|
Nrv grf mltst arm/leg <4 cm
|
$5,038.80 |
$5,038.80 |
$5,038.80 |
$5,855.00
|
|
Nrv grf mltst arm/leg >4 cm
|
$5,452.20 |
$5,452.20 |
$5,452.20 |
$5,855.00
|
|
Nrv grf mltst hnd/foot <4 cm
|
$5,301.40 |
$5,301.40 |
$5,301.40 |
$6,307.00
|
|
Nrv grf mltst hnd/foot >4 cm
|
$5,709.60 |
$5,709.60 |
$5,709.60 |
$6,998.88
|
|
Nrv rpr w/nrv algrft 1st
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$7,578.32
|
|
Nrv rpr w/nrv algrft ea addl
|
$780.00 |
$780.00 |
$780.00 |
$444.80
|
|
Nsl/sins ndsc med&inf dcmprn
|
$4,542.20 |
$4,542.20 |
$4,542.20 |
$7,662.21
|
|
Nsl/sins ndsc med/inf dcmprn
|
$4,547.40 |
$4,547.40 |
$4,547.40 |
$7,815.60
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$2,425.15 |
$2,425.15 |
$2,425.15 |
$8,191.77
|
|
Nsl/sins ndsc surg frnt sins
|
$20,697.95 |
$20,697.95 |
$20,697.95 |
$5,495.40
|
|
Nsl/sins ndsc surg frnt&sphn
|
$20,697.95 |
$20,697.95 |
$20,697.95 |
$7,957.60
|
|
Nsl/sins ndsc surg max sins
|
$20,697.95 |
$20,697.95 |
$20,697.95 |
$5,695.20
|
|
Nsl/sins ndsc surg on dcmprn
|
$5,280.60 |
$5,280.60 |
$5,280.60 |
$7,863.00
|
|
Nsl/sins ndsc surg sphn sins
|
$20,697.95 |
$20,697.95 |
$20,697.95 |
$4,881.00
|
|
Nsl/sins ndsc total
|
$2,574.00 |
$2,574.00 |
$2,574.00 |
$7,650.50
|
|
Nsl/sins ndsc tot w/sphendt
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$7,662.21
|
|
Nsl/sinus endoscopy surg dcr
|
$2,585.70 |
$2,585.70 |
$2,585.70 |
$4,341.97
|
|
Nsl/sinus ndsc cryoabltj pnn
|
$772.20 |
$772.20 |
$772.20 |
$6,921.00
|
|
Nsl/sinus ndsc rf abltj pnn
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$7,000.36
|
|
Nsl/sns ndsc lig sphnptn art
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$2,288.00
|
|
Ntraop hipec px ea add 30min
|
$780.00 |
$780.00 |
$780.00 |
$49.84
|
|
Ntrk translocation analysis
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
$873.60
|
|
Ntrprof ph1/ntrnet/ehr 11-20
|
$182.00 |
$182.00 |
$182.00 |
$65.60
|
|
Ntrprof ph1/ntrnet/ehr 21-30
|
$273.00 |
$273.00 |
$273.00 |
$97.60
|
|
Ntrprof ph1/ntrnet/ehr 31/>
|
$364.00 |
$364.00 |
$364.00 |
$107.20
|
|
Ntrprof ph1/ntrnet/ehr 5/>
|
$182.00 |
$182.00 |
$182.00 |
$46.20
|
|
Ntrprof ph1/ntrnet/ehr 5-10
|
$100.10 |
$100.10 |
$100.10 |
$32.80
|
|
Ntrprof ph1/ntrnet/ehr rfrl
|
$182.00 |
$182.00 |
$182.00 |
$66.40
|
|
Nuclear rx intra-arterial
|
$1,004.90 |
$1,004.90 |
$1,628.90 |
$765.00
|
|
Nuclear rx intracav admin
|
$1,522.30 |
$1,522.30 |
$1,522.30 |
$776.97
|
|
Nuclear rx IV admin
|
$1,004.90 |
$1,004.90 |
$1,514.50 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$5,855.20 |
$5,855.20 |
$6,318.65 |
$3,818.25
|
|
Nursing facility discharge management > 30 min 99316
|
$650.00 |
$650.00 |
$650.00 |
$166.25
|
|
Nursing facility discharge management 30 min/less than 99315
|
$390.00 |
$390.00 |
$390.00 |
$119.60
|
|
Nushield 1 square cm
|
$215.31 |
$320.94 |
$320.94 |
$914.95
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$68,467.91 |
$68,467.91 |
$68,467.91 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$702.03 |
$702.03 |
$702.03 |
$14,865.31
|
|
Obltrj a-pulm sep def w/byp
|
$6,908.20 |
$6,908.20 |
$6,908.20 |
$2,189.25
|
|
Observation direct referral from physician office for admission
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$385.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$520.00 |
$520.00 |
$520.00 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$842.40 |
$842.40 |
$842.40 |
$303.20
|
|
Observation per hour
|
$657.15 |
$657.15 |
$657.15 |
$82.93
|
|
Obstetrical care 59410
|
$5,365.10 |
$5,365.10 |
$5,365.10 |
$2,112.80
|
|
Obstetrics panel
|
$214.50 |
$214.50 |
$214.50 |
$214.50
|
|
Obtaining screen pap smear
|
$63.70 |
$63.70 |
$105.95 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$477.10 |
$477.10 |
$783.90 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$534.30 |
$534.30 |
$534.30 |
$249.60
|
|
Occlude fallopian tube(s) device 58615
|
$1,024.40 |
$1,024.40 |
$1,024.40 |
$3,744.41
|
|
Occupational Therapy Evaluation (high complexity)
|
$438.10 |
$438.10 |
$438.10 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$438.10 |
$438.10 |
$438.10 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$438.10 |
$438.10 |
$438.10 |
$265.10
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$126.75 |
$4,829.99 |
$4,829.99 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$309.04 |
$309.04 |
$309.04 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$417.07 |
$16,175.39 |
$16,175.39 |
$12,080.43
|
|
Ocular instrumnt screen bil
|
$101.40 |
$101.40 |
$101.40 |
$42.00
|
|
Ocular photodynamic ther
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$1,050.40
|
|
Ocular reconst transplant
|
$1,827.80 |
$1,827.80 |
$1,827.80 |
$4,844.00
|
|
Ocular reconst transplant
|
$4,716.40 |
$4,716.40 |
$4,716.40 |
$6,138.17
|
|
Ocular reconst transplant
|
$4,011.80 |
$4,011.80 |
$4,011.80 |
$5,405.82
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$138.26 |
$376.51 |
$376.51 |
$2,224.00
|
|
Office emergency care
|
$137.15 |
$137.15 |
$137.15 |
$50.40
|
|
Off/op cnsltj new/est low 30
|
$468.00 |
$468.00 |
$468.00 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$3,451.50 |
$3,451.50 |
$3,451.50 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$975.00 |
$975.00 |
$975.00 |
$349.80
|
|
Off/op consltj new/est sf 20
|
$308.75 |
$308.75 |
$308.75 |
$133.80
|
|
Olanzapine 10 mg intramuscular solution
|
$92.41 |
$92.41 |
$92.41 |
$109.62
|
|
Ol dig e/m svc 11-20 min
|
$52.00 |
$52.00 |
$52.00 |
$35.00
|
|
Ol dig e/m svc 21+ min
|
$78.00 |
$78.00 |
$78.00 |
$52.20
|
|
Ol dig e/m svc 5-10 min
|
$42.25 |
$42.25 |
$42.25 |
$21.60
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$98.64 |
$4,595.01 |
$4,595.01 |
$4,595.01
|
|
Omental flap extra-abdom 49904
|
$5,811.00 |
$5,811.00 |
$5,811.00 |
$3,446.40
|
|
Omental flap intra-abdom 49905
|
$1,700.40 |
$2,355.60 |
$2,355.60 |
$871.20
|
|
Onco (ovar) five proteins
|
$4,022.85 |
$4,022.85 |
$4,022.85 |
$986.70
|
|
Oncoprotein dcp
|
$288.60 |
$288.60 |
$288.60 |
$171.25
|
|
Oncoprotein her-2/neu
|
$288.60 |
$288.60 |
$288.60 |
$216.00
|
|
Ondansetron 8 mg disintegrating tablet
|
$8.45 |
$8.45 |
$8.45 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$30.06 |
$22.62
|
|
Oocyte identification
|
$325.00 |
$325.00 |
$325.00 |
$401.60
|
|
Oophorectomy partial or total 58943
|
$5,075.20 |
$5,075.20 |
$5,075.20 |
$2,901.60
|
|
Open ablate liver tumor rf
|
$6,385.60 |
$6,385.60 |
$6,385.60 |
$2,968.00
|
|
Open aortic tube prosth repair 34830
|
$9,159.80 |
$9,159.80 |
$9,159.80 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$9,874.80 |
$9,874.80 |
$9,874.80 |
$3,820.80
|
|
Open aortoiliac prosth repr 34831
|
$9,874.80 |
$9,874.80 |
$9,874.80 |
$3,414.40
|
|
Open bx/exc inguinofem nodes
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$3,356.60 |
$3,356.60 |
$3,356.60 |
$1,852.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$1,154.40
|
|
Open nasoethmoid fx with fixj
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$6,547.81
|
|
Open nasoethmoid fx without fixj
|
$1,786.20 |
$1,786.20 |
$1,786.20 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$2,622.75 |
$2,622.75 |
$2,622.75 |
$4,520.16
|
|
Open skull for drainage 61312
|
$7,844.20 |
$7,844.20 |
$7,844.20 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$6,311.00
|
|
Open tx compl front sinus fx
|
$5,608.20 |
$5,608.20 |
$5,608.20 |
$6,048.05
|
|
Open tx iliac spine uni/bil
|
$2,988.70 |
$2,988.70 |
$2,988.70 |
$7,413.38
|
|
Open tx nose fx w/skele fixj
|
$1,505.40 |
$1,505.40 |
$1,505.40 |
$5,977.18
|
|
Open tx nose & septal fx
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$3,837.72
|
|
Open tx post pelvic fxcture
|
$5,985.85 |
$5,985.85 |
$5,985.85 |
$4,499.12
|
|
Open tx rib 1-3 fx w/fix 21811
|
$2,805.40 |
$2,805.40 |
$2,805.40 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$5,112.80
|
