|
Partial hip replacement
|
$702.46 |
$702.46 |
$702.46 |
$3,303.00
|
|
Partial hysterectomy
|
$594.88 |
$594.88 |
$594.88 |
$1,993.68
|
|
Partial proctectomy
|
$1,141.36 |
$1,141.36 |
$1,141.36 |
$2,464.93
|
|
Partial proctectomy; perineal 45123
|
$684.86 |
$684.86 |
$684.86 |
$2,772.80
|
|
Partial removal donor liver
|
$2,208.80 |
$2,208.80 |
$2,208.80 |
$5,063.90
|
|
Partial removal donor liver
|
$2,637.80 |
$2,637.80 |
$2,637.80 |
$6,040.27
|
|
Partial removal donor liver
|
$2,904.44 |
$2,904.44 |
$2,904.44 |
$6,641.08
|
|
Partial removal finger bone
|
$309.98 |
$309.98 |
$309.98 |
$2,211.05
|
|
Partial removal finger bone
|
$278.30 |
$278.30 |
$278.30 |
$2,134.33
|
|
Partial removal foot fascia
|
$224.40 |
$224.40 |
$224.40 |
$3,762.00
|
|
Partial removal leg bone(s)
|
$558.36 |
$558.36 |
$558.36 |
$4,315.20
|
|
Partial removal of bladder
|
$594.00 |
$594.00 |
$594.00 |
$1,465.20
|
|
Partial removal of esophagus
|
$3,017.52 |
$3,017.52 |
$3,017.52 |
$7,003.53
|
|
Partial removal of esophagus
|
$2,202.64 |
$2,202.64 |
$2,202.64 |
$5,120.19
|
|
Partial removal of esophagus
|
$1,740.64 |
$1,740.64 |
$1,740.64 |
$4,068.92
|
|
Partial removal of esophagus
|
$2,737.90 |
$2,737.90 |
$2,737.90 |
$6,370.80
|
|
Partial removal of esophagus 43117
|
$1,987.04 |
$1,987.04 |
$1,987.04 |
$7,937.60
|
|
Partial removal of esophagus 43122
|
$1,579.60 |
$1,579.60 |
$1,579.60 |
$6,258.40
|
|
Partial removal of eye fluid
|
$289.30 |
$289.30 |
$289.30 |
$2,698.92
|
|
Partial removal of eye fluid
|
$330.44 |
$330.44 |
$330.44 |
$2,698.92
|
|
Partial removal of fibula
|
$409.42 |
$409.42 |
$409.42 |
$3,821.05
|
|
Partial removal of foot bone
|
$270.82 |
$270.82 |
$270.82 |
$3,839.54
|
|
Partial removal of hand bone
|
$314.82 |
$314.82 |
$314.82 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$1,217.04 |
$1,217.04 |
$1,217.04 |
$3,809.40
|
|
Partial removal of larynx
|
$1,329.68 |
$1,329.68 |
$1,329.68 |
$2,751.71
|
|
Partial removal of larynx
|
$1,469.38 |
$1,469.38 |
$1,469.38 |
$3,036.99
|
|
Partial removal of larynx
|
$1,245.86 |
$1,245.86 |
$1,245.86 |
$2,587.57
|
|
Partial removal of larynx
|
$1,184.70 |
$1,184.70 |
$1,184.70 |
$2,462.69
|
|
Partial removal of larynx
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$2,429.34
|
|
Partial removal of larynx
|
$1,279.30 |
$1,279.30 |
$1,279.30 |
$2,654.29
|
|
Partial removal of lip
|
$251.24 |
$251.24 |
$251.24 |
$3,276.00
|
|
Partial removal of liver
|
$1,896.40 |
$1,896.40 |
$1,896.40 |
$7,545.60
|
|
Partial removal of liver
|
$2,033.46 |
$2,033.46 |
$2,033.46 |
$8,103.20
|
|
Partial removal of lung 32480
|
$902.44 |
$902.44 |
$902.44 |
$2,868.60
|
|
Partial removal of nose
|
$485.98 |
$485.98 |
$485.98 |
$6,603.11
|
|
Partial removal of pancreas
|
$1,008.92 |
$1,008.92 |
$1,008.92 |
$4,003.20
|
|
Partial removal of pancreas
|
$1,919.94 |
$1,919.94 |
$1,919.94 |
$7,637.60
|
|
Partial removal of penis
|
$392.04 |
$392.04 |
$392.04 |
$4,081.37
|
|
Partial removal of pharynx 42890
|
$863.94 |
$863.94 |
$863.94 |
$6,465.11
|
|
Partial removal of radius
|
$367.40 |
$367.40 |
$367.40 |
$3,986.00
|
|
Partial removal of radius
|
$273.46 |
$273.46 |
$273.46 |
$3,472.00
|
|
Partial removal of rectum
|
$668.36 |
$668.36 |
$668.36 |
$2,414.94
|
|
Partial removal of rectum
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$2,563.75
|
|
Partial removal of rectum
|
$948.20 |
$948.20 |
$948.20 |
$3,893.60
|
|
Partial removal of rib
|
$355.52 |
$355.52 |
$355.52 |
$5,376.00
|
|
Partial removal of sternum
|
$311.08 |
$311.08 |
$311.08 |
$1,236.00
|
|
Partial removal of thyroid
|
$438.02 |
$438.02 |
$438.02 |
$5,855.00
|
|
Partial removal of thyroid
|
$581.46 |
$581.46 |
$581.46 |
$5,741.00
|
|
Partial removal of tibia
|
$514.80 |
$514.80 |
$514.80 |
$4,108.80
|
|
Partial removal of toe
|
$166.98 |
$166.98 |
$166.98 |
$3,674.58
|
|
Partial removal of tongue
|
$641.30 |
$641.30 |
$641.30 |
$6,084.97
|
|
Partial removal of tongue
|
$795.96 |
$795.96 |
$795.96 |
$3,243.20
|
|
Partial removal of ulna
|
$315.92 |
$315.92 |
$315.92 |
$3,986.00
|
|
Partial removal of ulna
|
$356.84 |
$356.84 |
$356.84 |
$3,803.90
|
|
Partial removal of ulna
|
$271.48 |
$271.48 |
$271.48 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$330.88 |
$330.88 |
$330.88 |
$3,762.53
|
|
Partial removal tear gland
|
$636.46 |
$636.46 |
$636.46 |
$5,006.40
|
|
Partial thyroid excision
|
$439.34 |
$439.34 |
$439.34 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$635.36 |
$635.36 |
$635.36 |
$6,213.84
|
|
Part removal hip bone deep
|
$597.96 |
$597.96 |
$597.96 |
$3,342.87
|
|
Part removal of metatarsal
|
$184.36 |
$184.36 |
$184.36 |
$3,821.05
|
|
Part removal of metatarsal
|
$267.08 |
$267.08 |
$267.08 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$195.80 |
$195.80 |
$195.80 |
$3,839.54
|
|
Part remove hip bone super
|
$542.08 |
$542.08 |
$542.08 |
$3,005.60
|
|
Path clin consltj high 41-60
|
$400.92 |
$400.92 |
$400.92 |
$201.80
|
|
Path clin consltj mod 21-40
|
$400.92 |
$400.92 |
$400.92 |
$202.78
|
|
Path clin consltj prolng svc
|
$128.70 |
$128.70 |
$128.70 |
$97.14
|
|
Path clin consltj sf 5-20
|
$125.58 |
$125.58 |
$125.58 |
$88.35
|
|
Pdgfra gene
|
$217.36 |
$217.36 |
$217.36 |
$717.23
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$446.60 |
$446.60 |
$446.60 |
$2,837.09
|
|
Ped crit care age 2-5 init
|
$342.98 |
$342.98 |
$342.98 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$207.90 |
$207.90 |
$207.90 |
$622.40
|
|
Ped crit care transport
|
$141.68 |
$141.68 |
$141.68 |
$434.40
|
|
Ped crit care transport addl
|
$71.06 |
$71.06 |
$71.06 |
$217.60
|
|
Ped critical care initial
|
$472.56 |
$472.56 |
$472.56 |
$1,446.40
|
|
Ped critical care subsq
|
$245.08 |
$245.08 |
$245.08 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$400.62 |
$400.62 |
$400.62 |
$2,508.24
|
|
Pelvic CT scan (with and without contrast)
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$1,510.08 |
$1,510.08 |
$1,510.08 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$902.46 |
$902.46 |
$902.46 |
$1,313.40
|
|
Pelvic exenteration
|
$1,674.64 |
$1,674.64 |
$1,674.64 |
$6,904.00
|
|
Pelvic MRI (with and without contrast)
|
$3,134.04 |
$3,134.04 |
$3,134.04 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,507.70 |
$2,507.70 |
$2,507.70 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$1,902.00
|
|
Pelvic ring fracture uni/bil
|
$660.88 |
$660.88 |
$660.88 |
$4,599.00
|
|
Pelvic ring fx treat int fix
|
$624.14 |
$624.14 |
$624.14 |
$7,413.38
|
|
Pelvic Ultrasound (complete)
|
$467.22 |
$467.22 |
$467.22 |
$645.00
|
|
Pelvic Ultrasound (limited)
|
$467.22 |
$467.22 |
$467.22 |
$435.13
|
|
Pelvis X-ray (1 to 2 views)
|
$342.42 |
$342.42 |
$342.42 |
$281.40
|
|
Pelvis X-ray (complete, 4 or more views)
|
$427.44 |
$427.44 |
$427.44 |
$349.57
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$284.73 |
$284.73 |
$284.73 |
$809.01
|
|
Penile injection
|
$45.98 |
$45.98 |
$45.98 |
$418.86
|
|
Penile vascular study
|
$36.52 |
$36.52 |
$36.52 |
$561.00
|
|
Penile vascular study
|
$12.98 |
$12.98 |
$12.98 |
$574.60
|
|
Penile venous occlusion
|
$300.52 |
$300.52 |
$300.52 |
$4,081.37
|
|
Penis plastic surgery
|
$445.94 |
$445.94 |
$445.94 |
$4,081.37
|
|
Penis study
|
$39.82 |
$39.82 |
$39.82 |
$368.50
|
|
Perc cryo ablate renal tum
|
$24,362.52 |
$24,362.52 |
$24,362.52 |
$11,533.76
|
|
Perc rf ablate renal tumor
|
$13,652.34 |
$13,652.34 |
$13,652.34 |
$7,243.60
|
|
Percut ablate liver rf
|
$13,652.34 |
$13,652.34 |
$13,652.34 |
$6,904.15
|