|
Nuclear Stress Test (Heart)
|
$627.20 |
$627.20 |
$627.20 |
$3,921.45
|
|
Nursing facility discharge management > 30 min 99316
|
$148.80 |
$148.80 |
$148.80 |
$201.60
|
|
Nursing facility discharge management 30 min/less than 99315
|
$104.00 |
$104.00 |
$104.00 |
$132.60
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$11,311.98 |
$11,311.98 |
$11,311.98 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$450.40 |
$450.40 |
$450.40 |
$411.10
|
|
Observation/inpatient hospital care hi severity 99236
|
$304.00 |
$304.00 |
$304.00 |
$438.60
|
|
Observation/inpatient hospital care low severity 99234
|
$187.20 |
$187.20 |
$187.20 |
$269.40
|
|
Observation/inpatient hospital care mod severity 99235
|
$237.60 |
$237.60 |
$237.60 |
$340.80
|
|
Observation per hour
|
$46.40 |
$46.40 |
$46.40 |
$79.30
|
|
Obstetrical care 59410
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$2,131.80
|
|
Obstetrics panel
|
$325.60 |
$325.60 |
$325.60 |
$204.80
|
|
Obtaining screen pap smear
|
$63.20 |
$63.20 |
$63.20 |
$29.55
|
|
Ob Ultrasound nuchal meas 1 gest
|
$261.60 |
$261.60 |
$261.60 |
$331.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$54,942.65 |
$54,942.65 |
$54,942.65 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$83.61 |
$83.61 |
$83.61 |
$73.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,831.86 |
$16,831.86 |
$16,831.86 |
$14,506.60
|
|
Olanzapine 10 mg intramuscular solution
|
$205.06 |
$205.06 |
$205.06 |
$122.78
|
|
Olanzapine long-acting inj
|
$3,104.46 |
$3,104.46 |
$3,104.46 |
$2.92
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,023.53 |
$2,023.53 |
$2,023.53 |
$4,797.94
|
|
Oncology colon mrna
|
$2,132.80 |
$2,132.80 |
$2,132.80 |
$3,427.60
|
|
Oncology colorectal scr
|
$1,633.60 |
$1,633.60 |
$1,633.60 |
$559.76
|
|
Oncology gynecologic
|
$1,919.20 |
$1,919.20 |
$1,919.20 |
$637.41
|
|
Oncology gynecologic
|
$562.40 |
$562.40 |
$562.40 |
$195.32
|
|
Oncology tum unknown origin
|
$4,752.00 |
$4,752.00 |
$4,752.00 |
$5,175.00
|
|
Ondansetron 4 mg s0119
|
$0.80 |
$0.80 |
$0.80 |
$136.80
|
|
Ondansetron 8 mg disintegrating tablet
|
$45.82 |
$45.82 |
$45.82 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$67.70 |
$67.70 |
$67.70 |
$34.32
|
|
Open tx rib 1-3 fx w/fix 21811
|
$871.20 |
$871.20 |
$871.20 |
$3,986.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$3,986.00
|
|
Open tx rib 7+ fx w/fix 21813
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$2,716.88
|
|
Optx carpl scphd fx int fixj
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$5,339.00
|
|
Optx clavicular fx w/int fix
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$8,453.60
|
|
Optx medial ankle fx
|
$893.60 |
$893.60 |
$893.60 |
$7,807.24
|
|
Optx prox humrl fx w/int fix
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$12,734.70
|
|
Optx prx hmrl fx fix rpr rpl
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$13,527.80
|
|
Optx radial shaft fracture
|
$989.60 |
$989.60 |
$989.60 |
$5,287.97
|
|
Optx rdl&uln shft fx rds&uln
|
$1,333.60 |
$1,333.60 |
$1,333.60 |
$6,839.00
|
|
Optx ulnar shft fx int fixj
|
$924.00 |
$924.00 |
$924.00 |
$7,913.97
|
|
Organic acids total quant ea spec
|
$68.80 |
$68.80 |
$68.80 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$235.20 |
$235.20 |
$235.20 |
$1,855.10
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$253.60 |
$253.60 |
$253.60 |
$284.85
|
|
Ortho ewhf rigd without jnt cstm w
|
$320.00 |
$320.00 |
$320.00 |
$782.70
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$476.80 |
$476.80 |
$476.80 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$220.80 |
$220.80 |
$220.80 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$268.00 |
$268.00 |
$268.00 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$196.00 |
$196.00 |
$196.00 |
$240.24
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$271.20 |
$271.20 |
$271.20 |
$269.58
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$731.20 |
$731.20 |
$731.20 |
$532.80
|
|
Oscillation chest wall mechanical per session
|
$249.60 |
$249.60 |
$249.60 |
$221.34
|
|
Osmolality blood
|
$80.00 |
$80.00 |
$80.00 |
$67.60
|
|
Osmolality urine
|
$80.00 |
$80.00 |
$80.00 |
$65.65
|
|
Osteochondral knee allograft
|
$2,016.80 |
$2,016.80 |
$2,016.80 |
$7,862.94
|
|
Osteopath manip tx/5-6 body region 98927
|
$85.60 |
$85.60 |
$85.60 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$104.80 |
$104.80 |
$104.80 |
$72.80
|
|
Osteopath manip tx/9-10 body region98929
|
$125.60 |
$125.60 |
$125.60 |
$95.16
|
|
Ot evaluation high complexity patient/family
|
$153.60 |
$153.60 |
$153.60 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$154.40 |
$154.40 |
$154.40 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$123.20 |
$123.20 |
$123.20 |
$270.58
|
|
Oth resp proc, group
|
$66.40 |
$66.40 |
$66.40 |
$154.00
|
|
Oth resp proc, indiv
|
$66.40 |
$66.40 |
$66.40 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$46.40 |
$46.40 |
$46.40 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$84.80 |
$84.80 |
$84.80 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$66.40 |
$66.40 |
$66.40 |
$107.32
|
|
Otolaryngo binocular microscopy 92504
|
$43.20 |
$43.20 |
$43.20 |
$63.20
|
|
Ot re-evaluation patient/family
|
$92.80 |
$92.80 |
$92.80 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$48.80 |
$48.80 |
$48.80 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$29.60 |
$29.60 |
$29.60 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$30.40 |
$30.40 |
$30.40 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$68.00 |
$68.00 |
$68.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$55.20 |
$55.20 |
$55.20 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$84.80 |
$84.80 |
$84.80 |
$93.75
|
|
Ovarian cystectomy 58925
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$5,813.46
|
|
Oxaliplatin 5 mg/ml desensitization
|
$366.28 |
$366.28 |
$366.28 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$77.18 |
$77.18 |
$77.18 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$212.46 |
$212.46 |
$212.46 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,911.73 |
$1,911.73 |
$1,911.73 |
$4,014.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$12.00 |
$12.00 |
$12.00 |
$6,493.54
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,664.80 |
$1,664.80 |
$1,664.80 |
$5,156.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$97.17 |
$97.17 |
$97.17 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$82.18 |
$82.18 |
$82.18 |
$44.25
|
|
Parathormone (pth) intact
|
$212.80 |
$212.80 |
$212.80 |
$200.23
|
|
Parial mast w/lymph removal 19302
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$5,428.78
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$107.20 |
$107.20 |
$107.20 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$304.80 |
$304.80 |
$304.80 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$865.60 |
$865.60 |
$865.60 |
$3,881.50
|
|
Partial hip replacement
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$5,574.40
|
|
Partial hysterectomy
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$2,400.00
|
|
Partial removal finger bone
|
$654.40 |
$654.40 |
$654.40 |
$2,211.05
|
|
Partial removal foot fascia
|
$768.00 |
$768.00 |
$768.00 |
$3,839.54
|
|
Partial removal of thyroid
|
$1,409.60 |
$1,409.60 |
$1,409.60 |
$5,741.00
|
|
Partial removal of toe
|
$603.20 |
$603.20 |
$603.20 |
$3,821.05
|
|
Partial thyroid excision
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$6,038.00
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$5,855.00
|
|
Pdgfra gene
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$659.20
|
|
Pdt dstr prmlg les phys/qhp
|
$326.40 |
$326.40 |
$326.40 |
$241.80
|
|
Pedicle enel/ntroral 15576
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$2,436.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,906.24 |
$1,906.24 |
$1,906.24 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,429.60 |
$1,429.60 |
$1,429.60 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,332.80 |
$1,332.80 |
$1,332.80 |
$1,332.80
|