|
Partial hysterectomy
|
$620.92 |
$620.92 |
$620.92 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$716.30 |
$716.30 |
$716.30 |
$2,772.80
|
|
Partial removal finger bone
|
$334.40 |
$334.40 |
$334.40 |
$2,021.04
|
|
Partial removal finger bone
|
$301.34 |
$301.34 |
$301.34 |
$2,049.27
|
|
Partial removal foot fascia
|
$242.44 |
$242.44 |
$242.44 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$599.64 |
$599.64 |
$599.64 |
$4,315.20
|
|
Partial removal of bladder
|
$622.82 |
$622.82 |
$622.82 |
$1,465.20
|
|
Partial removal of eye fluid
|
$319.01 |
$319.01 |
$319.01 |
$2,698.92
|
|
Partial removal of eye fluid
|
$363.28 |
$363.28 |
$363.28 |
$2,698.92
|
|
Partial removal of fibula
|
$436.62 |
$436.62 |
$436.62 |
$3,786.00
|
|
Partial removal of foot bone
|
$294.88 |
$294.88 |
$294.88 |
$3,839.54
|
|
Partial removal of hand bone
|
$338.77 |
$338.77 |
$338.77 |
$3,839.54
|
|
Partial removal of lip
|
$270.56 |
$270.56 |
$270.56 |
$3,544.29
|
|
Partial removal of lung 32480
|
$917.32 |
$917.32 |
$917.32 |
$2,868.60
|
|
Partial removal of nose
|
$529.53 |
$529.53 |
$529.53 |
$6,603.11
|
|
Partial removal of penis
|
$414.58 |
$414.58 |
$414.58 |
$4,081.37
|
|
Partial removal of radius
|
$394.63 |
$394.63 |
$394.63 |
$3,839.54
|
|
Partial removal of radius
|
$295.83 |
$295.83 |
$295.83 |
$3,472.00
|
|
Partial removal of rectum
|
$695.21 |
$695.21 |
$695.21 |
$2,684.00
|
|
Partial removal of rib
|
$379.43 |
$379.43 |
$379.43 |
$5,376.00
|
|
Partial removal of sternum
|
$326.42 |
$326.42 |
$326.42 |
$1,236.00
|
|
Partial removal of thyroid
|
$459.61 |
$459.61 |
$459.61 |
$6,457.82
|
|
Partial removal of thyroid
|
$609.33 |
$609.33 |
$609.33 |
$5,855.00
|
|
Partial removal of tibia
|
$547.39 |
$547.39 |
$547.39 |
$4,108.80
|
|
Partial removal of tongue
|
$707.18 |
$707.18 |
$707.18 |
$5,978.70
|
|
Partial removal of ulna
|
$340.67 |
$340.67 |
$340.67 |
$3,839.54
|
|
Partial removal of ulna
|
$293.93 |
$293.93 |
$293.93 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$354.73 |
$354.73 |
$354.73 |
$3,762.53
|
|
Partial thyroid excision
|
$459.61 |
$459.61 |
$459.61 |
$6,457.82
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$653.79 |
$653.79 |
$653.79 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2.28 |
$2.28 |
$2.28 |
$4,921.76
|
|
Part removal hip bone deep
|
$641.82 |
$641.82 |
$641.82 |
$2,229.48
|
|
Part removal of metatarsal
|
$200.07 |
$200.07 |
$200.07 |
$3,795.71
|
|
Part removal of metatarsal
|
$290.51 |
$290.51 |
$290.51 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$211.85 |
$211.85 |
$211.85 |
$3,839.54
|
|
Pca3/klk3 antigen
|
$48.46 |
$48.46 |
$48.46 |
$510.40
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$478.04 |
$478.04 |
$478.04 |
$2,837.09
|
|
Ped crit care transport
|
$106.40 |
$106.40 |
$106.40 |
$434.40
|
|
Ped crit care transport addl
|
$53.39 |
$53.39 |
$53.39 |
$217.60
|
|
Ped critical care initial
|
$354.92 |
$354.92 |
$354.92 |
$1,446.40
|
|
Ped critical care subsq
|
$182.97 |
$182.97 |
$182.97 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$432.44 |
$432.44 |
$432.44 |
$2,501.10
|
|
Pegloticase 8 mg/ml intravenous solution
|
$17,624.54 |
$17,624.54 |
$17,624.54 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,116.25 |
$1,116.25 |
$1,116.25 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,016.50 |
$1,016.50 |
$1,016.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$806.17 |
$806.17 |
$806.17 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,593.34 |
$1,593.34 |
$1,593.34 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,226.45 |
$1,226.45 |
$1,226.45 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,141.52 |
$1,141.52 |
$1,141.52 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$278.73 |
$278.73 |
$278.73 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$197.79 |
$197.79 |
$197.79 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$562.37 |
$562.37 |
$562.37 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$19.95 |
$19.95 |
$19.95 |
$101.34
|
|
Penile injection
|
$48.83 |
$48.83 |
$48.83 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$19,587.67 |
$19,587.67 |
$19,587.67 |
$18,764.94
|
|
Penile vascular study
|
$343.90 |
$343.90 |
$343.90 |
$576.40
|
|
Penile vascular study
|
$15.77 |
$15.77 |
$15.77 |
$574.60
|
|
Penis plastic surgery
|
$470.63 |
$470.63 |
$470.63 |
$4,081.37
|
|
Perc d-e cor revasc chro sin
|
$11,199.36 |
$11,199.36 |
$11,199.36 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$7,052.61 |
$7,052.61 |
$7,052.61 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$11,199.36 |
$11,199.36 |
$11,199.36 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$119.89 |
$119.89 |
$119.89 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$7,052.61 |
$7,052.61 |
$7,052.61 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$4,458.35 |
$4,458.35 |
$4,458.35 |
$7,243.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$386.42 |
$386.42 |
$386.42 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,354.89 |
$1,354.89 |
$1,354.89 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$471.39 |
$471.39 |
$471.39 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$177.27 |
$177.27 |
$177.27 |
$3,522.35
|
|
Peri-proc device eval icd
|
$10.07 |
$10.07 |
$10.07 |
$192.40
|
|
Peri-proc device eval pm
|
$6.84 |
$6.84 |
$6.84 |
$159.90
|
|
Peritoneogram rs&i
|
$16.15 |
$16.15 |
$16.15 |
$695.89
|
|
Perq dev breast 1st mr guide
|
$80.18 |
$80.18 |
$80.18 |
$1,837.20
|
|
Perq nl/pl lithotrp cplx>2cm
|
$726.18 |
$726.18 |
$726.18 |
$10,114.58
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$56.24 |
$56.24 |
$56.24 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$364.80 |
$364.80 |
$364.80 |
$3,821.05
|
|
Perq skel fix ulnar styld fx
|
$335.16 |
$335.16 |
$335.16 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$190.76 |
$190.76 |
$190.76 |
$3,842.58
|
|
Perq tx malar fracture
|
$220.02 |
$220.02 |
$220.02 |
$4,627.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$63.08 |
$63.08 |
$63.08 |
$141.60
|
|
Pessary reusable rub anytype
|
$63.08 |
$63.08 |
$63.08 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$2,039.08 |
$2,039.08 |
$2,039.08 |
$4,707.00
|
|
Pet CT whole body initial
|
$1,702.78 |
$1,702.78 |
$1,702.78 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$51.30 |
$51.30 |
$51.30 |
$4,060.00
|
|
Pet image full body
|
$2,039.08 |
$2,039.08 |
$2,039.08 |
$5,070.50
|
|
Pet image skull-thigh
|
$2,039.08 |
$2,039.08 |
$2,039.08 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$75.24 |
$75.24 |
$75.24 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$13,819.27 |
$13,819.27 |
$13,819.27 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$10.64 |
$10.64 |
$10.64 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$14.82 |
$14.82 |
$14.82 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$5.51 |
$5.51 |
$5.51 |
$33.30
|
|
Phalangectomy ea toe 28150
|
$188.86 |
$188.86 |
$188.86 |
$2,674.81
|
|
Pharmacologic management w/psytx
|
$21.66 |
$21.66 |
$21.66 |
$78.96
|
|
Ph body fluid
|
$14.63 |
$14.63 |
$14.63 |
$41.28
|
|
Phencyclidine (pcp)
|
$42.56 |
$42.56 |
$42.56 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$81.56 |
$81.56 |
$81.56 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$70.11 |
$70.11 |
$70.11 |
$104.50
|
|
Phentolaine mesylate inj
|
$486.55 |
$486.55 |
$486.55 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$31.41 |
$31.41 |
$31.41 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$84.36 |
$84.36 |
$84.36 |
$110.88
|
|
Phlebotomy therapeutic
|
$81.32 |
$81.32 |
$81.32 |
$231.66
|