|
Nsl/sins ndsc surg max sins
|
$3,027.46 |
$3,027.46 |
$3,027.46 |
$5,695.20
|
|
Nsl/sins ndsc surg sphn sins
|
$1,884.67 |
$1,884.67 |
$1,884.67 |
$4,881.00
|
|
Nsl/sins ndsc total
|
$6,128.86 |
$6,128.86 |
$6,128.86 |
$7,650.50
|
|
Nsl/sins ndsc tot w/sphendt
|
$6,128.86 |
$6,128.86 |
$6,128.86 |
$7,662.21
|
|
Nsl/sinus endoscopy surg dcr
|
$4,111.51 |
$4,111.51 |
$4,111.51 |
$4,341.97
|
|
Nsl/sinus ndsc cryoabltj pnn
|
$6,695.65 |
$6,695.65 |
$6,695.65 |
$6,921.00
|
|
Ntsty modul rad tx dlvr cplx
|
$3,298.58 |
$3,298.58 |
$3,298.58 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$2,898.56 |
$2,898.56 |
$2,898.56 |
$2,165.29
|
|
Nuclear exam of tear flow
|
$555.89 |
$555.89 |
$555.89 |
$648.04
|
|
Nuclear localization/abscess
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,200.00
|
|
Nuclear rx intra-arterial
|
$1,034.57 |
$1,034.57 |
$1,034.57 |
$765.00
|
|
Nuclear rx intracav admin
|
$1,115.27 |
$1,115.27 |
$1,115.27 |
$776.97
|
|
Nuclear rx IV admin
|
$984.93 |
$984.93 |
$984.93 |
$863.20
|
|
Nuclear Stress Test (Heart)
|
$4,337.71 |
$4,337.71 |
$4,337.71 |
$3,858.20
|
|
Nudt15 gene common variants
|
$277.50 |
$277.50 |
$277.50 |
$304.50
|
|
Nursing facility discharge management > 30 min 99316
|
$134.65 |
$134.65 |
$134.65 |
$166.25
|
|
Nursing facility discharge management 30 min/less than 99315
|
$107.93 |
$107.93 |
$107.93 |
$119.60
|
|
Nushield 1 square cm
|
$833.29 |
$833.29 |
$833.29 |
$914.95
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$14,865.31 |
$14,865.31 |
$14,865.31 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$527.99 |
$527.99 |
$527.99 |
$385.00
|
|
Observation per hour
|
$82.93 |
$82.93 |
$82.93 |
$82.55
|
|
Obstetrical care 59410
|
$2,168.02 |
$2,168.02 |
$2,168.02 |
$2,112.80
|
|
Obstetric panel inc HIV tstg
|
$204.56 |
$204.56 |
$204.56 |
$271.00
|
|
Obstetrics panel
|
$252.96 |
$252.96 |
$252.96 |
$214.50
|
|
Obtaining screen pap smear
|
$18.46 |
$18.46 |
$18.46 |
$38.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$311.03 |
$311.03 |
$311.03 |
$356.59
|
|
Ob Ultrasound nuchal meas add-on
|
$243.29 |
$243.29 |
$243.29 |
$249.60
|
|
Occlude fallopian tube(s) device 58615
|
$2,927.42 |
$2,927.42 |
$2,927.42 |
$3,744.41
|
|
Occupational Therapy Evaluation (high complexity)
|
$419.98 |
$419.98 |
$419.98 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$318.13 |
$318.13 |
$318.13 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$378.80 |
$378.80 |
$378.80 |
$264.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$35,485.88 |
$35,485.88 |
$35,485.88 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$1,341.58 |
$1,341.58 |
$1,341.58 |
$90.00
|
|
Ocular photodynamic ther
|
$1,289.80 |
$1,289.80 |
$1,289.80 |
$1,050.40
|
|
Ocular reconst transplant
|
$6,096.78 |
$6,096.78 |
$6,096.78 |
$4,844.00
|
|
Ocular reconst transplant
|
$6,138.17 |
$6,138.17 |
$6,138.17 |
$6,138.17
|
|
Ocular reconst transplant
|
$3,829.90 |
$3,829.90 |
$3,829.90 |
$5,405.82
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,440.03 |
$1,440.03 |
$1,440.03 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$135.70 |
$135.70 |
$135.70 |
$109.62
|
|
Onc breast mrna 58 genes
|
$5,857.15 |
$5,857.15 |
$5,857.15 |
$3,464.09
|
|
Oncology prostate prob score
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$952.00
|
|
Onco (ovar) five proteins
|
$682.50 |
$682.50 |
$682.50 |
$986.70
|
|
Oncoprotein dcp
|
$313.70 |
$313.70 |
$313.70 |
$171.25
|
|
Oncoprotein her-2/neu
|
$275.18 |
$275.18 |
$275.18 |
$216.00
|
|
Onc thyr mrna 10,196 gen alg
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$4,320.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$28.30 |
$28.30 |
$28.30 |
$22.62
|
|
One-way allow prorated trip
|
$24.91 |
$24.91 |
$24.91 |
$18.57
|
|
One way chest drain valve
|
$149.20 |
$149.20 |
$149.20 |
$149.20
|
|
Oocyte identification
|
$503.57 |
$503.57 |
$503.57 |
$401.60
|
|
Open nasoethmoid fx with fixj
|
$3,350.74 |
$3,350.74 |
$3,350.74 |
$6,547.81
|
|
Open nasoethmoid fx without fixj
|
$6,759.31 |
$6,759.31 |
$6,759.31 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$4,520.16 |
$4,520.16 |
$4,520.16 |
$4,520.16
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$3,681.26 |
$3,681.26 |
$3,681.26 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$6,182.35 |
$6,182.35 |
$6,182.35 |
$6,311.00
|
|
Open tx nose fx w/skele fixj
|
$5,977.18 |
$5,977.18 |
$5,977.18 |
$5,977.18
|
|
Open tx nose & septal fx
|
$4,402.67 |
$4,402.67 |
$4,402.67 |
$3,837.72
|
|
Open tx rib 1-3 fx w/fix 21811
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$2,716.88 |
$2,716.88 |
$2,716.88 |
$5,112.80
|
|
Open tx rib 7+ fx w/fix 21813
|
$2,716.88 |
$2,716.88 |
$2,716.88 |
$3,986.00
|
|
Ophthalmic biometry
|
$261.86 |
$261.86 |
$261.86 |
$182.95
|
|
Ophthalmodynamometry
|
$72.19 |
$72.19 |
$72.19 |
$52.00
|
|
Ophth Ultrasound b & quant a
|
$588.14 |
$588.14 |
$588.14 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$380.47 |
$380.47 |
$380.47 |
$209.50
|
|
Oph Ultrasound dx quan a-scan only
|
$355.75 |
$355.75 |
$355.75 |
$273.00
|
|
Opn ilac art expos cndt crtj
|
$1,081.08 |
$1,081.08 |
$1,081.08 |
$1,169.29
|
|
Opn impltj crnl nrv nea&pg
|
$22,089.86 |
$22,089.86 |
$22,089.86 |
$35,498.40
|
|
Opn impltj nea perph nerve
|
$7,674.95 |
$7,674.95 |
$7,674.95 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$7,359.38 |
$7,359.38 |
$7,359.38 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$36,076.18 |
$36,076.18 |
$36,076.18 |
$36,076.18
|
|
Opn tx complx malar fx
|
$6,605.19 |
$6,605.19 |
$6,605.19 |
$6,605.19
|
|
Opn tx dprsd zygomatic arch
|
$4,832.78 |
$4,832.78 |
$4,832.78 |
$5,110.00
|
|
Opn tx nasomax fx w/fixj
|
$5,724.50 |
$5,724.50 |
$5,724.50 |
$6,465.11
|
|
Opn tx orbit fx combined
|
$6,493.99 |
$6,493.99 |
$6,493.99 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$7,160.86 |
$7,160.86 |
$7,160.86 |
$6,839.00
|
|
Opn tx orbit fx transantral
|
$5,232.76 |
$5,232.76 |
$5,232.76 |
$6,465.11
|
|
Opn tx orbit fx w/bone grft
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$6,547.81
|
|
Opn tx orbit fx w/implant
|
$5,487.79 |
$5,487.79 |
$5,487.79 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$6,430.79 |
$6,430.79 |
$6,430.79 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$4,898.56 |
$4,898.56 |
$4,898.56 |
$6,553.49
|
|
Opn tx orbit periorbt w/grft
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$133.97 |
$133.97 |
$133.97 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$131.17 |
$131.17 |
$131.17 |
$71.00
|
|
Optical endomicroscpy interp
|
$18.66 |
$18.66 |
$18.66 |
$86.40
|
|
Optx acrclv dslc aq/chrn grf
|
$8,322.97 |
$8,322.97 |
$8,322.97 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$7,095.72 |
$7,095.72 |
$7,095.72 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$7,491.37 |
$7,491.37 |
$7,491.37 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$9,013.88 |
$9,013.88 |
$9,013.88 |
$8,453.60
|
|
Optx complicated mndblr fx
|
$8,803.45 |
$8,803.45 |
$8,803.45 |
$6,553.49
|
|
Optx crpl fx oth/thn scph ea
|
$5,876.49 |
$5,876.49 |
$5,876.49 |
$4,499.12
|
|
Optx gr hmrl tbrs fx int fix
|
$7,157.53 |
$7,157.53 |
$7,157.53 |
$7,157.53
|
|
Optx lunate dislocation
|
$5,227.64 |
$5,227.64 |
$5,227.64 |
$8,128.38
|
|
Optx medial ankle fx
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$6,653.00
|
|
Optx mndblr cndylr fx
|
$8,803.45 |
$8,803.45 |
$8,803.45 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$7,180.34 |
$7,180.34 |
$7,180.34 |
$6,465.11
|
|
Optx mndblr fx xtrnl fixj
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$6,547.81
|
|
Optx mndblr/max alv ridge fx
|
$3,685.81 |
$3,685.81 |
$3,685.81 |
$6,966.64
|
|
Optx partclr fx&/dslc elbw w
|
$9,008.32 |
$9,008.32 |
$9,008.32 |
$10,629.07
|
|
Optx post ankle fx
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$10,806.23 |
$10,806.23 |
$10,806.23 |
$13,780.53
|
