|
Nsl/sins ndsc surg frnt sins
|
$4,436.10 |
$4,436.10 |
$5,803.20 |
|
|
Nsl/sins ndsc surg max sins
|
$4,437.16 |
$4,437.16 |
$5,646.40 |
|
|
Nsl/sins ndsc surg on dcmprn
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
|
|
Nsl/sins ndsc surg sphn sins
|
$5,646.40 |
$5,646.40 |
$5,646.40 |
|
|
Nsl/sins ndsc total
|
$3,272.80 |
$3,272.80 |
$3,272.80 |
|
|
Nsl/sins ndsc tot w/sphendt
|
$2,919.20 |
$2,919.20 |
$2,919.20 |
|
|
Nsl/sinus endoscopy surg dcr
|
$5,058.40 |
$5,058.40 |
$5,058.40 |
|
|
Nsl/sinus ndsc cryoabltj pnn
|
$6,226.40 |
$6,226.40 |
$6,226.40 |
|
|
Nsl/sinus ndsc rf abltj pnn
|
$6,414.40 |
$6,414.40 |
$6,414.40 |
|
|
Ntrk translocation analysis
|
$824.15 |
$824.15 |
$1,342.44 |
|
|
Ntrprof ph1/ntrnet/ehr 11-20
|
$76.95 |
$76.95 |
$76.95 |
|
|
Ntsty modul rad tx dlvr cplx
|
$1,519.10 |
$2,450.80 |
$3,730.00 |
|
|
Ntsty modul rad tx dlvr smpl
|
$1,497.10 |
$2,450.80 |
$3,390.00 |
|
|
Nuclear exam of tear flow
|
$1,316.70 |
$1,316.70 |
$1,316.70 |
|
|
Nuclear rx intra-arterial
|
$545.60 |
$765.00 |
$1,087.56 |
|
|
Nuclear rx IV admin
|
$557.70 |
$760.00 |
$1,936.00 |
|
|
Nuclear Stress Test (Heart)
|
$2,438.70 |
$3,210.00 |
$5,144.71 |
|
|
Nuclr rx interstit colloid
|
$591.48 |
$591.48 |
$591.48 |
|
|
Nudt15 gene common variants
|
$217.25 |
$345.00 |
$1,260.80 |
|
|
Nursing fac care supervision
|
$190.40 |
$190.40 |
$190.40 |
|
|
Nursing fac care supervision
|
$288.80 |
$288.80 |
$288.80 |
|
|
Nursing facility discharge management > 30 min 99316
|
$152.76 |
$152.76 |
$332.80 |
|
|
Nursing facility discharge management 30 min/less than 99315
|
$117.42 |
$117.42 |
$264.00 |
|
|
Nushield 1 square cm
|
$230.40 |
$508.86 |
$4,703.75 |
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$2,365.65 |
$2,365.65 |
$3,719.02 |
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$121.03 |
$143.32 |
$3,332.33 |
|
|
Obltrj a-pulm sep def w/byp
|
$17,775.20 |
$17,775.20 |
$17,775.20 |
|
|
Observation direct referral from physician office for admission
|
$74.80 |
$147.50 |
$1,477.47 |
|
|
Observation/inpatient hospital care hi severity 99236
|
$435.48 |
$466.83 |
$670.40 |
|
|
Observation/inpatient hospital care low severity 99234
|
$267.33 |
$280.44 |
$398.40 |
|
|
Observation/inpatient hospital care mod severity 99235
|
$350.55 |
$366.51 |
$538.40 |
|
|
Observation per hour
|
$0.73 |
$50.00 |
$182.82 |
|
|
Obstetrical care 59410
|
$2,423.52 |
$2,423.52 |
$3,668.80 |
|
|
Obstetric panel inc HIV tstg
|
$190.00 |
$190.00 |
$489.60 |
|
|
Obstetrics panel
|
$130.00 |
$130.00 |
$293.60 |
|
|
Obtaining screen pap smear
|
$20.24 |
$38.50 |
$115.20 |
|
|
Ob Ultrasound nuchal meas 1 gest
|
$267.50 |
$293.70 |
$698.93 |
|
|
Ob Ultrasound nuchal meas add-on
|
$161.65 |
$230.34 |
$428.00 |
|
|
Occupational Therapy Evaluation (high complexity)
|
$154.00 |
$310.00 |
$558.00 |
|
|
Occupational Therapy Evaluation (low complexity)
|
$113.85 |
$177.50 |
$478.39 |
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$134.75 |
$240.00 |
$516.65 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$96.36 |
$150.07 |
$82,979.83 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$2.19 |
$6.06 |
$242.06 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$354.87 |
$466.01 |
$725.31 |
|
|
Ocular instrumnt screen bil
|
$84.00 |
$84.00 |
$84.00 |
|
|
Ocular instrumnt screen bil
|
$42.40 |
$42.40 |
$42.40 |
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$71.02 |
$71.02 |
$16,229.01 |
|
|
Office emergency care
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
|
|
Off/op cnsltj new/est low 30
|
$132.55 |
$251.37 |
$404.80 |
|
|
Off/op cnsltj new/est mod 40
|
$154.00 |
$373.35 |
$544.00 |
|
|
Off/op consltj new/est hi 55
|
$438.33 |
$461.70 |
$683.20 |
|
|
Off/op consltj new/est sf 20
|
$176.13 |
$184.11 |
$317.60 |
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$664.02 |
$664.02 |
$1,218.58 |
|
|
Olanzapine 10 mg intramuscular solution
|
$4.66 |
$5.32 |
$12.50 |
|
|
Ol dig e/m svc 11-20 min
|
$56.00 |
$56.00 |
$56.00 |
|
|
Ol dig e/m svc 21+ min
|
$90.40 |
$90.40 |
$90.40 |
|
|
Ol dig e/m svc 5-10 min
|
$29.60 |
$29.60 |
$29.60 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$24.58 |
$78.01 |
$5,707.48 |
|
|
Omental flap intra-abdom 49905
|
$2,515.20 |
$2,515.20 |
$2,515.20 |
|
|
Onc breast mrna 12 genes
|
$6,927.10 |
$6,927.10 |
$6,927.10 |
|
|
Oncology colorectal scr
|
$483.36 |
$483.36 |
$483.36 |
|
|
Oncology prostate prob score
|
$1,119.25 |
$1,754.50 |
$2,544.30 |
|
|
Onco (ovar) five proteins
|
$530.00 |
$530.00 |
$530.00 |
|
|
Oncoprotein dcp
|
$102.30 |
$102.30 |
$191.34 |
|
|
Oncoprotein her-2/neu
|
$81.62 |
$81.62 |
$408.61 |
|
|
Onc prostate mrna 22 cnt gen
|
$6,927.10 |
$6,927.10 |
$6,927.10 |
|
|
Onc uveal mlnma mrna 15 gene
|
$6,927.10 |
$6,927.10 |
$6,927.10 |
|
|
Ondansetron 4 mg s0119
|
$1.60 |
$1.60 |
$1.60 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.96 |
$3.07 |
$56.18 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.47 |
$6.28 |
$33.40 |
|
|
One way chest drain valve
|
$62.50 |
$62.50 |
$62.50 |
|
|
Open aortic tube prosth repair 34830
|
$7,276.90 |
$7,276.90 |
$29,942.88 |
|
|
Open aortofemor prosth repr
|
$7,397.21 |
$7,397.21 |
$29,942.88 |
|
|
Open aortoiliac prosth repr 34831
|
$8,160.41 |
$8,160.41 |
$29,942.88 |
|
|
Open bx/exc inguinofem nodes
|
$694.83 |
$694.83 |
$694.83 |
|
|
Open bx of lung pleura 32098
|
$2,708.00 |
$2,708.00 |
$2,708.00 |
|
|
Open cor endarterect w cabg/ea ves 33572
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
|
|
Open nasoethmoid fx with fixj
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
|
|
Open nasoethmoid fx without fixj
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
|
|
Open periprosthetic breast capsule 19370
|
$6,213.60 |
$6,213.60 |
$6,213.60 |
|
|
Open skull for drainage 61312
|
$3,441.90 |
$3,441.90 |
$3,441.90 |
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$299.98 |
$1,122.90 |
$4,482.40 |
|
|
Open thrombectomy of av fistula without revision 36831
|
$6,243.60 |
$6,243.60 |
$8,129.64 |
|
|
Open tx compl front sinus fx
|
$6,899.20 |
$6,899.20 |
$6,899.20 |
|
|
Open tx nose fx w/skele fixj
|
$1,308.57 |
$1,308.57 |
$3,839.20 |
|
|
Open tx nose & septal fx
|
$5,332.80 |
$5,332.80 |
$5,332.80 |
|
|
Open tx rib 1-3 fx w/fix 21811
|
$6,566.40 |
$6,566.40 |
$6,566.40 |
|
|
Open tx rib 4-6 fx w/fix 21812
|
$7,840.00 |
$7,840.00 |
$7,840.00 |
|
|
Open tx rib 7+ fx w/fix 21813
|
$13,733.60 |
$13,733.60 |
$13,733.60 |
|
|
Open tx/sternum fracture 21825
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
|
|
Open wedge/bx lung infiltr
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
|
|
Open wedge bx lung nodule 32097
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
|
|
Ophthalmodynamometry
|
$27.03 |
$27.03 |
$27.03 |
|
|
Oph Ultrasound dx quan a-scan only
|
$336.60 |
$336.60 |
$336.60 |
|
|
Opioids & opiate analogs 3/4
|
$23.10 |
$23.10 |
$156.00 |
|
|
Opn ax/subcla art expos
|
$2,736.39 |
$2,745.00 |
$5,988.18 |
|
|
Opn exc/dst ntra-abd
|
$5,638.40 |
$5,638.40 |
$5,638.40 |
|
|
Opn exc/dst ntra-abd 10.1-20
|
$4,848.80 |
$4,848.80 |
$4,848.80 |
|
|
Opn exc/dstr ntra-abd >30 cm
|
$6,957.60 |
$6,957.60 |
$6,957.60 |
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$4,057.60 |
$4,057.60 |
$4,057.60 |
|
