|
Partial removal of esophagus 43122
|
$11,486.80 |
$11,486.80 |
$11,486.80 |
$6,258.40
|
|
Partial removal of eye fluid
|
$1,531.40 |
$1,531.40 |
$1,531.40 |
$2,698.92
|
|
Partial removal of eye fluid
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$2,698.92
|
|
Partial removal of fibula
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$3,821.05
|
|
Partial removal of foot bone
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$3,839.54
|
|
Partial removal of hand bone
|
$1,682.20 |
$1,682.20 |
$1,682.20 |
$3,839.54
|
|
Partial removal of heart sac 33030
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$3,809.40
|
|
Partial removal of larynx
|
$7,948.20 |
$7,948.20 |
$7,948.20 |
$2,751.71
|
|
Partial removal of larynx
|
$8,889.40 |
$8,889.40 |
$8,889.40 |
$3,036.99
|
|
Partial removal of larynx
|
$7,168.20 |
$7,168.20 |
$7,168.20 |
$2,587.57
|
|
Partial removal of larynx
|
$6,778.20 |
$6,778.20 |
$6,778.20 |
$2,462.69
|
|
Partial removal of larynx
|
$6,648.20 |
$6,648.20 |
$6,648.20 |
$2,429.34
|
|
Partial removal of larynx
|
$7,428.20 |
$7,428.20 |
$7,428.20 |
$2,654.29
|
|
Partial removal of lip
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,276.00
|
|
Partial removal of liver
|
$13,790.40 |
$13,790.40 |
$13,790.40 |
$7,545.60
|
|
Partial removal of liver
|
$14,869.40 |
$14,869.40 |
$14,869.40 |
$8,103.20
|
|
Partial removal of lung 32480
|
$6,713.20 |
$6,713.20 |
$6,713.20 |
$2,868.60
|
|
Partial removal of nose
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
$6,603.11
|
|
Partial removal of pancreas
|
$7,121.40 |
$7,121.40 |
$7,121.40 |
$4,003.20
|
|
Partial removal of pancreas
|
$13,738.40 |
$13,738.40 |
$13,738.40 |
$7,637.60
|
|
Partial removal of penis
|
$2,862.60 |
$2,862.60 |
$2,862.60 |
$4,081.37
|
|
Partial removal of pharynx 42890
|
$4,973.80 |
$4,973.80 |
$4,973.80 |
$6,465.11
|
|
Partial removal of radius
|
$1,996.80 |
$1,996.80 |
$1,996.80 |
$3,986.00
|
|
Partial removal of radius
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$3,472.00
|
|
Partial removal of rectum
|
$4,682.60 |
$4,682.60 |
$4,682.60 |
$2,414.94
|
|
Partial removal of rectum
|
$8,005.40 |
$8,005.40 |
$8,005.40 |
$2,563.75
|
|
Partial removal of rectum
|
$7,207.20 |
$7,207.20 |
$7,207.20 |
$3,893.60
|
|
Partial removal of rib
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$5,376.00
|
|
Partial removal of sternum
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,236.00
|
|
Partial removal of thyroid
|
$3,200.60 |
$3,200.60 |
$3,200.60 |
$5,855.00
|
|
Partial removal of thyroid
|
$4,230.20 |
$4,230.20 |
$4,230.20 |
$5,741.00
|
|
Partial removal of tibia
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$4,108.80
|
|
Partial removal of toe
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$3,674.58
|
|
Partial removal of tongue
|
$3,186.30 |
$3,186.30 |
$3,186.30 |
$6,084.97
|
|
Partial removal of tongue
|
$4,092.40 |
$4,092.40 |
$4,092.40 |
$3,243.20
|
|
Partial removal of ulna
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$3,986.00
|
|
Partial removal of ulna
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$3,803.90
|
|
Partial removal of ulna
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$3,762.53
|
|
Partial removal tear gland
|
$3,299.40 |
$3,299.40 |
$3,299.40 |
$5,006.40
|
|
Partial thyroid excision
|
$2,919.80 |
$2,919.80 |
$2,919.80 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$4,271.80 |
$4,271.80 |
$4,271.80 |
$6,213.84
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1.92 |
$1.92 |
$1.92 |
$4,921.76
|
|
Part removal hip bone deep
|
$3,543.80 |
$3,543.80 |
$3,543.80 |
$3,342.87
|
|
Part removal of metatarsal
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$3,821.05
|
|
Part removal of metatarsal
|
$1,588.60 |
$1,588.60 |
$1,588.60 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$1,203.80 |
$1,203.80 |
$1,203.80 |
$3,839.54
|
|
Part remove hip bone super
|
$3,005.60 |
$3,005.60 |
$3,005.60 |
$3,005.60
|
|
Passy muir valve metal trach
|
$39.98 |
$39.98 |
$490.10 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$4.36 |
$4.36 |
$4.36 |
$5.73
|
|
Path clin consltj sf 5-20
|
$122.85 |
$122.85 |
$122.85 |
$88.35
|
|
Pathogen reduced plasma sing
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$344.50
|
|
Patient recorded spirometry
|
$930.80 |
$930.80 |
$930.80 |
$338.52
|
|
Pca3/klk3 antigen
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$510.40
|
|
Pdgfra gene
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$26.00 |
$26.00 |
$26.00 |
$44.97
|
|
Pdt dstr prmlg les phys/qhp
|
$387.40 |
$387.40 |
$387.40 |
$294.77
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,837.09
|
|
Ped crit care age 2-5 init
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$1,016.80
|
|
Ped crit care age 2-5 subsq
|
$1,930.50 |
$1,930.50 |
$1,930.50 |
$622.40
|
|
Ped crit care transport
|
$1,245.40 |
$1,245.40 |
$1,245.40 |
$434.40
|
|
Ped crit care transport addl
|
$624.00 |
$624.00 |
$624.00 |
$217.60
|
|
Ped critical care initial
|
$4,570.15 |
$4,570.15 |
$4,570.15 |
$1,446.40
|
|
Ped critical care subsq
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$724.00
|
|
Pedicle enel/ntroral 15576
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,508.24
|
|
Pegaspargase injection
|
$17,150.98 |
$17,150.98 |
$17,150.98 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$25,030.16 |
$25,030.16 |
$25,030.16 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$15,307.50 |
$15,307.50 |
$15,307.50 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,282.50 |
$16,282.50 |
$16,282.50 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,141.25 |
$8,141.25 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$5,435.67 |
$71,938.60 |
$71,938.60 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$1,057.04 |
$1,057.04 |
$1,057.04 |
$2,146.13
|
|
Pelvic control hip heavy dut
|
$1,491.28 |
$1,491.28 |
$1,491.28 |
$543.52
|
|
Pelvic CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$1,147.25 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$798.20 |
$798.20 |
$1,129.70 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$477.10 |
$477.10 |
$760.50 |
$1,313.40
|
|
Pelvic exenteration
|
$12,766.00 |
$12,766.00 |
$12,766.00 |
$6,904.00
|
|
Pelvic & hip control thigh c
|
$1,546.35 |
$1,546.35 |
$1,546.35 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$2,230.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$2,096.25 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,501.50 |
$1,902.00
|
|
Pelvic ring fracture uni/bil
|
$4,498.65 |
$4,498.65 |
$4,498.65 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$477.10 |
$477.10 |
$674.70 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$477.10 |
$477.10 |
$861.25 |
$435.13
|
|
Pelvis X-ray (1 to 2 views)
|
$477.10 |
$477.10 |
$525.85 |
$281.40
|
|
Pelvis X-ray (complete, 4 or more views)
|
$477.10 |
$477.10 |
$548.60 |
$349.57
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,692.22 |
$4,692.22 |
$4,692.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$175.89 |
$2,522.83 |
$2,522.83 |
$7,089.13
|
|
Pemivibart infusion
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$533.10
|
|
Peng benzathine/procaine inj
|
$284.45 |
$284.45 |
$284.45 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$10.29 |
$548.46 |
$548.46 |
$809.01
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.97 |
$30.97 |
$42.78 |
$97.85
|
|
Penicillin g procaine inj
|
$112.32 |
$112.32 |
$112.32 |
$149.20
|
|
Penile injection
|
$727.35 |
$727.35 |
$727.35 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$8,019.25 |
$8,019.25 |
$8,019.25 |
$18,764.94
|
|
Penile vascular study
|
$397.15 |
$397.15 |
$722.15 |
$561.00
|
|
Penile vascular study
|
$511.55 |
$511.55 |
$511.55 |
$574.60
|
|
Penis plastic surgery
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$4,081.37
|
|
Pentamidine 300 mg solution for injection
|
$390.53 |
$390.53 |
$390.53 |
$572.10
|