|
Part hymenectomy/revi hymenal ring 56700
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,762.53
|
|
Partial complicated cystectomy 51555
|
$1,643.68 |
$1,643.68 |
$1,643.68 |
$2,497.20
|
|
Partial exc bone humerus
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,914.00
|
|
Partial excision of lip
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,133.59
|
|
Partial hip replacement
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$3,303.00
|
|
Partial hysterectomy
|
$1,281.07 |
$1,281.07 |
$1,281.07 |
$1,993.68
|
|
Partial proctectomy
|
$2,464.93 |
$2,464.93 |
$2,464.93 |
$2,464.93
|
|
Partial proctectomy; perineal 45123
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
$2,772.80
|
|
Partial removal donor liver
|
$5,063.90 |
$5,063.90 |
$5,063.90 |
$5,063.90
|
|
Partial removal donor liver
|
$6,040.27 |
$6,040.27 |
$6,040.27 |
$6,040.27
|
|
Partial removal donor liver
|
$6,641.08 |
$6,641.08 |
$6,641.08 |
$6,641.08
|
|
Partial removal finger bone
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,211.05
|
|
Partial removal finger bone
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,134.33
|
|
Partial removal foot fascia
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,315.20
|
|
Partial removal of bladder
|
$1,270.33 |
$1,270.33 |
$1,270.33 |
$1,465.20
|
|
Partial removal of esophagus
|
$7,003.53 |
$7,003.53 |
$7,003.53 |
$7,003.53
|
|
Partial removal of esophagus
|
$5,120.19 |
$5,120.19 |
$5,120.19 |
$5,120.19
|
|
Partial removal of esophagus
|
$4,068.92 |
$4,068.92 |
$4,068.92 |
$4,068.92
|
|
Partial removal of esophagus
|
$6,370.80 |
$6,370.80 |
$6,370.80 |
$6,370.80
|
|
Partial removal of esophagus 43117
|
$4,593.03 |
$4,593.03 |
$4,593.03 |
$7,937.60
|
|
Partial removal of esophagus 43122
|
$3,542.12 |
$3,542.12 |
$3,542.12 |
$6,258.40
|
|
Partial removal of eye fluid
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$2,698.92
|
|
Partial removal of eye fluid
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$2,698.92
|
|
Partial removal of fibula
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Partial removal of foot bone
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Partial removal of hand bone
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$2,846.42 |
$2,846.42 |
$2,846.42 |
$3,809.40
|
|
Partial removal of larynx
|
$2,751.71 |
$2,751.71 |
$2,751.71 |
$2,751.71
|
|
Partial removal of larynx
|
$3,036.99 |
$3,036.99 |
$3,036.99 |
$3,036.99
|
|
Partial removal of larynx
|
$2,587.57 |
$2,587.57 |
$2,587.57 |
$2,587.57
|
|
Partial removal of larynx
|
$2,462.69 |
$2,462.69 |
$2,462.69 |
$2,462.69
|
|
Partial removal of larynx
|
$2,429.34 |
$2,429.34 |
$2,429.34 |
$2,429.34
|
|
Partial removal of larynx
|
$2,654.29 |
$2,654.29 |
$2,654.29 |
$2,654.29
|
|
Partial removal of lip
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,276.00
|
|
Partial removal of liver
|
$4,288.32 |
$4,288.32 |
$4,288.32 |
$7,545.60
|
|
Partial removal of liver
|
$4,587.42 |
$4,587.42 |
$4,587.42 |
$8,103.20
|
|
Partial removal of lung 32480
|
$2,117.36 |
$2,117.36 |
$2,117.36 |
$2,868.60
|
|
Partial removal of nose
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,603.11
|
|
Partial removal of pancreas
|
$2,308.66 |
$2,308.66 |
$2,308.66 |
$4,003.20
|
|
Partial removal of pancreas
|
$4,335.99 |
$4,335.99 |
$4,335.99 |
$7,637.60
|
|
Partial removal of penis
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Partial removal of pharynx 42890
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Partial removal of radius
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,986.00
|
|
Partial removal of radius
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,472.00
|
|
Partial removal of rectum
|
$1,494.93 |
$1,494.93 |
$1,494.93 |
$2,414.94
|
|
Partial removal of rectum
|
$2,563.75 |
$2,563.75 |
$2,563.75 |
$2,563.75
|
|
Partial removal of rectum
|
$2,046.37 |
$2,046.37 |
$2,046.37 |
$3,893.60
|
|
Partial removal of rib
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,376.00
|
|
Partial removal of sternum
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$1,236.00
|
|
Partial removal of thyroid
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$5,855.00
|
|
Partial removal of thyroid
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$5,741.00
|
|
Partial removal of tibia
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,108.80
|
|
Partial removal of toe
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,674.58
|
|
Partial removal of tongue
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,084.97
|
|
Partial removal of tongue
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
$3,243.20
|
|
Partial removal of ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,986.00
|
|
Partial removal of ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,803.90
|
|
Partial removal of ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,762.53
|
|
Partial removal tear gland
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$5,006.40
|
|
Partial thyroid excision
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,213.84
|
|
Part removal hip bone deep
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,342.87
|
|
Part removal of metatarsal
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Part removal of metatarsal
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Part remove hip bone super
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,005.60
|
|
Passy muir valve metal trach
|
$204.07 |
$204.07 |
$204.07 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$11.26 |
$11.26 |
$11.26 |
$5.73
|
|
Path clin consltj high 41-60
|
$234.27 |
$234.27 |
$234.27 |
$201.80
|
|
Path clin consltj mod 21-40
|
$234.27 |
$234.27 |
$234.27 |
$202.78
|
|
Path clin consltj prolng svc
|
$58.55 |
$58.55 |
$58.55 |
$97.14
|
|
Path clin consltj sf 5-20
|
$71.65 |
$71.65 |
$71.65 |
$88.35
|
|
Pathogen reduced plasma pool
|
$75.07 |
$75.07 |
$75.07 |
$66.40
|
|
Pathogen reduced plasma sing
|
$396.34 |
$396.34 |
$396.34 |
$344.50
|
|
Patient recorded spirometry
|
$614.27 |
$614.27 |
$614.27 |
$456.56
|
|
Patient recorded spirometry
|
$296.91 |
$296.91 |
$296.91 |
$338.52
|
|
Patten bottom
|
$542.77 |
$542.77 |
$542.77 |
$672.73
|
|
Pca3/klk3 antigen
|
$351.97 |
$351.97 |
$351.97 |
$510.40
|
|
Pcv21 vaccine im
|
$475.07 |
$475.07 |
$475.07 |
$415.01
|
|
Pdgfra gene
|
$454.72 |
$454.72 |
$454.72 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$38.79 |
$38.79 |
$38.79 |
$44.97
|
|
Pdt dstr prmlg les phys/qhp
|
$290.99 |
$290.99 |
$290.99 |
$294.77
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,837.09
|
|
Ped crit care age 2-5 init
|
$671.92 |
$671.92 |
$671.92 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$437.05 |
$437.05 |
$437.05 |
$622.40
|
|
Ped crit care transport
|
$285.69 |
$285.69 |
$285.69 |
$434.40
|
|
Ped crit care transport addl
|
$143.63 |
$143.63 |
$143.63 |
$217.60
|
|
Ped critical care initial
|
$956.73 |
$956.73 |
$956.73 |
$1,446.40
|
|
Ped critical care subsq
|
$500.54 |
$500.54 |
$500.54 |
$724.00
|
|
Ped home apnea mntr att only
|
$176.93 |
$176.93 |
$176.93 |
$185.15
|
|
Ped home apnea mntr dl&alys
|
$176.93 |
$176.93 |
$176.93 |
$296.92
|
|
Pediatric electric hand
|
$9,624.60 |
$9,624.60 |
$9,624.60 |
$6,504.40
|
|
Pediatric electric hook
|
$2,730.73 |
$2,730.73 |
$2,730.73 |
$1,817.20
|
|
Pedicle enel/ntroral 15576
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,508.24
|
|
Ped term dev, hand, vol clos
|
$2,248.57 |
$2,248.57 |
$2,248.57 |
$1,575.28
|
|
Ped term dev, hand, vol open
|
$2,654.76 |
$2,654.76 |
$2,654.76 |
$1,859.76
|
|
Ped term dev, hook, vol clos
|
$2,103.51 |
$2,103.51 |
$2,103.51 |
$1,473.36
|
