|
Partial removal of thyroid
|
$2,298.40 |
$2,298.40 |
$2,298.40 |
$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 |
$1,739.20 |
$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
|
$0.04 |
$0.04 |
$0.04 |
$4,921.76
|
|
Part removal of metatarsal
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$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
|
|
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 |
$97.14
|
|
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
|
|
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 |
$1,016.80 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$622.40 |
$622.40 |
$622.40 |
$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 |
$1,446.40 |
$1,446.40
|
|
Ped critical care subsq
|
$724.00 |
$724.00 |
$724.00 |
$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
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$360.00 |
$360.00 |
$360.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$351.20 |
$351.20 |
$351.20 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,324.96 |
$1,324.96 |
$1,324.96 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,158.65 |
$1,158.65 |
$1,158.65 |
$1,610.00
|
|
Pelvic CT scan (without contrast)
|
$946.54 |
$946.54 |
$946.54 |
$1,335.34
|
|
Pelvic exenteration
|
$6,904.00 |
$6,904.00 |
$6,904.00 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$2,525.67 |
$2,525.67 |
$2,525.67 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,564.17 |
$1,564.17 |
$1,564.17 |
$2,224.75
|
|
Pelvic MRI (without contrast)
|
$1,295.07 |
$1,295.07 |
$1,295.07 |
$1,902.00
|
|
Pelvic ring fracture uni/bil
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$746.58 |
$746.58 |
$746.58 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$138.29 |
$138.29 |
$138.29 |
$435.09
|
|
Pelvis X-ray (1 to 2 views)
|
$97.19 |
$97.19 |
$97.19 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$240.14 |
$240.14 |
$240.14 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$61.60 |
$61.60 |
$61.60 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$80.00 |
$80.00 |
$80.00 |
$7,089.13
|
|
Pemivibart infusion
|
$630.06 |
$630.06 |
$630.06 |
$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
|
$52.34 |
$52.34 |
$52.34 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$10.04 |
$10.04 |
$10.04 |
$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
|
$40,843.51 |
$40,843.51 |
$40,843.51 |
$18,764.94
|
|
Penile vascular study
|
$295.45 |
$295.45 |
$295.45 |
$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 non-comp unit
|
$141.60 |
$141.60 |
$141.60 |
$294.39
|
|
Pentazocine injection
|
$128.80 |
$128.80 |
$128.80 |
$128.80
|
|
Perc cryo ablate renal tum
|
$21,107.20 |
$21,107.20 |
$21,107.20 |
$11,533.76
|
|
Perc d-e cor revasc chro add
|
$18,435.36 |
$18,435.36 |
$18,435.36 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$18,435.36 |
$18,435.36 |
$18,435.36 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$18,435.36 |
$18,435.36 |
$18,435.36 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$18,435.36 |
$18,435.36 |
$18,435.36 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$18,435.36 |
$18,435.36 |
$18,435.36 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$18,435.36 |
$18,435.36 |
$18,435.36 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$18,435.36 |
$18,435.36 |
$18,435.36 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$19,356.76 |
$19,356.76 |
$19,356.76 |
$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
|
$256.79 |
$256.79 |
$256.79 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$560.80 |
$560.80 |
$560.80 |
$2,440.31
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$6,040.80 |
$6,040.80 |
$6,040.80 |
$6,040.80
|
|
Pericardiocentesis wwo imaging
|
$3,392.34 |
$3,392.34 |
$3,392.34 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$2,013.60 |
$2,013.60 |
$2,013.60 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$3,896.00 |
$3,896.00 |
$3,896.00 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$667.20 |
$667.20 |
$667.20 |
$3,720.50
|
|
Peripheral vascular rehab
|
$171.55 |
$171.55 |
$171.55 |
$132.50
|
|
Peri-proc device eval icd
|
$149.49 |
$149.49 |
$149.49 |
$184.60
|
|
Peri-proc device eval pm
|
$149.49 |
$149.49 |
$149.49 |
$151.92
|
|
Peritoneal cath sub q resv per
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$5,625.74
|
|
Peritoneogram rs&i
|
$813.60 |
$813.60 |
$813.60 |
$698.50
|
|
Perit-vens shunt pat tst
|
$547.20 |
$547.20 |
$547.20 |
$787.20
|
|
Perq art m-thrombect &/nfs
|
$4,081.60 |
$4,081.60 |
$4,081.60 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$1,937.60 |
$1,937.60 |
$1,937.60 |
$9,010.66
|
|
Perq dev breast 1st mr guide
|
$3,793.60 |
$3,793.60 |
$3,793.60 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,646.92 |
$1,646.92 |
$1,646.92 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$16,197.63 |
$16,197.63 |
$16,197.63 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$16,197.63 |
$16,197.63 |
$16,197.63 |
$9,442.38
|
|
Perq plmt bile duct stent
|
$10,412.00 |
$10,412.00 |
$10,412.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$11,495.20 |
$11,495.20 |
$11,495.20 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$11,729.60 |
$11,729.60 |
$11,729.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$903.56 |
$903.56 |
$903.56 |
$625.93
|
