|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$381.55 |
$381.55 |
$381.55 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$91.00 |
$91.00 |
$91.00 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$229.45 |
$229.45 |
$229.45 |
$229.45
|
|
Orthopantogram
|
$452.40 |
$452.40 |
$452.40 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$1,338.35 |
$1,338.35 |
$1,338.35 |
$813.61
|
|
Orthovisc inj per dose
|
$559.26 |
$559.26 |
$559.26 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$359.45 |
$359.45 |
$359.45 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$786.50 |
$786.50 |
$786.50 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$608.40 |
$608.40 |
$608.40 |
$196.70
|
|
Osmolality blood
|
$29.90 |
$29.90 |
$29.90 |
$69.55
|
|
Osmolality urine
|
$30.55 |
$30.55 |
$30.55 |
$65.50
|
|
Ostectomy complete 1st metatarsal head 28111
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$3,266.96
|
|
Ostectomy scapula partial
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$3,821.05
|
|
Osteochondral knee allograft
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$10,629.07
|
|
Osteochondral talus autogrft
|
$4,604.60 |
$4,604.60 |
$4,604.60 |
$6,982.66
|
|
Osteopath manip tx/5-6 body region 98927
|
$274.30 |
$274.30 |
$274.30 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$345.80 |
$345.80 |
$345.80 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$417.30 |
$417.30 |
$417.30 |
$89.00
|
|
Osteot dsc ant 1 vrt sgm crv
|
$5,964.40 |
$5,964.40 |
$5,964.40 |
$3,925.60
|
|
Osteot humerus w/wo int fixj
|
$3,240.25 |
$3,240.25 |
$3,240.25 |
$7,907.11
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$2,800.20 |
$2,800.20 |
$2,800.20 |
$7,906.00
|
|
Oth resp proc, group
|
$102.05 |
$102.05 |
$102.05 |
$126.00
|
|
Oth resp proc, indiv
|
$77.35 |
$77.35 |
$77.35 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$208.00 |
$208.00 |
$208.00 |
$98.40
|
|
Otolaryngo binocular microscopy 92504
|
$51.35 |
$51.35 |
$51.35 |
$59.40
|
|
Ot re-evaluation patient/family
|
$249.60 |
$249.60 |
$249.60 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$133.25 |
$133.25 |
$133.25 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$133.25 |
$133.25 |
$133.25 |
$94.81
|
|
Ovarian cystectomy 58925
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$273.31 |
$273.31 |
$273.31 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$14.98 |
$14.98 |
$14.98 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$8.42 |
$8.42 |
$8.42 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$40,267.50 |
$40,267.50 |
$40,267.50 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$6.24 |
$6.24 |
$6.24 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,113.58 |
$5,113.58 |
$5,113.58 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$142.35 |
$142.35 |
$142.35 |
$192.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,568.01 |
$5,568.01 |
$5,568.01 |
$6,238.82
|
|
Palonosetron hcl
|
$46.80 |
$46.80 |
$46.80 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$131.90 |
$131.90 |
$131.90 |
$122.00
|
|
Pancreatectomy
|
$7,956.00 |
$7,956.00 |
$7,956.00 |
$4,616.80
|
|
Pancreatectomy
|
$12,649.00 |
$12,649.00 |
$12,649.00 |
$4,058.32
|
|
Pancreatectomy
|
$12,708.80 |
$12,708.80 |
$12,708.80 |
$7,116.00
|
|
Pancreatectomy 48153
|
$13,725.40 |
$13,725.40 |
$13,725.40 |
$7,609.60
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$6,843.20 |
$6,843.20 |
$6,843.20 |
$2,927.40
|
|
Pancreatorrhaphy
|
$5,779.80 |
$5,779.80 |
$5,779.80 |
$1,909.73
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,130.48 |
$1,130.48 |
$1,130.48 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.88 |
$11.88 |
$11.88 |
$28.90
|
|
Papaverin hcl injection
|
$48.46 |
$48.46 |
$48.46 |
$78.75
|
|
Parathormone (pth) intact
|
$185.25 |
$185.25 |
$185.25 |
$206.18
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$5,995.60 |
$5,995.60 |
$5,995.60 |
$2,681.40
|
|
Parathyrd planar w/spect&ct
|
$2,830.10 |
$2,830.10 |
$2,830.10 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$1,716.15
|
|
Parathyroid planar imaging
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$3,637.40 |
$3,637.40 |
$3,637.40 |
$5,763.23
|
|
Paricalcitol
|
$35.45 |
$35.45 |
$35.45 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$387.40 |
$387.40 |
$387.40 |
$245.67
|
|
Part hymenectomy/revi hymenal ring 56700
|
$738.40 |
$738.40 |
$738.40 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$6,026.80 |
$6,026.80 |
$6,026.80 |
$2,497.20
|
|
Partial exc bone humerus
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$4,914.00
|
|
Partial excision of lip
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$4,133.59
|
|
Partial hip replacement
|
$4,326.40 |
$4,326.40 |
$4,326.40 |
$3,303.00
|
|
Partial hysterectomy
|
$4,316.00 |
$4,316.00 |
$4,316.00 |
$1,993.68
|
|
Partial proctectomy
|
$8,637.20 |
$8,637.20 |
$8,637.20 |
$2,464.93
|
|
Partial proctectomy; perineal 45123
|
$4,903.60 |
$4,903.60 |
$4,903.60 |
$2,772.80
|
|
Partial removal finger bone
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$2,211.05
|
|
Partial removal finger bone
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$2,134.33
|
|
Partial removal foot fascia
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,821.05
|
|
Partial removal leg bone(s)
|
$2,979.60 |
$2,979.60 |
$2,979.60 |
$4,315.20
|
|
Partial removal of bladder
|
$4,479.80 |
$4,479.80 |
$4,479.80 |
$1,465.20
|
|
Partial removal of esophagus 43117
|
$14,950.00 |
$14,950.00 |
$14,950.00 |
$7,937.60
|
|
Partial removal of esophagus 43122
|
$11,486.80 |
$11,486.80 |
$11,486.80 |
$6,258.40
|
|
Partial removal of fibula
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$3,821.05
|
|
Partial removal of foot bone
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$3,839.54
|
|
Partial removal of hand bone
|
$1,682.20 |
$1,682.20 |
$1,682.20 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$3,809.40
|
|
Partial removal of liver
|
$13,790.40 |
$13,790.40 |
$13,790.40 |
$7,545.60
|
|
Partial removal of liver
|
$14,869.40 |
$14,869.40 |
$14,869.40 |
$8,103.20
|
|
Partial removal of lung 32480
|
$6,713.20 |
$6,713.20 |
$6,713.20 |
$2,868.60
|
|
Partial removal of pancreas
|
$13,738.40 |
$13,738.40 |
$13,738.40 |
$7,637.60
|
|
Partial removal of penis
|
$2,862.60 |
$2,862.60 |
$2,862.60 |
$4,081.37
|
|
Partial removal of radius
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$3,472.00
|
|
Partial removal of rectum
|
$4,682.60 |
$4,682.60 |
$4,682.60 |
$2,414.94
|
|
Partial removal of rib
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$5,376.00
|
|
Partial removal of sternum
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,236.00
|
|
Partial removal of thyroid
|
$3,200.60 |
$3,200.60 |
$3,200.60 |
$5,855.00
|
|
Partial removal of thyroid
|
$4,230.20 |
$4,230.20 |
$4,230.20 |
$5,741.00
|
|
Partial removal of tibia
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$4,108.80
|
|
Partial removal of toe
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$3,674.58
|
|
Partial removal of tongue
|
$3,186.30 |
$3,186.30 |
$3,186.30 |
$6,084.97
|
|
Partial removal of ulna
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$3,986.00
|
|
Partial removal of ulna
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$3,803.90
|
|
Partial removal of ulna
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$3,762.53
|
|
Partial thyroid excision
|
$2,919.80 |
$2,919.80 |
$2,919.80 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$4,271.80 |
$4,271.80 |
$4,271.80 |
$6,213.84
|
|
Part removal of metatarsal
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$3,821.05
|
|
Part removal of metatarsal
|
$1,588.60 |
$1,588.60 |
$1,588.60 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$1,203.80 |
$1,203.80 |
$1,203.80 |
$3,839.54
|
