|
Partial removal foot fascia
|
$2,612.80 |
$2,612.80 |
$2,612.80 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$4,315.20 |
$4,315.20 |
$4,315.20 |
$4,315.20
|
|
Partial removal of bladder
|
$2,421.60 |
$2,421.60 |
$2,421.60 |
$1,465.20
|
|
Partial removal of esophagus 43117
|
$7,937.60 |
$7,937.60 |
$7,937.60 |
$7,937.60
|
|
Partial removal of esophagus 43122
|
$6,258.40 |
$6,258.40 |
$6,258.40 |
$6,258.40
|
|
Partial removal of eye fluid
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$2,698.92
|
|
Partial removal of eye fluid
|
$2,689.60 |
$2,689.60 |
$2,689.60 |
$2,698.92
|
|
Partial removal of fibula
|
$3,283.20 |
$3,283.20 |
$3,283.20 |
$3,821.05
|
|
Partial removal of foot bone
|
$1,521.60 |
$1,521.60 |
$1,521.60 |
$3,839.54
|
|
Partial removal of hand bone
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$4,877.60 |
$4,877.60 |
$4,877.60 |
$3,809.40
|
|
Partial removal of lip
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$3,276.00
|
|
Partial removal of liver
|
$7,545.60 |
$7,545.60 |
$7,545.60 |
$7,545.60
|
|
Partial removal of liver
|
$8,103.20 |
$8,103.20 |
$8,103.20 |
$8,103.20
|
|
Partial removal of lung 32480
|
$3,603.20 |
$3,603.20 |
$3,603.20 |
$2,868.60
|
|
Partial removal of nose
|
$1,935.20 |
$1,935.20 |
$1,935.20 |
$6,603.11
|
|
Partial removal of pancreas
|
$4,003.20 |
$4,003.20 |
$4,003.20 |
$4,003.20
|
|
Partial removal of pancreas
|
$7,637.60 |
$7,637.60 |
$7,637.60 |
$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 |
$1,740.00 |
$5,855.00
|
|
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
|
|
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 |
$201.80
|
|
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
|
|
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 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$861.57 |
$861.57 |
$861.57 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$529.17 |
$529.17 |
$529.17 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$562.51 |
$562.51 |
$562.51 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$351.20 |
$351.20 |
$351.20 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$5,974.00 |
$5,974.00 |
$5,974.00 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$842.90 |
$842.90 |
$842.90 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$758.16 |
$758.16 |
$758.16 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$683.83 |
$683.83 |
$683.83 |
$1,313.40
|
|
Pelvic exenteration
|
$6,904.00 |
$6,904.00 |
$6,904.00 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$1,811.72 |
$1,811.72 |
$1,811.72 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,185.72 |
$1,185.72 |
$1,185.72 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,101.36 |
$1,101.36 |
$1,101.36 |
$1,902.00
|
|
Pelvic ring fracture uni/bil
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$306.26 |
$306.26 |
$306.26 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$247.20 |
$247.20 |
$247.20 |
$435.13
|
|
Pelvis X-ray (1 to 2 views)
|
$254.62 |
$254.62 |
$254.62 |
$281.40
|
|
Pelvis X-ray (complete, 4 or more views)
|
$254.62 |
$254.62 |
$254.62 |
$349.57
|
|
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
|
$618.13 |
$618.13 |
$618.13 |
$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
|
$64.70 |
$64.70 |
$64.70 |
$809.01
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$70.28 |
$70.28 |
$70.28 |
$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 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
|
$262.85 |
$262.85 |
$262.85 |
$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
|
$17,414.93 |
$17,414.93 |
$17,414.93 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$16,078.86 |
$16,078.86 |
$16,078.86 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$11,028.95 |
$11,028.95 |
$11,028.95 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$17,414.93 |
$17,414.93 |
$17,414.93 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$16,078.86 |
$16,078.86 |
$16,078.86 |
$18,545.83
|