|
Partial removal of pancreas
|
$7,637.60 |
$7,637.60 |
$11,084.00 |
$7,637.60
|
|
Partial removal of penis
|
$1,592.80 |
$1,592.80 |
$1,592.80 |
$4,081.37
|
|
Partial removal of pharynx 42890
|
$3,522.40 |
$3,522.40 |
$3,522.40 |
$6,465.11
|
|
Partial removal of radius
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$3,986.00
|
|
Partial removal of radius
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$3,472.00
|
|
Partial removal of rectum
|
$2,684.00 |
$2,684.00 |
$2,684.00 |
$2,414.94
|
|
Partial removal of rectum
|
$3,893.60 |
$3,893.60 |
$3,893.60 |
$3,893.60
|
|
Partial removal of rib
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$5,376.00
|
|
Partial removal of sternum
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$1,236.00
|
|
Partial removal of thyroid
|
$1,740.00 |
$1,740.00 |
$39,533.02 |
$5,855.00
|
|
Partial removal of thyroid
|
$2,298.40 |
$2,298.40 |
$2,799.00 |
$5,741.00
|
|
Partial removal of tibia
|
$4,108.80 |
$4,108.80 |
$4,108.80 |
$4,108.80
|
|
Partial removal of toe
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$3,674.58
|
|
Partial removal of tongue
|
$2,619.20 |
$2,619.20 |
$2,619.20 |
$6,084.97
|
|
Partial removal of tongue
|
$3,243.20 |
$3,243.20 |
$3,243.20 |
$3,243.20
|
|
Partial removal of ulna
|
$2,446.40 |
$2,446.40 |
$2,446.40 |
$3,986.00
|
|
Partial removal of ulna
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
$3,803.90
|
|
Partial removal of ulna
|
$2,113.60 |
$2,113.60 |
$2,113.60 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$3,762.53
|
|
Partial removal tear gland
|
$5,006.40 |
$5,006.40 |
$5,006.40 |
$5,006.40
|
|
Partial thyroid excision
|
$1,739.20 |
$1,739.20 |
$40,969.94 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$6,213.84
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$9.54 |
$9.54 |
$221.06 |
$4,921.76
|
|
Part removal of metatarsal
|
$2,313.60 |
$2,313.60 |
$21,880.50 |
$3,821.05
|
|
Part removal of metatarsal
|
$2,940.80 |
$2,940.80 |
$2,940.80 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$3,839.54
|
|
Passy muir valve metal trach
|
$242.47 |
$242.47 |
$242.47 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$0.35 |
$0.35 |
$0.35 |
$5.73
|
|
Path clin consltj high 41-60
|
$156.24 |
$156.24 |
$156.24 |
$202.78
|
|
Path clin consltj mod 21-40
|
$156.24 |
$156.24 |
$156.24 |
$202.78
|
|
Path clin consltj prolng svc
|
$97.14 |
$97.14 |
$97.14 |
$97.14
|
|
Path clin consltj sf 5-20
|
$97.14 |
$97.14 |
$97.14 |
$88.35
|
|
Patient recorded spirometry
|
$122.40 |
$122.40 |
$122.40 |
$456.56
|
|
Patient recorded spirometry
|
$64.80 |
$64.80 |
$64.80 |
$338.52
|
|
Pca3/klk3 antigen
|
$510.40 |
$510.40 |
$510.40 |
$510.40
|
|
Pcv21 vaccine im
|
$530.40 |
$530.40 |
$530.40 |
$415.01
|
|
Pdgfra gene
|
$659.20 |
$659.20 |
$659.20 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$94.19 |
$94.19 |
$94.19 |
$44.97
|
|
Pdt dstr prmlg les phys/qhp
|
$456.00 |
$456.00 |
$456.00 |
$294.77
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,216.80 |
$2,216.80 |
$2,216.80 |
$2,837.09
|
|
Ped crit care age 2-5 init
|
$1,016.80 |
$1,016.80 |
$1,444.00 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$622.40 |
$622.40 |
$871.00 |
$622.40
|
|
Ped crit care transport
|
$434.40 |
$434.40 |
$434.40 |
$434.40
|
|
Ped crit care transport addl
|
$217.60 |
$217.60 |
$217.60 |
$217.60
|
|
Ped critical care initial
|
$1,446.40 |
$1,446.40 |
$2,003.00 |
$1,446.40
|
|
Ped critical care subsq
|
$724.00 |
$724.00 |
$1,017.00 |
$724.00
|
|
Ped home apnea mntr att only
|
$100.00 |
$100.00 |
$100.00 |
$185.15
|
|
Ped home apnea mntr dl&alys
|
$472.00 |
$472.00 |
$472.00 |
$296.92
|
|
Pedicle enel/ntroral 15576
|
$1,969.60 |
$1,969.60 |
$1,969.60 |
$2,508.24
|
|
Pegaspargase injection
|
$41,039.04 |
$41,039.04 |
$41,039.04 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$861.57 |
$861.57 |
$17,709.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$529.17 |
$529.17 |
$10,830.70 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$360.00 |
$360.00 |
$20,144.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$11,866.15 |
$11,866.15 |
$11,866.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$351.20 |
$351.20 |
$5,037.30 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$11,497.50 |
$11,497.50 |
$11,497.50 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$95,364.75 |
$95,364.75 |
$95,364.75 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,990.95 |
$1,990.95 |
$3,110.69 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$1,810.25 |
$1,810.25 |
$2,587.64 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,302.60 |
$1,302.60 |
$2,184.32 |
$1,313.40
|
|
Pelvic exenteration
|
$6,904.00 |
$6,904.00 |
$6,904.00 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$3,551.60 |
$3,551.60 |
$4,660.22 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,918.87 |
$3,918.87 |
$3,918.87 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,974.05 |
$1,974.05 |
$2,849.89 |
$1,901.90
|
|
Pelvic ring fracture uni/bil
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$906.31 |
$906.31 |
$2,171.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$560.05 |
$560.05 |
$681.85 |
$435.09
|
|
Pelvis X-ray (1 to 2 views)
|
$354.54 |
$354.54 |
$46,779.57 |
$280.80
|
|
Pelvis X-ray (complete, 4 or more views)
|
$434.24 |
$434.24 |
$58,170.03 |
$348.19
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$91.05 |
$91.05 |
$18,047.05 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$80.00 |
$80.00 |
$130.60 |
$7,089.13
|
|
Pemivibart infusion
|
$667.10 |
$667.10 |
$667.10 |
$533.10
|
|
Peng benzathine/procaine inj
|
$16.80 |
$16.80 |
$16.80 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$66.72 |
$66.72 |
$1,928.25 |
$809.01
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$18.35 |
$18.35 |
$234.00 |
$97.85
|
|
Penicillin g procaine inj
|
$46.40 |
$46.40 |
$46.40 |
$149.20
|
|
Penile injection
|
$220.80 |
$220.80 |
$220.80 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$13,529.89 |
$13,529.89 |
$13,529.89 |
$18,764.94
|
|
Penile vascular study
|
$284.00 |
$284.00 |
$284.00 |
$561.00
|
|
Penile vascular study
|
$169.60 |
$169.60 |
$169.60 |
$574.60
|
|
Penile venous occlusion
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$4,081.37
|
|
Penis plastic surgery
|
$1,820.80 |
$1,820.80 |
$1,820.80 |
$4,081.37
|
|
Penis study
|
$256.80 |
$256.80 |
$256.80 |
$368.50
|
|
Pentamidine 300 mg solution for injection
|
$792.75 |
$792.75 |
$792.75 |
$572.10
|
|
Pentamidine non-comp unit
|
$175.60 |
$175.60 |
$175.60 |
$294.39
|
|
Pentazocine injection
|
$128.80 |
$128.80 |
$128.80 |
$128.80
|
|
Pentobarbital sodium inj
|
$3,085.50 |
$3,085.50 |
$3,085.50 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$14,509.25 |
$14,509.25 |
$14,509.25 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$20,835.10 |
$20,835.10 |
$21,107.20 |
$11,533.76
|
|
Perc d-e cor revasc chro add
|
$16,715.40 |
$16,715.40 |
$19,612.62 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$17,651.36 |
$17,651.36 |
$22,922.90 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$19,612.62 |
$19,612.62 |
$21,318.70 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$15,358.85 |
$15,358.85 |
$17,651.36 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$8,215.35 |
$8,215.35 |
$19,612.62 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$17,651.36 |
$17,651.36 |
$60,802.63 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$15,358.85 |
$15,358.85 |
$16,704.85 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$18,092.95 |
$18,092.95 |
$77,377.81 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$15,611.20 |
$15,611.20 |
$15,611.20 |
$7,243.60
|
|
Percut ablate liver rf
|
$10,753.60 |
$10,753.60 |
$10,753.60 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$281.13 |
$281.13 |
$393.60 |
$332.84
|
