|
Otolaryngo binocular microscopy 92504
|
$56.40 |
$56.40 |
$59.40 |
$59.40
|
|
Otoplasty 69300
|
$1,655.40 |
$1,655.40 |
$1,738.20 |
$3,592.74
|
|
Ot re-evaluation patient/family
|
$202.80 |
$202.80 |
$213.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$31.80 |
$31.80 |
$36.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$43.80 |
$43.80 |
$48.60 |
$94.81
|
|
Outflow tarct agmntj heart chamber 33478
|
$4,096.80 |
$4,096.80 |
$4,301.40 |
$2,256.34
|
|
Ovarian cystectomy 58925
|
$1,365.00 |
$1,365.00 |
$1,433.40 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$69.17 |
$69.17 |
$69.17 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,276.71 |
$2,276.71 |
$2,276.71 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$15.06 |
$15.06 |
$54.47 |
$50.40
|
|
Packing strips, non-impreg
|
$46.20 |
$46.20 |
$48.60 |
$6.24
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$938.32 |
$938.32 |
$938.32 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,944.34 |
$2,944.34 |
$2,944.34 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,942.61 |
$5,942.61 |
$6,334.10 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,798.91 |
$2,798.91 |
$2,798.91 |
$5,569.20
|
|
Palonosetron hcl
|
$366.66 |
$366.66 |
$366.66 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$77.43 |
$77.43 |
$77.43 |
$122.00
|
|
Pancreatectomy 48153
|
$4,573.20 |
$4,573.20 |
$4,801.80 |
$7,609.60
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$2,788.20 |
$2,788.20 |
$2,927.40 |
$2,927.40
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$11,160.67 |
$11,160.67 |
$12,876.58 |
$13,051.61
|
|
Papaverin hcl injection
|
$85.76 |
$85.76 |
$85.76 |
$78.75
|
|
Parathormone (pth) intact
|
$253.20 |
$253.20 |
$266.40 |
$206.18
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$2,553.60 |
$2,553.60 |
$2,681.40 |
$2,681.40
|
|
Parathyroid autotransplantation 60512
|
$443.40 |
$443.40 |
$465.60 |
$1,716.15
|
|
Parathyroid planar imaging
|
$483.60 |
$483.60 |
$528.00 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$647.40 |
$647.40 |
$707.40 |
$1,350.60
|
|
Paravaginal defect repair 57284
|
$1,522.20 |
$1,522.20 |
$1,598.40 |
$5,841.60
|
|
Parial mast w/lymph removal 19302
|
$1,595.40 |
$1,595.40 |
$1,675.20 |
$5,763.23
|
|
Paricalcitol
|
$50.18 |
$50.18 |
$50.18 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$138.00 |
$138.00 |
$159.60 |
$245.67
|
|
Part exc/post vert comp/sng/thorac 22101
|
$1,609.20 |
$1,609.20 |
$1,689.60 |
$5,855.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$347.40 |
$347.40 |
$364.80 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$2,378.40 |
$2,378.40 |
$2,497.20 |
$2,497.20
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,106.40 |
$1,106.40 |
$1,161.60 |
$4,914.00
|
|
Partial hysterectomy
|
$1,775.40 |
$1,775.40 |
$1,864.20 |
$1,993.68
|
|
Partial proctectomy; perineal 45123
|
$3,663.00 |
$3,663.00 |
$3,846.00 |
$2,772.80
|
|
Partial removal foot fascia
|
$930.60 |
$930.60 |
$4,659.60 |
$3,821.05
|
|
Partial removal of bladder
|
$1,465.20 |
$1,465.20 |
$1,465.20 |
$1,465.20
|
|
Partial removal of esophagus 43117
|
$4,736.40 |
$4,736.40 |
$4,973.40 |
$7,937.60
|
|
Partial removal of esophagus 43122
|
$3,734.40 |
$3,734.40 |
$3,921.00 |
$6,258.40
|
|
Partial removal of heart sac 33030
|
$3,628.20 |
$3,628.20 |
$3,809.40 |
$3,809.40
|
|
Partial removal of lip
|
$979.80 |
$979.80 |
$1,029.00 |
$3,276.00
|
|
Partial removal of lung 32480
|
$2,731.80 |
$2,731.80 |
$2,868.60 |
$2,868.60
|
|
Partial removal of pharynx 42890
|
$2,649.00 |
$2,649.00 |
$2,781.60 |
$6,465.11
|
|
Partial removal of rib
|
$1,032.00 |
$1,032.00 |
$1,083.60 |
$5,376.00
|
|
Partial removal of sternum
|
$925.80 |
$925.80 |
$972.00 |
$1,236.00
|
|
Partial removal of thyroid
|
$1,302.00 |
$1,302.00 |
$1,367.40 |
$5,855.00
|
|
Partial removal of thyroid
|
$1,698.60 |
$1,698.60 |
$1,783.80 |
$5,741.00
|
|
Partial removal of toe
|
$763.80 |
$763.80 |
$802.20 |
$3,674.58
|
|
Partial removal of tongue
|
$1,966.80 |
$1,966.80 |
$2,065.20 |
$6,084.97
|
|
Partial removal of vaginal wall 57106
|
$892.20 |
$892.20 |
$936.60 |
$3,762.53
|
|
Partial thyroid excision
|
$1,292.40 |
$1,292.40 |
$1,357.20 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$1,847.40 |
$1,847.40 |
$1,939.80 |
$6,213.84
|
|
Part removal of metatarsal
|
$835.80 |
$835.80 |
$877.80 |
$3,821.05
|
|
Part removal of metatarsal
|
$1,077.00 |
$1,077.00 |
$1,131.00 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$889.80 |
$889.80 |
$934.20 |
$3,839.54
|
|
Paste skin barrier .5oz adapt
|
$0.60 |
$0.60 |
$0.60 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$27.60 |
$27.60 |
$28.80 |
$44.97
|
|
Ped crit care age 2-5 init
|
$1,076.40 |
$1,076.40 |
$1,130.40 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$653.40 |
$653.40 |
$685.80 |
$622.40
|
|
Ped crit care transport
|
$500.40 |
$500.40 |
$525.60 |
$434.40
|
|
Ped crit care transport addl
|
$234.60 |
$234.60 |
$246.60 |
$217.60
|
|
Ped critical care initial
|
$1,526.40 |
$1,526.40 |
$1,653.00 |
$1,446.40
|
|
Ped critical care subsq
|
$772.80 |
$772.80 |
$811.20 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$1,471.80 |
$1,471.80 |
$1,545.60 |
$2,508.24
|
|
Pegaspargase injection
|
$43,120.76 |
$43,120.76 |
$47,536.40 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,379.97 |
$11,379.97 |
$11,379.97 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,407.18 |
$7,407.18 |
$7,407.18 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$7,407.18 |
$7,407.18 |
$7,407.18 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,393.20 |
$1,393.20 |
$1,521.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,276.20 |
$1,276.20 |
$1,434.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,041.60 |
$1,041.60 |
$1,170.60 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$2,395.20 |
$2,395.20 |
$2,616.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,594.20 |
$1,594.20 |
$1,741.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,443.60 |
$1,443.60 |
$1,576.80 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$373.80 |
$373.80 |
$390.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$195.60 |
$195.60 |
$213.60 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$161.40 |
$161.40 |
$172.80 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$222.00 |
$222.00 |
$243.00 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$9,873.09 |
$9,873.09 |
$10,270.83 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,202.36 |
$7,202.36 |
$7,202.36 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$927.25 |
$927.25 |
$1,351.83 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$119.73 |
$119.73 |
$119.73 |
$97.85
|
|
Penicillin g procaine inj
|
$149.24 |
$149.24 |
$149.24 |
$149.20
|
|
Penis study
|
$99.00 |
$99.00 |
$110.40 |
$368.50
|
|
Perc rf ablate renal tumor
|
$5,915.40 |
$5,915.40 |
$6,211.20 |
$7,243.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$203.50 |
$203.50 |
$522.12 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$543.00 |
$543.00 |
$570.00 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$4,458.00 |
$4,458.00 |
$4,681.20 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$1,800.00 |
$1,800.00 |
$2,003.40 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,807.80 |
$1,807.80 |
$1,898.40 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$1,443.00 |
$1,443.00 |
$1,515.00 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$482.40 |
$482.40 |
$506.40 |
$3,720.50
|
|
Peritoneal cath sub q resv per
|
$804.00 |
$804.00 |
$844.20 |
$5,625.74
|
|
Perit-vens shunt pat tst
|
$636.60 |
$636.60 |
$695.40 |
$752.49
|
|
Perq clsr tcat l atr apndge
|
$11,100.00 |
$11,100.00 |
$12,354.60 |
$9,286.40
|
|
Perq dev breast 1st mr guide
|
$3,855.60 |
$3,855.60 |
$4,032.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$3,240.00 |
$3,240.00 |
$3,742.20 |
$1,456.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$154.20 |
$154.20 |
$162.00 |
$625.93
|
|
Perqt bx lung/mediastinum 32405
|
$202.80 |
$202.80 |
$213.00 |
$1,770.60
|