|
Orthovisc inj per dose
|
$97.70 |
$97.70 |
$122.91 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$75.78 |
$88.92 |
$125.31 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$225.38 |
$264.45 |
$372.67 |
|
|
Oscillation chest wall mechanical per session
|
$49.66 |
$98.10 |
$239.52 |
|
|
Osmolality blood
|
$6.61 |
$7.27 |
$55.50 |
|
|
Osmolality urine
|
$6.82 |
$7.50 |
$63.00 |
|
|
Ostectomy complete 1st metatarsal head 28111
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Ostectomy scapula partial
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Osteochondral knee allograft
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Osteochondral knee autograft
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Osteochondral talus autogrft
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$27.65 |
$28.00 |
$29.79 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$27.65 |
$28.00 |
$29.79 |
|
|
Osteopath manip tx/9-10 body region98929
|
$27.65 |
$28.00 |
$29.79 |
|
|
Osteoplasty humerus
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Osteot humerus w/wo int fixj
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Other immunoelectrophoresis
|
$23.13 |
$25.44 |
$25.44 |
|
|
Oth resp proc, group
|
$42.90 |
$46.22 |
$90.26 |
|
|
Oth resp proc, indiv
|
$16.88 |
$27.11 |
$47.46 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$66.46 |
$66.46 |
$90.00 |
|
|
Otolaryngo binocular microscopy 92504
|
$21.11 |
$21.11 |
$21.11 |
|
|
Otoplasty 69300
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Ot re-evaluation patient/family
|
$52.18 |
$88.55 |
$295.50 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$19.99 |
$28.73 |
$46.49 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$28.12 |
$29.70 |
$71.00 |
|
|
Ovarian cystectomy 58925
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Ovulation tests
|
$12.70 |
$13.97 |
$13.97 |
|
|
P-32 sod phosphate ther per mci
|
$179.12 |
$179.12 |
$179.12 |
|
|
Pabpn1 gene detc abnor allel
|
$137.00 |
$150.70 |
$150.70 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$12.12 |
$12.12 |
$13.34 |
|
|
Palb2 gene full gene seq
|
$676.50 |
$744.15 |
$744.15 |
|
|
Palb2 gene known famil vrnt
|
$301.35 |
$331.49 |
$331.49 |
|
|
Palifermin injection
|
$33.99 |
$35.91 |
$35.91 |
|
|
Palingen or promatrx
|
$290.65 |
$341.02 |
$480.59 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$14.76 |
$15.08 |
$15.08 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$719.87 |
$719.87 |
$719.87 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$159.33 |
$172.55 |
$172.55 |
|
|
Parathormone (pth) intact
|
$41.28 |
$45.41 |
$215.50 |
|
|
Parathyrd planar w/spect&ct
|
$475.73 |
$595.79 |
$743.70 |
|
|
Parathyroid planar imaging
|
$180.72 |
$445.16 |
$577.13 |
|
|
Parathyroid planar img w/tomo spect
|
$278.64 |
$445.16 |
$659.14 |
|
|
Paravaginal defect repair 57284
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Parial mast w/lymph removal 19302
|
$3,786.00 |
$6,311.00 |
$7,680.06 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Parotid duct diversion
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Parotid duct diversion
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Parotid duct diversion
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Part exc/post vert comp/sng/thorac 22101
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Partial exc bone humerus
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial excision of lip
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal finger bone
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal finger bone
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal foot fascia
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal leg bone(s)
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of eye fluid
|
$2,492.56 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of eye fluid
|
$2,492.56 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of fibula
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of foot bone
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of hand bone
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of lip
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of nose
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Partial removal of penis
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Partial removal of pharynx 42890
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Partial removal of radius
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of radius
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of rib
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Partial removal of thyroid
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Partial removal of thyroid
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Partial removal of tibia
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of toe
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of tongue
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Partial removal of ulna
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of ulna
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of ulna
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal of vaginal wall 57106
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Partial removal tear gland
|
$3,786.00 |
$4,440.96 |
$6,839.00 |
|
|
Partial thyroid excision
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$588.90 |
$690.97 |
$973.75 |
|
|
Part removal of metatarsal
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Part removal of metatarsal
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Part removal of metatarsal 28112
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Passy muir valve metal trach
|
$29.14 |
$34.19 |
$48.19 |
|
|
Path clin consltj high 41-60
|
$85.51 |
$189.67 |
$201.80 |
|
|
Path clin consltj mod 21-40
|
$45.79 |
$189.67 |
$201.80 |
|
|
Path clin consltj prolng svc
|
$28.56 |
$28.56 |
$35.81 |
|
|
Path clin consltj sf 5-20
|
$15.37 |
$59.14 |
$62.92 |
|
|
Pathogen reduced plasma pool
|
$30.43 |
$62.11 |
$66.08 |
|
|
Pathogen reduced plasma sing
|
$22.27 |
$323.79 |
$344.50 |
|
|
Patient recorded spirometry
|
$436.10 |
$441.68 |
$469.93 |
|
|
Patient recorded spirometry
|
$340.32 |
$344.68 |
$366.72 |
|
|
Pca3/klk3 antigen
|
$255.05 |
$280.56 |
$280.56 |
|
|
Pdgfra gene
|
$329.51 |
$362.46 |
$362.46 |
|
|
Pdt dstr prmlg les phys/qhp
|
$133.40 |
$219.93 |
$234.00 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Ped home apnea mntr att only
|
$170.99 |
$173.18 |
$184.26 |
|
|
Ped home apnea mntr dl&alys
|
$170.99 |
$173.18 |
$184.26 |
|
