|
Off/op cnsltj new/est low 30
|
$91.00 |
$91.00 |
$91.00 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$137.50 |
$137.50 |
$137.50 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$185.00 |
$185.00 |
$185.00 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$56.50 |
$56.50 |
$56.50 |
$133.80
|
|
Olanzapine 10 mg intramuscular solution
|
$31.40 |
$31.40 |
$31.40 |
$109.58
|
|
Ol dig e/m svc 11-20 min
|
$31.00 |
$31.00 |
$31.00 |
$37.92
|
|
Ol dig e/m svc 21+ min
|
$43.00 |
$43.00 |
$43.00 |
$60.00
|
|
Ol dig e/m svc 5-10 min
|
$15.50 |
$15.50 |
$15.50 |
$22.26
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$74.00 |
$74.00 |
$74.00 |
$4,595.01
|
|
Omental flap intra-abdom 49905
|
$388.50 |
$388.50 |
$388.50 |
$871.20
|
|
Onco (ovar) two proteins
|
$519.50 |
$519.50 |
$519.50 |
$341.54
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.50 |
$0.50 |
$0.50 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$22.62
|
|
Open aortic tube prosth repair 34830
|
$1,987.50 |
$1,987.50 |
$1,987.50 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$2,136.00 |
$2,136.00 |
$2,136.00 |
$3,942.84
|
|
Open aortoiliac prosth repr 34831
|
$2,174.50 |
$2,174.50 |
$2,174.50 |
$3,678.92
|
|
Open bx/exc inguinofem nodes
|
$523.50 |
$523.50 |
$523.50 |
$4,992.00
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$325.00 |
$325.00 |
$325.00 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$695.00 |
$695.00 |
$695.00 |
$6,366.08
|
|
Ophthalmic biometry
|
$36.50 |
$36.50 |
$36.50 |
$182.95
|
|
Ophthalmic mitomycin
|
$566.00 |
$566.00 |
$566.00 |
$775.44
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$39.00 |
$39.00 |
$39.00 |
$215.90
|
|
Opn ax/subcla art expos
|
$334.50 |
$334.50 |
$334.50 |
$1,269.60
|
|
Opn exc/dst ntra-abd 10.1-20
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$2,774.24
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$1,822.08
|
|
Opn fem art expos cndt crtj 34714
|
$303.50 |
$303.50 |
$303.50 |
$2,041.65
|
|
Opn ilac art expos cndt crtj
|
$442.00 |
$442.00 |
$442.00 |
$1,169.29
|
|
Opn impltj crnl nrv nea&pg
|
$798.00 |
$798.00 |
$798.00 |
$35,498.40
|
|
Optx acrclv dslc aq/chrn grf
|
$736.50 |
$736.50 |
$736.50 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$650.00 |
$650.00 |
$650.00 |
$6,721.67
|
|
Optx acute shoulder dislc
|
$662.50 |
$662.50 |
$662.50 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$805.00 |
$805.00 |
$805.00 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$817.00 |
$817.00 |
$817.00 |
$9,013.88
|
|
Optx gr hmrl tbrs fx int fix
|
$884.00 |
$884.00 |
$884.00 |
$7,157.53
|
|
Optx medial ankle fx
|
$695.50 |
$695.50 |
$695.50 |
$7,807.24
|
|
Optx post ankle fx
|
$815.00 |
$815.00 |
$815.00 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$993.50 |
$993.50 |
$993.50 |
$13,938.00
|
|
Optx radial shaft fracture
|
$761.50 |
$761.50 |
$761.50 |
$5,301.66
|
|
Optx rad/uln dislc aqt/chrnc
|
$715.00 |
$715.00 |
$715.00 |
$5,883.95
|
|
Optx rdl&uln shft fx rds&uln
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$6,915.75
|
|
Optx rdl&uln shft fx rds/uln
|
$769.50 |
$769.50 |
$769.50 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$7,907.11
|
|
Optx sho dislc fx
|
$986.50 |
$986.50 |
$986.50 |
$5,339.00
|
|
Optx thigh fx
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$1,767.20
|
|
Optx ulnar shft fx int fixj
|
$713.00 |
$713.00 |
$713.00 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$709.00 |
$709.00 |
$709.00 |
$4,627.00
|
|
Orchiectomy partial
|
$652.00 |
$652.00 |
$652.00 |
$4,081.37
|
|
Orchiopexy ingun/scrot appr
|
$481.00 |
$481.00 |
$481.00 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$279.00 |
$279.00 |
$279.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$61.50 |
$61.50 |
$61.50 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$40.00 |
$40.00 |
$40.00 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$16.54 |
$16.54 |
$16.54 |
$50.63
|
|
Orthovisc inj per dose
|
$180.00 |
$180.00 |
$180.00 |
$537.58
|
|
Osmolality blood
|
$42.00 |
$42.00 |
$42.00 |
$67.60
|
|
Osmolality urine
|
$42.00 |
$42.00 |
$42.00 |
$65.00
|
|
Ostectomy complete 1st metatarsal head 28111
|
$365.50 |
$365.50 |
$365.50 |
$3,542.56
|
|
Osteopath manip tx/5-6 body region 98927
|
$55.50 |
$55.50 |
$55.50 |
$68.25
|
|
Ot evaluation high complexity patient/family
|
$175.00 |
$175.00 |
$175.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$145.00 |
$145.00 |
$145.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$159.00 |
$159.00 |
$159.00 |
$263.50
|
|
Oth resp proc, group
|
$109.50 |
$109.50 |
$109.50 |
$123.05
|
|
Oth resp proc, indiv
|
$26.50 |
$26.50 |
$26.50 |
$82.50
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$60.00 |
$60.00 |
$60.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$122.00 |
$122.00 |
$122.00 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$9.50 |
$9.50 |
$9.50 |
$60.45
|
|
Ot re-evaluation patient/family
|
$280.00 |
$280.00 |
$280.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$87.00 |
$87.00 |
$87.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$53.50 |
$53.50 |
$53.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$246.00 |
$246.00 |
$246.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$77.00 |
$77.00 |
$77.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$53.50 |
$53.50 |
$53.50 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$1.50 |
$1.50 |
$1.50 |
$83.08
|
|
Palb2 gene full gene seq
|
$126.00 |
$126.00 |
$126.00 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$21.50 |
$21.50 |
$21.50 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,731.00 |
$2,731.00 |
$2,731.00 |
$5,569.20
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$2.49 |
$2.49 |
$2.49 |
$29.31
|
|
Parathormone (pth) intact
|
$140.50 |
$140.50 |
$140.50 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$87.00 |
$87.00 |
$87.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$44.50 |
$44.50 |
$44.50 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$66.00 |
$66.00 |
$66.00 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$1,053.50 |
$1,053.50 |
$1,053.50 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$408.00 |
$408.00 |
$408.00 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$219.50 |
$219.50 |
$219.50 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$502.50 |
$502.50 |
$502.50 |
$4,914.00
|
|
Partial hip replacement
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$3,874.00
|
|
Partial hysterectomy
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$2,772.80
|
|
Partial removal finger bone
|
$557.50 |
$557.50 |
$557.50 |
$2,021.04
|
|
Partial removal finger bone
|
$505.50 |
$505.50 |
$505.50 |
$2,049.27
|
|
Partial removal foot fascia
|
$414.00 |
$414.00 |
$414.00 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$4,315.20
|
|
Partial removal of eye fluid
|
$494.50 |
$494.50 |
$494.50 |
$2,698.92
|
|
Partial removal of eye fluid
|
$561.50 |
$561.50 |
$561.50 |
$2,698.92
|
|
Partial removal of fibula
|
$737.00 |
$737.00 |
$737.00 |
$3,786.00
|
|
Partial removal of foot bone
|
$499.50 |
$499.50 |
$499.50 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$4,877.60
|
|
Partial removal of lung 32480
|
$1,717.00 |
$1,717.00 |
$1,717.00 |
$2,868.60
|
|
Partial removal of thyroid
|
$779.00 |
$779.00 |
$779.00 |
$6,457.82
|
|
Partial removal of thyroid
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$5,855.00
|
|
Partial removal of toe
|
$307.00 |
$307.00 |
$307.00 |
$3,674.58
|
