|
Open tx rib 7+ fx w/fix 21813
|
$4,578.60 |
$4,578.60 |
$4,578.60 |
$3,986.00
|
|
Open tx/sternum fracture 21825
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$1,323.20
|
|
Open wedge/bx lung infiltr
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$3,432.80
|
|
Open wedge bx lung nodule 32097
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$1,955.20
|
|
Ophthalmic biometry
|
$385.45 |
$385.45 |
$540.15 |
$193.29
|
|
Ophthalmodynamometry
|
$52.00 |
$52.00 |
$52.00 |
$52.00
|
|
Ophth Ultrasound b & quant a
|
$778.05 |
$778.05 |
$778.05 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$648.70 |
$648.70 |
$648.70 |
$209.50
|
|
Oph Ultrasound dx quan a-scan only
|
$477.10 |
$477.10 |
$660.40 |
$273.00
|
|
Opioids & opiate analogs 3/4
|
$18.20 |
$18.20 |
$18.20 |
$24.00
|
|
Opn abltj 1/> rnl mas crysrg
|
$5,777.20 |
$5,777.20 |
$5,777.20 |
$2,111.20
|
|
Opn ax/subcla art expos
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,269.60
|
|
Opn exc/dst ntra-abd
|
$11,440.00 |
$11,440.00 |
$11,440.00 |
$3,221.64
|
|
Opn exc/dst ntra-abd 10.1-20
|
$9,724.00 |
$9,724.00 |
$9,724.00 |
$2,774.24
|
|
Opn exc/dstr ntra-abd >30 cm
|
$14,300.00 |
$14,300.00 |
$14,300.00 |
$3,961.69
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$8,193.90 |
$8,193.90 |
$8,193.90 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$6,292.00 |
$6,292.00 |
$6,292.00 |
$1,491.00
|
|
Opn fem art expos cndt crtj 34714
|
$12,129.00 |
$12,129.00 |
$12,129.00 |
$2,041.65
|
|
Opn ilac art expos cndt crtj
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$1,169.29
|
|
Opn impltj crnl nrv nea&pg
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$35,498.40
|
|
Opn impltj nea neuromuscular
|
$1,089.40 |
$1,089.40 |
$1,089.40 |
$23,049.60
|
|
Opn impltj nea perph nerve
|
$20,241.00 |
$20,241.00 |
$20,241.00 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$11,861.85 |
$11,861.85 |
$11,861.85 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$36,076.18
|
|
Opn tx complx malar fx
|
$4,360.20 |
$4,360.20 |
$4,360.20 |
$6,605.19
|
|
Opn tx complx malar w/grft
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$6,547.81
|
|
Opn tx depress front sinus fx 21343
|
$3,723.20 |
$3,723.20 |
$3,723.20 |
$3,723.20
|
|
Opn tx dprsd zygomatic arch
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$5,110.00
|
|
Opn tx nasomax fx multple
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$6,547.81
|
|
Opn tx nasomax fx w/fixj
|
$2,977.00 |
$2,977.00 |
$2,977.00 |
$6,465.11
|
|
Opn tx orbit fx combined
|
$2,628.60 |
$2,628.60 |
$2,628.60 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$6,839.00
|
|
Opn tx orbit fx transantral
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$6,465.11
|
|
Opn tx orbit fx w/bone grft
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$6,547.81
|
|
Opn tx orbit fx w/implant
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$1,929.20 |
$1,929.20 |
$1,929.20 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$2,919.80 |
$2,919.80 |
$2,919.80 |
$6,553.49
|
|
Opn tx orbit periorbt w/grft
|
$3,822.00 |
$3,822.00 |
$3,822.00 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$74.10 |
$74.10 |
$74.10 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$114.40 |
$114.40 |
$114.40 |
$70.29
|
|
Optx acrclv dslc aq/chrn grf
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$1,991.60 |
$1,991.60 |
$1,991.60 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$2,514.20 |
$2,514.20 |
$2,514.20 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
$8,453.60
|
|
Optx complicated mndblr fx
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$6,553.49
|
|
Optx cranfcl sep comp mlt
|
$6,835.40 |
$6,835.40 |
$6,835.40 |
$6,048.05
|
|
Optx cranfcl sep w/wiring
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$6,048.05
|
|
Optx crnfc sep comp int&/xtr
|
$5,267.60 |
$5,267.60 |
$5,267.60 |
$6,048.05
|
|
Optx crpl fx oth/thn scph ea
|
$1,929.20 |
$1,929.20 |
$1,929.20 |
$4,499.12
|
|
Optx gr hmrl tbrs fx int fix
|
$2,748.20 |
$2,748.20 |
$2,748.20 |
$7,157.53
|
|
Optx lunate dislocation
|
$2,212.60 |
$2,212.60 |
$2,212.60 |
$8,128.38
|
|
Optx medial ankle fx
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$6,653.00
|
|
Optx mndblr cndylr fx
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$2,420.60 |
$2,420.60 |
$2,420.60 |
$6,465.11
|
|
Optx mndblr fx xtrnl fixj
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$6,547.81
|
|
Optx mndblr/max alv ridge fx
|
$1,627.60 |
$1,627.60 |
$1,627.60 |
$7,000.36
|
|
Optx palatal/max fracture
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$5,855.00
|
|
Optx palatal/max fx comp
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$4,295.20
|
|
Optx partclr fx&/dslc elbw w
|
$4,105.40 |
$4,105.40 |
$4,105.40 |
$10,629.07
|
|
Optx post ankle fx
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$3,198.00 |
$3,198.00 |
$3,198.00 |
$13,780.53
|
|
Optx prx hmrl fx fix rpr rpl
|
$4,776.20 |
$4,776.20 |
$4,776.20 |
$8,159.00
|
|
Optx radial shaft fracture
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$5,419.00
|
|
Optx rad/uln dislc aqt/chrnc
|
$2,155.40 |
$2,155.40 |
$2,155.40 |
$5,886.74
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$2,103.40 |
$2,103.40 |
$2,103.40 |
$6,311.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$2,743.00 |
$2,743.00 |
$2,743.00 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$3,419.00 |
$3,419.00 |
$3,419.00 |
$7,807.24
|
|
Optx rdl&uln shft fx rds&uln
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$7,807.24
|
|
Optx rdl&uln shft fx rds/uln
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$3,699.80 |
$3,699.80 |
$3,699.80 |
$7,906.00
|
|
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 strclv dslc aq/chrn grf
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$7,807.24
|
|
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 tmprmand dislocation
|
$3,367.00 |
$3,367.00 |
$3,367.00 |
$4,179.20
|
|
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
|
$10,782.20 |
$10,782.20 |
$10,782.20 |
$4,306.44
|
|
Orbitocranial approach/skull
|
$11,068.20 |
$11,068.20 |
$11,068.20 |
$4,984.23
|
|
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
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$18.25 |
$18.25 |
$44.53 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$17.88 |
$17.88 |
$17.88 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$206.05 |
$206.05 |
$268.45 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$356.20 |
$423.15 |
$423.15 |
$550.50
|
|
Ortho ewhf rigd without jnt cstm w
|
$294.45 |
$294.45 |
$294.45 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$173.86 |
$173.86 |
$191.10 |
$750.36
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$130.00 |
$193.05 |
$193.05 |
$247.80
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$229.45 |
$229.45 |
$229.45 |
$315.01
|
