|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$452.16 |
$452.16 |
$452.16 |
$90.00
|
|
Ocular photodynamic ther
|
$149.50 |
$149.50 |
$149.50 |
$1,050.40
|
|
Ocular reconst transplant
|
$423.02 |
$423.02 |
$423.02 |
$4,844.00
|
|
Ocular reconst transplant
|
$947.96 |
$947.96 |
$947.96 |
$6,138.17
|
|
Ocular reconst transplant
|
$818.74 |
$818.74 |
$818.74 |
$5,405.82
|
|
Off/op cnsltj new/est low 30
|
$67.60 |
$67.60 |
$67.60 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$103.22 |
$103.22 |
$103.22 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$138.06 |
$138.06 |
$138.06 |
$349.80
|
|
Off/op consltj new/est sf 20
|
$42.90 |
$42.90 |
$42.90 |
$133.80
|
|
Ol dig e/m svc 11-20 min
|
$18.46 |
$18.46 |
$18.46 |
$35.00
|
|
Ol dig e/m svc 21+ min
|
$28.86 |
$28.86 |
$28.86 |
$52.20
|
|
Ol dig e/m svc 5-10 min
|
$9.36 |
$9.36 |
$9.36 |
$21.60
|
|
Omental flap extra-abdom 49904
|
$1,009.32 |
$1,009.32 |
$1,009.32 |
$3,446.40
|
|
Omental flap intra-abdom 49905
|
$255.32 |
$255.32 |
$255.32 |
$871.20
|
|
Onc breast mrna 12 genes
|
$3,021.20 |
$3,021.20 |
$3,021.20 |
$5,344.74
|
|
Onc breast mrna 58 genes
|
$1,957.80 |
$1,957.80 |
$1,957.80 |
$3,464.09
|
|
Onc breast mrna 70 genes
|
$3,021.20 |
$3,021.20 |
$3,021.20 |
$5,866.53
|
|
Onc brst mrna 11 genes
|
$3,021.20 |
$3,021.20 |
$3,021.20 |
$5,344.74
|
|
Onc cutan mlnma mrna 31 gene
|
$5,610.80 |
$5,610.80 |
$5,610.80 |
$9,230.85
|
|
Oncology colorectal scr
|
$396.76 |
$396.76 |
$396.76 |
$740.01
|
|
Oncology gynecologic
|
$451.88 |
$451.88 |
$451.88 |
$799.65
|
|
Oncology gynecologic
|
$138.32 |
$138.32 |
$138.32 |
$195.32
|
|
Oncology prostate prob score
|
$592.80 |
$592.80 |
$592.80 |
$952.00
|
|
Oncology tissue of origin
|
$405.60 |
$405.60 |
$405.60 |
$572.00
|
|
Onco (ovar) two proteins
|
$732.60 |
$732.60 |
$732.60 |
$359.49
|
|
Oncoprotein dcp
|
$407.74 |
$407.74 |
$407.74 |
$171.25
|
|
Oncoprotein her-2/neu
|
$50.44 |
$50.44 |
$50.44 |
$216.00
|
|
Onc prostate 3 genes
|
$1,583.40 |
$1,583.40 |
$1,583.40 |
$2,801.40
|
|
Onc prostate mrna 46 genes
|
$3,021.20 |
$3,021.20 |
$3,021.20 |
$4,260.30
|
|
Onc thyr mrna 10,196 gen alg
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$4,320.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.97 |
$7.97 |
$7.97 |
$22.62
|
|
Oocyte identification
|
$260.00 |
$260.00 |
$260.00 |
$401.60
|
|
Oophorectomy partial or total 58943
|
$878.02 |
$878.02 |
$878.02 |
$2,901.60
|
|
Open ablate liver tumor cryo
|
$1,083.42 |
$1,083.42 |
$1,083.42 |
$3,046.40
|
|
Open ablate liver tumor rf
|
$1,056.90 |
$1,056.90 |
$1,056.90 |
$2,968.00
|
|
Open aortic tube prosth repair 34830
|
$1,263.08 |
$1,263.08 |
$1,263.08 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$1,358.24 |
$1,358.24 |
$1,358.24 |
$3,820.80
|
|
Open aortoiliac prosth repr 34831
|
$1,384.76 |
$1,384.76 |
$1,384.76 |
$3,414.40
|
|
Open bx/exc inguinofem nodes
|
$328.12 |
$328.12 |
$328.12 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$546.78 |
$546.78 |
$546.78 |
$1,852.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$164.06 |
$164.06 |
$164.06 |
$1,154.40
|
|
Open nasoethmoid fx with fixj
|
$549.64 |
$549.64 |
$549.64 |
$6,547.81
|
|
Open nasoethmoid fx without fixj
|
$485.42 |
$485.42 |
$485.42 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$492.44 |
$492.44 |
$492.44 |
$4,520.16
|
|
Open skull for drainage 61312
|
$1,523.86 |
$1,523.86 |
$1,523.86 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$210.86 |
$210.86 |
$210.86 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$442.78 |
$442.78 |
$442.78 |
$6,366.08
|
|
Open tx compl front sinus fx
|
$1,013.74 |
$1,013.74 |
$1,013.74 |
$6,048.05
|
|
Open tx iliac spine uni/bil
|
$532.74 |
$532.74 |
$532.74 |
$7,413.38
|
|
Open tx nose fx w/skele fixj
|
$386.10 |
$386.10 |
$386.10 |
$5,977.18
|
|
Open tx nose & septal fx
|
$519.22 |
$519.22 |
$519.22 |
$3,837.72
|
|
Open tx post pelvic fxcture
|
$1,006.20 |
$1,006.20 |
$1,006.20 |
$4,499.12
|
|
Open tx rib 1-3 fx w/fix 21811
|
$430.56 |
$430.56 |
$430.56 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$521.04 |
$521.04 |
$521.04 |
$5,112.80
|
|
Open tx rib 7+ fx w/fix 21813
|
$713.44 |
$713.44 |
$713.44 |
$3,986.00
|
|
Open tx/sternum fracture 21825
|
$405.08 |
$405.08 |
$405.08 |
$1,323.20
|
|
Open wedge/bx lung infiltr
|
$580.58 |
$580.58 |
$580.58 |
$3,432.80
|
|
Open wedge bx lung nodule 32097
|
$580.84 |
$580.84 |
$580.84 |
$1,955.20
|
|
Ophthalmic biometry
|
$21.58 |
$21.58 |
$21.58 |
$193.29
|
|
Ophthalmic endoscope add-on
|
$63.70 |
$63.70 |
$63.70 |
$750.40
|
|
Ophthalmodynamometry
|
$7.80 |
$7.80 |
$7.80 |
$52.00
|
|
Ophth Ultrasound b & quant a
|
$28.08 |
$28.08 |
$28.08 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$23.40 |
$23.40 |
$23.40 |
$209.50
|
|
Oph Ultrasound dx quan a-scan only
|
$25.48 |
$25.48 |
$25.48 |
$273.00
|
|
Opn abltj 1/> rnl mas crysrg
|
$885.04 |
$885.04 |
$885.04 |
$2,111.20
|
|
Opn ax/subcla art expos
|
$212.94 |
$212.94 |
$212.94 |
$1,269.60
|
|
Opn exc/dst ntra-abd
|
$1,702.22 |
$1,702.22 |
$1,702.22 |
$3,221.64
|
|
Opn exc/dst ntra-abd 10.1-20
|
$1,462.76 |
$1,462.76 |
$1,462.76 |
$2,774.24
|
|
Opn exc/dstr ntra-abd >30 cm
|
$2,099.50 |
$2,099.50 |
$2,099.50 |
$3,961.69
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$1,224.34 |
$1,224.34 |
$1,224.34 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$957.58 |
$957.58 |
$957.58 |
$1,491.00
|
|
Opn fem art expos cndt crtj 34714
|
$192.66 |
$192.66 |
$192.66 |
$2,041.65
|
|
Opn ilac art expos cndt crtj
|
$281.06 |
$281.06 |
$281.06 |
$1,169.29
|
|
Opn impltj crnl nrv nea&pg
|
$443.04 |
$443.04 |
$443.04 |
$35,498.40
|
|
Opn impltj nea neuromuscular
|
$230.88 |
$230.88 |
$230.88 |
$23,049.60
|
|
Opn impltj nea perph nerve
|
$229.58 |
$229.58 |
$229.58 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$479.96 |
$479.96 |
$479.96 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$611.26 |
$611.26 |
$611.26 |
$36,076.18
|
|
Opn tx complx malar fx
|
$792.48 |
$792.48 |
$792.48 |
$6,605.19
|
|
Opn tx complx malar w/grft
|
$931.58 |
$931.58 |
$931.58 |
$6,547.81
|
|
Opn tx depress front sinus fx 21343
|
$789.36 |
$789.36 |
$789.36 |
$3,723.20
|
|
Opn tx dprsd zygomatic arch
|
$294.58 |
$294.58 |
$294.58 |
$5,110.00
|
|
Opn tx nasomax fx multple
|
$754.26 |
$754.26 |
$754.26 |
$6,547.81
|
|
Opn tx nasomax fx w/fixj
|
$727.48 |
$727.48 |
$727.48 |
$6,465.11
|
|
Opn tx nasomax fx w/graft
|
$798.20 |
$798.20 |
$798.20 |
$2,694.40
|
|
Opn tx orbit fx combined
|
$558.22 |
$558.22 |
$558.22 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$507.26 |
$507.26 |
$507.26 |
$6,839.00
|
|
Opn tx orbit fx transantral
|
$534.30 |
$534.30 |
$534.30 |
$6,465.11
|
|
Opn tx orbit fx w/bone grft
|
$659.10 |
$659.10 |
$659.10 |
$6,547.81
|
|
Opn tx orbit fx w/implant
|
$473.98 |
$473.98 |
$473.98 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$427.70 |
$427.70 |
$427.70 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$581.62 |
$581.62 |
$581.62 |
$6,553.49
|
|
Opn tx orbit periorbt w/grft
|
$733.72 |
$733.72 |
$733.72 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$10.40 |
$10.40 |
$10.40 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$16.38 |
$16.38 |
$16.38 |
$70.29
|
|
Optx acrclv dslc aq/chrn grf
|
$477.62 |
$477.62 |
$477.62 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$423.02 |
$423.02 |
$423.02 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$433.42 |
$433.42 |
$433.42 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$532.74 |
$532.74 |
$532.74 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$531.96 |
$531.96 |
$531.96 |
$8,453.60
|
