|
Partial proctectomy; perineal 45123
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$2,772.80
|
|
Partial removal finger bone
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$2,021.04
|
|
Partial removal finger bone
|
$1,046.76 |
$1,046.76 |
$1,046.76 |
$2,049.27
|
|
Partial removal foot fascia
|
$842.16 |
$842.16 |
$842.16 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$2,082.96 |
$2,082.96 |
$2,082.96 |
$4,315.20
|
|
Partial removal of bladder
|
$2,163.48 |
$2,163.48 |
$2,163.48 |
$1,465.20
|
|
Partial removal of eye fluid
|
$1,108.14 |
$1,108.14 |
$1,108.14 |
$2,698.92
|
|
Partial removal of eye fluid
|
$1,261.92 |
$1,261.92 |
$1,261.92 |
$2,698.92
|
|
Partial removal of fibula
|
$1,516.68 |
$1,516.68 |
$1,516.68 |
$3,786.00
|
|
Partial removal of foot bone
|
$1,412.40 |
$1,412.40 |
$1,412.40 |
$3,839.54
|
|
Partial removal of hand bone
|
$1,176.78 |
$1,176.78 |
$1,176.78 |
$3,839.54
|
|
Partial removal of lip
|
$939.84 |
$939.84 |
$939.84 |
$3,544.29
|
|
Partial removal of lung 32480
|
$3,186.48 |
$3,186.48 |
$3,186.48 |
$2,868.60
|
|
Partial removal of nose
|
$1,839.42 |
$1,839.42 |
$1,839.42 |
$6,603.11
|
|
Partial removal of penis
|
$1,440.12 |
$1,440.12 |
$1,440.12 |
$4,081.37
|
|
Partial removal of radius
|
$1,370.82 |
$1,370.82 |
$1,370.82 |
$3,839.54
|
|
Partial removal of radius
|
$1,027.62 |
$1,027.62 |
$1,027.62 |
$3,472.00
|
|
Partial removal of rectum
|
$2,414.94 |
$2,414.94 |
$2,414.94 |
$2,684.00
|
|
Partial removal of rib
|
$1,318.02 |
$1,318.02 |
$1,318.02 |
$5,376.00
|
|
Partial removal of sternum
|
$1,133.88 |
$1,133.88 |
$1,133.88 |
$1,236.00
|
|
Partial removal of thyroid
|
$1,596.54 |
$1,596.54 |
$1,596.54 |
$6,457.82
|
|
Partial removal of thyroid
|
$2,116.62 |
$2,116.62 |
$2,116.62 |
$5,855.00
|
|
Partial removal of tibia
|
$1,901.46 |
$1,901.46 |
$1,901.46 |
$4,108.80
|
|
Partial removal of tongue
|
$2,456.52 |
$2,456.52 |
$2,456.52 |
$5,978.70
|
|
Partial removal of ulna
|
$1,183.38 |
$1,183.38 |
$1,183.38 |
$3,839.54
|
|
Partial removal of ulna
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$1,232.22 |
$1,232.22 |
$1,232.22 |
$3,762.53
|
|
Partial thyroid excision
|
$1,596.54 |
$1,596.54 |
$1,596.54 |
$6,457.82
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$2,271.06 |
$2,271.06 |
$2,271.06 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4.62 |
$4.62 |
$4.62 |
$4,921.76
|
|
Part removal hip bone deep
|
$2,229.48 |
$2,229.48 |
$2,229.48 |
$2,229.48
|
|
Part removal of metatarsal
|
$694.98 |
$694.98 |
$694.98 |
$3,795.71
|
|
Part removal of metatarsal
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$735.90 |
$735.90 |
$735.90 |
$3,839.54
|
|
Patient recorded spirometry
|
$95.04 |
$95.04 |
$95.04 |
$456.56
|
|
Patient recorded spirometry
|
$55.44 |
$55.44 |
$55.44 |
$338.52
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$1,660.56 |
$1,660.56 |
$1,660.56 |
$2,837.09
|
|
Ped crit care transport
|
$369.60 |
$369.60 |
$369.60 |
$434.40
|
|
Ped crit care transport addl
|
$185.46 |
$185.46 |
$185.46 |
$217.60
|
|
Ped critical care initial
|
$1,232.88 |
$1,232.88 |
$1,232.88 |
$1,446.40
|
|
Ped critical care subsq
|
$635.58 |
$635.58 |
$635.58 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$1,502.16 |
$1,502.16 |
$1,502.16 |
$2,501.10
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,109.19 |
$7,109.19 |
$7,109.19 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$2,291.52 |
$2,291.52 |
$2,291.52 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,997.82 |
$1,997.82 |
$1,997.82 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,798.50 |
$1,798.50 |
$1,798.50 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,427.94 |
$4,427.94 |
$4,427.94 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$211.20 |
$211.20 |
$211.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,817.64 |
$1,817.64 |
$1,817.64 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$930.60 |
$930.60 |
$930.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$291.06 |
$291.06 |
$291.06 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,425.47 |
$6,425.47 |
$6,425.47 |
$12,385.22
|
|
Peng benzathine/procaine inj
|
$33.66 |
$33.66 |
$33.66 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$774.53 |
$774.53 |
$774.53 |
$826.47
|
|
Penicillin g procaine inj
|
$1,246.74 |
$1,246.74 |
$1,246.74 |
$147.96
|
|
Penile injection
|
$212.52 |
$212.52 |
$212.52 |
$418.00
|
|
Penile vascular study
|
$153.78 |
$153.78 |
$153.78 |
$576.40
|
|
Penile vascular study
|
$54.78 |
$54.78 |
$54.78 |
$574.60
|
|
Penis plastic surgery
|
$1,634.82 |
$1,634.82 |
$1,634.82 |
$4,081.37
|
|
Perc d-e cor revasc chro sin
|
$963.60 |
$963.60 |
$963.60 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$495.00 |
$495.00 |
$495.00 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$784.74 |
$784.74 |
$784.74 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$416.46 |
$416.46 |
$416.46 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$818.40 |
$818.40 |
$818.40 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$778.13 |
$778.13 |
$778.13 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$498.30 |
$498.30 |
$498.30 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$1,637.46 |
$1,637.46 |
$1,637.46 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$615.78 |
$615.78 |
$615.78 |
$3,522.35
|
|
Peri-proc device eval icd
|
$34.98 |
$34.98 |
$34.98 |
$192.40
|
|
Peri-proc device eval pm
|
$23.76 |
$23.76 |
$23.76 |
$159.90
|
|
Peritoneogram rs&i
|
$56.10 |
$56.10 |
$56.10 |
$695.89
|
|
Perq dev breast 1st mr guide
|
$278.52 |
$278.52 |
$278.52 |
$1,837.20
|
|
Perq nl/pl lithotrp cplx>2cm
|
$2,522.52 |
$2,522.52 |
$2,522.52 |
$10,114.58
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$772.86 |
$772.86 |
$772.86 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$3,821.05
|
|
Perq skel fix ulnar styld fx
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$1,205.82 |
$1,205.82 |
$1,205.82 |
$3,842.58
|
|
Perq tx malar fracture
|
$764.28 |
$764.28 |
$764.28 |
$4,627.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$8,552.89 |
$8,552.89 |
$8,552.89 |
$13,666.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$114.84 |
$114.84 |
$114.84 |
$141.60
|
|
Pessary reusable rub anytype
|
$46.20 |
$46.20 |
$46.20 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$292.38 |
$292.38 |
$292.38 |
$4,707.00
|
|
Pet CT whole body initial
|
$295.02 |
$295.02 |
$295.02 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$178.20 |
$178.20 |
$178.20 |
$4,060.00
|
|
Pet image full body
|
$234.96 |
$234.96 |
$234.96 |
$5,070.50
|
|
Pet image skull-thigh
|
$231.00 |
$231.00 |
$231.00 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$261.36 |
$261.36 |
$261.36 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$11,868.78 |
$11,868.78 |
$11,868.78 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$40.26 |
$40.26 |
$40.26 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$56.10 |
$56.10 |
$56.10 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$21.78 |
$21.78 |
$21.78 |
$33.30
|
|
Phalangectomy ea toe 28150
|
$656.04 |
$656.04 |
$656.04 |
$2,674.81
|
|
Pharmacologic management w/psytx
|
$75.24 |
$75.24 |
$75.24 |
$78.96
|
|
Ph body fluid
|
$68.64 |
$68.64 |
$68.64 |
$41.28
|
|
Phencyclidine (pcp)
|
$24.42 |
$24.42 |
$24.42 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$145.68 |
$145.68 |
$145.68 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$145.20 |
$145.20 |
$145.20 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$102.30 |
$102.30 |
$102.30 |
$110.88
|
|
Phlebotomy therapeutic
|
$351.78 |
$351.78 |
$351.78 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$932.58 |
$932.58 |
$932.58 |
$4,599.65
|