|
Parial mast w/lymph removal 19302
|
$587.65 |
$664.30 |
$8,639.50 |
|
|
Paricalcitol
|
$5.51 |
$28.20 |
$866.40 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$29.20 |
$294.40 |
$581.35 |
|
|
Parotid duct diversion
|
$317.17 |
$317.17 |
$358.54 |
|
|
Parotid duct diversion
|
$525.32 |
$525.32 |
$593.84 |
|
|
Parotid duct diversion
|
$391.00 |
$391.00 |
$442.00 |
|
|
Part exc/post vert comp/sng/thorac 22101
|
$580.52 |
$580.52 |
$656.24 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$130.87 |
$147.94 |
$3,720.50 |
|
|
Partial complicated cystectomy 51555
|
$812.13 |
$812.13 |
$918.06 |
|
|
Partial exc bone humerus
|
$460.00 |
$460.00 |
$520.00 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$286.58 |
$4,810.50 |
$6,501.60 |
|
|
Partial excision of lip
|
$239.20 |
$239.20 |
$270.40 |
|
|
Partial hip replacement
|
$734.39 |
$734.39 |
$830.18 |
|
|
Partial hysterectomy
|
$621.92 |
$703.04 |
$1,747.20 |
|
|
Partial proctectomy
|
$1,193.24 |
$1,193.24 |
$1,348.88 |
|
|
Partial proctectomy; perineal 45123
|
$715.99 |
$715.99 |
$809.38 |
|
|
Partial removal donor liver
|
$2,309.20 |
$2,309.20 |
$2,610.40 |
|
|
Partial removal donor liver
|
$2,757.70 |
$2,757.70 |
$3,117.40 |
|
|
Partial removal donor liver
|
$3,036.46 |
$3,036.46 |
$3,432.52 |
|
|
Partial removal finger bone
|
$324.07 |
$366.34 |
$891.00 |
|
|
Partial removal finger bone
|
$290.95 |
$4,321.20 |
$6,609.60 |
|
|
Partial removal foot fascia
|
$234.60 |
$727.80 |
$6,527.40 |
|
|
Partial removal leg bone(s)
|
$583.74 |
$659.88 |
$1,602.00 |
|
|
Partial removal of bladder
|
$621.00 |
$621.00 |
$702.00 |
|
|
Partial removal of esophagus
|
$3,154.68 |
$3,154.68 |
$3,566.16 |
|
|
Partial removal of esophagus
|
$2,302.76 |
$2,302.76 |
$2,603.12 |
|
|
Partial removal of esophagus
|
$1,819.76 |
$1,819.76 |
$2,057.12 |
|
|
Partial removal of esophagus
|
$2,862.35 |
$2,862.35 |
$3,235.70 |
|
|
Partial removal of esophagus 43117
|
$2,077.36 |
$2,348.32 |
$11,446.20 |
|
|
Partial removal of esophagus 43122
|
$1,651.40 |
$1,651.40 |
$1,866.80 |
|
|
Partial removal of eye fluid
|
$302.45 |
$302.45 |
$341.90 |
|
|
Partial removal of eye fluid
|
$345.46 |
$345.46 |
$390.52 |
|
|
Partial removal of fibula
|
$428.03 |
$483.86 |
$1,402.20 |
|
|
Partial removal of foot bone
|
$283.13 |
$545.83 |
$5,397.60 |
|
|
Partial removal of hand bone
|
$329.13 |
$329.13 |
$372.06 |
|
|
Partial removal of heart sac 33030
|
$1,272.36 |
$1,272.36 |
$1,438.32 |
|
|
Partial removal of larynx
|
$1,390.12 |
$1,390.12 |
$1,571.44 |
|
|
Partial removal of larynx
|
$1,536.17 |
$1,536.17 |
$1,736.54 |
|
|
Partial removal of larynx
|
$1,302.49 |
$1,302.49 |
$1,472.38 |
|
|
Partial removal of larynx
|
$1,238.55 |
$1,238.55 |
$1,400.10 |
|
|
Partial removal of larynx
|
$1,221.30 |
$1,221.30 |
$1,380.60 |
|
|
Partial removal of larynx
|
$1,337.45 |
$1,337.45 |
$1,511.90 |
|
|
Partial removal of lip
|
$262.66 |
$262.66 |
$296.92 |
|
|
Partial removal of liver
|
$1,982.60 |
$1,982.60 |
$2,241.20 |
|
|
Partial removal of liver
|
$2,125.89 |
$2,125.89 |
$2,403.18 |
|
|
Partial removal of lung 32480
|
$943.46 |
$943.46 |
$1,066.52 |
|
|
Partial removal of nose
|
$508.07 |
$508.07 |
$574.34 |
|
|
Partial removal of pancreas
|
$1,054.78 |
$1,054.78 |
$1,192.36 |
|
|
Partial removal of pancreas
|
$2,007.21 |
$2,007.21 |
$2,269.02 |
|
|
Partial removal of penis
|
$409.86 |
$463.32 |
$976.80 |
|
|
Partial removal of pharynx 42890
|
$903.21 |
$903.21 |
$1,021.02 |
|
|
Partial removal of radius
|
$384.10 |
$384.10 |
$434.20 |
|
|
Partial removal of radius
|
$285.89 |
$285.89 |
$323.18 |
|
|
Partial removal of rectum
|
$698.74 |
$789.88 |
$1,678.20 |
|
|
Partial removal of rectum
|
$1,173.00 |
$1,173.00 |
$1,326.00 |
|
|
Partial removal of rectum
|
$991.30 |
$991.30 |
$1,120.60 |
|
|
Partial removal of rib
|
$371.68 |
$420.16 |
$1,800.60 |
|
|
Partial removal of sternum
|
$325.22 |
$325.22 |
$367.64 |
|
|
Partial removal of thyroid
|
$457.93 |
$958.20 |
$4,346.50 |
|
|
Partial removal of thyroid
|
$607.89 |
$1,260.00 |
$1,707.00 |
|
|
Partial removal of tibia
|
$538.20 |
$538.20 |
$608.40 |
|
|
Partial removal of toe
|
$174.57 |
$5,397.60 |
$9,123.46 |
|
|
Partial removal of tongue
|
$670.45 |
$757.90 |
$1,902.60 |
|
|
Partial removal of tongue
|
$832.14 |
$832.14 |
$940.68 |
|
|
Partial removal of ulna
|
$330.28 |
$330.28 |
$373.36 |
|
|
Partial removal of ulna
|
$373.06 |
$373.06 |
$421.72 |
|
|
Partial removal of ulna
|
$283.82 |
$320.84 |
$816.25 |
|
|
Partial removal of vaginal wall 57106
|
$345.92 |
$345.92 |
$391.04 |
|
|
Partial removal tear gland
|
$665.39 |
$665.39 |
$752.18 |
|
|
Partial thyroid excision
|
$459.31 |
$519.22 |
$1,241.40 |
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$664.24 |
$1,875.00 |
$2,652.60 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8.00 |
$6,781.60 |
$17,505.00 |
|
|
Part removal hip bone deep
|
$625.14 |
$625.14 |
$706.68 |
|
|
Part removal of metatarsal
|
$192.74 |
$544.80 |
$5,397.60 |
|
|
Part removal of metatarsal
|
$279.22 |
$315.64 |
$3,760.50 |
|
|
Part removal of metatarsal 28112
|
$204.70 |
$231.40 |
$969.17 |
|
|
Part remove hip bone super
|
$566.72 |
$566.72 |
$640.64 |
|
|
Passy muir valve metal trach
|
$97.60 |
$289.80 |
$1,273.20 |
|
|
Path clin consltj high 41-60
|
$481.74 |
$481.74 |
$501.27 |
|
|
Path clin consltj mod 21-40
|
$431.40 |
$447.60 |
$739.80 |
|
|
Path clin consltj prolng svc
|
$154.66 |
$154.66 |
$160.93 |
|
|
Path clin consltj sf 5-20
|
$98.40 |
$198.60 |
$697.80 |
|
|
Pathogen reduced plasma sing
|
$744.00 |
$1,298.70 |
$1,474.20 |
|
|
Pca3/klk3 antigen
|
$918.00 |
$918.00 |
$918.00 |
|
|
Pcv21 vaccine im
|
$162.00 |
$252.80 |
$414.00 |
|
|
Pdgfra gene
|
$227.24 |
$1,189.80 |
$1,680.60 |
|
|
Pdt dstr prmlg les phys/qhp
|
$230.50 |
$777.00 |
$969.00 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$466.90 |
$466.90 |
$527.80 |
|
|
Ped crit care age 2-5 init
|
$358.57 |
$358.57 |
$405.34 |
|
|
Ped crit care age 2-5 subsq
|
$217.35 |
$217.35 |
$245.70 |
|
|
Ped crit care transport
|
$148.12 |
$148.12 |
$167.44 |
|
|
Ped crit care transport addl
|
$74.29 |
$74.29 |
$83.98 |
|
|
Ped critical care initial
|
$494.04 |
$494.04 |
$558.48 |
|
|
Ped critical care subsq
|
$256.22 |
$256.22 |
$289.64 |
|
|
Pedicle enel/ntroral 15576
|
$418.83 |
$473.46 |
$3,955.80 |
|
|
Pegaspargase injection
|
$11,001.60 |
$19,415.40 |
$62,371.80 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$901.20 |
$6,417.60 |
$125,803.20 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$1,308.60 |
$3,924.60 |
$5,652.00 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$1,189.20 |
$4,174.80 |
$18,128.40 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$645.60 |
$645.60 |
$4,300.20 |
|