|
Open bx/exc inguinofem nodes
|
$20,706.50 |
$20,706.50 |
$20,706.50 |
$4,992.00
|
|
Open nasoethmoid fx without fixj
|
$2,034.70 |
$2,034.70 |
$2,034.70 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$7,851.83 |
$7,851.83 |
$7,851.83 |
$4,520.16
|
|
Open skull for drainage 61312
|
$19,443.50 |
$19,443.50 |
$19,443.50 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$5,700.33 |
$5,700.33 |
$5,700.33 |
$2,180.80
|
|
Open tx compl front sinus fx
|
$7,781.83 |
$7,781.83 |
$7,781.83 |
$6,048.05
|
|
Open tx iliac spine uni/bil
|
$33,920.50 |
$33,920.50 |
$33,920.50 |
$7,413.38
|
|
Open tx nose fx w/skele fixj
|
$3,967.75 |
$3,967.75 |
$3,967.75 |
$6,465.11
|
|
Ophthalmic biometry
|
$462.00 |
$462.00 |
$462.00 |
$182.95
|
|
Ophthalmic endoscope add-on
|
$2,849.88 |
$2,849.88 |
$2,849.88 |
$750.40
|
|
Ophthalmic mitomycin
|
$848.50 |
$848.50 |
$848.50 |
$775.44
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$421.50 |
$421.50 |
$421.50 |
$215.90
|
|
Oph Ultrasound dx quan a-scan only
|
$300.00 |
$300.00 |
$300.00 |
$298.98
|
|
Opn impltj crnl nrv nea&pg
|
$13,433.00 |
$13,433.00 |
$13,433.00 |
$35,498.40
|
|
Opn impltj nea sacral nerve
|
$4,643.34 |
$4,643.34 |
$4,643.34 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$19,092.00 |
$19,092.00 |
$19,092.00 |
$36,076.18
|
|
Opn tx complx malar fx
|
$30,749.00 |
$30,749.00 |
$30,749.00 |
$6,605.19
|
|
Opn tx dprsd zygomatic arch
|
$3,843.50 |
$3,843.50 |
$3,843.50 |
$5,419.00
|
|
Opn tx orbit fx w/implant
|
$12,757.00 |
$12,757.00 |
$12,757.00 |
$6,553.49
|
|
Opn tx orbit fx without impl 21406
|
$16,126.67 |
$16,126.67 |
$16,126.67 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$26,151.00 |
$26,151.00 |
$26,151.00 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$75.50 |
$75.50 |
$75.50 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$126.00 |
$126.00 |
$126.00 |
$71.00
|
|
Optx acrclv dslc aq/chrn grf
|
$24,050.00 |
$24,050.00 |
$24,050.00 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$13,331.34 |
$13,331.34 |
$13,331.34 |
$6,721.67
|
|
Optx carpl scphd fx int fixj
|
$8,684.50 |
$8,684.50 |
$8,684.50 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$14,873.00 |
$14,873.00 |
$14,873.00 |
$9,013.88
|
|
Optx complicated mndblr fx
|
$13,843.00 |
$13,843.00 |
$13,843.00 |
$6,839.00
|
|
Optx medial ankle fx
|
$12,214.00 |
$12,214.00 |
$12,214.00 |
$7,807.24
|
|
Optx mndblr fx wo ntrdntl
|
$16,648.50 |
$16,648.50 |
$16,648.50 |
$6,547.81
|
|
Optx mndblr fx xtrnl fixj
|
$8,547.50 |
$8,547.50 |
$8,547.50 |
$6,547.81
|
|
Optx prox humrl fx w/int fix
|
$15,924.50 |
$15,924.50 |
$15,924.50 |
$13,938.00
|
|
Optx prx hmrl fx fix rpr rpl
|
$20,981.00 |
$20,981.00 |
$20,981.00 |
$16,139.55
|
|
Optx radial shaft fracture
|
$12,033.00 |
$12,033.00 |
$12,033.00 |
$5,301.66
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$10,359.67 |
$10,359.67 |
$10,359.67 |
$5,741.00
|
|
Optx rdl&uln shft fx rds&uln
|
$9,998.50 |
$9,998.50 |
$9,998.50 |
$6,915.75
|
|
Optx scapular fx w/int fixj
|
$9,892.34 |
$9,892.34 |
$9,892.34 |
$7,907.11
|
|
Optx sho dislc neck fx fixj
|
$3,593.00 |
$3,593.00 |
$3,593.00 |
$6,839.00
|
|
Optx strnclav dislc aqt/chrn
|
$10,553.00 |
$10,553.00 |
$10,553.00 |
$7,907.11
|
|
Optx ulnar shft fx int fixj
|
$11,224.00 |
$11,224.00 |
$11,224.00 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$5,295.25 |
$5,295.25 |
$5,295.25 |
$4,627.00
|
|
Oral aprepitant
|
$366.77 |
$366.77 |
$366.77 |
$410.20
|
|
Oral everolimus
|
$71.43 |
$71.43 |
$71.43 |
$33.34
|
|
Oral hiv-1/hiv-2 screen
|
$229.00 |
$229.00 |
$229.00 |
$38.58
|
|
Orchiopexy ingun/scrot appr
|
$6,895.00 |
$6,895.00 |
$6,895.00 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$279.00 |
$279.00 |
$279.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$92.00 |
$92.00 |
$92.00 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$3,082.73
|
|
Oropharyngeal biopsy 42800
|
$6,060.00 |
$6,060.00 |
$6,060.00 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$9.50 |
$9.50 |
$9.50 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$415.00 |
$415.00 |
$415.00 |
$279.81
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$225.50 |
$225.50 |
$225.50 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$104.00 |
$104.00 |
$104.00 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$171.50 |
$171.50 |
$171.50 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$299.50 |
$299.50 |
$299.50 |
$231.00
|
|
Orthopantogram
|
$194.50 |
$194.50 |
$194.50 |
$241.50
|
|
Ortho shoe add full sole
|
$123.50 |
$123.50 |
$123.50 |
$109.93
|
|
Orthosis lso rigd frm hyperex
|
$656.50 |
$656.50 |
$656.50 |
$816.00
|
|
Orthovisc inj per dose
|
$580.00 |
$580.00 |
$580.00 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$232.50 |
$232.50 |
$232.50 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$755.50 |
$755.50 |
$755.50 |
$195.00
|
|
Osmolality blood
|
$40.50 |
$40.50 |
$40.50 |
$67.60
|
|
Osmolality urine
|
$33.00 |
$33.00 |
$33.00 |
$65.00
|
|
Osteochondral knee allograft
|
$14,838.50 |
$14,838.50 |
$14,838.50 |
$10,629.07
|
|
Osteopath manip tx/5-6 body region 98927
|
$46.00 |
$46.00 |
$46.00 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$24.00 |
$24.00 |
$24.00 |
$84.22
|
|
Osteot mlt relignmt imed rod
|
$11,492.33 |
$11,492.33 |
$11,492.33 |
$13,116.76
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$2,825.50 |
$2,825.50 |
$2,825.50 |
$7,907.11
|
|
Ot evaluation high complexity patient/family
|
$544.50 |
$544.50 |
$544.50 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$221.50 |
$221.50 |
$221.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$302.00 |
$302.00 |
$302.00 |
$263.50
|
|
Oth resp proc, group
|
$311.50 |
$311.50 |
$311.50 |
$123.05
|
|
Oth resp proc, indiv
|
$77.00 |
$77.00 |
$77.00 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$81.50 |
$81.50 |
$81.50 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$213.00 |
$213.00 |
$213.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$315.00 |
$315.00 |
$315.00 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$10.00 |
$10.00 |
$10.00 |
$60.45
|
|
Ot re-evaluation patient/family
|
$280.00 |
$280.00 |
$280.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$304.00 |
$304.00 |
$304.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$193.50 |
$193.50 |
$193.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$97.50 |
$97.50 |
$97.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$274.50 |
$274.50 |
$274.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$330.00 |
$330.00 |
$330.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$315.00 |
$315.00 |
$315.00 |
$94.25
|
|
Ovarian cystectomy 58925
|
$5,428.83 |
$5,428.83 |
$5,428.83 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$2.00 |
$2.00 |
$2.00 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$200.28 |
$200.28 |
$200.28 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$12.90 |
$12.90 |
$12.90 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$5,274.00 |
$5,274.00 |
$5,274.00 |
$290.64
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$12,141.00 |
$12,141.00 |
$12,141.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$296.71 |
$296.71 |
$296.71 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,419.89 |
$5,419.89 |
$5,419.89 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$126.00 |
$126.00 |
$126.00 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$33.00 |
$33.00 |
$33.00 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,096.50 |
$4,096.50 |
$4,096.50 |
$5,569.20
|
|
Palonosetron hcl
|
$528.75 |
$528.75 |
$528.75 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$51.57 |
$51.57 |
$51.57 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$26,637.20 |
$26,637.20 |
$26,637.20 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$18.60 |
$18.60 |
$18.60 |
$29.31
|
|
Papaverin hcl injection
|
$104.40 |
$104.40 |
$104.40 |
$77.05
|
