|
Opn tx orbit fx w/implant
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,553.49
|
|
Opn tx orbit periorbt w/grft
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Opps service,sched team conf
|
$501.47 |
$501.47 |
$501.47 |
$503.90
|
|
Opscpy extnd on/mac draw
|
$69.95 |
$69.95 |
$69.95 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$69.95 |
$69.95 |
$69.95 |
$71.00
|
|
Optx acrclv dslc aq/chrn grf
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,453.60
|
|
Optx complicated mndblr fx
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,553.49
|
|
Optx crpl fx oth/thn scph ea
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,499.12
|
|
Optx gr hmrl tbrs fx int fix
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,157.53
|
|
Optx lunate dislocation
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,128.38
|
|
Optx medial ankle fx
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,653.00
|
|
Optx mndblr cndylr fx
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,465.11
|
|
Optx mndblr fx xtrnl fixj
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Optx mndblr/max alv ridge fx
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,966.64
|
|
Optx palatal/max fracture
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,855.00
|
|
Optx partclr fx&/dslc elbw w
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$10,629.07
|
|
Optx post ankle fx
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$13,780.53
|
|
Optx prx hmrl fx fix rpr rpl
|
$21,657.23 |
$21,657.23 |
$21,657.23 |
$8,159.00
|
|
Optx radial shaft fracture
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,419.00
|
|
Optx rad/uln dislc aqt/chrnc
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,886.74
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,311.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,807.24
|
|
Optx rdl&uln shft fx rds&uln
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,807.24
|
|
Optx rdl&uln shft fx rds/uln
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,906.00
|
|
Optx sho dislc fx
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,110.00
|
|
Optx sho dislc neck fx fixj
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$6,411.60
|
|
Optx strclv dslc aq/chrn grf
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,807.24
|
|
Optx strnclav dislc aqt/chrn
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,807.24
|
|
Optx tmprmand dislocation
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$4,179.20
|
|
Optx trns-scphprlnr fx dislc
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,741.00
|
|
Optx ulnar shft fx int fixj
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,295.25
|
|
Oral busulfan
|
$84.21 |
$84.21 |
$84.21 |
$176.80
|
|
Oral hiv-1/hiv-2 screen
|
$11.98 |
$11.98 |
$11.98 |
$38.58
|
|
Oral methotrexate (jylamvo)
|
$18.53 |
$18.53 |
$18.53 |
$19.36
|
|
Oral methotrexate (xatmep)
|
$22.66 |
$22.66 |
$22.66 |
$4,371.50
|
|
Oral netupitant, palonosetro
|
$409.52 |
$409.52 |
$409.52 |
$1,120.66
|
|
Orchiectomy partial
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$4,061.71
|
|
Orchiopexy (fowler-stephens)
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$3,909.56
|
|
Orchiopexy ingun/scrot appr
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$23.60 |
$23.60 |
$23.60 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$11,017.26
|
|
Oritavancin 400 mg intravenous solution
|
$28.52 |
$28.52 |
$28.52 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$2,443.00
|
|
Orthopantogram
|
$103.69 |
$103.69 |
$103.69 |
$241.50
|
|
Orthop traing supvj phys/qhp
|
$69.95 |
$69.95 |
$69.95 |
$112.32
|
|
Orthovisc inj per dose
|
$97.70 |
$97.70 |
$97.70 |
$537.58
|
|
Oscillation chest wall mechanical per session
|
$239.52 |
$239.52 |
$239.52 |
$196.70
|
|
Osmolality blood
|
$6.61 |
$6.61 |
$6.61 |
$69.55
|
|
Osmolality urine
|
$6.82 |
$6.82 |
$6.82 |
$65.50
|
|
Ostectomy complete 1st metatarsal head 28111
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,266.96
|
|
Ostectomy scapula partial
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,821.05
|
|
Osteochondral knee allograft
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$10,629.07
|
|
Osteochondral knee autograft
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,952.51
|
|
Osteochondral talus autogrft
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,982.66
|
|
Osteopath manip tx/5-6 body region 98927
|
$29.79 |
$29.79 |
$29.79 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$29.79 |
$29.79 |
$29.79 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$29.79 |
$29.79 |
$29.79 |
$89.00
|
|
Osteoplasty humerus
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,913.97
|
|
Osteot humerus w/wo int fixj
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,906.00
|
|
Other immunoelectrophoresis
|
$23.13 |
$23.13 |
$23.13 |
$107.52
|
|
Oth resp proc, group
|
$46.22 |
$46.22 |
$46.22 |
$126.00
|
|
Oth resp proc, indiv
|
$28.84 |
$28.84 |
$28.84 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$66.46 |
$66.46 |
$66.46 |
$98.40
|
|
Otoplasty 69300
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,592.74
|
|
Ot re-evaluation patient/family
|
$88.55 |
$88.55 |
$88.55 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$28.73 |
$28.73 |
$28.73 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$29.70 |
$29.70 |
$29.70 |
$94.81
|
|
Ovarian cystectomy 58925
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$5,841.60
|
|
Ovulation tests
|
$12.70 |
$12.70 |
$12.70 |
$29.60
|
|
P-32 sod phosphate ther per mci
|
$179.12 |
$179.12 |
$179.12 |
$469.34
|
|
Pabpn1 gene detc abnor allel
|
$137.00 |
$137.00 |
$137.00 |
$225.42
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$12.12 |
$12.12 |
$12.12 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$676.50 |
$676.50 |
$676.50 |
$672.50
|
|
Palb2 gene known famil vrnt
|
$301.35 |
$301.35 |
$301.35 |
$496.86
|
|
Palifermin injection
|
$35.91 |
$35.91 |
$35.91 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$15.08 |
$15.08 |
$15.08 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$719.87 |
$719.87 |
$719.87 |
$5,569.20
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$172.55 |
$172.55 |
$172.55 |
$13,051.61
|
|
Parathormone (pth) intact
|
$41.28 |
$41.28 |
$41.28 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$633.90 |
$633.90 |
$633.90 |
$1,574.40
|
|
Parathyroid planar imaging
|
$473.22 |
$473.22 |
$473.22 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$473.22 |
$473.22 |
$473.22 |
$1,350.60
|
|
Paravaginal defect repair 57284
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$5,841.60
|
|
Parial mast w/lymph removal 19302
|
$7,680.06 |
$7,680.06 |
$7,680.06 |
$5,763.23
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$234.00 |
$234.00 |
$234.00 |
$245.67
|
|
Parotid duct diversion
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Parotid duct diversion
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,839.00
|
|
Parotid duct diversion
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|