|
Opn tx orbit fx periorbital
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,553.49
|
|
Opn tx orbit fx transantral
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,232.76
|
|
Opn tx orbit fx w/bone grft
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,289.89
|
|
Opn tx orbit fx w/implant
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,487.79
|
|
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 |
$4,898.56
|
|
Opn tx orbit periorbt w/grft
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,289.89
|
|
Opps service,sched team conf
|
$501.47 |
$501.47 |
$501.47 |
$471.32
|
|
Opscpy extnd on/mac draw
|
$69.95 |
$69.95 |
$69.95 |
$69.95
|
|
Opscpy extnd rta draw uni/bi
|
$69.95 |
$69.95 |
$69.95 |
$69.95
|
|
Optx acrclv dslc aq/chrn grf
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,721.67
|
|
Optx acute shoulder dislc
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,491.37
|
|
Optx carpl scphd fx int fixj
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$4,485.13
|
|
Optx clavicular fx w/int fix
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
Optx complicated mndblr fx
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,465.11
|
|
Optx crpl fx oth/thn scph ea
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,591.33
|
|
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 |
$5,227.64
|
|
Optx medial ankle fx
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$4,485.13
|
|
Optx mndblr cndylr fx
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,553.49
|
|
Optx mndblr fx wo ntrdntl
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Optx mndblr fx xtrnl fixj
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,289.89
|
|
Optx mndblr/max alv ridge fx
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$3,685.81
|
|
Optx palatal/max fracture
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,553.49
|
|
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 |
$10,806.23
|
|
Optx prx hmrl fx fix rpr rpl
|
$21,657.23 |
$21,657.23 |
$21,657.23 |
$15,614.40
|
|
Optx radial shaft fracture
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$4,173.10
|
|
Optx rad/uln dislc aqt/chrnc
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,883.95
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$4,840.09
|
|
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 |
$7,907.11
|
|
Optx rdl&uln shft fx rds&uln
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
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 |
$7,907.11
|
|
Optx sho dislc fx
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
Optx sho dislc neck fx fixj
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$10,629.07
|
|
Optx strclv dslc aq/chrn grf
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,886.74
|
|
Optx strnclav dislc aqt/chrn
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,072.59
|
|
Optx tmprmand dislocation
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,819.23
|
|
Optx trns-scphprlnr fx dislc
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$4,013.94
|
|
Optx ulnar shft fx int fixj
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,292.83
|
|
Optx ulnar styloid fracture
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$3,831.35
|
|
Oral busulfan
|
$84.21 |
$84.21 |
$84.21 |
$84.21
|
|
Oral methotrexate (jylamvo)
|
$19.36 |
$19.36 |
$19.36 |
$18.53
|
|
Oral methotrexate (xatmep)
|
$20.71 |
$20.71 |
$20.71 |
$22.66
|
|
Oral netupitant, palonosetro
|
$400.24 |
$400.24 |
$400.24 |
$409.52
|
|
Orchiectomy partial
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$3,817.53
|
|
Orchiopexy (fowler-stephens)
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$3,592.00
|
|
Orchiopexy ingun/scrot appr
|
$4,156.03 |
$4,156.03 |
$4,156.03 |
$3,906.18
|
|
Organic acids total quant ea spec
|
$23.60 |
$23.60 |
$23.60 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$42.50 |
$42.50 |
$42.50 |
$41.40
|
|
Oritavancin 400 mg intravenous solution
|
$28.46 |
$28.46 |
$28.46 |
$1,212.12
|
|
Oropharyngeal biopsy 42800
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,698.19
|
|
Orthopantogram
|
$103.69 |
$103.69 |
$103.69 |
$219.22
|
|
Orthop traing supvj phys/qhp
|
$69.95 |
$69.95 |
$69.95 |
$69.95
|
|
Orthovisc inj per dose
|
$122.91 |
$122.91 |
$122.91 |
$267.33
|
|
Oscillation chest wall mechanical per session
|
$239.52 |
$239.52 |
$239.52 |
$204.89
|
|
Osmolality blood
|
$6.61 |
$6.61 |
$6.61 |
$57.00
|
|
Osmolality urine
|
$6.82 |
$6.82 |
$6.82 |
$57.85
|
|
Ostectomy complete 1st metatarsal head 28111
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,542.56
|
|
Ostectomy scapula partial
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,252.74
|
|
Osteochondral knee allograft
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$7,862.94
|
|
Osteochondral knee autograft
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,913.97
|
|
Osteochondral talus autogrft
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,731.17
|
|
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 |
$70.95
|
|
Osteopath manip tx/9-10 body region98929
|
$29.79 |
$29.79 |
$29.79 |
$95.16
|
|
Osteoplasty humerus
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,807.24
|
|
Osteot humerus w/wo int fixj
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,886.74
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$4,975.12
|
|
Ot evaluation high complexity patient/family
|
$128.99 |
$128.99 |
$128.99 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$128.99 |
$128.99 |
$128.99 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$128.99 |
$128.99 |
$128.99 |
$248.00
|
|
Other immunoelectrophoresis
|
$23.13 |
$23.13 |
$23.13 |
$92.70
|
|
Oth resp proc, group
|
$46.22 |
$46.22 |
$46.22 |
$100.80
|
|
Oth resp proc, indiv
|
$28.84 |
$28.84 |
$28.84 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$66.46 |
$66.46 |
$66.46 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$60.21 |
$60.21 |
$60.21 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$35.04 |
$35.04 |
$35.04 |
$105.50
|
|
Otoplasty 69300
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,043.20
|
|
Ot re-evaluation patient/family
|
$88.55 |
$88.55 |
$88.55 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$44.62 |
$44.62 |
$44.62 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$28.73 |
$28.73 |
$28.73 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$29.70 |
$29.70 |
$29.70 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$37.06 |
$37.06 |
$37.06 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$41.24 |
$41.24 |
$41.24 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$40.79 |
$40.79 |
$40.79 |
$93.60
|
|
Ovarian cystectomy 58925
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$5,751.94
|
|
P-32 sod phosphate ther per mci
|
$179.12 |
$179.12 |
$179.12 |
$436.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$13.34 |
$13.34 |
$13.34 |
$28.64
|
|
Palb2 gene full gene seq
|
$676.50 |
$676.50 |
$676.50 |
$493.29
|
|
Palb2 gene known famil vrnt
|
$301.35 |
$301.35 |
$301.35 |
$415.86
|
|
Palifermin injection
|
$33.99 |
$33.99 |
$33.99 |
$11,767.98
|
|
Paliperidone 117 mg/0.75 ml inj
|
$14.76 |
$14.76 |
$14.76 |
$4,898.66
|
|
Palivizumab 50 mg/0.5 ml inj
|
$719.87 |
$719.87 |
$719.87 |
$5,156.88
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$159.33 |
$159.33 |
$159.33 |
$187.16
|
|
Parathormone (pth) intact
|
$41.28 |
$41.28 |
$41.28 |
$201.50
|
