|
Optx sho dislc fx
|
$3,192.80 |
$3,192.80 |
$3,192.80 |
$5,110.00
|
|
Optx sho dislc neck fx fixj
|
$3,419.00 |
$3,419.00 |
$3,419.00 |
$6,411.60
|
|
Optx strnclav dislc aqt/chrn
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$7,807.24
|
|
Optx thigh fx
|
$4,911.40 |
$4,911.40 |
$4,911.40 |
$1,362.00
|
|
Optx trns-scphprlnr fx dislc
|
$2,623.40 |
$2,623.40 |
$2,623.40 |
$5,741.00
|
|
Optx ulnar shft fx int fixj
|
$2,064.40 |
$2,064.40 |
$2,064.40 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$2,095.60 |
$2,095.60 |
$2,095.60 |
$5,295.25
|
|
Oral aprepitant
|
$413.91 |
$413.91 |
$413.91 |
$410.20
|
|
Oral busulfan
|
$468.56 |
$468.56 |
$468.56 |
$176.80
|
|
Oral everolimus
|
$51.32 |
$51.32 |
$51.32 |
$30.30
|
|
Orbitocranial approach/skull
|
$11,200.80 |
$11,200.80 |
$11,200.80 |
$4,643.15
|
|
Orchiectomy partial
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$4,061.71
|
|
Orchiopexy (fowler-stephens)
|
$3,543.80 |
$3,543.80 |
$3,543.80 |
$3,909.56
|
|
Orchiopexy ingun/scrot appr
|
$2,210.65 |
$2,210.65 |
$2,210.65 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$105.95 |
$105.95 |
$105.95 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$13,112.70 |
$13,112.70 |
$13,112.70 |
$11,017.26
|
|
Oropharyngeal biopsy 42800
|
$374.40 |
$374.40 |
$374.40 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$18.25 |
$18.25 |
$18.25 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$206.05 |
$206.05 |
$206.05 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$423.15 |
$423.15 |
$423.15 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$173.86 |
$173.86 |
$173.86 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$193.05 |
$193.05 |
$193.05 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$229.45 |
$229.45 |
$229.45 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$73.45 |
$73.45 |
$73.45 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$97.50 |
$97.50 |
$97.50 |
$229.45
|
|
Orthopantogram
|
$452.40 |
$452.40 |
$452.40 |
$241.50
|
|
Orthovisc inj per dose
|
$559.26 |
$559.26 |
$559.26 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$393.71 |
$393.71 |
$393.71 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$201.50 |
$201.50 |
$201.50 |
$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
|
|
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
|
|
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
|
