|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$10.50 |
$15.50 |
$801.00 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$9,922.93 |
$13,207.82 |
$26,415.64 |
|
|
Ocular function screen
|
$49.00 |
$65.50 |
$80.50 |
|
|
Ocular instrumnt screen bil
|
$33.00 |
$40.50 |
$67.20 |
|
|
Ocular photodynamic ther
|
$1,978.00 |
$1,978.00 |
$1,978.00 |
|
|
Ocular reconst transplant
|
$559.50 |
$559.50 |
$5,591.00 |
|
|
Ocular reconst transplant
|
$2,305.67 |
$2,305.67 |
$2,305.67 |
|
|
Off/op cnsltj new/est low 30
|
$75.00 |
$98.50 |
$277.50 |
|
|
Off/op cnsltj new/est mod 40
|
$88.50 |
$150.00 |
$411.50 |
|
|
Off/op consltj new/est hi 55
|
$63.00 |
$201.50 |
$352.50 |
|
|
Off/op consltj new/est sf 20
|
$45.50 |
$84.00 |
$163.00 |
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$730.95 |
$730.95 |
$1,137.37 |
|
|
Olanzapine 10 mg intramuscular solution
|
$20.93 |
$38.91 |
$121.20 |
|
|
Ol dig e/m svc 11-20 min
|
$20.50 |
$27.50 |
$40.80 |
|
|
Ol dig e/m svc 21+ min
|
$29.50 |
$40.00 |
$64.00 |
|
|
Ol dig e/m svc 5-10 min
|
$12.50 |
$14.00 |
$20.00 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$74.00 |
$4,248.36 |
$9,360.00 |
|
|
Omental flap intra-abdom 49905
|
$377.00 |
$377.00 |
$603.20 |
|
|
Onco (ovar) two proteins
|
$518.50 |
$523.00 |
$781.50 |
|
|
Oncoprotein dcp
|
$195.00 |
$195.00 |
$430.00 |
|
|
Oncoprotein her-2/neu
|
$216.00 |
$216.00 |
$346.50 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.50 |
$4.80 |
$28.72 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.50 |
$1.22 |
$17.40 |
|
|
One-way allow prorated trip
|
$4.00 |
$4.00 |
$4.00 |
|
|
Open aortic tube prosth repair 34830
|
$1,897.00 |
$1,955.00 |
$3,128.00 |
|
|
Open aortofemor prosth repr
|
$2,041.00 |
$2,101.50 |
$3,362.40 |
|
|
Open aortoiliac prosth repr 34831
|
$2,077.00 |
$2,134.00 |
$3,414.40 |
|
|
Open bx/exc inguinofem nodes
|
$478.00 |
$3,118.50 |
$20,706.50 |
|
|
Open nasoethmoid fx without fixj
|
$2,034.70 |
$2,034.70 |
$2,034.70 |
|
|
Open periprosthetic breast capsule 19370
|
$1,937.83 |
$1,937.83 |
$7,851.83 |
|
|
Open skull for drainage 61312
|
$19,443.50 |
$19,443.50 |
$19,443.50 |
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$297.00 |
$299.00 |
$5,700.33 |
|
|
Open thrombectomy of av fistula without revision 36831
|
$657.50 |
$995.40 |
$5,559.00 |
|
|
Open tx compl front sinus fx
|
$7,781.83 |
$7,781.83 |
$7,781.83 |
|
|
Open tx iliac spine uni/bil
|
$33,920.50 |
$33,920.50 |
$33,920.50 |
|
|
Open tx nose fx w/skele fixj
|
$3,967.75 |
$3,967.75 |
$3,967.75 |
|
|
Ophthalmic biometry
|
$30.00 |
$52.80 |
$462.00 |
|
|
Ophthalmic endoscope add-on
|
$1,669.50 |
$1,669.50 |
$2,849.88 |
|
|
Ophthalmic mitomycin
|
$566.00 |
$848.50 |
$905.60 |
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$32.50 |
$79.50 |
$453.50 |
|
|
Oph Ultrasound dx quan a-scan only
|
$300.00 |
$300.00 |
$338.50 |
|
|
Opn ax/subcla art expos
|
$320.00 |
$329.00 |
$526.40 |
|
|
Opn exc/dst ntra-abd 10.1-20
|
$2,142.50 |
$2,173.50 |
$3,477.60 |
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$1,393.50 |
$1,427.00 |
$2,283.20 |
|
|
Opn fem art expos cndt crtj 34714
|
$288.00 |
$297.00 |
$475.20 |
|
|
Opn ilac art expos cndt crtj
|
$424.00 |
$437.00 |
$699.20 |
|
|
Opn impltj crnl nrv nea&pg
|
$640.50 |
$767.50 |
$18,618.00 |
|
|
Opn impltj nea sacral nerve
|
$2,804.34 |
$2,934.00 |
$7,611.00 |
|
|
Opn mpltj hpglsl nstm ary pg
|
$1,174.80 |
$19,092.00 |
$22,830.00 |
|
|
Opn tx complx malar fx
|
$8,321.67 |
$8,321.67 |
$30,749.00 |
|
|
Opn tx dprsd zygomatic arch
|
$3,843.50 |
$3,843.50 |
$3,843.50 |
|
|
Opn tx orbit fx transantral
|
$4,160.83 |
$4,160.83 |
$4,160.83 |
|
|
Opn tx orbit fx w/implant
|
$12,757.00 |
$12,757.00 |
$12,757.00 |
|
|
Opn tx orbit fx without impl 21406
|
$16,126.67 |
$16,126.67 |
$16,126.67 |
|
|
Opn tx orbit periorbtl implt
|
$26,151.00 |
$26,151.00 |
$26,151.00 |
|
|
Opscpy extnd on/mac draw
|
$68.00 |
$68.00 |
$130.00 |
|
|
Opscpy extnd rta draw uni/bi
|
$68.00 |
$84.50 |
$130.00 |
|
|
Optx acrclv dslc aq/chrn grf
|
$682.00 |
$714.50 |
$24,050.00 |
|
|
Optx acromclv dislc aqt/chrn
|
$606.50 |
$2,870.50 |
$13,331.34 |
|
|
Optx acute shoulder dislc
|
$618.00 |
$618.00 |
$988.80 |
|
|
Optx carpl scphd fx int fixj
|
$751.50 |
$789.00 |
$8,684.50 |
|
|
Optx clavicular fx w/int fix
|
$764.50 |
$10,347.00 |
$16,095.00 |
|
|
Optx complicated mndblr fx
|
$13,843.00 |
$13,843.00 |
$13,843.00 |
|
|
Optx crpl fx oth/thn scph ea
|
$8,556.50 |
$8,556.50 |
$12,656.00 |
|
|
Optx gr hmrl tbrs fx int fix
|
$828.00 |
$1,324.80 |
$17,163.50 |
|
|
Optx medial ankle fx
|
$647.50 |
$5,142.34 |
$14,511.50 |
|
|
Optx mndblr fx wo ntrdntl
|
$16,648.50 |
$16,648.50 |
$16,648.50 |
|
|
Optx mndblr fx xtrnl fixj
|
$8,547.50 |
$8,547.50 |
$8,547.50 |
|
|
Optx partclr fx&/dslc elbw w
|
$9,014.00 |
$9,014.00 |
$9,014.00 |
|
|
Optx post ankle fx
|
$764.00 |
$799.00 |
$5,388.00 |
|
|
Optx prox humrl fx w/int fix
|
$933.00 |
$12,873.60 |
$21,605.00 |
|
|
Optx prx hmrl fx fix rpr rpl
|
$20,981.00 |
$20,981.00 |
$20,981.00 |
|
|
Optx radial shaft fracture
|
$709.50 |
$737.50 |
$12,033.00 |
|
|
Optx rad/uln dislc aqt/chrnc
|
$666.00 |
$667.50 |
$1,068.00 |
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$10,359.67 |
$10,359.67 |
$10,359.67 |
|
|
Optx rdl shft fx&dstl rad/ul
|
$12,484.50 |
$12,484.50 |
$12,484.50 |
|
|
Optx rdl&uln shft fx rds&uln
|
$955.00 |
$5,830.00 |
$16,075.50 |
|
|
Optx rdl&uln shft fx rds/uln
|
$718.50 |
$718.50 |
$10,899.00 |
|
|
Optx scapular fx w/int fixj
|
$1,020.50 |
$1,075.00 |
$9,892.34 |
|
|
Optx sho dislc fx
|
$927.50 |
$927.50 |
$1,484.00 |
|
|
Optx sho dislc neck fx fixj
|
$3,593.00 |
$3,593.00 |
$3,593.00 |
|
|
Optx strnclav dislc aqt/chrn
|
$10,553.00 |
$10,553.00 |
$10,553.00 |
|
|
Optx thigh fx
|
$1,291.50 |
$1,291.50 |
$2,066.40 |
|
|
Optx ulnar shft fx int fixj
|
$663.50 |
$5,778.40 |
$21,605.00 |
|
|
Optx ulnar styloid fracture
|
$661.00 |
$661.00 |
$6,242.00 |
|
|
Oral aprepitant
|
$43.08 |
$198.70 |
$694.80 |
|
|
Oral everolimus
|
$71.43 |
$71.43 |
$71.43 |
|
|
Oral hiv-1/hiv-2 screen
|
$229.00 |
$229.00 |
$229.00 |
|
|
Orchiectomy partial
|
$610.00 |
$610.00 |
$976.00 |
|
|
Orchiopexy ingun/scrot appr
|
$452.00 |
$723.20 |
$11,068.00 |
|
|
Organic acids total quant ea spec
|
$279.00 |
$279.00 |
$446.40 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$61.50 |
$92.00 |
$17,931.60 |
|
|
Oritavancin 400 mg intravenous solution
|
$40.00 |
$60.00 |
$64.00 |
|
|
Oropharyngeal biopsy 42800
|
$122.50 |
$1,783.50 |
$6,060.00 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$6.50 |
$9.50 |
$53.40 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$328.00 |
$328.00 |
$415.00 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,457.50 |
$1,457.50 |
$1,457.50 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$225.50 |
$796.00 |
$796.00 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$64.50 |
$100.50 |
$148.00 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$171.50 |
$375.50 |
$375.50 |
|
