|
Partial proctectomy; perineal 45123
|
$4,903.60 |
$4,903.60 |
$4,903.60 |
$2,772.80
|
|
Partial removal finger bone
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$2,211.05
|
|
Partial removal finger bone
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$2,134.33
|
|
Partial removal foot fascia
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$3,821.05
|
|
Partial removal leg bone(s)
|
$2,979.60 |
$2,979.60 |
$2,979.60 |
$4,315.20
|
|
Partial removal of bladder
|
$4,479.80 |
$4,479.80 |
$4,479.80 |
$1,465.20
|
|
Partial removal of esophagus 43117
|
$14,950.00 |
$14,950.00 |
$14,950.00 |
$7,937.60
|
|
Partial removal of esophagus 43122
|
$11,486.80 |
$11,486.80 |
$11,486.80 |
$6,258.40
|
|
Partial removal of fibula
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$3,821.05
|
|
Partial removal of foot bone
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$3,839.54
|
|
Partial removal of hand bone
|
$1,682.20 |
$1,682.20 |
$1,682.20 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$3,809.40
|
|
Partial removal of lung 32480
|
$6,713.20 |
$6,713.20 |
$6,713.20 |
$2,868.60
|
|
Partial removal of nose
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
$6,603.11
|
|
Partial removal of pancreas
|
$7,121.40 |
$7,121.40 |
$7,121.40 |
$4,003.20
|
|
Partial removal of pancreas
|
$13,738.40 |
$13,738.40 |
$13,738.40 |
$7,637.60
|
|
Partial removal of penis
|
$2,862.60 |
$2,862.60 |
$2,862.60 |
$4,081.37
|
|
Partial removal of pharynx 42890
|
$4,973.80 |
$4,973.80 |
$4,973.80 |
$6,465.11
|
|
Partial removal of radius
|
$1,996.80 |
$1,996.80 |
$1,996.80 |
$3,986.00
|
|
Partial removal of radius
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$3,472.00
|
|
Partial removal of rectum
|
$4,682.60 |
$4,682.60 |
$4,682.60 |
$2,414.94
|
|
Partial removal of rectum
|
$8,005.40 |
$8,005.40 |
$8,005.40 |
$2,563.75
|
|
Partial removal of rib
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$5,376.00
|
|
Partial removal of sternum
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,236.00
|
|
Partial removal of thyroid
|
$3,200.60 |
$3,200.60 |
$3,200.60 |
$5,855.00
|
|
Partial removal of tongue
|
$3,186.30 |
$3,186.30 |
$3,186.30 |
$6,084.97
|
|
Partial removal of tongue
|
$4,092.40 |
$4,092.40 |
$4,092.40 |
$3,243.20
|
|
Partial removal of ulna
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$3,986.00
|
|
Partial removal of ulna
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$3,803.90
|
|
Partial removal of ulna
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$3,762.53
|
|
Partial thyroid excision
|
$2,919.80 |
$2,919.80 |
$2,919.80 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$4,271.80 |
$4,271.80 |
$4,271.80 |
$6,213.84
|
|
Part removal of metatarsal
|
$1,588.60 |
$1,588.60 |
$1,588.60 |
$3,134.00
|
|
Part remove hip bone super
|
$3,005.60 |
$3,005.60 |
$3,005.60 |
$3,005.60
|
|
Passy muir valve metal trach
|
$130.65 |
$130.65 |
$130.65 |
$275.75
|
|
Pathogen reduced plasma sing
|
$208.65 |
$208.65 |
$208.65 |
$344.50
|
|
Patient recorded spirometry
|
$148.85 |
$148.85 |
$148.85 |
$456.56
|
|
Patient recorded spirometry
|
$221.00 |
$221.00 |
$221.00 |
$338.52
|
|
Pca3/klk3 antigen
|
$562.90 |
$562.90 |
$562.90 |
$510.40
|
|
Pdgfra gene
|
$566.80 |
$566.80 |
$566.80 |
$717.23
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$2,837.09
|
|
Ped crit care age 2-5 init
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$1,930.50 |
$1,930.50 |
$1,930.50 |
$622.40
|
|
Ped crit care transport
|
$1,245.40 |
$1,245.40 |
$1,245.40 |
$434.40
|
|
Ped crit care transport addl
|
$624.00 |
$624.00 |
$624.00 |
$217.60
|
|
Ped critical care initial
|
$4,570.15 |
$4,570.15 |
$4,570.15 |
$1,446.40
|
|
Ped critical care subsq
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$2,436.20 |
$2,436.20 |
$2,436.20 |
$2,508.24
|
|
Pegaspargase injection
|
$17,150.98 |
$17,150.98 |
$17,150.98 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$25,030.16 |
$25,030.16 |
$25,030.16 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$15,307.50 |
$15,307.50 |
$15,307.50 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,282.50 |
$16,282.50 |
$16,282.50 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,141.25 |
$8,141.25 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$71,938.60 |
$71,938.60 |
$71,938.60 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$1,057.04 |
$1,057.04 |
$1,057.04 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$997.75 |
$997.75 |
$997.75 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$997.75 |
$997.75 |
$997.75 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$596.70 |
$596.70 |
$596.70 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$2,545.40 |
$2,545.40 |
$11,302.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,002.00 |
$2,002.00 |
$8,739.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,355.25 |
$1,355.25 |
$7,845.00 |
$1,916.50
|
|
Pelvic ring fracture uni/bil
|
$4,498.65 |
$4,498.65 |
$4,498.65 |
$4,599.00
|
|
Pelvic ring fx treat int fix
|
$4,189.90 |
$4,189.90 |
$4,189.90 |
$7,413.38
|
|
Pelvic Ultrasound (complete)
|
$794.30 |
$794.30 |
$794.30 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$726.70 |
$726.70 |
$726.70 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$645.45 |
$645.45 |
$645.45 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$668.20 |
$668.20 |
$1,928.00 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,692.22 |
$4,692.22 |
$4,692.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,522.83 |
$2,522.83 |
$2,522.83 |
$7,089.13
|
|
Pemivibart infusion
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$533.10
|
|
Peng benzathine/procaine inj
|
$284.45 |
$284.45 |
$284.45 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$548.46 |
$548.46 |
$1,048.00 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.97 |
$30.97 |
$30.97 |
$97.85
|
|
Penicillin g procaine inj
|
$112.32 |
$112.32 |
$112.32 |
$149.20
|
|
Penile injection
|
$909.35 |
$909.35 |
$909.35 |
$418.86
|
|
Penile vascular study
|
$453.00 |
$453.00 |
$496.60 |
$561.00
|
|
Penile vascular study
|
$114.40 |
$114.40 |
$453.00 |
$574.60
|
|
Penis plastic surgery
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$4,081.37
|
|
Pentamidine 300 mg solution for injection
|
$390.53 |
$390.53 |
$2,886.00 |
$572.10
|
|
Pentazocine injection
|
$37.70 |
$37.70 |
$37.70 |
$128.80
|
|
Pentobarbital sodium inj
|
$141.57 |
$141.57 |
$141.57 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$9,530.25 |
$9,530.25 |
$9,530.25 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$20,841.60 |
$20,841.60 |
$20,841.60 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$26,853.45 |
$26,853.45 |
$26,853.45 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$41,644.20 |
$41,644.20 |
$41,644.20 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$15,114.45 |
$15,114.45 |
$15,114.45 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$34,602.75 |
$34,602.75 |
$34,602.75 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$11,843.65 |
$11,843.65 |
$11,843.65 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$36,316.15 |
$36,316.15 |
$36,316.15 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$15,114.45 |
$15,114.45 |
$15,114.45 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$33,839.65 |
$33,839.65 |
$33,839.65 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$7,243.60
|
|
Percut ablate liver rf
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$6,904.15
|
|
Percutaneous islet celltrans
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
$1,729.73
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$438.75 |
$438.75 |
$438.75 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$4,317.95 |
$4,317.95 |
$4,317.95 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$11,700.00 |
$11,700.00 |
$11,700.00 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,418.99
|