|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,130.48 |
$1,130.48 |
$1,130.48 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.88 |
$11.88 |
$11.88 |
$28.90
|
|
Papaverin hcl injection
|
$48.46 |
$48.46 |
$48.46 |
$78.75
|
|
Parathormone (pth) intact
|
$257.40 |
$257.40 |
$257.40 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$3,433.95 |
$3,433.95 |
$3,433.95 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$1,716.15
|
|
Parathyroid planar imaging
|
$2,460.90 |
$2,460.90 |
$2,460.90 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$2,564.90 |
$2,564.90 |
$2,564.90 |
$1,374.75
|
|
Paravaginal defect repair 57284
|
$3,725.80 |
$3,725.80 |
$3,725.80 |
$5,841.60
|
|
Parial mast w/lymph removal 19302
|
$3,637.40 |
$3,637.40 |
$3,637.40 |
$5,763.23
|
|
Paricalcitol
|
$35.45 |
$35.45 |
$35.45 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$484.25 |
$484.25 |
$484.25 |
$245.89
|
|
Part exc/post vert comp/sng/thorac 22101
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
$5,855.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$738.40 |
$738.40 |
$738.40 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$6,026.80 |
$6,026.80 |
$6,026.80 |
$2,497.20
|
|
Partial exc bone humerus
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$4,914.00
|
|
Partial excision of lip
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$4,133.59
|
|
Partial hip replacement
|
$4,326.40 |
$4,326.40 |
$4,326.40 |
$3,303.00
|
|
Partial hysterectomy
|
$4,316.00 |
$4,316.00 |
$4,316.00 |
$1,993.68
|
|
Partial proctectomy
|
$8,637.20 |
$8,637.20 |
$8,637.20 |
$2,464.93
|
|
Partial proctectomy; perineal 45123
|
$4,903.60 |
$4,903.60 |
$4,903.60 |
$2,772.80
|
|
Partial removal donor liver
|
$15,444.00 |
$15,444.00 |
$15,444.00 |
$5,063.90
|
|
Partial removal donor liver
|
$18,590.00 |
$18,590.00 |
$18,590.00 |
$6,040.27
|
|
Partial removal donor liver
|
$20,654.40 |
$20,654.40 |
$20,654.40 |
$6,641.08
|
|
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 |
$3,762.00
|
|
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
|
$24,177.40 |
$24,177.40 |
$24,177.40 |
$7,003.53
|
|
Partial removal of esophagus
|
$13,371.80 |
$13,371.80 |
$13,371.80 |
$4,068.92
|
|
Partial removal of esophagus
|
$21,611.20 |
$21,611.20 |
$21,611.20 |
$6,370.80
|
|
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 eye fluid
|
$1,531.40 |
$1,531.40 |
$1,531.40 |
$2,698.92
|
|
Partial removal of eye fluid
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$2,698.92
|
|
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 larynx
|
$7,948.20 |
$7,948.20 |
$7,948.20 |
$2,751.71
|
|
Partial removal of larynx
|
$8,889.40 |
$8,889.40 |
$8,889.40 |
$3,036.99
|
|
Partial removal of larynx
|
$7,168.20 |
$7,168.20 |
$7,168.20 |
$2,587.57
|
|
Partial removal of larynx
|
$6,778.20 |
$6,778.20 |
$6,778.20 |
$2,462.69
|
|
Partial removal of larynx
|
$6,648.20 |
$6,648.20 |
$6,648.20 |
$2,429.34
|
|
Partial removal of larynx
|
$7,428.20 |
$7,428.20 |
$7,428.20 |
$2,654.29
|
|
Partial removal of lip
|
$1,440.40 |
$1,440.40 |
$1,440.40 |
$3,276.00
|
|
Partial removal of liver
|
$13,790.40 |
$13,790.40 |
$13,790.40 |
$7,545.60
|
|
Partial removal of liver
|
$14,869.40 |
$14,869.40 |
$14,869.40 |
$8,103.20
|
|
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 rectum
|
$7,207.20 |
$7,207.20 |
$7,207.20 |
$3,893.60
|
|
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 thyroid
|
$4,230.20 |
$4,230.20 |
$4,230.20 |
$5,741.00
|
|
Partial removal of tibia
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$4,108.80
|
|
Partial removal of toe
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$3,674.58
|
|
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
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3.90 |
$3.90 |
$3.90 |
$4,921.76
|
|
Part removal hip bone deep
|
$3,543.80 |
$3,543.80 |
$3,543.80 |
$3,342.87
|
|
Part removal of metatarsal
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$3,821.05
|
|
Part removal of metatarsal
|
$1,588.60 |
$1,588.60 |
$1,588.60 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$1,203.80 |
$1,203.80 |
$1,203.80 |
$3,839.54
|
|
Part remove hip bone super
|
$3,005.60 |
$3,005.60 |
$3,005.60 |
$3,005.60
|
|
Passy muir valve metal trach
|
$82.55 |
$82.55 |
$82.55 |
$275.75
|
|
Pathogen reduced plasma sing
|
$208.65 |
$208.65 |
$208.65 |
$344.50
|
|
Patient recorded spirometry
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$338.52
|
|
Pca3/klk3 antigen
|
$562.90 |
$562.90 |
$562.90 |
$510.40
|
|
Pdgfra gene
|
$566.80 |
$566.80 |
$566.80 |
$717.23
|
|
Pdt dstr prmlg les phys/qhp
|
$484.25 |
$484.25 |
$484.25 |
$294.77
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$2,837.09
|
|
Ped critical care initial
|
$4,570.15 |
$4,570.15 |
$4,570.15 |
$1,446.40
|
|
Pedicle enel/ntroral 15576
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$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
|
$12,423.45 |
$12,423.45 |
$12,423.45 |
$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 control band & belt u
|
$168.35 |
$168.35 |
$168.35 |
$500.58
|
|
Pelvic CT scan (with and without contrast)
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$1,890.36
|