|
Paring/cutting benign hyperkeratotic lesion single
|
$88.64 |
$88.64 |
$164.25 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$166.72 |
$166.72 |
$166.72 |
|
|
Partial complicated cystectomy 51555
|
$987.20 |
$987.20 |
$987.20 |
|
|
Partial hip replacement
|
$907.52 |
$907.52 |
$907.52 |
|
|
Partial proctectomy
|
$1,354.24 |
$1,354.24 |
$1,354.24 |
|
|
Partial removal of heart sac 33030
|
$1,499.20 |
$1,499.20 |
$1,499.20 |
|
|
Partial removal of lung 32480
|
$1,119.04 |
$1,119.04 |
$1,119.04 |
|
|
Partial removal of pancreas
|
$2,379.52 |
$2,379.52 |
$2,379.52 |
|
|
Partial removal of thyroid
|
$564.80 |
$564.80 |
$564.80 |
|
|
Partial removal of tongue
|
$874.24 |
$874.24 |
$874.24 |
|
|
Partial thyroid excision
|
$563.20 |
$563.20 |
$563.20 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$423.36 |
$423.36 |
$423.36 |
|
|
Part remove hip bone super
|
$587.20 |
$587.20 |
$587.20 |
|
|
Passy muir valve metal trach
|
$297.36 |
$297.36 |
$297.36 |
|
|
Ped crit care transport
|
$179.84 |
$179.84 |
$179.84 |
|
|
Ped home apnea mntr att only
|
$436.50 |
$436.50 |
$436.50 |
|
|
Ped home apnea mntr dl&alys
|
$436.50 |
$436.50 |
$436.50 |
|
|
Pegaspargase injection
|
$59,402.49 |
$59,402.49 |
$59,402.49 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$5,298.69 |
$5,298.69 |
$15,021.85 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,240.48 |
$3,240.48 |
$9,188.25 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,773.25 |
$9,773.25 |
$9,773.25 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$3,550.29 |
$3,550.29 |
$3,550.29 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,723.44 |
$1,723.44 |
$4,888.50 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$19,478.76 |
$19,478.76 |
$66,408.61 |
|
|
Pegunigalsidase alfa-iwxj
|
$10,366.91 |
$10,366.91 |
$10,366.91 |
|
|
Pelvic CT scan (with and without contrast)
|
$795.20 |
$795.20 |
$1,747.50 |
|
|
Pelvic CT scan (with contrast)
|
$710.40 |
$710.40 |
$1,597.50 |
|
|
Pelvic CT scan (without contrast)
|
$609.92 |
$609.92 |
$1,485.00 |
|
|
Pelvic MRI (with and without contrast)
|
$1,132.16 |
$1,132.16 |
$1,132.16 |
|
|
Pelvic MRI (with contrast)
|
$869.12 |
$869.12 |
$2,100.00 |
|
|
Pelvic MRI (without contrast)
|
$832.64 |
$832.64 |
$2,040.00 |
|
|
Pelvic Ultrasound (complete)
|
$232.64 |
$232.64 |
$600.00 |
|
|
Pelvic Ultrasound (limited)
|
$186.24 |
$186.24 |
$435.00 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$3,552.51 |
$3,552.51 |
$14,110.44 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$218.88 |
$218.88 |
$9,494.37 |
|
|
Peng benzathine/procaine inj
|
$572.65 |
$572.65 |
$572.65 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$396.79 |
$396.79 |
$1,773.30 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$141.13 |
$141.13 |
$141.13 |
|
|
Penicillin g procaine inj
|
$212.32 |
$212.32 |
$212.32 |
|
|
Penile injection
|
$59.52 |
$59.52 |
$59.52 |
|
|
Penile rear tip xtnd 0.5cm
|
$382.50 |
$382.50 |
$15,763.20 |
|
|
Penile vascular study
|
$230.72 |
$230.72 |
$398.25 |
|
|
Penile vascular study
|
$342.75 |
$342.75 |
$342.75 |
|
|
Penis plastic surgery
|
$572.48 |
$572.48 |
$6,029.25 |
|
|
Penis study
|
$640.50 |
$640.50 |
$640.50 |
|
|
Pentamidine non-comp unit
|
$163.42 |
$163.42 |
$394.28 |
|
|
Pentobarbital sodium inj
|
$2,953.64 |
$2,953.64 |
$2,953.64 |
|
|
Pentostatin 10 mg intravenous solution
|
$6,939.75 |
$6,939.75 |
$6,939.75 |
|
|
Perc cryo ablate renal tum
|
$9,751.50 |
$9,751.50 |
$9,751.50 |
|
|
Perc d-e cor revasc chro add
|
$6,784.00 |
$6,784.00 |
$6,784.00 |
|
|
Perc d-e cor revasc chro sin
|
$10,862.40 |
$10,862.40 |
$23,970.75 |
|
|
Perc d-e cor revasc t cabg b
|
$6,784.00 |
$6,784.00 |
$6,784.00 |
|
|
Perc d-e cor revasc t cabg s
|
$10,862.40 |
$10,862.40 |
$11,535.00 |
|
|
Perc d-e cor stent ather br
|
$2,268.75 |
$2,268.75 |
$6,784.00 |
|
|
Perc d-e cor stent ather s
|
$12,750.40 |
$12,750.40 |
$26,080.50 |
|
|
Perc drug-el cor stent bran
|
$6,784.00 |
$6,784.00 |
$6,784.00 |
|
|
Perc drug-el cor stent sing
|
$8,454.08 |
$8,454.08 |
$23,668.50 |
|
|
Perc rf ablate renal tumor
|
$2,678.08 |
$2,678.08 |
$8,067.75 |
|
|
Percut ablate liver rf
|
$3,374.72 |
$3,374.72 |
$8,556.00 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$398.63 |
$398.63 |
$871.32 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$423.36 |
$423.36 |
$585.75 |
|
|
Pericardiocentesis wwo imaging
|
$1,127.04 |
$1,127.04 |
$3,534.00 |
|
|
Peri-implt capslc brst compl
|
$577.28 |
$577.28 |
$577.28 |
|
|
Peri-proc device eval icd
|
$145.50 |
$145.50 |
$145.50 |
|
|
Peri-proc device eval pm
|
$11.52 |
$11.52 |
$123.75 |
|
|
Peritoneogram rs&i
|
$1,400.25 |
$1,400.25 |
$1,400.25 |
|
|
Perit-vens shunt pat tst
|
$997.50 |
$997.50 |
$997.50 |
|
|
Permanent tear duct plug
|
$180.57 |
$180.57 |
$180.57 |
|
|
Perq art m-thrombect &/nfs
|
$8,939.25 |
$8,939.25 |
$8,939.25 |
|
|
Perq clsr tcat l atr apndge
|
$11,331.75 |
$11,331.75 |
$11,331.75 |
|
|
Perq dev breast 1st mr guide
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
|
|
Perq dev breast 1st strtctc
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
|
|
Perq nl/pl lithotrp cplx>2cm
|
$885.76 |
$885.76 |
$885.76 |
|
|
Perq nl/pl lithotrp smpl<2cm
|
$25,387.50 |
$25,387.50 |
$25,387.50 |
|
|
Perq plmt bile duct stent
|
$11,895.00 |
$11,895.00 |
$11,895.00 |
|
|
Perq plmt bile duct stent
|
$13,135.50 |
$13,135.50 |
$13,135.50 |
|
|
Perq plmt bile duct stent
|
$3,256.32 |
$3,256.32 |
$13,357.50 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$68.48 |
$68.48 |
$780.00 |
|
|
Perq transcath cls aortic
|
$30,384.75 |
$30,384.75 |
$30,384.75 |
|
|
Perq transcath cls mitral
|
$33,423.00 |
$33,423.00 |
$33,423.00 |
|
|
Pertussis ag if
|
$72.75 |
$72.75 |
$72.75 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$15,993.69 |
$15,993.69 |
$15,993.69 |
|
|
Pertuzu, trastuzu, 10 mg
|
$6,720.00 |
$6,720.00 |
$30,093.45 |
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$408.00 |
$408.00 |
$408.00 |
|
|
Pet CT skull-mid thgh initial
|
$1,417.60 |
$1,417.60 |
$3,890.25 |
|
|
Pet CT whole body initial
|
$4,371.75 |
$4,371.75 |
$4,371.75 |
|
|
Pet fdg brain metoblic eval sb
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Pet image full body
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Pet image ltd area
|
$3,811.50 |
$3,811.50 |
$3,811.50 |
|
|
Pet image skull-thigh
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Pet image w/ct lmtd
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Pet scan brain perf study
|
$265.50 |
$265.50 |
$265.50 |
|
|
Pfc sigma fem post aug sz3 8mm
|
$747.36 |
$747.36 |
$18,600.00 |
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$20.48 |
$20.48 |
$20.48 |
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$30.40 |
$30.40 |
$30.40 |
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$10.24 |
$10.24 |
$10.24 |
|
|
Ph body fluid
|
$25.50 |
$25.50 |
$41.28 |
|
|
Phencyclidine (pcp)
|
$76.48 |
$76.48 |
$168.00 |
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$71.26 |
$71.26 |
$74.13 |
|
|
Phenobarbital therapeutic drug level
|
$48.64 |
$48.64 |
$77.25 |
|