|
Partial removal of thyroid
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Partial removal of tibia
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Partial removal of toe
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Partial removal of tongue
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Partial removal of tongue
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
|
|
Partial removal of ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Partial removal of ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Partial removal of ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Partial removal of vaginal wall 57106
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Partial removal tear gland
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
|
|
Partial thyroid excision
|
$5,796.56 |
$8,312.83 |
$8,312.83 |
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5.60 |
$6.16 |
$2,616.49 |
|
|
Part removal hip bone deep
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Part removal of metatarsal
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Part removal of metatarsal
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Part removal of metatarsal 28112
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Part remove hip bone super
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Passy muir valve metal trach
|
$204.07 |
$204.07 |
$204.07 |
|
|
Paste skin barrier .5oz adapt
|
$11.26 |
$11.26 |
$15.51 |
|
|
Path clin consltj high 41-60
|
$234.27 |
$234.27 |
$234.27 |
|
|
Path clin consltj mod 21-40
|
$234.27 |
$234.27 |
$234.27 |
|
|
Path clin consltj prolng svc
|
$58.55 |
$58.55 |
$58.55 |
|
|
Path clin consltj sf 5-20
|
$71.65 |
$71.65 |
$71.65 |
|
|
Pathogen reduced plasma pool
|
$75.07 |
$75.07 |
$75.07 |
|
|
Pathogen reduced plasma sing
|
$396.34 |
$396.34 |
$396.34 |
|
|
Patient recorded spirometry
|
$614.27 |
$614.27 |
$614.27 |
|
|
Patient recorded spirometry
|
$296.91 |
$296.91 |
$296.91 |
|
|
Patten bottom
|
$542.77 |
$542.77 |
$542.77 |
|
|
Pca3/klk3 antigen
|
$119.87 |
$351.97 |
$351.97 |
|
|
Pcv21 vaccine im
|
$430.00 |
$430.00 |
$475.07 |
|
|
Pdgfra gene
|
$155.10 |
$454.72 |
$454.72 |
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$14.70 |
$38.79 |
$38.79 |
|
|
Pdt dstr prmlg les phys/qhp
|
$290.99 |
$290.99 |
$290.99 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Ped crit care age 2-5 init
|
$671.92 |
$671.92 |
$671.92 |
|
|
Ped crit care age 2-5 subsq
|
$437.05 |
$437.05 |
$437.05 |
|
|
Ped crit care transport
|
$285.69 |
$285.69 |
$285.69 |
|
|
Ped crit care transport addl
|
$143.63 |
$143.63 |
$143.63 |
|
|
Ped critical care initial
|
$956.73 |
$956.73 |
$956.73 |
|
|
Ped critical care subsq
|
$500.54 |
$500.54 |
$500.54 |
|
|
Ped home apnea mntr att only
|
$176.93 |
$176.93 |
$176.93 |
|
|
Ped home apnea mntr dl&alys
|
$137.00 |
$137.00 |
$176.93 |
|
|
Pediatric electric hand
|
$9,624.60 |
$9,624.60 |
$9,624.60 |
|
|
Pediatric electric hook
|
$2,730.73 |
$2,730.73 |
$2,730.73 |
|
|
Pedicle enel/ntroral 15576
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Ped term dev, hand, vol clos
|
$2,248.57 |
$2,248.57 |
$2,248.57 |
|
|
Ped term dev, hand, vol open
|
$2,654.76 |
$2,654.76 |
$2,654.76 |
|
|
Ped term dev, hook, vol clos
|
$2,103.51 |
$2,103.51 |
$2,103.51 |
|
|
Ped term dev, hook, vol open
|
$1,142.43 |
$1,142.43 |
$1,142.43 |
|
|
Pegaspargase injection
|
$7,331.43 |
$39,225.20 |
$39,225.20 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$169.52 |
$169.52 |
$169.52 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$183.61 |
$183.61 |
$183.61 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$223.54 |
$223.54 |
$223.54 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$203.19 |
$203.19 |
$203.19 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$136.44 |
$136.44 |
$136.44 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$175.57 |
$175.57 |
$175.57 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$5,200.96 |
$5,200.96 |
$5,200.96 |
|
|
Pegunigalsidase alfa-iwxj
|
$311.81 |
$311.81 |
$311.81 |
|
|
Pelv band/spread bar thigh c
|
$802.87 |
$802.87 |
$802.87 |
|
|
Pelvic band & belt thigh fla
|
$241.50 |
$565.43 |
$565.43 |
|
|
Pelvic control band & belt b
|
$532.91 |
$532.91 |
$532.91 |
|
|
Pelvic control band & belt u
|
$392.68 |
$392.68 |
$392.68 |
|
|
Pelvic control hip heavy dut
|
$424.01 |
$424.01 |
$424.01 |
|
|
Pelvic control pelvic sling
|
$735.98 |
$735.98 |
$735.98 |
|
|
Pelvic CT scan (with and without contrast)
|
$241.18 |
$2,131.00 |
$2,934.00 |
|
|
Pelvic CT scan (with contrast)
|
$241.18 |
$1,786.00 |
$2,737.00 |
|
|
Pelvic CT scan (without contrast)
|
$143.75 |
$1,151.00 |
$2,401.00 |
|
|
Pelvic exenteration
|
$3,659.26 |
$3,659.26 |
$3,659.26 |
|
|
Pelvic & hip control thigh c
|
$1,932.15 |
$1,932.15 |
$1,932.15 |
|
|
Pelvic MRI (with and without contrast)
|
$418.77 |
$3,520.00 |
$5,536.00 |
|
|
Pelvic MRI (with contrast)
|
$370.83 |
$2,866.00 |
$4,801.60 |
|
|
Pelvic MRI (without contrast)
|
$321.95 |
$1,702.00 |
$4,801.60 |
|
|
Pelvic ring fracture uni/bil
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Pelvic ring fx treat int fix
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Pelvic Ultrasound (complete)
|
$143.75 |
$899.00 |
$1,164.80 |
|
|
Pelvic Ultrasound (limited)
|
$120.96 |
$603.00 |
$886.00 |
|
|
Pelvis X-ray (1 to 2 views)
|
$47.60 |
$393.00 |
$488.80 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$59.36 |
$393.00 |
$548.00 |
|
|
Pelv & thor control gluteal
|
$234.68 |
$234.68 |
$234.68 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$82.42 |
$82.42 |
$3,003.54 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4.96 |
$4.96 |
$42.84 |
|
|
Pemivibart infusion
|
$606.32 |
$606.32 |
$606.32 |
|
|
Peng benzathine/procaine inj
|
$14.63 |
$26.94 |
$84.82 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$12.14 |
$44.11 |
$211.75 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$1.08 |
$1.08 |
$47.49 |
|
|
Penicillin g procaine inj
|
$18.06 |
$18.06 |
$18.49 |
|
|
Penile injection
|
$337.00 |
$411.00 |
$418.00 |
|
|
Penile rear tip xtnd 0.5cm
|
$10,917.76 |
$10,917.76 |
$10,917.76 |
|
|
Penile vascular study
|
$143.75 |
$322.00 |
$1,323.00 |
|
|
Penile vascular study
|
$125.49 |
$143.75 |
$1,710.40 |
|
|
Penile venous occlusion
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
|
|
Penis plastic surgery
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
|
|
Penis study
|
$296.91 |
$296.91 |
$296.91 |
|
|
Pentamidine 300 mg solution for injection
|
$0.32 |
$0.32 |
$0.32 |
|
|
Pentobarbital sodium inj
|
$35.74 |
$50.04 |
$50.04 |
|
|
Pentostatin 10 mg intravenous solution
|
$3,501.19 |
$3,501.19 |
$3,501.19 |
|
|
Perc cryo ablate renal tum
|
$8,506.40 |
$28,027.00 |
$30,941.00 |
|
|
Perc d-e cor revasc chro add
|
$1,637.44 |
$4,304.72 |
$12,250.08 |
|
|
Perc d-e cor revasc chro sin
|
$13,383.44 |
$20,632.06 |
$25,206.69 |
|