 |
$30.00 |
$30.00 |
$13.60
|
|
Ocular instrumnt screen bil
|
$22.00 |
$22.00 |
$22.00 |
$42.00
|
|
Ocular photodynamic ther
|
$756.27 |
$756.27 |
$756.27 |
$1,050.40
|
|
Ocular reconst transplant
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$4,844.00
|
|
Ocular reconst transplant
|
$7,316.99 |
$7,316.99 |
$7,316.99 |
$6,138.17
|
|
Ocular reconst transplant
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$5,405.82
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$85.88 |
$85.88 |
$85.88 |
$2,224.00
|
|
Off base opioid tx, 60 m
|
$490.96 |
$490.96 |
$490.96 |
$190.13
|
|
Off base opioid tx 70min
|
$517.14 |
$517.14 |
$517.14 |
$190.13
|
|
Off/op cnsltj new/est low 30
|
$111.00 |
$111.00 |
$111.00 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$189.00 |
$189.00 |
$189.00 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$247.00 |
$247.00 |
$247.00 |
$349.80
|
|
Off/op consltj new/est sf 20
|
$74.00 |
$74.00 |
$74.00 |
$133.80
|
|
Offset knee joint each
|
$173.59 |
$173.59 |
$173.59 |
$196.00
|
|
Offset knee joint heavy duty
|
$248.12 |
$248.12 |
$248.12 |
$271.15
|
|
Olanzapine 10 mg intramuscular solution
|
$1.11 |
$1.11 |
$1.11 |
$109.62
|
|
Olanzapine long-acting inj
|
$4.36 |
$4.36 |
$4.36 |
$1,847.66
|
|
Ol dig e/m svc 11-20 min
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
Ol dig e/m svc 21+ min
|
$49.65 |
$49.65 |
$49.65 |
$52.20
|
|
Ol dig e/m svc 5-10 min
|
$35.00 |
$35.00 |
$35.00 |
$21.60
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$62.79 |
$62.79 |
$62.79 |
$4,595.01
|
|
Omental flap extra-abdom 49904
|
$1,917.25 |
$1,917.25 |
$1,917.25 |
$3,446.40
|
|
Omental flap intra-abdom 49905
|
$478.93 |
$478.93 |
$478.93 |
$871.20
|
|
Onc breast mrna 12 genes
|
$5,344.74 |
$5,344.74 |
$5,344.74 |
$5,344.74
|
|
Onc breast mrna 58 genes
|
$3,464.09 |
$3,464.09 |
$3,464.09 |
$3,464.09
|
|
Onc breast mrna 70 genes
|
$5,344.74 |
$5,344.74 |
$5,344.74 |
$5,866.53
|
|
Onc brst mrna 11 genes
|
$5,344.74 |
$5,344.74 |
$5,344.74 |
$5,344.74
|
|
Onc brst mrna 70 cnt 31 gene
|
$5,344.74 |
$5,344.74 |
$5,344.74 |
$4,260.30
|
|
Onc cutan mlnma mrna 31 gene
|
$9,926.34 |
$9,926.34 |
$9,926.34 |
$9,230.85
|
|
Oncology colon mrna
|
$4,300.08 |
$4,300.08 |
$4,300.08 |
$6,232.00
|
|
Oncology colorectal scr
|
$702.24 |
$702.24 |
$702.24 |
$740.01
|
|
Oncology gynecologic
|
$799.65 |
$799.65 |
$799.65 |
$799.65
|
|
Oncology gynecologic
|
$245.03 |
$245.03 |
$245.03 |
$195.32
|
|
Oncology lung
|
$3,961.98 |
$3,961.98 |
$3,961.98 |
$3,158.10
|
|
Oncology prostate prob score
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$952.00
|
|
Oncology tissue of origin
|
$717.60 |
$717.60 |
$717.60 |
$572.00
|
|
Oncology tum unknown origin
|
$5,175.00 |
$5,175.00 |
$5,175.00 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$1,237.86 |
$1,237.86 |
$1,237.86 |
$986.70
|
|
Onco (ovar) two proteins
|
$359.49 |
$359.49 |
$359.49 |
$359.49
|
|
Oncoprotein dcp
|
$88.89 |
$88.89 |
$88.89 |
$171.25
|
|
Oncoprotein her-2/neu
|
$88.89 |
$88.89 |
$88.89 |
$216.00
|
|
Onc prostate 3 genes
|
$2,801.40 |
$2,801.40 |
$2,801.40 |
$2,801.40
|
|
Onc prostate mrna 22 cnt gen
|
$5,344.74 |
$5,344.74 |
$5,344.74 |
$6,347.64
|
|
Onc prostate mrna 46 genes
|
$5,344.74 |
$5,344.74 |
$5,344.74 |
$4,260.30
|
|
Onc thyr mrna 10,196 gen alg
|
$4,968.00 |
$4,968.00 |
$4,968.00 |
$4,320.00
|
|
Onc uveal mlnma mrna 15 gene
|
$10,730.88 |
$10,730.88 |
$10,730.88 |
$10,730.88
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.02 |
$0.02 |
$0.02 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.13 |
$0.13 |
$0.13 |
$22.62
|
|
One way chest drain valve
|
$79.53 |
$79.53 |
$79.53 |
$149.20
|
|
Oocyte identification
|
$234.27 |
$234.27 |
$234.27 |
$401.60
|
|
Oophorectomy partial or total 58943
|
$1,681.24 |
$1,681.24 |
$1,681.24 |
$2,901.60
|
|
Open ablate liver tumor cryo
|
$2,095.96 |
$2,095.96 |
$2,095.96 |
$3,046.40
|
|
Open ablate liver tumor rf
|
$2,023.70 |
$2,023.70 |
$2,023.70 |
$2,968.00
|
|
Open aortic tube prosth repair 34830
|
$2,479.90 |
$2,479.90 |
$2,479.90 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$2,665.62 |
$2,665.62 |
$2,665.62 |
$3,820.80
|
|
Open aortoiliac prosth repr 34831
|
$2,708.88 |
$2,708.88 |
$2,708.88 |
$3,414.40
|
|
Open bx/exc inguinofem nodes
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$1,082.78 |
$1,082.78 |
$1,082.78 |
$1,852.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$321.43 |
$321.43 |
$321.43 |
$1,154.40
|
|
Open nasoethmoid fx with fixj
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Open nasoethmoid fx without fixj
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,520.16
|
|
Open skull for drainage 61312
|
$3,128.36 |
$3,128.36 |
$3,128.36 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$6,366.08
|
|
Open tx compl front sinus fx
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,048.05
|
|
Open tx iliac spine uni/bil
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,413.38
|
|
Open tx nose fx w/skele fixj
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$5,977.18
|
|
Open tx nose & septal fx
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Open tx post pelvic fxcture
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Open tx rib 1-3 fx w/fix 21811
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,112.80
|
|
Open tx rib 7+ fx w/fix 21813
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$3,986.00
|
|
Open tx/sternum fracture 21825
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$1,323.20
|
|
Open wedge/bx lung infiltr
|
$1,150.01 |
$1,150.01 |
$1,150.01 |
$3,432.80
|
|
Open wedge bx lung nodule 32097
|
$1,157.23 |
$1,157.23 |
$1,157.23 |
$1,955.20
|
|
Ophthalmic biometry
|
$182.95 |
$182.95 |
$182.95 |
$193.29
|
|
Ophthalmic endoscope add-on
|
$100.22 |
$100.22 |
$100.22 |
$750.40
|
|
Ophthalmodynamometry
|
$51.36 |
$51.36 |
$51.36 |
$52.00
|
|
Ophth Ultrasound b & quant a
|
$182.95 |
$182.95 |
$182.95 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$143.75 |
$143.75 |
$143.75 |
$209.50
|
