|
Partial removal of foot bone
|
$428.00 |
$428.00 |
$428.00 |
$3,839.54
|
|
Partial removal of hand bone
|
$356.60 |
$356.60 |
$356.60 |
$3,839.54
|
|
Partial removal of lip
|
$284.80 |
$284.80 |
$284.80 |
$3,544.29
|
|
Partial removal of lung 32480
|
$965.60 |
$965.60 |
$965.60 |
$2,868.60
|
|
Partial removal of nose
|
$557.40 |
$557.40 |
$557.40 |
$6,603.11
|
|
Partial removal of penis
|
$436.40 |
$436.40 |
$436.40 |
$4,081.37
|
|
Partial removal of radius
|
$415.40 |
$415.40 |
$415.40 |
$3,839.54
|
|
Partial removal of radius
|
$311.40 |
$311.40 |
$311.40 |
$3,472.00
|
|
Partial removal of rectum
|
$731.80 |
$731.80 |
$731.80 |
$2,684.00
|
|
Partial removal of rib
|
$399.40 |
$399.40 |
$399.40 |
$5,376.00
|
|
Partial removal of sternum
|
$343.60 |
$343.60 |
$343.60 |
$1,236.00
|
|
Partial removal of thyroid
|
$483.80 |
$483.80 |
$483.80 |
$6,457.82
|
|
Partial removal of thyroid
|
$641.40 |
$641.40 |
$641.40 |
$5,855.00
|
|
Partial removal of tibia
|
$576.20 |
$576.20 |
$576.20 |
$4,108.80
|
|
Partial removal of tongue
|
$744.40 |
$744.40 |
$744.40 |
$5,978.70
|
|
Partial removal of ulna
|
$358.60 |
$358.60 |
$358.60 |
$3,839.54
|
|
Partial removal of ulna
|
$309.40 |
$309.40 |
$309.40 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$373.40 |
$373.40 |
$373.40 |
$3,762.53
|
|
Partial thyroid excision
|
$483.80 |
$483.80 |
$483.80 |
$6,457.82
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$688.20 |
$688.20 |
$688.20 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1.40 |
$1.40 |
$1.40 |
$4,921.76
|
|
Part removal hip bone deep
|
$675.60 |
$675.60 |
$675.60 |
$2,229.48
|
|
Part removal of metatarsal
|
$210.60 |
$210.60 |
$210.60 |
$3,795.71
|
|
Part removal of metatarsal
|
$305.80 |
$305.80 |
$305.80 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$223.00 |
$223.00 |
$223.00 |
$3,839.54
|
|
Patient recorded spirometry
|
$28.80 |
$28.80 |
$28.80 |
$456.56
|
|
Patient recorded spirometry
|
$16.80 |
$16.80 |
$16.80 |
$338.52
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$503.20 |
$503.20 |
$503.20 |
$2,837.09
|
|
Ped crit care transport
|
$112.00 |
$112.00 |
$112.00 |
$434.40
|
|
Ped crit care transport addl
|
$56.20 |
$56.20 |
$56.20 |
$217.60
|
|
Ped critical care initial
|
$373.60 |
$373.60 |
$373.60 |
$1,446.40
|
|
Ped critical care subsq
|
$192.60 |
$192.60 |
$192.60 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$455.20 |
$455.20 |
$455.20 |
$2,501.10
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$5,853.21 |
$5,853.21 |
$5,853.21 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,807.60 |
$3,807.60 |
$3,807.60 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$1,345.60 |
$1,345.60 |
$1,345.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,191.40 |
$1,191.40 |
$1,191.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,355.80 |
$1,355.80 |
$1,355.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$963.80 |
$963.80 |
$963.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$876.80 |
$876.80 |
$876.80 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$298.60 |
$298.60 |
$298.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$193.60 |
$193.60 |
$193.60 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$3,104.09 |
$3,104.09 |
$3,104.09 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$192.60 |
$192.60 |
$192.60 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$10.20 |
$10.20 |
$10.20 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$460.76 |
$460.76 |
$460.76 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$22.13 |
$22.13 |
$22.13 |
$101.34
|
|
Penicillin g procaine inj
|
$377.80 |
$377.80 |
$377.80 |
$147.96
|
|
Penile injection
|
$79.20 |
$79.20 |
$79.20 |
$418.00
|
|
Penile vascular study
|
$217.40 |
$217.40 |
$217.40 |
$576.40
|
|
Penile vascular study
|
$16.60 |
$16.60 |
$16.60 |
$574.60
|
|
Penis plastic surgery
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$4,081.37
|
|
Perc d-e cor revasc chro sin
|
$292.00 |
$292.00 |
$292.00 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$150.00 |
$150.00 |
$150.00 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$237.80 |
$237.80 |
$237.80 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$126.20 |
$126.20 |
$126.20 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$248.00 |
$248.00 |
$248.00 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$123.40 |
$123.40 |
$123.40 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$151.00 |
$151.00 |
$151.00 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$496.20 |
$496.20 |
$496.20 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$186.60 |
$186.60 |
$186.60 |
$3,522.35
|
|
Peri-proc device eval icd
|
$10.60 |
$10.60 |
$10.60 |
$192.40
|
|
Peri-proc device eval pm
|
$7.20 |
$7.20 |
$7.20 |
$159.90
|
|
Peritoneogram rs&i
|
$17.00 |
$17.00 |
$17.00 |
$695.89
|
|
Perq dev breast 1st mr guide
|
$506.40 |
$506.40 |
$506.40 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$587.40 |
$587.40 |
$587.40 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$764.40 |
$764.40 |
$764.40 |
$10,114.58
|
|
Perq plmt bile duct stent
|
$6,020.20 |
$6,020.20 |
$6,020.20 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$6,020.20 |
$6,020.20 |
$6,020.20 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$6,020.20 |
$6,020.20 |
$6,020.20 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$234.20 |
$234.20 |
$234.20 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$384.00 |
$384.00 |
$384.00 |
$3,821.05
|
|
Perq skel fix ulnar styld fx
|
$352.80 |
$352.80 |
$352.80 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$365.40 |
$365.40 |
$365.40 |
$3,842.58
|
|
Perq tx malar fracture
|
$231.60 |
$231.60 |
$231.60 |
$4,627.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$3,519.37 |
$3,519.37 |
$3,519.37 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$7,180.93 |
$7,180.93 |
$7,180.93 |
$27,833.07
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$42.40 |
$42.40 |
$42.40 |
$141.60
|
|
Pessary reusable rub anytype
|
$42.40 |
$42.40 |
$42.40 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$3,309.40 |
$3,309.40 |
$3,309.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$1,705.40 |
$1,705.40 |
$1,705.40 |
$4,060.00
|
|
Pet image full body
|
$71.20 |
$71.20 |
$71.20 |
$5,070.50
|
|
Pet image skull-thigh
|
$658.40 |
$658.40 |
$658.40 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$1,723.80 |
$1,723.80 |
$1,723.80 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$9,331.20 |
$9,331.20 |
$9,331.20 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$12.20 |
$12.20 |
$12.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$17.00 |
$17.00 |
$17.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$6.60 |
$6.60 |
$6.60 |
$33.30
|
|
Phalangectomy ea toe 28150
|
$198.80 |
$198.80 |
$198.80 |
$2,674.81
|
|
Pharmacologic management w/psytx
|
$22.80 |
$22.80 |
$22.80 |
$78.96
|
|
Ph body fluid
|
$40.20 |
$40.20 |
$40.20 |
$41.28
|
|
Phencyclidine (pcp)
|
$1.60 |
$1.60 |
$1.60 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$81.78 |
$81.78 |
$81.78 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$42.20 |
$42.20 |
$42.20 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$5.70 |
$5.70 |
$5.70 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$57.80 |
$57.80 |
$57.80 |
$110.88
|
|
Phlebotomy therapeutic
|
$175.80 |
$175.80 |
$175.80 |
$231.66
|
