|
Ovarian cystectomy 58925
|
$1,365.00 |
$1,884.00 |
$28,595.75 |
|
|
Ovulation tests
|
$29.60 |
$29.60 |
$29.60 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$14.50 |
$14.50 |
$246.47 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.80 |
$1,200.00 |
$6,191.45 |
|
|
Oxytetracycline injection
|
$1.60 |
$1.60 |
$1.60 |
|
|
Oxytocin 10 unit/ml injection solution
|
$6.85 |
$28.14 |
$132.80 |
|
|
P-32 chromic phos ther per mci
|
$200.76 |
$1,730.00 |
$1,730.00 |
|
|
P-32 sod phosphate ther per mci
|
$436.00 |
$1,383.10 |
$1,383.10 |
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$14,528.90 |
$14,528.90 |
$78,376.00 |
|
|
Packing strips, non-impreg
|
$46.20 |
$48.60 |
$48.60 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.60 |
$253.00 |
$938.32 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$16.80 |
$2,944.34 |
$4,766.15 |
|
|
Pad repl cerv collr univ adult
|
$60.66 |
$60.66 |
$93.32 |
|
|
Palb2 gene full gene seq
|
$649.44 |
$649.44 |
$649.44 |
|
|
Palifermin injection
|
$5,926.16 |
$6,772.75 |
$6,913.85 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$15.20 |
$15.20 |
$16,808.50 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,749.60 |
$1,749.60 |
$8,059.01 |
|
|
Palonosetron hcl
|
$23.20 |
$41.40 |
$366.66 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$17.60 |
$113.20 |
$140.02 |
|
|
Pancreatectomy
|
$4,616.80 |
$4,616.80 |
$4,616.80 |
|
|
Pancreatectomy
|
$7,116.00 |
$7,116.00 |
$7,116.00 |
|
|
Pancreatectomy 48153
|
$4,573.20 |
$7,609.60 |
$11,036.00 |
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$2,788.20 |
$3,836.00 |
$3,836.00 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$165.60 |
$14,683.79 |
$20,996.10 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$4.55 |
$41.79 |
$78.16 |
|
|
Papaverin hcl injection
|
$26.70 |
$85.76 |
$136.28 |
|
|
Parathormone (pth) intact
|
$109.28 |
$210.84 |
$44,375.30 |
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$2,553.60 |
$3,424.80 |
$4,175.00 |
|
|
Parathyrd planar w/spect&ct
|
$225.60 |
$997.61 |
$3,048.50 |
|
|
Parathyroid autotransplantation 60512
|
$443.40 |
$598.40 |
$44,057.34 |
|
|
Parathyroid planar imaging
|
$483.60 |
$817.76 |
$1,811.39 |
|
|
Parathyroid planar img w/tomo spect
|
$279.84 |
$761.60 |
$2,594.00 |
|
|
Paravaginal defect repair 57284
|
$1,522.20 |
$2,071.20 |
$2,071.20 |
|
|
Parial mast w/lymph removal 19302
|
$1,174.08 |
$4,406.40 |
$44,756.10 |
|
|
Paricalcitol
|
$25.20 |
$46.00 |
$50.18 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$95.40 |
$183.30 |
$512.00 |
|
|
Parotid duct diversion
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
|
|
Parotid duct diversion
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
|
|
Parotid duct diversion
|
$1,517.60 |
$1,517.60 |
$1,517.60 |
|
|
Part exc/post vert comp/sng/thorac 22101
|
$1,609.20 |
$2,093.60 |
$2,093.60 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$347.40 |
$488.80 |
$11,214.35 |
|
|
Partial complicated cystectomy 51555
|
$2,378.40 |
$3,190.40 |
$3,190.40 |
|
|
Partial exc bone humerus
|
$3,460.80 |
$3,460.80 |
$3,460.80 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,106.40 |
$2,982.40 |
$44,934.20 |
|
|
Partial excision of lip
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
|
|
Partial hip replacement
|
$3,874.00 |
$5,574.40 |
$36,320.05 |
|
|
Partial hysterectomy
|
$1,775.40 |
$2,400.00 |
$2,400.00 |
|
|
Partial proctectomy; perineal 45123
|
$2,772.80 |
$2,772.80 |
$3,846.00 |
|
|
Partial removal finger bone
|
$1,214.40 |
$1,214.40 |
$3,402.03 |
|
|
Partial removal finger bone
|
$1,054.20 |
$1,088.29 |
$3,676.97 |
|
|
Partial removal foot fascia
|
$930.60 |
$2,612.80 |
$7,440.96 |
|
|
Partial removal leg bone(s)
|
$4,315.20 |
$4,315.20 |
$4,315.20 |
|
|
Partial removal of bladder
|
$1,465.20 |
$2,421.60 |
$2,421.60 |
|
|
Partial removal of esophagus 43117
|
$4,736.40 |
$7,937.60 |
$7,937.60 |
|
|
Partial removal of esophagus 43122
|
$3,734.40 |
$6,258.40 |
$6,258.40 |
|
|
Partial removal of eye fluid
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
|
|
Partial removal of eye fluid
|
$2,689.60 |
$2,689.60 |
$37,282.29 |
|
|
Partial removal of fibula
|
$3,283.20 |
$3,283.20 |
$120,723.07 |
|
|
Partial removal of foot bone
|
$1,386.24 |
$1,521.60 |
$24,404.99 |
|
|
Partial removal of hand bone
|
$1,232.00 |
$1,232.00 |
$20,903.40 |
|
|
Partial removal of heart sac 33030
|
$3,628.20 |
$4,877.60 |
$6,471.00 |
|
|
Partial removal of lip
|
$979.80 |
$1,344.00 |
$1,344.00 |
|
|
Partial removal of liver
|
$7,545.60 |
$7,545.60 |
$10,926.00 |
|
|
Partial removal of liver
|
$8,103.20 |
$8,103.20 |
$8,103.20 |
|
|
Partial removal of lung 32480
|
$2,731.80 |
$3,603.20 |
$4,544.00 |
|
|
Partial removal of nose
|
$1,935.20 |
$1,935.20 |
$1,935.20 |
|
|
Partial removal of pancreas
|
$4,003.20 |
$4,003.20 |
$4,003.20 |
|
|
Partial removal of pancreas
|
$7,637.60 |
$7,637.60 |
$11,084.00 |
|
|
Partial removal of penis
|
$1,592.80 |
$1,592.80 |
$1,592.80 |
|
|
Partial removal of pharynx 42890
|
$2,649.00 |
$3,522.40 |
$3,522.40 |
|
|
Partial removal of radius
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
|
|
Partial removal of radius
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
|
|
Partial removal of rectum
|
$2,684.00 |
$2,684.00 |
$2,684.00 |
|
|
Partial removal of rectum
|
$3,893.60 |
$3,893.60 |
$3,893.60 |
|
|
Partial removal of rib
|
$1,032.00 |
$1,351.20 |
$1,351.20 |
|
|
Partial removal of sternum
|
$925.80 |
$1,236.00 |
$1,236.00 |
|
|
Partial removal of thyroid
|
$930.72 |
$1,740.00 |
$50,632.04 |
|
|
Partial removal of thyroid
|
$1,236.96 |
$2,298.40 |
$2,799.00 |
|
|
Partial removal of tibia
|
$4,108.80 |
$4,108.80 |
$63,592.62 |
|
|
Partial removal of toe
|
$763.80 |
$1,038.40 |
$25,346.73 |
|
|
Partial removal of tongue
|
$1,966.80 |
$2,619.20 |
$2,619.20 |
|
|
Partial removal of tongue
|
$3,243.20 |
$3,243.20 |
$3,243.20 |
|
|
Partial removal of ulna
|
$2,446.40 |
$2,446.40 |
$2,446.40 |
|
|
Partial removal of ulna
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
|
|
Partial removal of ulna
|
$2,113.60 |
$2,113.60 |
$2,113.60 |
|
|
Partial removal of vaginal wall 57106
|
$892.20 |
$1,283.20 |
$1,283.20 |
|
|
Partial removal tear gland
|
$5,006.40 |
$5,006.40 |
$5,006.40 |
|
|
Partial thyroid excision
|
$928.32 |
$1,739.20 |
$40,969.94 |
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$1,325.76 |
$2,508.00 |
$2,508.00 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$0.04 |
$221.06 |
$4,271.64 |
|
|
Part removal of metatarsal
|
$835.80 |
$2,313.60 |
$39,842.93 |
|
|
Part removal of metatarsal
|
$788.16 |
$2,940.80 |
$30,836.09 |
|
|
Part removal of metatarsal 28112
|
$889.80 |
$2,433.60 |
$90,103.28 |
|
|
Passy muir valve metal trach
|
$30.92 |
$242.38 |
$373.03 |
|
|
Paste skin barrier .5oz adapt
|
$0.22 |
$0.35 |
$7.54 |
|
|
Path clin consltj high 41-60
|
$156.24 |
$156.24 |
$156.24 |
|
|
Path clin consltj mod 21-40
|
$156.24 |
$156.24 |
$156.24 |
|
|
Path clin consltj prolng svc
|
$97.14 |
$97.14 |
$97.14 |
|
|
Path clin consltj sf 5-20
|
$97.14 |
$97.14 |
$97.14 |
|
|
Patient recorded spirometry
|
$122.40 |
$122.40 |
$122.40 |
|
