|
Palivizumab 50 mg/0.5 ml inj
|
$860.76 |
$860.76 |
$860.76 |
$5,569.20
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$1,408.59 |
$1,408.59 |
$1,408.59 |
$2,927.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$29.78 |
$29.78 |
$29.78 |
$29.31
|
|
Papaverin hcl injection
|
$23.49 |
$23.49 |
$23.49 |
$77.05
|
|
Parathormone (pth) intact
|
$137.43 |
$137.43 |
$137.43 |
$204.87
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$1,294.38 |
$1,294.38 |
$1,294.38 |
$3,164.04
|
|
Parathyroid planar imaging
|
$39.69 |
$39.69 |
$39.69 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$58.86 |
$58.86 |
$58.86 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$827.55 |
$827.55 |
$827.55 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$68.85 |
$68.85 |
$68.85 |
$245.00
|
|
Part exc/post vert comp/sng/thorac 22101
|
$827.28 |
$827.28 |
$827.28 |
$6,028.71
|
|
Part hymenectomy/revi hymenal ring 56700
|
$190.35 |
$190.35 |
$190.35 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$1,156.14 |
$1,156.14 |
$1,156.14 |
$2,497.20
|
|
Partial exc bone humerus
|
$667.71 |
$667.71 |
$667.71 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$420.12 |
$420.12 |
$420.12 |
$4,914.00
|
|
Partial excision of lip
|
$355.86 |
$355.86 |
$355.86 |
$3,837.72
|
|
Partial hip replacement
|
$1,054.35 |
$1,054.35 |
$1,054.35 |
$3,874.00
|
|
Partial hysterectomy
|
$882.36 |
$882.36 |
$882.36 |
$2,400.00
|
|
Partial proctectomy; perineal 45123
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,772.80
|
|
Partial removal finger bone
|
$475.20 |
$475.20 |
$475.20 |
$2,021.04
|
|
Partial removal finger bone
|
$428.22 |
$428.22 |
$428.22 |
$2,049.27
|
|
Partial removal foot fascia
|
$344.52 |
$344.52 |
$344.52 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$852.12 |
$852.12 |
$852.12 |
$4,315.20
|
|
Partial removal of bladder
|
$885.06 |
$885.06 |
$885.06 |
$1,465.20
|
|
Partial removal of eye fluid
|
$453.33 |
$453.33 |
$453.33 |
$2,698.92
|
|
Partial removal of eye fluid
|
$516.24 |
$516.24 |
$516.24 |
$2,698.92
|
|
Partial removal of fibula
|
$620.46 |
$620.46 |
$620.46 |
$3,786.00
|
|
Partial removal of foot bone
|
$577.80 |
$577.80 |
$577.80 |
$3,839.54
|
|
Partial removal of hand bone
|
$481.41 |
$481.41 |
$481.41 |
$3,839.54
|
|
Partial removal of lip
|
$384.48 |
$384.48 |
$384.48 |
$3,544.29
|
|
Partial removal of lung 32480
|
$1,303.56 |
$1,303.56 |
$1,303.56 |
$2,868.60
|
|
Partial removal of nose
|
$752.49 |
$752.49 |
$752.49 |
$6,603.11
|
|
Partial removal of penis
|
$589.14 |
$589.14 |
$589.14 |
$4,081.37
|
|
Partial removal of radius
|
$560.79 |
$560.79 |
$560.79 |
$3,839.54
|
|
Partial removal of radius
|
$420.39 |
$420.39 |
$420.39 |
$3,472.00
|
|
Partial removal of rectum
|
$987.93 |
$987.93 |
$987.93 |
$2,684.00
|
|
Partial removal of rib
|
$539.19 |
$539.19 |
$539.19 |
$5,376.00
|
|
Partial removal of sternum
|
$463.86 |
$463.86 |
$463.86 |
$1,236.00
|
|
Partial removal of thyroid
|
$653.13 |
$653.13 |
$653.13 |
$6,457.82
|
|
Partial removal of thyroid
|
$865.89 |
$865.89 |
$865.89 |
$5,855.00
|
|
Partial removal of tibia
|
$777.87 |
$777.87 |
$777.87 |
$4,108.80
|
|
Partial removal of tongue
|
$1,004.94 |
$1,004.94 |
$1,004.94 |
$5,978.70
|
|
Partial removal of ulna
|
$484.11 |
$484.11 |
$484.11 |
$3,839.54
|
|
Partial removal of ulna
|
$417.69 |
$417.69 |
$417.69 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$504.09 |
$504.09 |
$504.09 |
$3,762.53
|
|
Partial thyroid excision
|
$653.13 |
$653.13 |
$653.13 |
$6,457.82
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$929.07 |
$929.07 |
$929.07 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1.89 |
$1.89 |
$1.89 |
$4,921.76
|
|
Part removal hip bone deep
|
$912.06 |
$912.06 |
$912.06 |
$2,229.48
|
|
Part removal of metatarsal
|
$284.31 |
$284.31 |
$284.31 |
$3,795.71
|
|
Part removal of metatarsal
|
$412.83 |
$412.83 |
$412.83 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$301.05 |
$301.05 |
$301.05 |
$3,839.54
|
|
Patient recorded spirometry
|
$38.88 |
$38.88 |
$38.88 |
$456.56
|
|
Patient recorded spirometry
|
$22.68 |
$22.68 |
$22.68 |
$338.52
|
|
Pca3/klk3 antigen
|
$68.86 |
$68.86 |
$68.86 |
$510.40
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$679.32 |
$679.32 |
$679.32 |
$2,837.09
|
|
Ped crit care transport
|
$151.20 |
$151.20 |
$151.20 |
$434.40
|
|
Ped crit care transport addl
|
$75.87 |
$75.87 |
$75.87 |
$217.60
|
|
Ped critical care initial
|
$504.36 |
$504.36 |
$504.36 |
$1,446.40
|
|
Ped critical care subsq
|
$260.01 |
$260.01 |
$260.01 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$614.52 |
$614.52 |
$614.52 |
$2,501.10
|
|
Pelvic CT scan (with and without contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,292.76 |
$1,292.76 |
$1,292.76 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$962.28 |
$962.28 |
$962.28 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$810.00 |
$810.00 |
$810.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$702.00 |
$702.00 |
$702.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$607.50 |
$607.50 |
$607.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$410.94 |
$410.94 |
$410.94 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$275.13 |
$275.13 |
$275.13 |
$430.00
|
|
Peng benzathine/procaine inj
|
$13.77 |
$13.77 |
$13.77 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$771.21 |
$771.21 |
$771.21 |
$826.47
|
|
Penicillin g procaine inj
|
$510.03 |
$510.03 |
$510.03 |
$147.96
|
|
Penile injection
|
$86.94 |
$86.94 |
$86.94 |
$418.00
|
|
Penile vascular study
|
$105.30 |
$105.30 |
$105.30 |
$576.40
|
|
Penile vascular study
|
$22.41 |
$22.41 |
$22.41 |
$574.60
|
|
Penis plastic surgery
|
$668.79 |
$668.79 |
$668.79 |
$4,081.37
|
|
Perc d-e cor revasc chro sin
|
$394.20 |
$394.20 |
$394.20 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$202.50 |
$202.50 |
$202.50 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$321.03 |
$321.03 |
$321.03 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$170.37 |
$170.37 |
$170.37 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$334.80 |
$334.80 |
$334.80 |
$16,258.50
|
|
Pericardiocentesis wwo imaging
|
$203.85 |
$203.85 |
$203.85 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$669.87 |
$669.87 |
$669.87 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$251.91 |
$251.91 |
$251.91 |
$3,522.35
|
|
Peri-proc device eval icd
|
$14.31 |
$14.31 |
$14.31 |
$192.40
|
|
Peri-proc device eval pm
|
$9.72 |
$9.72 |
$9.72 |
$159.90
|
|
Peritoneogram rs&i
|
$22.95 |
$22.95 |
$22.95 |
$695.89
|
|
Perq dev breast 1st mr guide
|
$113.94 |
$113.94 |
$113.94 |
$1,837.20
|
|
Perq nl/pl lithotrp cplx>2cm
|
$1,031.94 |
$1,031.94 |
$1,031.94 |
$10,114.58
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$316.17 |
$316.17 |
$316.17 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$518.40 |
$518.40 |
$518.40 |
$3,821.05
|
|
Perq skel fix ulnar styld fx
|
$476.28 |
$476.28 |
$476.28 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$493.29 |
$493.29 |
$493.29 |
$3,842.58
|
|
Perq tx malar fracture
|
$312.66 |
$312.66 |
$312.66 |
$4,627.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$46.98 |
$46.98 |
$46.98 |
$141.60
|
|
Pessary reusable rub anytype
|
$18.90 |
$18.90 |
$18.90 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$119.61 |
$119.61 |
$119.61 |
$4,707.00
|
|
Pet CT whole body initial
|
$120.69 |
$120.69 |
$120.69 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$72.90 |
$72.90 |
$72.90 |
$4,060.00
|
|
Pet image full body
|
$96.12 |
$96.12 |
$96.12 |
$5,070.50
|