|
Partial removal of rib
|
$6,743.11 |
$6,743.11 |
$6,743.11 |
$5,376.00
|
|
Partial removal of thyroid
|
$7,774.24 |
$7,774.24 |
$7,774.24 |
$5,855.00
|
|
Partial removal of thyroid
|
$10,483.20 |
$10,483.20 |
$10,483.20 |
$5,741.00
|
|
Partial removal of tibia
|
$4,599.50 |
$4,599.50 |
$4,599.50 |
$4,108.80
|
|
Partial removal of toe
|
$3,402.43 |
$3,402.43 |
$3,402.43 |
$3,674.58
|
|
Partial removal of tongue
|
$5,978.70 |
$5,978.70 |
$5,978.70 |
$6,084.97
|
|
Partial removal of ulna
|
$5,831.70 |
$5,831.70 |
$5,831.70 |
$3,986.00
|
|
Partial removal of ulna
|
$3,803.90 |
$3,803.90 |
$3,803.90 |
$3,803.90
|
|
Partial removal of ulna
|
$3,842.97 |
$3,842.97 |
$3,842.97 |
$3,839.54
|
|
Partial removal of vaginal wall 57106
|
$3,905.53 |
$3,905.53 |
$3,905.53 |
$3,762.53
|
|
Partial thyroid excision
|
$6,049.87 |
$6,049.87 |
$6,049.87 |
$6,463.42
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$9,285.92 |
$9,285.92 |
$9,285.92 |
$6,213.84
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$10.10 |
$10.10 |
$10.10 |
$4,921.76
|
|
Part removal of metatarsal
|
$3,579.58 |
$3,579.58 |
$3,579.58 |
$3,821.05
|
|
Part removal of metatarsal
|
$4,278.32 |
$4,278.32 |
$4,278.32 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$3,650.84 |
$3,650.84 |
$3,650.84 |
$3,839.54
|
|
Passy muir valve metal trach
|
$339.37 |
$339.37 |
$339.37 |
$275.75
|
|
Path clin consltj high 41-60
|
$186.77 |
$186.77 |
$186.77 |
$202.78
|
|
Path clin consltj mod 21-40
|
$211.79 |
$211.79 |
$211.79 |
$202.78
|
|
Path clin consltj prolng svc
|
$118.57 |
$118.57 |
$118.57 |
$97.14
|
|
Path clin consltj sf 5-20
|
$70.57 |
$70.57 |
$70.57 |
$97.14
|
|
Pca3/klk3 antigen
|
$695.40 |
$695.40 |
$695.40 |
$510.40
|
|
Pdgfra gene
|
$1,302.83 |
$1,302.83 |
$1,302.83 |
$717.23
|
|
Pdt dstr prmlg les phys/qhp
|
$294.77 |
$294.77 |
$294.77 |
$294.77
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$3,243.67 |
$3,243.67 |
$3,243.67 |
$2,837.09
|
|
Pedicle enel/ntroral 15576
|
$3,589.99 |
$3,589.99 |
$3,589.99 |
$2,508.24
|
|
Pegaspargase injection
|
$33,512.48 |
$33,512.48 |
$33,512.48 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,569.18 |
$11,569.18 |
$11,569.18 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,531.80 |
$7,531.80 |
$7,531.80 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,774.30 |
$3,774.30 |
$3,774.30 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,890.36 |
$1,890.36 |
$1,890.36 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,177.28 |
$2,177.28 |
$2,177.28 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,456.33 |
$1,456.33 |
$1,456.33 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$3,382.76 |
$3,382.76 |
$3,382.76 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,989.01 |
$1,989.01 |
$1,989.01 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,456.13 |
$2,456.13 |
$2,456.13 |
$1,916.50
|
|
Pelvic ring fracture uni/bil
|
$2,623.43 |
$2,623.43 |
$2,623.43 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$647.87 |
$647.87 |
$647.87 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$483.26 |
$483.26 |
$483.26 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$319.22 |
$319.22 |
$319.22 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$348.19 |
$348.19 |
$348.19 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,437.74 |
$10,437.74 |
$10,437.74 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,307.40 |
$7,307.40 |
$7,307.40 |
$7,089.13
|
|
Pemivibart infusion
|
$520.56 |
$520.56 |
$520.56 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$826.47 |
$826.47 |
$826.47 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$182.10 |
$182.10 |
$182.10 |
$97.85
|
|
Penile injection
|
$545.38 |
$545.38 |
$545.38 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$23,449.80 |
$23,449.80 |
$23,449.80 |
$18,764.94
|
|
Penile vascular study
|
$942.47 |
$942.47 |
$942.47 |
$561.00
|
|
Penile vascular study
|
$647.15 |
$647.15 |
$647.15 |
$574.60
|
|
Penis plastic surgery
|
$5,770.68 |
$5,770.68 |
$5,770.68 |
$4,081.37
|
|
Penis study
|
$267.65 |
$267.65 |
$267.65 |
$368.50
|
|
Pentamidine 300 mg solution for injection
|
$453.61 |
$453.61 |
$453.61 |
$572.10
|
|
Pentobarbital sodium inj
|
$4,062.60 |
$4,062.60 |
$4,062.60 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$11,458.04 |
$11,458.04 |
$11,458.04 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$0.01 |
$0.01 |
$0.01 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$25,576.93 |
$25,576.93 |
$25,576.93 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$0.01 |
$0.01 |
$0.01 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$22,624.54 |
$22,624.54 |
$22,624.54 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$0.01 |
$0.01 |
$0.01 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$25,491.77 |
$25,491.77 |
$25,491.77 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$0.01 |
$0.01 |
$0.01 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$23,696.92 |
$23,696.92 |
$23,696.92 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$7,419.75 |
$7,419.75 |
$7,419.75 |
$7,243.60
|
|
Percut ablate liver rf
|
$7,214.31 |
$7,214.31 |
$7,214.31 |
$6,904.15
|
|
Percutaneous islet celltrans
|
$1,729.73 |
$1,729.73 |
$1,729.73 |
$1,729.73
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$939.94 |
$939.94 |
$939.94 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,513.20 |
$2,513.20 |
$2,513.20 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$2,649.05 |
$2,649.05 |
$2,649.05 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,432.75 |
$1,432.75 |
$1,432.75 |
$1,797.00
|
|
Peri-implt capslc brst compl
|
$3,913.07 |
$3,913.07 |
$3,913.07 |
$4,184.94
|
|
Perineoplasty rpr per nonob
|
$4,347.17 |
$4,347.17 |
$4,347.17 |
$3,720.50
|
|
Peripheral vascular rehab
|
$104.71 |
$104.71 |
$104.71 |
$132.50
|
|
Peri-proc device eval icd
|
$222.64 |
$222.64 |
$222.64 |
$192.40
|
|
Peri-proc device eval pm
|
$200.92 |
$200.92 |
$200.92 |
$155.00
|
|
Peritoneal cath sub q resv per
|
$4,497.42 |
$4,497.42 |
$4,497.42 |
$5,625.74
|
|
Peritoneogram rs&i
|
$510.85 |
$510.85 |
$510.85 |
$698.50
|
|
Perit-vens shunt pat tst
|
$661.40 |
$661.40 |
$661.40 |
$752.49
|
|
Perphenazine 4mg oral
|
$2.58 |
$2.58 |
$2.58 |
$2.58
|
|
Perq art m-thrombect &/nfs
|
$5,909.22 |
$5,909.22 |
$5,909.22 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$17,513.83 |
$17,513.83 |
$17,513.83 |
$9,286.40
|
|
Perq dev breast 1st mr guide
|
$264.37 |
$264.37 |
$264.37 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$193.51 |
$193.51 |
$193.51 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$9,232.63 |
$9,232.63 |
$9,232.63 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$7,060.20 |
$7,060.20 |
$7,060.20 |
$9,442.38
|
|
Perq p-art revsc 1 abnor bi
|
$12,403.61 |
$12,403.61 |
$12,403.61 |
$18,035.00
|
|
Perq p-art revsc 1 abnor uni
|
$20,071.40 |
$20,071.40 |
$20,071.40 |
$22,626.00
|
|
Perq p-art revsc 1 nm nt bi
|
$12,403.61 |
$12,403.61 |
$12,403.61 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$12,403.61 |
$12,403.61 |
$12,403.61 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$8,627.68 |
$8,627.68 |
$8,627.68 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$9,185.40 |
$9,185.40 |
$9,185.40 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$4,847.95 |
$4,847.95 |
$4,847.95 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$8,439.92 |
$8,439.92 |
$8,439.92 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$488.26 |
$488.26 |
$488.26 |
$625.93
|
|
Perq skel fix rad/uln dislc
|
$3,603.83 |
$3,603.83 |
$3,603.83 |
$3,839.54
|
|
Perq skel fix ulnar styld fx
|
$3,174.28 |
$3,174.28 |
$3,174.28 |
$3,839.54
|
|
Perqt bx lung/mediastinum 32405
|
$2,086.27 |
$2,086.27 |
$2,086.27 |
$1,770.60
|
|
Perq transcath closure each
|
$10,244.02 |
$10,244.02 |
$10,244.02 |
$9,204.00
|
|
Perq transcath closure pda
|
$26,690.99 |
$26,690.99 |
$26,690.99 |
$18,408.00
|
|
Perq transcath cls aortic
|
$20,488.05 |
$20,488.05 |
$20,488.05 |
$22,633.26
|
