|
Observation/inpatient hospital care hi severity 99236
|
$277.55 |
$277.55 |
$277.55 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$170.84 |
$170.84 |
$170.84 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$215.93 |
$215.93 |
$215.93 |
$303.20
|
|
Observation per hour
|
$58.64 |
$58.64 |
$58.64 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$478.88 |
$478.88 |
$478.88 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$279.59 |
$279.59 |
$279.59 |
$249.60
|
|
Off/op cnsltj new/est low 30
|
$124.25 |
$124.25 |
$124.25 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$199.40 |
$199.40 |
$199.40 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$246.49 |
$246.49 |
$246.49 |
$352.50
|
|
Off/op consltj new/est sf 20
|
$88.68 |
$88.68 |
$88.68 |
$137.80
|
|
Onco (ovar) five proteins
|
$3,118.87 |
$3,118.87 |
$3,118.87 |
$986.70
|
|
Oncoprotein dcp
|
$108.83 |
$108.83 |
$108.83 |
$167.91
|
|
Open bx/exc inguinofem nodes
|
$798.34 |
$798.34 |
$798.34 |
$4,992.00
|
|
Oph Ultrasound dx quan a-scan only
|
$270.10 |
$270.10 |
$270.10 |
$298.98
|
|
Organic acids total quant ea spec
|
$56.66 |
$56.66 |
$56.66 |
$152.50
|
|
Oscillation chest wall mechanical per session
|
$230.72 |
$230.72 |
$230.72 |
$196.30
|
|
Osmolality blood
|
$31.42 |
$31.42 |
$31.42 |
$70.85
|
|
Osmolality urine
|
$31.42 |
$31.42 |
$31.42 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$85.95 |
$85.95 |
$85.95 |
$97.80
|
|
Parathormone (pth) intact
|
$69.56 |
$69.56 |
$69.56 |
$206.18
|
|
Parathyroid planar imaging
|
$67.52 |
$67.52 |
$67.52 |
$1,126.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$19.78 |
$19.78 |
$19.78 |
$245.67
|
|
Partial hysterectomy
|
$424.00 |
$424.00 |
$424.00 |
$2,400.00
|
|
Pdgfra gene
|
$1,146.25 |
$1,146.25 |
$1,146.25 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$2,355.37 |
$2,355.37 |
$2,355.37 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,962.81 |
$1,962.81 |
$1,962.81 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,570.25 |
$1,570.25 |
$1,570.25 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,189.88 |
$2,189.88 |
$2,189.88 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,825.21 |
$1,825.21 |
$1,825.21 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,459.92 |
$1,459.92 |
$1,459.92 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$768.69 |
$768.69 |
$768.69 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$609.55 |
$609.55 |
$609.55 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$249.87 |
$249.87 |
$249.87 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$299.46 |
$299.46 |
$299.46 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$12,047.20 |
$12,047.20 |
$12,047.20 |
$18,764.94
|
|
Pericardiocentesis wwo imaging
|
$1,086.58 |
$1,086.58 |
$1,086.58 |
$2,375.00
|
|
Pertussis ag if
|
$20.16 |
$20.16 |
$20.16 |
$66.23
|
|
Pfc sigma fem post aug sz3 8mm
|
$74,681.20 |
$74,681.20 |
$74,681.20 |
$39,920.50
|
|
Ph body fluid
|
$58.34 |
$58.34 |
$58.34 |
$42.00
|
|
Phencyclidine (pcp)
|
$37.59 |
$37.59 |
$37.59 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$33.10 |
$33.10 |
$33.10 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$29.73 |
$29.73 |
$29.73 |
$111.27
|
|
Phlebotomy therapeutic
|
$83.58 |
$83.58 |
$83.58 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$502.56 |
$502.56 |
$502.56 |
$4,810.00
|
|
Phosphorus
|
$26.37 |
$26.37 |
$26.37 |
$49.20
|
|
Phosphorus 24 hour urine
|
$41.51 |
$41.51 |
$41.51 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$281.88 |
$281.88 |
$281.88 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$172.84 |
$172.84 |
$172.84 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$227.94 |
$227.94 |
$227.94 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$172.84 |
$172.84 |
$172.84 |
$154.80
|
|
Physician standby services
|
$74.42 |
$74.42 |
$74.42 |
$145.60
|
|
Pik3ca gene trgt seq alys
|
$956.18 |
$956.18 |
$956.18 |
$463.20
|
|
Pinworm exam
|
$7.28 |
$7.28 |
$7.28 |
$39.62
|
|
Place gastrostomy tube open 43832
|
$1,847.91 |
$1,847.91 |
$1,847.91 |
$1,987.20
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$493.38 |
$493.38 |
$493.38 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$293.91 |
$293.91 |
$293.91 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$598.93 |
$598.93 |
$598.93 |
$1,332.43
|
|
Placement of seton
|
$290.14 |
$290.14 |
$290.14 |
$4,160.00
|
|
Plasma cryoprecipitate reduced each unit
|
$215.25 |
$215.25 |
$215.25 |
$163.04
|
|
Platelet aggregation each agent teg
|
$41.10 |
$41.10 |
$41.10 |
$148.98
|
|
Platelet automated
|
$7.67 |
$7.67 |
$7.67 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$356.00 |
$356.00 |
$356.00 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$454.86 |
$454.86 |
$454.86 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$913.12 |
$913.12 |
$913.12 |
$1,005.65
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$179.78 |
$179.78 |
$179.78 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$269.58 |
$269.58 |
$269.58 |
$408.05
|
|
Pm device progr eval dual
|
$47.10 |
$47.10 |
$47.10 |
$149.15
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$44.32 |
$44.32 |
$44.32 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$5,243.84 |
$5,243.84 |
$5,243.84 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$2,118.36 |
$2,118.36 |
$2,118.36 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,450.78 |
$4,450.78 |
$4,450.78 |
$3,790.61
|
|
Potassium 24 hour urine
|
$39.27 |
$39.27 |
$39.27 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$3.30 |
$3.30 |
$3.30 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$46.00 |
$46.00 |
$46.00 |
$47.85
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$813.89 |
$813.89 |
$813.89 |
$3,738.90
|
|
Pr application of long arm splint
|
$108.30 |
$108.30 |
$108.30 |
$332.75
|
|
Pr application splint static short arm
|
$110.02 |
$110.02 |
$110.02 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$59.82 |
$59.82 |
$59.82 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$15.07 |
$15.07 |
$15.07 |
$48.00
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$93.19 |
$93.19 |
$93.19 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$136.77 |
$136.77 |
$136.77 |
$182.65
|
|
Prealbumin
|
$30.29 |
$30.29 |
$30.29 |
$94.00
|
|
Pr ecg 12 lead report only
|
$14.85 |
$14.85 |
$14.85 |
$21.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$246.80 |
$246.80 |
$246.80 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$894.25 |
$894.25 |
$894.25 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$750.44 |
$750.44 |
$750.44 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$509.54 |
$509.54 |
$509.54 |
$459.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$193.45 |
$193.45 |
$193.45 |
$161.40
|
|
Pretreat rbc absorption reference
|
$146.81 |
$146.81 |
$146.81 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$277.09 |
$277.09 |
$277.09 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$91.35 |
$91.35 |
$91.35 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$222.28 |
$222.28 |
$222.28 |
$168.50
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$198.29 |
$198.29 |
$198.29 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$123.87 |
$123.87 |
$123.87 |
$779.35
|
|
Pr hospital ip/obs care initial high level per day
|
$258.52 |
$258.52 |
$258.52 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$175.85 |
$175.85 |
$175.85 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$130.26 |
$130.26 |
$130.26 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$133.27 |
$133.27 |
$133.27 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$92.68 |
$92.68 |
$92.68 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$50.60 |
$50.60 |
$50.60 |
$74.75
|