|
Optx trns-scphprlnr fx dislc
|
$480.93 |
$480.93 |
$543.66 |
|
|
Optx ulnar shft fx int fixj
|
$410.55 |
$464.10 |
$5,152.80 |
|
|
Optx ulnar styloid fracture
|
$410.09 |
$463.58 |
$6,492.00 |
|
|
Oral aprepitant
|
$52.20 |
$201.00 |
$1,821.60 |
|
|
Oral busulfan
|
$24.60 |
$24.60 |
$24.60 |
|
|
Oral everolimus
|
$6.00 |
$1,208.40 |
$1,610.40 |
|
|
Oral netupitant, palonosetro
|
$2,044.20 |
$2,044.20 |
$2,044.20 |
|
|
Orbitocranial approach/skull
|
$1,856.33 |
$1,856.33 |
$2,098.46 |
|
|
Orbitocranial approach/skull
|
$2,109.33 |
$2,109.33 |
$2,384.46 |
|
|
Orbitocranial approach/skull
|
$2,038.95 |
$2,038.95 |
$2,304.90 |
|
|
Orchiectomy partial
|
$380.42 |
$430.04 |
$3,181.00 |
|
|
Orchiopexy (fowler-stephens)
|
$460.92 |
$460.92 |
$521.04 |
|
|
Orchiopexy ingun/scrot appr
|
$280.60 |
$280.60 |
$317.20 |
|
|
Organic acids total quant ea spec
|
$36.00 |
$154.77 |
$1,467.00 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$92.00 |
$92.00 |
$92.00 |
|
|
Oritavancin 400 mg intravenous solution
|
$60.00 |
$105.60 |
$13,431.00 |
|
|
Oropharyngeal biopsy 42800
|
$76.13 |
$681.60 |
$1,012.80 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$16.80 |
$63.20 |
$366.00 |
|
|
Ortho dvc repair per 15 min
|
$158.40 |
$158.40 |
$158.40 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$171.60 |
$171.60 |
$171.60 |
|
|
Ortho elbow w/lock w/ft&adj
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$157.60 |
$157.60 |
$436.20 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$136.80 |
$148.00 |
$392.80 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$191.40 |
$283.20 |
$283.20 |
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$640.20 |
$698.40 |
$725.40 |
|
|
Orthopantogram
|
$78.50 |
$188.40 |
$491.40 |
|
|
Orthop traing pfrmd phys/qhp
|
$24.61 |
$24.61 |
$27.82 |
|
|
Ortho shoe add full sole
|
$326.40 |
$326.40 |
$326.40 |
|
|
Orthovisc inj per dose
|
$190.20 |
$269.50 |
$903.60 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$152.80 |
$702.00 |
$1,635.00 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,281.60 |
$1,281.60 |
$1,281.60 |
|
|
Oscillation chest wall mechanical per session
|
$96.00 |
$394.80 |
$879.00 |
|
|
Osmolality blood
|
$15.50 |
$43.12 |
$451.20 |
|
|
Osmolality urine
|
$15.50 |
$43.20 |
$436.80 |
|
|
Ostectomy complete 1st metatarsal head 28111
|
$207.92 |
$235.04 |
$591.60 |
|
|
Ostectomy scapula partial
|
$377.43 |
$377.43 |
$426.66 |
|
|
Osteoart algrft w/surf & b1
|
$484.38 |
$484.38 |
$547.56 |
|
|
Osteochondral knee allograft
|
$890.79 |
$890.79 |
$1,006.98 |
|
|
Osteochondral knee autograft
|
$638.25 |
$638.25 |
$721.50 |
|
|
Osteochondral talus autogrft
|
$795.34 |
$899.08 |
$2,128.20 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$19.20 |
$27.60 |
$33.54 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$19.20 |
$30.60 |
$42.38 |
|
|
Osteopath manip tx/9-10 body region98929
|
$19.20 |
$44.62 |
$376.20 |
|
|
Osteoplasty humerus
|
$687.93 |
$687.93 |
$777.66 |
|
|
Osteot dsc ant 1 vrt sgm crv
|
$1,058.92 |
$1,058.92 |
$1,197.04 |
|
|
Osteot dsc ant 1vrt sgm ea
|
$231.84 |
$231.84 |
$262.08 |
|
|
Osteot dsc ant 1vrt sgm lmbr
|
$1,030.40 |
$1,030.40 |
$1,164.80 |
|
|
Osteot dsc ant 1vrt sgm thrc
|
$1,150.23 |
$1,150.23 |
$1,300.26 |
|
|
Osteot humerus w/wo int fixj
|
$540.04 |
$540.04 |
$610.48 |
|
|
Osteot mlt relignmt imed rod
|
$716.45 |
$716.45 |
$809.90 |
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$438.38 |
$495.56 |
$1,117.20 |
|
|
Ostomy clamp, replacement
|
$3.00 |
$3.00 |
$3.00 |
|
|
Ost pch drain for barrier fl
|
$7.80 |
$7.80 |
$12.00 |
|
|
Ost pch for bar w flange/flt
|
$4.20 |
$4.20 |
$4.20 |
|
|
Ost skn barr extnd >4 sq
|
$5.40 |
$5.40 |
$6.60 |
|
|
Other bone graft microvasc
|
$1,725.00 |
$1,725.00 |
$1,950.00 |
|
|
Other immunoelectrophoresis
|
$11.50 |
$132.60 |
$291.60 |
|
|
Oth resp proc, group
|
$38.40 |
$288.80 |
$473.60 |
|
|
Oth resp proc, indiv
|
$39.00 |
$60.60 |
$216.00 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$69.60 |
$99.00 |
$187.11 |
|
|
Otolaryngo binocular microscopy 92504
|
$5.98 |
$6.76 |
$28.20 |
|
|
Otoplasty 69300
|
$304.29 |
$304.29 |
$343.98 |
|
|
Ot re-evaluation patient/family
|
$97.20 |
$138.60 |
$272.40 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$73.60 |
$162.40 |
$380.40 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$69.00 |
$162.40 |
$380.40 |
|
|
Outflow tarct agmntj heart chamber 33478
|
$1,004.18 |
$1,004.18 |
$1,135.16 |
|
|
Ovarian cystectomy 58925
|
$497.26 |
$562.12 |
$1,342.80 |
|
|
Ovulation tests
|
$8.74 |
$8.74 |
$9.88 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$2.00 |
$69.60 |
$552.00 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.00 |
$53.80 |
$19,417.80 |
|
|
Oxytocin 10 unit/ml injection solution
|
$3.23 |
$7.24 |
$99.00 |
|
|
P-32 chromic phos ther per mci
|
$894.00 |
$894.00 |
$1,311.20 |
|
|
P-32 sod phosphate ther per mci
|
$222.60 |
$268.80 |
$618.60 |
|
|
Pabpn1 gene detc abnor allel
|
$94.76 |
$107.12 |
$3,052.80 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.20 |
$47.20 |
$1,179.00 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$28.20 |
$963.60 |
$8,405.24 |
|
|
Palb2 gene full gene seq
|
$126.00 |
$466.90 |
$527.80 |
|
|
Palb2 gene known famil vrnt
|
$207.92 |
$235.04 |
$281.40 |
|
|
Palifermin injection
|
$54.00 |
$54.00 |
$54.00 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$25.20 |
$84.00 |
$9,557.40 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,128.51 |
$6,540.00 |
$6,940.20 |
|
|
Palonosetron hcl
|
$16.38 |
$159.20 |
$3,325.80 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$5.40 |
$200.00 |
$7,660.20 |
|
|
Pancreatectomy
|
$1,214.17 |
$1,214.17 |
$1,372.54 |
|
|
Pancreatectomy
|
$1,856.10 |
$1,856.10 |
$2,098.20 |
|
|
Pancreatectomy
|
$1,864.38 |
$1,864.38 |
$2,107.56 |
|
|
Pancreatectomy 48153
|
$1,995.94 |
$1,995.94 |
$2,256.28 |
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$1,012.23 |
$1,144.26 |
$5,536.20 |
|
|
Pancreatorrhaphy
|
$871.01 |
$871.01 |
$984.62 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$197.40 |
$283.20 |
$18,043.80 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.17 |
$30.80 |
$299.20 |
|
|
Papaverin hcl injection
|
$6.60 |
$52.20 |
$264.80 |
|
|
Parathormone (pth) intact
|
$119.40 |
$224.40 |
$741.60 |
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$900.91 |
$1,018.42 |
$3,900.00 |
|
|
Parathyrd planar w/spect&ct
|
$47.15 |
$1,574.40 |
$2,701.60 |
|
|
Parathyroid autotransplantation 60512
|
$154.79 |
$575.40 |
$2,278.33 |
|
|
Parathyroid planar imaging
|
$464.00 |
$1,228.80 |
$5,323.20 |
|
|
Parathyroid planar img w/tomo spect
|
$464.00 |
$1,228.80 |
$2,248.00 |
|
|
Paravaginal defect repair 57284
|
$540.96 |
$540.96 |
$611.52 |
|
|
Parenteral 50% dextrose solu
|
$9.20 |
$165.60 |
$228.60 |
|