|
Partial removal of radius
|
$623.10 |
$623.10 |
$623.10 |
$3,839.54
|
|
Partial removal of radius
|
$467.10 |
$467.10 |
$467.10 |
$3,472.00
|
|
Partial removal of rectum
|
$1,097.70 |
$1,097.70 |
$1,097.70 |
$2,684.00
|
|
Partial removal of rib
|
$599.10 |
$599.10 |
$599.10 |
$5,376.00
|
|
Partial removal of sternum
|
$515.40 |
$515.40 |
$515.40 |
$1,236.00
|
|
Partial removal of thyroid
|
$725.70 |
$725.70 |
$725.70 |
$6,457.82
|
|
Partial removal of thyroid
|
$962.10 |
$962.10 |
$962.10 |
$5,855.00
|
|
Partial removal of tibia
|
$864.30 |
$864.30 |
$864.30 |
$4,108.80
|
|
Partial removal of tongue
|
$1,116.60 |
$1,116.60 |
$1,116.60 |
$5,978.70
|
|
Partial removal of ulna
|
$537.90 |
$537.90 |
$537.90 |
$3,839.54
|
|
Partial removal of ulna
|
$464.10 |
$464.10 |
$464.10 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$560.10 |
$560.10 |
$560.10 |
$3,762.53
|
|
Partial thyroid excision
|
$725.70 |
$725.70 |
$725.70 |
$6,457.82
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$1,032.30 |
$1,032.30 |
$1,032.30 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2.10 |
$2.10 |
$2.10 |
$4,921.76
|
|
Part removal hip bone deep
|
$1,013.40 |
$1,013.40 |
$1,013.40 |
$2,229.48
|
|
Part removal of metatarsal
|
$315.90 |
$315.90 |
$315.90 |
$3,795.71
|
|
Part removal of metatarsal
|
$458.70 |
$458.70 |
$458.70 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$334.50 |
$334.50 |
$334.50 |
$3,839.54
|
|
Patient recorded spirometry
|
$43.20 |
$43.20 |
$43.20 |
$456.56
|
|
Patient recorded spirometry
|
$25.20 |
$25.20 |
$25.20 |
$338.52
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$754.80 |
$754.80 |
$754.80 |
$2,837.09
|
|
Ped crit care transport
|
$168.00 |
$168.00 |
$168.00 |
$434.40
|
|
Ped crit care transport addl
|
$84.30 |
$84.30 |
$84.30 |
$217.60
|
|
Ped critical care initial
|
$560.40 |
$560.40 |
$560.40 |
$1,446.40
|
|
Ped critical care subsq
|
$414.90 |
$414.90 |
$414.90 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$682.80 |
$682.80 |
$682.80 |
$2,501.10
|
|
Pelvic CT scan (with and without contrast)
|
$1,532.70 |
$1,532.70 |
$1,532.70 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,489.80 |
$1,489.80 |
$1,489.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,311.30 |
$1,311.30 |
$1,311.30 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,919.30 |
$2,919.30 |
$2,919.30 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,680.30 |
$1,680.30 |
$1,680.30 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,264.50 |
$1,264.50 |
$1,264.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$429.90 |
$429.90 |
$429.90 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$241.80 |
$241.80 |
$241.80 |
$430.00
|
|
Peng benzathine/procaine inj
|
$15.30 |
$15.30 |
$15.30 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$684.19 |
$684.19 |
$684.19 |
$826.47
|
|
Penicillin g procaine inj
|
$566.70 |
$566.70 |
$566.70 |
$147.96
|
|
Penile injection
|
$96.60 |
$96.60 |
$96.60 |
$418.00
|
|
Penile vascular study
|
$69.90 |
$69.90 |
$69.90 |
$576.40
|
|
Penile vascular study
|
$24.90 |
$24.90 |
$24.90 |
$574.60
|
|
Penis plastic surgery
|
$743.10 |
$743.10 |
$743.10 |
$4,081.37
|
|
Perc d-e cor revasc chro sin
|
$438.00 |
$438.00 |
$438.00 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$225.00 |
$225.00 |
$225.00 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$356.70 |
$356.70 |
$356.70 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$189.30 |
$189.30 |
$189.30 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$372.00 |
$372.00 |
$372.00 |
$16,258.50
|
|
Pericardiocentesis wwo imaging
|
$226.50 |
$226.50 |
$226.50 |
$2,251.20
|
|
Peri-implt capslc brst compl
|
$744.30 |
$744.30 |
$744.30 |
$3,986.00
|
|
Perineoplasty rpr per nonob
|
$279.90 |
$279.90 |
$279.90 |
$3,522.35
|
|
Peri-proc device eval icd
|
$15.90 |
$15.90 |
$15.90 |
$192.40
|
|
Peri-proc device eval pm
|
$10.80 |
$10.80 |
$10.80 |
$159.90
|
|
Peritoneogram rs&i
|
$25.50 |
$25.50 |
$25.50 |
$695.89
|
|
Perq dev breast 1st mr guide
|
$126.60 |
$126.60 |
$126.60 |
$1,837.20
|
|
Perq nl/pl lithotrp cplx>2cm
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$10,114.58
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$351.30 |
$351.30 |
$351.30 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$576.00 |
$576.00 |
$576.00 |
$3,821.05
|
|
Perq skel fix ulnar styld fx
|
$529.20 |
$529.20 |
$529.20 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$548.10 |
$548.10 |
$548.10 |
$3,842.58
|
|
Perq tx malar fracture
|
$347.40 |
$347.40 |
$347.40 |
$4,627.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$52.20 |
$52.20 |
$52.20 |
$141.60
|
|
Pessary reusable rub anytype
|
$21.00 |
$21.00 |
$21.00 |
$57.60
|
|
Pet CT skull-mid thgh initial
|
$132.90 |
$132.90 |
$132.90 |
$4,707.00
|
|
Pet CT whole body initial
|
$134.10 |
$134.10 |
$134.10 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$81.00 |
$81.00 |
$81.00 |
$4,060.00
|
|
Pet image full body
|
$106.80 |
$106.80 |
$106.80 |
$5,070.50
|
|
Pet image skull-thigh
|
$105.00 |
$105.00 |
$105.00 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$118.80 |
$118.80 |
$118.80 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$25,253.40 |
$25,253.40 |
$25,253.40 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$18.30 |
$18.30 |
$18.30 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$25.50 |
$25.50 |
$25.50 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$9.90 |
$9.90 |
$9.90 |
$33.30
|
|
Phalangectomy ea toe 28150
|
$298.20 |
$298.20 |
$298.20 |
$2,674.81
|
|
Pharmacologic management w/psytx
|
$34.20 |
$34.20 |
$34.20 |
$78.96
|
|
Ph body fluid
|
$35.10 |
$35.10 |
$35.10 |
$41.28
|
|
Phencyclidine (pcp)
|
$2.40 |
$2.40 |
$2.40 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$122.60 |
$122.60 |
$122.60 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$98.10 |
$98.10 |
$98.10 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$15.00 |
$15.00 |
$15.00 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$110.40 |
$110.40 |
$110.40 |
$110.88
|
|
Phlebotomy therapeutic
|
$161.70 |
$161.70 |
$161.70 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$423.90 |
$423.90 |
$423.90 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$323.70 |
$323.70 |
$323.70 |
$4,453.46
|
|
Phosphorus
|
$62.10 |
$62.10 |
$62.10 |
$48.80
|
|
Phosphorus 24 hour urine
|
$48.90 |
$48.90 |
$48.90 |
$41.51
|
|
Photo patch test
|
$5.10 |
$5.10 |
$5.10 |
$71.50
|
|
Phys blood bank serv reactj
|
$256.80 |
$256.80 |
$256.80 |
$207.50
|
|
Physician standby services
|
$66.60 |
$66.60 |
$66.60 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$87.50
|
|
Pin caspar distraction 12mm
|
$8,250.00 |
$8,250.00 |
$8,250.00 |
$11,925.00
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$622.80 |
$622.80 |
$622.80 |
$1,116.00
|
|
Pin finger dislocation
|
$489.00 |
$489.00 |
$489.00 |
$3,839.54
|
|
Pin finger fracture each
|
$461.70 |
$461.70 |
$461.70 |
$4,115.40
|
|
Pin hand dislocation
|
$553.50 |
$553.50 |
$553.50 |
$3,839.54
|
|
Pinworm exam
|
$7.20 |
$7.20 |
$7.20 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$28.84 |
$28.84 |
$28.84 |
$83.03
|
|
Place cath xtrnl carotid
|
$117.00 |
$117.00 |
$117.00 |
$4,202.90
|
|
Place device/marker, non pro
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$1,969.20
|
|
Place duod/jej tube perc
|
$241.80 |
$241.80 |
$241.80 |
$2,473.10
|
|
Place gastrostomy tube open 43832
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$1,987.20
|