|
Prep skin to 100cm2 other
|
$148.95 |
$148.95 |
$148.95 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$487.65 |
$487.65 |
$487.65 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$243.60 |
$243.60 |
$243.60 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$82.05 |
$82.05 |
$82.05 |
$238.33
|
|
Pressure velocity wire add ves
|
$1,507.50 |
$1,507.50 |
$1,507.50 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$33.75 |
$33.75 |
$33.75 |
$152.85
|
|
Pretreat rbc absorption reference
|
$37.80 |
$37.80 |
$37.80 |
$150.00
|
|
Pretreat rbc w enzyme reference
|
$44.40 |
$44.40 |
$44.40 |
$167.05
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$385.05 |
$385.05 |
$385.05 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$385.05 |
$385.05 |
$385.05 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$116.70 |
$116.70 |
$116.70 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$21.15 |
$21.15 |
$21.15 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$21.15 |
$21.15 |
$21.15 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$21.15 |
$21.15 |
$21.15 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$30.00 |
$30.00 |
$30.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$30.00 |
$30.00 |
$30.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$30.00 |
$30.00 |
$30.00 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$1,838.25 |
$1,838.25 |
$1,838.25 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$2,200.65 |
$2,200.65 |
$2,200.65 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,749.30 |
$1,749.30 |
$1,749.30 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$161.70 |
$161.70 |
$161.70 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$122.70 |
$122.70 |
$122.70 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$77.25 |
$77.25 |
$77.25 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$161.70 |
$161.70 |
$161.70 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$150.90 |
$150.90 |
$150.90 |
$256.27
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$593.22 |
$593.22 |
$593.22 |
$670.00
|
|
Procalcitonin
|
$131.25 |
$131.25 |
$131.25 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$93.69 |
$93.69 |
$93.69 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.87 |
$0.87 |
$0.87 |
$1.50
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,146.30 |
$1,146.30 |
$1,146.30 |
$3,245.23
|
|
Progesterone
|
$58.50 |
$58.50 |
$58.50 |
$115.64
|
|
Prolactin
|
$73.20 |
$73.20 |
$73.20 |
$123.50
|
|
Prolonged IV inf, req pump
|
$123.60 |
$123.60 |
$123.60 |
$557.50
|
|
Promethazine 25 mg tablet
|
$0.59 |
$0.59 |
$0.59 |
$4.06
|
|
Promethazine hcl injection
|
$11.47 |
$11.47 |
$11.47 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$30.38 |
$30.38 |
$30.38 |
$73.36
|
|
_propoxygc/msur
|
$48.15 |
$48.15 |
$48.15 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$6.98 |
$6.98 |
$6.98 |
$32.93
|
|
Prostate biopsy, any mthd
|
$126.90 |
$126.90 |
$126.90 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$34.06 |
$34.06 |
$34.06 |
$57.89
|
|
Protein c activity
|
$132.00 |
$132.00 |
$132.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$36.45 |
$36.45 |
$36.45 |
$84.00
|
|
Protein s total
|
$75.90 |
$75.90 |
$75.90 |
$83.52
|
|
Protein total 24 hour urine
|
$35.10 |
$35.10 |
$35.10 |
$52.50
|
|
Protein total body fluid
|
$36.45 |
$36.45 |
$36.45 |
$49.80
|
|
Protein total serum plasma whole blood
|
$30.30 |
$30.30 |
$30.30 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$30.00 |
$30.00 |
$30.00 |
$41.50
|
|
Prq av fstl crtj uxtr 1 acs
|
$7,522.50 |
$7,522.50 |
$7,522.50 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$7,522.50 |
$7,522.50 |
$7,522.50 |
$20,978.32
|
|
Prq card angio/athrect addl
|
$4,812.15 |
$4,812.15 |
$4,812.15 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$3,395.40 |
$3,395.40 |
$3,395.40 |
$5,362.20
|
|
Prq card revasc chronic addl
|
$7,651.50 |
$7,651.50 |
$7,651.50 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$9,668.25 |
$9,668.25 |
$9,668.25 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$9,613.35 |
$9,613.35 |
$9,613.35 |
$18,150.00
|
|
Prq card stent/ath/angio
|
$9,418.65 |
$9,418.65 |
$9,418.65 |
$9,418.65
|
|
Prq card stent w/angio addl
|
$4,330.20 |
$4,330.20 |
$4,330.20 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$8,738.25 |
$8,738.25 |
$8,738.25 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$8,348.55 |
$8,348.55 |
$8,348.55 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$4,525.50 |
$4,525.50 |
$4,525.50 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$9,613.35 |
$9,613.35 |
$9,613.35 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$3,589.65 |
$3,589.65 |
$3,589.65 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$5,088.15 |
$5,088.15 |
$5,088.15 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$8,114.70 |
$8,114.70 |
$8,114.70 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$69.90 |
$69.90 |
$69.90 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$28.95 |
$28.95 |
$28.95 |
$251.43
|
|
Pr removal intrauterine device
|
$73.05 |
$73.05 |
$73.05 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$98.25 |
$98.25 |
$98.25 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$36.00 |
$36.00 |
$36.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$36.00 |
$36.00 |
$36.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$49.20 |
$49.20 |
$49.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$36.00 |
$36.00 |
$36.00 |
$396.00
|
|
Prtl exchange transfuse nb
|
$133.95 |
$133.95 |
$133.95 |
$537.90
|
|
Pr tube thoracostomy w/connection to drainage open
|
$187.80 |
$187.80 |
$187.80 |
$1,720.93
|
|
PSA (Prostate) Test
|
$82.05 |
$82.05 |
$82.05 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$31.80 |
$31.80 |
$31.80 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$38.10 |
$38.10 |
$38.10 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$31.80 |
$31.80 |
$31.80 |
$81.00
|
|
Pt application of modality traction mechanical
|
$29.85 |
$29.85 |
$29.85 |
$91.00
|
|
Pten gene dup/delet variant
|
$151.80 |
$151.80 |
$151.80 |
$330.00
|
|
Pten gene full sequence
|
$303.75 |
$303.75 |
$303.75 |
$826.00
|
|
Pten gene known fam variant
|
$23.70 |
$23.70 |
$23.70 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$131.55 |
$131.55 |
$131.55 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$131.55 |
$131.55 |
$131.55 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$131.55 |
$131.55 |
$131.55 |
$254.88
|
|
Pt re-evaluation patient/family
|
$65.85 |
$65.85 |
$65.85 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$35.10 |
$35.10 |
$35.10 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$31.05 |
$31.05 |
$31.05 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$37.50 |
$37.50 |
$37.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$31.05 |
$31.05 |
$31.05 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$31.05 |
$31.05 |
$31.05 |
$87.50
|
|
Pulmonary vent imaging
|
$166.35 |
$166.35 |
$166.35 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$92.85 |
$92.85 |
$92.85 |
$344.00
|
|
Pulse ox multiple
|
$70.80 |
$70.80 |
$70.80 |
$156.40
|
|
Pulse ox single
|
$31.20 |
$31.20 |
$31.20 |
$81.70
|
|
Punc of shunt for asp or inj
|
$187.95 |
$187.95 |
$187.95 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$22.80 |
$22.80 |
$22.80 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$85.20 |
$85.20 |
$85.20 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$200.40 |
$200.40 |
$200.40 |
$1,051.80
|
|
Pvb thoracic single inj site
|
$191.40 |
$191.40 |
$191.40 |
$1,320.80
|
|
Pwr adpt pneum vad, rep veh
|
$124.95 |
$124.95 |
$124.95 |
$817.04
|