|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$892.57 |
$892.57 |
$892.57 |
$4,921.76
|
|
Part removal hip bone deep
|
$236.46 |
$236.46 |
$236.46 |
$2,229.48
|
|
Part removal of metatarsal
|
$73.71 |
$73.71 |
$73.71 |
$3,795.71
|
|
Part removal of metatarsal
|
$107.03 |
$107.03 |
$107.03 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$78.05 |
$78.05 |
$78.05 |
$3,839.54
|
|
Path clin consltj sf 5-20
|
$9.73 |
$9.73 |
$9.73 |
$97.14
|
|
Patient recorded spirometry
|
$10.08 |
$10.08 |
$10.08 |
$456.56
|
|
Patient recorded spirometry
|
$5.88 |
$5.88 |
$5.88 |
$338.52
|
|
Pdgfra gene
|
$26.99 |
$26.99 |
$26.99 |
$717.23
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$176.12 |
$176.12 |
$176.12 |
$2,837.09
|
|
Ped crit care transport
|
$40.53 |
$40.53 |
$40.53 |
$434.40
|
|
Ped crit care transport addl
|
$20.30 |
$20.30 |
$20.30 |
$217.60
|
|
Ped critical care initial
|
$135.24 |
$135.24 |
$135.24 |
$1,446.40
|
|
Ped critical care subsq
|
$69.16 |
$69.16 |
$69.16 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$159.32 |
$159.32 |
$159.32 |
$2,501.10
|
|
Pelvic CT scan (with and without contrast)
|
$712.81 |
$712.81 |
$712.81 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$705.95 |
$705.95 |
$705.95 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$622.16 |
$622.16 |
$622.16 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$851.62 |
$851.62 |
$851.62 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$775.18 |
$775.18 |
$775.18 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$712.32 |
$712.32 |
$712.32 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$248.08 |
$248.08 |
$248.08 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$159.53 |
$159.53 |
$159.53 |
$430.00
|
|
Peng benzathine/procaine inj
|
$3.57 |
$3.57 |
$3.57 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$959.18 |
$959.18 |
$959.18 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$22.28 |
$22.28 |
$22.28 |
$101.34
|
|
Penicillin g procaine inj
|
$132.23 |
$132.23 |
$132.23 |
$147.96
|
|
Penile injection
|
$28.42 |
$28.42 |
$28.42 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$4,898.25 |
$4,898.25 |
$4,898.25 |
$18,764.94
|
|
Penile vascular study
|
$16.31 |
$16.31 |
$16.31 |
$576.40
|
|
Penile vascular study
|
$139.44 |
$139.44 |
$139.44 |
$574.60
|
|
Penis plastic surgery
|
$173.39 |
$173.39 |
$173.39 |
$4,081.37
|
|
Perc cryo ablate renal tum
|
$3,934.56 |
$3,934.56 |
$3,934.56 |
$11,458.04
|
|
Perc d-e cor revasc chro sin
|
$102.20 |
$102.20 |
$102.20 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$1,364.16 |
$1,364.16 |
$1,364.16 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$2,425.01 |
$2,425.01 |
$2,425.01 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$83.23 |
$83.23 |
$83.23 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$44.17 |
$44.17 |
$44.17 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$3,511.34 |
$3,511.34 |
$3,511.34 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,370.48 |
$2,370.48 |
$2,370.48 |
$7,243.60
|
|
Percut ablate liver rf
|
$2,523.71 |
$2,523.71 |
$2,523.71 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$720.72 |
$720.72 |
$720.72 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$173.67 |
$173.67 |
$173.67 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$65.31 |
$65.31 |
$65.31 |
$3,522.35
|
|
Peripheral vascular rehab
|
$24.78 |
$24.78 |
$24.78 |
$132.50
|
|
Peri-proc device eval icd
|
$3.71 |
$3.71 |
$3.71 |
$192.40
|
|
Peri-proc device eval pm
|
$2.52 |
$2.52 |
$2.52 |
$159.90
|
|
Peritoneogram rs&i
|
$5.95 |
$5.95 |
$5.95 |
$695.89
|
|
Perq dev breast 1st mr guide
|
$29.54 |
$29.54 |
$29.54 |
$1,837.20
|
|
Perq nl/pl lithotrp cplx>2cm
|
$267.54 |
$267.54 |
$267.54 |
$10,114.58
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$81.97 |
$81.97 |
$81.97 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$134.40 |
$134.40 |
$134.40 |
$3,821.05
|
|
Perq skel fix ulnar styld fx
|
$123.48 |
$123.48 |
$123.48 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$127.89 |
$127.89 |
$127.89 |
$3,842.58
|
|
Perq tx malar fracture
|
$81.06 |
$81.06 |
$81.06 |
$4,627.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$12.18 |
$12.18 |
$12.18 |
$141.60
|
|
Pessary reusable rub anytype
|
$14.84 |
$14.84 |
$14.84 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$31.01 |
$31.01 |
$31.01 |
$4,707.00
|
|
Pet CT whole body initial
|
$31.29 |
$31.29 |
$31.29 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$18.90 |
$18.90 |
$18.90 |
$4,060.00
|
|
Pet image full body
|
$24.92 |
$24.92 |
$24.92 |
$5,070.50
|
|
Pet image skull-thigh
|
$24.50 |
$24.50 |
$24.50 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$27.72 |
$27.72 |
$27.72 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$6,075.65 |
$6,075.65 |
$6,075.65 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$4.27 |
$4.27 |
$4.27 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$5.95 |
$5.95 |
$5.95 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$2.31 |
$2.31 |
$2.31 |
$33.30
|
|
Phalangectomy ea toe 28150
|
$69.58 |
$69.58 |
$69.58 |
$2,674.81
|
|
Pharmacologic management w/psytx
|
$7.98 |
$7.98 |
$7.98 |
$78.96
|
|
Ph body fluid
|
$34.30 |
$34.30 |
$34.30 |
$41.28
|
|
Phencyclidine (pcp)
|
$11.27 |
$11.27 |
$11.27 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$96.34 |
$96.34 |
$96.34 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$50.33 |
$50.33 |
$50.33 |
$104.50
|
|
Phentolaine mesylate inj
|
$621.47 |
$621.47 |
$621.47 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$8.68 |
$8.68 |
$8.68 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$39.62 |
$39.62 |
$39.62 |
$110.88
|
|
Phlebotomy therapeutic
|
$43.75 |
$43.75 |
$43.75 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$98.91 |
$98.91 |
$98.91 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$75.53 |
$75.53 |
$75.53 |
$4,453.46
|
|
Phosphorus
|
$40.81 |
$40.81 |
$40.81 |
$48.80
|
|
Phosphorus 24 hour urine
|
$40.74 |
$40.74 |
$40.74 |
$41.51
|
|
Photo patch test
|
$1.19 |
$1.19 |
$1.19 |
$71.50
|
|
Physician standby services
|
$15.54 |
$15.54 |
$15.54 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$74.85 |
$74.85 |
$74.85 |
$87.50
|
|
Pin caspar distraction 12mm
|
$1,656.97 |
$1,656.97 |
$1,656.97 |
$11,925.00
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$145.32 |
$145.32 |
$145.32 |
$1,116.00
|
|
Pin finger dislocation
|
$114.10 |
$114.10 |
$114.10 |
$3,839.54
|
|
Pin finger fracture each
|
$107.73 |
$107.73 |
$107.73 |
$4,115.40
|
|
Pin hand dislocation
|
$129.15 |
$129.15 |
$129.15 |
$3,839.54
|
|
Pinworm exam
|
$39.62 |
$39.62 |
$39.62 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$44.06 |
$44.06 |
$44.06 |
$83.03
|
|
Place cath xtrnl carotid
|
$27.30 |
$27.30 |
$27.30 |
$4,202.90
|
|
Place device/marker, non pro
|
$261.38 |
$261.38 |
$261.38 |
$1,969.20
|
|
Place duod/jej tube perc
|
$56.42 |
$56.42 |
$56.42 |
$2,473.10
|
|
Place gastrostomy tube open 43832
|
$245.14 |
$245.14 |
$245.14 |
$1,987.20
|
|
Place gastrostomy tube perc
|
$416.50 |
$416.50 |
$416.50 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$34.72 |
$34.72 |
$34.72 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$17.36 |
$17.36 |
$17.36 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$852.25 |
$852.25 |
$852.25 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,117.55 |
$1,117.55 |
$1,117.55 |
$3,873.65
|
