|
Partial removal of rectum
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
|
|
Partial removal of rectum
|
$948.20 |
$948.20 |
$948.20 |
|
|
Partial removal of rib
|
$355.52 |
$8,453.60 |
$8,453.60 |
|
|
Partial removal of sternum
|
$311.08 |
$3,342.87 |
$3,342.87 |
|
|
Partial removal of thyroid
|
$438.02 |
$6,904.15 |
$6,904.15 |
|
|
Partial removal of thyroid
|
$581.46 |
$6,904.15 |
$6,904.15 |
|
|
Partial removal of tibia
|
$514.80 |
$3,839.54 |
$3,839.54 |
|
|
Partial removal of toe
|
$166.98 |
$3,839.54 |
$3,839.54 |
|
|
Partial removal of tongue
|
$641.30 |
$7,000.36 |
$7,000.36 |
|
|
Partial removal of tongue
|
$795.96 |
$795.96 |
$795.96 |
|
|
Partial removal of ulna
|
$315.92 |
$3,839.54 |
$3,839.54 |
|
|
Partial removal of ulna
|
$356.84 |
$3,839.54 |
$3,839.54 |
|
|
Partial removal of ulna
|
$271.48 |
$3,839.54 |
$3,839.54 |
|
|
Partial removal of vaginal wall 57106
|
$330.88 |
$3,762.53 |
$3,762.53 |
|
|
Partial removal tear gland
|
$636.46 |
$4,462.45 |
$4,462.45 |
|
|
Partial thyroid excision
|
$439.34 |
$6,904.15 |
$13,101.61 |
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$635.36 |
$6,904.15 |
$6,904.15 |
|
|
Part removal hip bone deep
|
$597.96 |
$3,342.87 |
$3,342.87 |
|
|
Part removal of metatarsal
|
$184.36 |
$3,839.54 |
$3,839.54 |
|
|
Part removal of metatarsal
|
$267.08 |
$3,839.54 |
$3,839.54 |
|
|
Part removal of metatarsal 28112
|
$195.80 |
$3,839.54 |
$3,839.54 |
|
|
Part remove hip bone super
|
$542.08 |
$3,342.87 |
$3,342.87 |
|
|
Passy muir valve metal trach
|
$230.86 |
$230.86 |
$284.14 |
|
|
Path clin consltj high 41-60
|
$202.78 |
$202.78 |
$400.92 |
|
|
Path clin consltj mod 21-40
|
$161.00 |
$202.78 |
$447.60 |
|
|
Path clin consltj prolng svc
|
$69.00 |
$70.00 |
$128.70 |
|
|
Path clin consltj sf 5-20
|
$63.23 |
$63.23 |
$198.60 |
|
|
Pathogen reduced plasma pool
|
$66.40 |
$66.40 |
$66.40 |
|
|
Pathogen reduced plasma sing
|
$346.17 |
$346.17 |
$346.17 |
|
|
Patient recorded spirometry
|
$472.21 |
$472.21 |
$472.21 |
|
|
Patient recorded spirometry
|
$368.50 |
$368.50 |
$692.70 |
|
|
Pca3/klk3 antigen
|
$255.05 |
$255.05 |
$255.05 |
|
|
Pcv21 vaccine im
|
$252.80 |
$252.80 |
$252.80 |
|
|
Pdgfra gene
|
$217.36 |
$329.51 |
$1,589.00 |
|
|
Pdt dstr prmlg les phys/qhp
|
$235.13 |
$235.13 |
$235.13 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$446.60 |
$2,164.64 |
$2,164.64 |
|
|
Ped crit care age 2-5 init
|
$342.98 |
$342.98 |
$342.98 |
|
|
Ped crit care age 2-5 subsq
|
$207.90 |
$207.90 |
$207.90 |
|
|
Ped crit care transport
|
$141.68 |
$141.68 |
$141.68 |
|
|
Ped crit care transport addl
|
$71.06 |
$71.06 |
$71.06 |
|
|
Ped critical care initial
|
$472.56 |
$472.56 |
$472.56 |
|
|
Ped critical care subsq
|
$245.08 |
$245.08 |
$245.08 |
|
|
Ped home apnea mntr att only
|
$185.15 |
$185.15 |
$185.15 |
|
|
Ped home apnea mntr dl&alys
|
$185.15 |
$185.15 |
$185.15 |
|
|
Pedicle enel/ntroral 15576
|
$400.62 |
$2,164.64 |
$2,164.64 |
|
|
Pegaspargase injection
|
$17,876.77 |
$27,070.53 |
$27,070.53 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$31.14 |
$31.14 |
$19,338.67 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$96.55 |
$96.55 |
$11,659.55 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$143.38 |
$143.38 |
$9,668.75 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$305.66 |
$305.66 |
$645.60 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$135.53 |
$135.53 |
$9,242.22 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$186.19 |
$186.19 |
$186.19 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$3,482.15 |
$3,482.15 |
$102,615.80 |
|
|
Pegunigalsidase alfa-iwxj
|
$223.55 |
$223.55 |
$223.55 |
|
|
Pelvic control pelvic sling
|
$955.25 |
$955.25 |
$1,175.69 |
|
|
Pelvic CT scan (with and without contrast)
|
$210.66 |
$210.66 |
$4,601.00 |
|
|
Pelvic CT scan (with contrast)
|
$210.66 |
$669.60 |
$4,186.00 |
|
|
Pelvic CT scan (without contrast)
|
$125.84 |
$489.02 |
$3,337.00 |
|
|
Pelvic exenteration
|
$1,674.64 |
$1,674.64 |
$1,674.64 |
|
|
Pelvic MRI (with and without contrast)
|
$422.61 |
$978.60 |
$7,388.00 |
|
|
Pelvic MRI (with contrast)
|
$422.61 |
$422.61 |
$7,597.00 |
|
|
Pelvic MRI (without contrast)
|
$286.04 |
$684.60 |
$6,747.00 |
|
|
Pelvic ring fracture uni/bil
|
$660.88 |
$8,453.60 |
$12,765.81 |
|
|
Pelvic ring fx treat int fix
|
$624.14 |
$7,413.38 |
$7,413.38 |
|
|
Pelvic Ultrasound (complete)
|
$125.84 |
$181.80 |
$1,408.00 |
|
|
Pelvic Ultrasound (limited)
|
$122.40 |
$125.84 |
$1,095.00 |
|
|
Pelvis X-ray (1 to 2 views)
|
$117.00 |
$125.84 |
$604.00 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$125.84 |
$159.60 |
$774.00 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$23.03 |
$58.22 |
$5,059.32 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4.18 |
$4.18 |
$199.20 |
|
|
Pemivibart infusion
|
$533.10 |
$533.10 |
$533.10 |
|
|
Peng benzathine/procaine inj
|
$19.52 |
$19.52 |
$397.76 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$24.37 |
$24.37 |
$576.19 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$15.07 |
$15.07 |
$19.20 |
|
|
Penicillin g procaine inj
|
$40.94 |
$40.94 |
$127.02 |
|
|
Penile injection
|
$45.98 |
$287.81 |
$524.00 |
|
|
Penile vascular study
|
$36.52 |
$125.84 |
$1,190.00 |
|
|
Penile vascular study
|
$12.98 |
$125.84 |
$125.84 |
|
|
Penile venous occlusion
|
$300.52 |
$4,081.37 |
$4,081.37 |
|
|
Penis plastic surgery
|
$445.94 |
$4,081.37 |
$4,081.37 |
|
|
Penis study
|
$39.82 |
$368.50 |
$368.50 |
|
|
Pentamidine non-comp unit
|
$267.20 |
$299.25 |
$299.25 |
|
|
Pentobarbital sodium inj
|
$67.03 |
$67.03 |
$67.03 |
|
|
Pentostatin 10 mg intravenous solution
|
$2,541.77 |
$2,541.77 |
$8,676.36 |
|
|
Perc cryo ablate renal tum
|
$6,278.00 |
$12,320.22 |
$24,362.52 |
|
|
Perc d-e cor revasc chro add
|
$10,530.12 |
$10,530.12 |
$12,960.14 |
|
|
Perc d-e cor revasc chro sin
|
$21,249.26 |
$21,249.26 |
$27,734.70 |
|
|
Perc d-e cor revasc t cabg b
|
$10,033.73 |
$10,033.73 |
$10,033.73 |
|
|
Perc d-e cor revasc t cabg s
|
$13,419.98 |
$13,419.98 |
$21,741.66 |
|
|
Perc d-e cor stent ather br
|
$10,033.73 |
$10,033.73 |
$10,033.73 |
|
|
Perc d-e cor stent ather s
|
$21,249.26 |
$21,249.26 |
$25,833.90 |
|
|
Perc drug-el cor stent bran
|
$10,033.73 |
$10,033.73 |
$17,600.45 |
|
|
Perc drug-el cor stent sing
|
$11,263.20 |
$13,419.98 |
$30,660.09 |
|
|
Perc rf ablate renal tumor
|
$6,904.15 |
$6,904.15 |
$14,223.16 |
|
|
Percut ablate liver rf
|
$6,904.15 |
$6,904.15 |
$14,223.16 |
|
|
Percutaneous islet celltrans
|
$351.56 |
$351.56 |
$351.56 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$86.61 |
$198.45 |
$442.20 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,377.96 |
$3,377.96 |
$4,543.50 |
|
|
Pericardiectomy/sub or com/w bypas 33031
|
$1,502.38 |
$1,502.38 |
$1,502.38 |
|
|
Pericardiocentesis wwo imaging
|
$703.20 |
$1,838.28 |
$4,157.49 |
|