|
Ocular reconst transplant
|
$357.94 |
$357.94 |
$357.94 |
$4,844.00
|
|
Ocular reconst transplant
|
$802.12 |
$802.12 |
$802.12 |
$6,138.17
|
|
Ocular reconst transplant
|
$692.78 |
$692.78 |
$692.78 |
$5,405.82
|
|
Off/op cnsltj new/est low 30
|
$57.20 |
$57.20 |
$57.20 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$87.34 |
$87.34 |
$87.34 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$116.82 |
$116.82 |
$116.82 |
$349.80
|
|
Off/op consltj new/est sf 20
|
$36.30 |
$36.30 |
$36.30 |
$133.80
|
|
Ol dig e/m svc 11-20 min
|
$15.62 |
$15.62 |
$15.62 |
$35.00
|
|
Ol dig e/m svc 21+ min
|
$24.42 |
$24.42 |
$24.42 |
$52.20
|
|
Ol dig e/m svc 5-10 min
|
$7.92 |
$7.92 |
$7.92 |
$21.60
|
|
Omental flap extra-abdom 49904
|
$854.04 |
$854.04 |
$854.04 |
$3,446.40
|
|
Omental flap intra-abdom 49905
|
$216.04 |
$216.04 |
$216.04 |
$871.20
|
|
Onc breast mrna 12 genes
|
$2,556.40 |
$2,556.40 |
$2,556.40 |
$5,344.74
|
|
Onc breast mrna 58 genes
|
$1,656.60 |
$1,656.60 |
$1,656.60 |
$3,464.09
|
|
Onc breast mrna 70 genes
|
$2,556.40 |
$2,556.40 |
$2,556.40 |
$5,866.53
|
|
Onc brst mrna 11 genes
|
$2,556.40 |
$2,556.40 |
$2,556.40 |
$5,344.74
|
|
Onc cutan mlnma mrna 31 gene
|
$4,747.60 |
$4,747.60 |
$4,747.60 |
$9,230.85
|
|
Oncology colorectal scr
|
$335.72 |
$335.72 |
$335.72 |
$740.01
|
|
Oncology gynecologic
|
$382.36 |
$382.36 |
$382.36 |
$799.65
|
|
Oncology gynecologic
|
$117.04 |
$117.04 |
$117.04 |
$195.32
|
|
Oncology prostate prob score
|
$501.60 |
$501.60 |
$501.60 |
$952.00
|
|
Oncology tissue of origin
|
$343.20 |
$343.20 |
$343.20 |
$572.00
|
|
Onco (ovar) two proteins
|
$609.96 |
$609.96 |
$609.96 |
$359.49
|
|
Oncoprotein dcp
|
$42.68 |
$42.68 |
$42.68 |
$171.25
|
|
Oncoprotein her-2/neu
|
$42.68 |
$42.68 |
$42.68 |
$216.00
|
|
Onc prostate 3 genes
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$2,801.40
|
|
Onc prostate mrna 46 genes
|
$2,556.40 |
$2,556.40 |
$2,556.40 |
$4,260.30
|
|
Onc thyr mrna 10,196 gen alg
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$4,320.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.73 |
$0.73 |
$0.73 |
$22.62
|
|
Oocyte identification
|
$220.00 |
$220.00 |
$220.00 |
$401.60
|
|
Oophorectomy partial or total 58943
|
$742.94 |
$742.94 |
$742.94 |
$2,901.60
|
|
Open ablate liver tumor cryo
|
$916.74 |
$916.74 |
$916.74 |
$3,046.40
|
|
Open ablate liver tumor rf
|
$894.30 |
$894.30 |
$894.30 |
$2,968.00
|
|
Open aortic tube prosth repair 34830
|
$1,068.76 |
$1,068.76 |
$1,068.76 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$1,149.28 |
$1,149.28 |
$1,149.28 |
$3,820.80
|
|
Open aortoiliac prosth repr 34831
|
$1,171.72 |
$1,171.72 |
$1,171.72 |
$3,414.40
|
|
Open bx/exc inguinofem nodes
|
$277.64 |
$277.64 |
$277.64 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$462.66 |
$462.66 |
$462.66 |
$1,852.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$138.82 |
$138.82 |
$138.82 |
$1,154.40
|
|
Open nasoethmoid fx with fixj
|
$465.08 |
$465.08 |
$465.08 |
$6,547.81
|
|
Open nasoethmoid fx without fixj
|
$410.74 |
$410.74 |
$410.74 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$416.68 |
$416.68 |
$416.68 |
$4,520.16
|
|
Open skull for drainage 61312
|
$1,289.42 |
$1,289.42 |
$1,289.42 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$178.42 |
$178.42 |
$178.42 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$374.66 |
$374.66 |
$374.66 |
$6,366.08
|
|
Open tx compl front sinus fx
|
$857.78 |
$857.78 |
$857.78 |
$6,048.05
|
|
Open tx iliac spine uni/bil
|
$450.78 |
$450.78 |
$450.78 |
$7,413.38
|
|
Open tx nose fx w/skele fixj
|
$326.70 |
$326.70 |
$326.70 |
$5,977.18
|
|
Open tx nose & septal fx
|
$439.34 |
$439.34 |
$439.34 |
$3,837.72
|
|
Open tx post pelvic fxcture
|
$851.40 |
$851.40 |
$851.40 |
$4,499.12
|
|
Open tx rib 1-3 fx w/fix 21811
|
$364.32 |
$364.32 |
$364.32 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$440.88 |
$440.88 |
$440.88 |
$5,112.80
|
|
Open tx rib 7+ fx w/fix 21813
|
$603.68 |
$603.68 |
$603.68 |
$3,986.00
|
|
Open tx/sternum fracture 21825
|
$342.76 |
$342.76 |
$342.76 |
$1,323.20
|
|
Open wedge/bx lung infiltr
|
$491.26 |
$491.26 |
$491.26 |
$3,432.80
|
|
Open wedge bx lung nodule 32097
|
$491.48 |
$491.48 |
$491.48 |
$1,955.20
|
|
Ophthalmic biometry
|
$18.26 |
$18.26 |
$18.26 |
$193.29
|
|
Ophthalmic endoscope add-on
|
$53.90 |
$53.90 |
$53.90 |
$750.40
|
|
Ophthalmodynamometry
|
$6.60 |
$6.60 |
$6.60 |
$52.00
|
|
Ophth Ultrasound b & quant a
|
$23.76 |
$23.76 |
$23.76 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$19.80 |
$19.80 |
$19.80 |
$209.50
|
|
Oph Ultrasound dx quan a-scan only
|
$21.56 |
$21.56 |
$21.56 |
$273.00
|
|
Opn abltj 1/> rnl mas crysrg
|
$748.88 |
$748.88 |
$748.88 |
$2,111.20
|
|
Opn ax/subcla art expos
|
$180.18 |
$180.18 |
$180.18 |
$1,269.60
|
|
Opn exc/dst ntra-abd
|
$1,440.34 |
$1,440.34 |
$1,440.34 |
$3,221.64
|
|
Opn exc/dst ntra-abd 10.1-20
|
$1,237.72 |
$1,237.72 |
$1,237.72 |
$2,774.24
|
|
Opn exc/dstr ntra-abd >30 cm
|
$1,776.50 |
$1,776.50 |
$1,776.50 |
$3,961.69
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$1,035.98 |
$1,035.98 |
$1,035.98 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$810.26 |
$810.26 |
$810.26 |
$1,491.00
|
|
Opn fem art expos cndt crtj 34714
|
$163.02 |
$163.02 |
$163.02 |
$2,041.65
|
|
Opn ilac art expos cndt crtj
|
$237.82 |
$237.82 |
$237.82 |
$1,169.29
|
|
Opn impltj crnl nrv nea&pg
|
$374.88 |
$374.88 |
$374.88 |
$35,498.40
|
|
Opn impltj nea neuromuscular
|
$195.36 |
$195.36 |
$195.36 |
$23,049.60
|
|
Opn impltj nea perph nerve
|
$194.26 |
$194.26 |
$194.26 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$406.12 |
$406.12 |
$406.12 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$517.22 |
$517.22 |
$517.22 |
$36,076.18
|
|
Opn tx complx malar fx
|
$670.56 |
$670.56 |
$670.56 |
$6,605.19
|
|
Opn tx complx malar w/grft
|
$788.26 |
$788.26 |
$788.26 |
$6,547.81
|
|
Opn tx depress front sinus fx 21343
|
$667.92 |
$667.92 |
$667.92 |
$3,723.20
|
|
Opn tx dprsd zygomatic arch
|
$249.26 |
$249.26 |
$249.26 |
$5,110.00
|
|
Opn tx nasomax fx multple
|
$638.22 |
$638.22 |
$638.22 |
$6,547.81
|
|
Opn tx nasomax fx w/fixj
|
$615.56 |
$615.56 |
$615.56 |
$6,465.11
|
|
Opn tx nasomax fx w/graft
|
$675.40 |
$675.40 |
$675.40 |
$2,694.40
|
|
Opn tx orbit fx combined
|
$472.34 |
$472.34 |
$472.34 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$429.22 |
$429.22 |
$429.22 |
$6,839.00
|
|
Opn tx orbit fx transantral
|
$452.10 |
$452.10 |
$452.10 |
$6,465.11
|
|
Opn tx orbit fx w/bone grft
|
$557.70 |
$557.70 |
$557.70 |
$6,547.81
|
|
Opn tx orbit fx w/implant
|
$401.06 |
$401.06 |
$401.06 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$361.90 |
$361.90 |
$361.90 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$492.14 |
$492.14 |
$492.14 |
$6,553.49
|
|
Opn tx orbit periorbt w/grft
|
$620.84 |
$620.84 |
$620.84 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$8.80 |
$8.80 |
$8.80 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$13.86 |
$13.86 |
$13.86 |
$70.29
|
|
Optx acrclv dslc aq/chrn grf
|
$404.14 |
$404.14 |
$404.14 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$357.94 |
$357.94 |
$357.94 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$366.74 |
$366.74 |
$366.74 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$450.78 |
$450.78 |
$450.78 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$450.12 |
$450.12 |
$450.12 |
$8,453.60
|
|
Optx complicated mndblr fx
|
$719.62 |
$719.62 |
$719.62 |
$6,553.49
|
|
Optx cranfcl sep comp mlt
|
$1,069.64 |
$1,069.64 |
$1,069.64 |
$6,048.05
|