|
Optx prox humrl fx w/int fix
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Optx prx hmrl fx fix rpr rpl
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
|
|
Optx radial shaft fracture
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx rad/uln dislc aqt/chrnc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx rdl shft fx&cltx rad/ul
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx rdl shft fx&dstl rad/ul
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx rdl&uln shft fx rds&uln
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx rdl&uln shft fx rds/uln
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx scapular fx w/int fixj
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx sho dislc fx
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx sho dislc neck fx fixj
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Optx strclv dslc aq/chrn grf
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx strnclav dislc aqt/chrn
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx thigh fx
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx tmprmand dislocation
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
|
|
Optx trns-scphprlnr fx dislc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx ulnar shft fx int fixj
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Optx ulnar styloid fracture
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Oral aprepitant
|
$3.82 |
$3.82 |
$9.66 |
|
|
Oral busulfan
|
$13.97 |
$13.97 |
$13.97 |
|
|
Oral everolimus
|
$1.62 |
$1.62 |
$1.62 |
|
|
Oral hiv-1/hiv-2 screen
|
$16.53 |
$16.53 |
$16.53 |
|
|
Oral methotrexate (jylamvo)
|
$25.72 |
$25.72 |
$25.72 |
|
|
Oral methotrexate (xatmep)
|
$30.96 |
$30.96 |
$30.96 |
|
|
Oral netupitant, palonosetro
|
$524.66 |
$524.66 |
$524.66 |
|
|
Orbitocranial approach/skull
|
$4,306.44 |
$4,306.44 |
$4,306.44 |
|
|
Orbitocranial approach/skull
|
$4,984.23 |
$4,984.23 |
$4,984.23 |
|
|
Orbitocranial approach/skull
|
$4,643.15 |
$4,643.15 |
$4,643.15 |
|
|
Orchiectomy partial
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
|
|
Orchiopexy (fowler-stephens)
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Orchiopexy ingun/scrot appr
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Organic acids total quant ea spec
|
$32.57 |
$35.96 |
$196.14 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$59.42 |
$59.42 |
$59.42 |
|
|
Oritavancin 400 mg intravenous solution
|
$16.33 |
$39.29 |
$39.29 |
|
|
Oropharyngeal biopsy 42800
|
$1,391.00 |
$2,133.48 |
$3,164.00 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$8.82 |
$8.82 |
$27.66 |
|
|
Ortho dvc repair per 15 min
|
$41.29 |
$41.29 |
$41.29 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$218.40 |
$421.47 |
$474.00 |
|
|
Ortho elbow w/lock w/ft&adj
|
$294.84 |
$974.42 |
$974.45 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,979.13 |
$1,979.13 |
$1,979.13 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$528.80 |
$1,092.23 |
$1,155.05 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$159.60 |
$369.00 |
$418.00 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$235.20 |
$468.84 |
$516.00 |
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$62.16 |
$162.99 |
$162.99 |
|
|
Ortho hnd without jnt w/fit&adj
|
$197.60 |
$395.28 |
$418.00 |
|
|
Orthopantogram
|
$31.36 |
$119.66 |
$2,263.20 |
|
|
Orthopedic shoe add rub insl
|
$49.58 |
$49.58 |
$49.58 |
|
|
Orthop traing pfrmd phys/qhp
|
$37.92 |
$37.92 |
$37.92 |
|
|
Orthop traing supvj phys/qhp
|
$81.12 |
$81.12 |
$81.12 |
|
|
Ortho shoe add full sole
|
$86.28 |
$86.28 |
$86.28 |
|
|
Ortho shoe add half sole
|
$53.93 |
$53.93 |
$53.93 |
|
|
Ortho shoe add leather insol
|
$49.58 |
$49.58 |
$49.58 |
|
|
Ortho shoe add march bar
|
$71.13 |
$71.13 |
$71.13 |
|
|
Ortho sidebar disconnect
|
$220.95 |
$220.95 |
$220.95 |
|
|
Orthosis lso rigd frm hyperex
|
$273.84 |
$1,186.76 |
$1,186.78 |
|
|
Orthovisc inj per dose
|
$153.54 |
$153.54 |
$153.54 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$272.80 |
$519.91 |
$818.00 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$718.40 |
$1,447.40 |
$1,530.64 |
|
|
Oscillation chest wall mechanical per session
|
$128.00 |
$346.00 |
$761.00 |
|
|
O shoe add felt w leath insl
|
$53.93 |
$53.93 |
$53.93 |
|
|
O shoe add horseshoe toe tap
|
$38.79 |
$38.79 |
$38.79 |
|
|
O shoe add instep extension
|
$144.54 |
$144.54 |
$144.54 |
|
|
O shoe add instep velcro clo
|
$109.99 |
$109.99 |
$109.99 |
|
|
O shoe add standard toe tap
|
$15.17 |
$15.17 |
$15.17 |
|
|
O shoe convert to sof counte
|
$90.61 |
$90.61 |
$90.61 |
|
|
Osmolality blood
|
$9.12 |
$27.00 |
$106.40 |
|
|
Osmolality urine
|
$9.41 |
$28.00 |
$143.20 |
|
|
Ostectomy complete 1st metatarsal head 28111
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Ostectomy scapula partial
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Osteoart algrft w/surf & b1
|
$973.99 |
$973.99 |
$973.99 |
|
|
Osteochondral knee allograft
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Osteochondral knee autograft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Osteochondral talus autogrft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$56.88 |
$1,966.00 |
$1,966.00 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$70.95 |
$1,966.00 |
$1,966.00 |
|
|
Osteopath manip tx/9-10 body region98929
|
$83.79 |
$2,010.00 |
$2,064.00 |
|
|
Osteoplasty humerus
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Osteot dsc ant 1 vrt sgm crv
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Osteot dsc ant 1vrt sgm ea
|
$493.65 |
$493.65 |
$493.65 |
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Osteot dsc ant 1vrt sgm thrc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Osteot humerus w/wo int fixj
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Osteot mlt relignmt imed rod
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Ostomy clamp, replacement
|
$4.66 |
$4.66 |
$4.66 |
|
|
Ostomy irrigation set
|
$81.70 |
$81.70 |
$81.70 |
|
|
Ost pch drain 2 piece system
|
$5.37 |
$5.37 |
$5.37 |
|
|
Ost pch drain for barrier fl
|
$7.04 |
$7.04 |
$7.04 |
|
|
Ost pch drain w bar & filter
|
$9.36 |
$9.36 |
$9.36 |
|
|
Ost pch for bar w flange/flt
|
$3.39 |
$3.39 |
$3.39 |
|
|
Ost skn barr extnd >4 sq
|
$17.77 |
$17.77 |
$17.77 |
|
|
Ost urine pch w b/bltin conv
|
$16.75 |
$16.75 |
$16.75 |
|
|
Other bone graft microvasc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Other immunoelectrophoresis
|
$21.84 |
$31.92 |
$50.96 |
|
|
Oth resp proc, group
|
$51.36 |
$110.00 |
$168.56 |
|
|
Oth resp proc, indiv
|
$39.77 |
$111.00 |
$177.00 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$30.24 |
$73.92 |
$208.00 |
|
|
Otolaryngo binocular microscopy 92504
|
$10.85 |
$10.85 |
$10.85 |
|
|
Otoplasty 69300
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
|
