|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$48.95 |
$70.00 |
$144.96 |
|
|
Otolaryngo binocular microscopy 92504
|
$84.00 |
$84.00 |
$84.00 |
|
|
Otoplasty 69300
|
$1,313.87 |
$1,313.87 |
$4,392.00 |
|
|
Ot re-evaluation patient/family
|
$85.25 |
$125.00 |
$478.39 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.22 |
$82.50 |
$148.50 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$52.44 |
$82.50 |
$148.50 |
|
|
Ovulation tests
|
$25.97 |
$25.97 |
$25.97 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$3.13 |
$5.96 |
$70.64 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.61 |
$0.89 |
$290.69 |
|
|
Oxymorphone hcl injection
|
$7.08 |
$7.08 |
$7.08 |
|
|
Oxytocin 10 unit/ml injection solution
|
$7.10 |
$32.34 |
$144.03 |
|
|
P-32 sod phosphate ther per mci
|
$225.50 |
$225.50 |
$225.50 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.59 |
$0.77 |
$977.30 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$25.63 |
$28.64 |
$37.93 |
|
|
Pad repl cerv collr univ adult
|
$2,323.70 |
$2,323.70 |
$2,323.70 |
|
|
Palb2 gene full gene seq
|
$506.15 |
$892.32 |
$2,878.37 |
|
|
Palb2 gene known famil vrnt
|
$539.01 |
$539.01 |
$539.01 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5.09 |
$22.04 |
$32.31 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,255.57 |
$1,557.60 |
$2,558.42 |
|
|
Palonosetron hcl
|
$6.66 |
$11.22 |
$580.81 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$49.51 |
$53.25 |
$144.79 |
|
|
Pancreatectomy 48153
|
$12,042.40 |
$12,042.40 |
$12,042.40 |
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$7,036.00 |
$7,036.00 |
$7,036.00 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$141.51 |
$282.32 |
$18,904.26 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.42 |
$34.52 |
$77.00 |
|
|
Papaverin hcl injection
|
$33.06 |
$96.57 |
$182.66 |
|
|
Parathormone (pth) intact
|
$97.47 |
$132.50 |
$828.85 |
|
|
Parathyrd planar w/spect&ct
|
$988.95 |
$1,510.00 |
$3,586.51 |
|
|
Parathyroid autotransplantation 60512
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
|
|
Parathyroid planar imaging
|
$550.62 |
$1,000.00 |
$2,322.99 |
|
|
Parathyroid planar img w/tomo spect
|
$674.31 |
$1,345.00 |
$2,128.48 |
|
|
Parial mast w/lymph removal 19302
|
$1,365.15 |
$1,755.03 |
$5,148.00 |
|
|
Paricalcitol
|
$32.34 |
$32.34 |
$32.34 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$100.00 |
$184.97 |
$860.25 |
|
|
Parotid duct diversion
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
|
|
Parotid duct diversion
|
$4,862.40 |
$4,862.40 |
$4,862.40 |
|
|
Parotid duct diversion
|
$2,984.80 |
$2,984.80 |
$2,984.80 |
|
|
Partial complicated cystectomy 51555
|
$5,338.40 |
$5,338.40 |
$5,338.40 |
|
|
Partial exc bone humerus
|
$4,848.00 |
$4,848.00 |
$4,848.00 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$842.46 |
$842.46 |
$4,422.40 |
|
|
Partial excision of lip
|
$355.10 |
$355.10 |
$1,805.60 |
|
|
Partial hip replacement
|
$1,927.17 |
$1,927.17 |
$8,028.00 |
|
|
Partial removal finger bone
|
$3,032.04 |
$3,032.04 |
$3,933.05 |
|
|
Partial removal foot fascia
|
$324.89 |
$3,148.75 |
$4,584.80 |
|
|
Partial removal of fibula
|
$3,264.80 |
$3,264.80 |
$3,264.80 |
|
|
Partial removal of foot bone
|
$668.61 |
$668.61 |
$4,898.40 |
|
|
Partial removal of heart sac 33030
|
$8,957.60 |
$8,957.60 |
$8,957.60 |
|
|
Partial removal of larynx
|
$5,686.40 |
$5,686.40 |
$5,686.40 |
|
|
Partial removal of larynx
|
$8,276.80 |
$8,276.80 |
$8,276.80 |
|
|
Partial removal of larynx
|
$5,465.60 |
$5,465.60 |
$5,465.60 |
|
|
Partial removal of larynx
|
$5,024.00 |
$5,024.00 |
$5,024.00 |
|
|
Partial removal of larynx
|
$5,024.00 |
$5,024.00 |
$5,024.00 |
|
|
Partial removal of larynx
|
$4,952.80 |
$4,952.80 |
$4,952.80 |
|
|
Partial removal of lip
|
$1,490.40 |
$1,490.40 |
$1,490.40 |
|
|
Partial removal of lung 32480
|
$3,401.54 |
$3,401.54 |
$8,792.80 |
|
|
Partial removal of nose
|
$3,031.20 |
$3,031.20 |
$3,031.20 |
|
|
Partial removal of pancreas
|
$12,061.60 |
$12,061.60 |
$12,061.60 |
|
|
Partial removal of penis
|
$2,972.00 |
$2,972.00 |
$2,972.00 |
|
|
Partial removal of pharynx 42890
|
$2,980.00 |
$2,980.00 |
$2,980.00 |
|
|
Partial removal of radius
|
$6,441.60 |
$6,441.60 |
$6,441.60 |
|
|
Partial removal of radius
|
$4,334.40 |
$4,334.40 |
$4,334.40 |
|
|
Partial removal of rectum
|
$4,252.00 |
$4,252.00 |
$4,252.00 |
|
|
Partial removal of rib
|
$2,005.60 |
$2,005.60 |
$2,005.60 |
|
|
Partial removal of sternum
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
|
|
Partial removal of thyroid
|
$1,412.46 |
$1,412.46 |
$5,332.80 |
|
|
Partial removal of thyroid
|
$4,168.00 |
$4,168.00 |
$4,168.00 |
|
|
Partial removal of tibia
|
$6,821.60 |
$6,821.60 |
$6,821.60 |
|
|
Partial removal of toe
|
$305.81 |
$305.81 |
$1,367.20 |
|
|
Partial removal of tongue
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
|
|
Partial removal of tongue
|
$5,091.20 |
$5,091.20 |
$5,091.20 |
|
|
Partial removal of ulna
|
$4,551.20 |
$4,551.20 |
$4,551.20 |
|
|
Partial removal of ulna
|
$6,384.00 |
$6,384.00 |
$6,384.00 |
|
|
Partial removal of ulna
|
$610.47 |
$610.47 |
$4,390.40 |
|
|
Partial thyroid excision
|
$3,435.20 |
$3,435.20 |
$3,435.20 |
|
|
Partial thyroid lobect w/contratlat stot lobec 60212
|
$4,022.40 |
$4,022.40 |
$4,022.40 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$7.50 |
$7.50 |
$2,534.00 |
|
|
Part removal hip bone deep
|
$5,727.20 |
$5,727.20 |
$5,727.20 |
|
|
Part removal of metatarsal
|
$354.57 |
$466.83 |
$2,078.40 |
|
|
Part removal of metatarsal
|
$437.78 |
$691.41 |
$4,330.40 |
|
|
Part removal of metatarsal 28112
|
$435.66 |
$435.66 |
$3,558.40 |
|
|
Part remove hip bone super
|
$1,173.63 |
$1,173.63 |
$6,279.20 |
|
|
Passy muir valve metal trach
|
$95.54 |
$200.00 |
$462.21 |
|
|
Path clin consltj high 41-60
|
$258.64 |
$258.64 |
$278.16 |
|
|
Path clin consltj mod 21-40
|
$258.64 |
$258.64 |
$278.16 |
|
|
Path clin consltj sf 5-20
|
$82.15 |
$88.35 |
$107.58 |
|
|
Patient recorded spirometry
|
$135.00 |
$135.00 |
$135.00 |
|
|
Pca3/klk3 antigen
|
$916.30 |
$1,189.32 |
$1,189.32 |
|
|
Pdgfra gene
|
$783.20 |
$960.00 |
$1,291.61 |
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$24.38 |
$24.38 |
$24.38 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$3,628.00 |
$3,628.00 |
$3,628.00 |
|
|
Ped crit care age 2-5 init
|
$1,728.81 |
$1,728.81 |
$1,728.81 |
|
|
Ped crit care age 2-5 subsq
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
|
|
Ped critical care initial
|
$1,243.20 |
$1,243.20 |
$2,132.37 |
|
|
Ped home apnea mntr dl&alys
|
$438.90 |
$438.90 |
$438.90 |
|
|
Pedicle enel/ntroral 15576
|
$839.52 |
$839.52 |
$2,908.00 |
|
|
Pegaspargase injection
|
$50,480.10 |
$50,480.10 |
$50,480.10 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$817.39 |
$879.08 |
$9,542.47 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,353.64 |
$3,353.64 |
$3,353.64 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$324.54 |
$568.17 |
$6,729.20 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$307.56 |
$579.00 |
$3,570.86 |
|
