|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$78.00 |
$78.00 |
$78.00 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$4,420.00 |
$4,420.00 |
$4,420.00 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$1,159.60 |
$1,159.60 |
$1,159.60 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$332.80 |
$332.80 |
$332.80 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$754.00 |
$754.00 |
$754.00 |
$758.52
|
|
Plerixafor injection
|
$14,930.78 |
$14,930.78 |
$14,930.78 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$553.28 |
$553.28 |
$553.28 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$4,716.40 |
$4,716.40 |
$4,716.40 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$3,114.80 |
$3,114.80 |
$3,114.80 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$4,638.40 |
$4,638.40 |
$4,638.40 |
$5,104.20
|
|
Pm device progr eval dual
|
$213.20 |
$213.20 |
$213.20 |
$148.00
|
|
Pm device progr eval multi
|
$124.80 |
$124.80 |
$124.80 |
$139.00
|
|
Pm phone r-strip device eval
|
$197.60 |
$197.60 |
$197.60 |
$139.10
|
|
#pnh-flow cytometry interp
|
$104.00 |
$104.00 |
$104.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$284.44 |
$284.44 |
$284.44 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$27,895.85 |
$27,895.85 |
$27,895.85 |
$35,781.91
|
|
Porfimer sodium injection
|
$34,931.12 |
$34,931.12 |
$34,931.12 |
$37,618.13
|
|
Positional nystagmus test
|
$139.36 |
$139.36 |
$139.36 |
$73.50
|
|
Potassium 24 hour urine
|
$67.60 |
$67.60 |
$67.60 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$59.51 |
$59.51 |
$59.51 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$73.32 |
$73.32 |
$73.32 |
$46.75
|
|
Pouch ostmy nb pouchkin ctf
|
$6.24 |
$6.24 |
$6.24 |
$1.55
|
|
Pq biliary strict dil s&i
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$847.60 |
$847.60 |
$847.60 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,896.80 |
$5,896.80 |
$5,896.80 |
$9,977.57
|
|
Pq thr inj ext pse
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$4,061.20 |
$4,061.20 |
$4,061.20 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,699.20 |
$5,699.20 |
$5,699.20 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,558.80 |
$5,558.80 |
$5,558.80 |
$4,811.54
|
|
Pralatrexate injection
|
$20,353.38 |
$20,353.38 |
$20,353.38 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$143.26 |
$143.26 |
$143.26 |
$271.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$390.00 |
$390.00 |
$390.00 |
$329.00
|
|
Pr application splint static short arm
|
$405.60 |
$405.60 |
$405.60 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$70.72 |
$70.72 |
$70.72 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$722.80 |
$722.80 |
$722.80 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$5,480.80 |
$5,480.80 |
$5,480.80 |
$10,090.50
|
|
Pr correction hammertoe
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$75.92 |
$75.92 |
$75.92 |
$46.56
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$2,022.35
|
|
Prcrd drg 6+yr without anomly
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$5,740.80 |
$5,740.80 |
$5,740.80 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$424.32 |
$424.32 |
$424.32 |
$351.60
|
|
Prealbumin
|
$135.72 |
$135.72 |
$135.72 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1,360.92 |
$1,360.92 |
$1,360.92 |
$13.87
|
|
Prednisone 1 mg tablet
|
$211.95 |
$211.95 |
$211.95 |
$3.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$2,246.75
|
|
Pregnancy associated plasma protein-a
|
$121.68 |
$121.68 |
$121.68 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$728.00 |
$728.00 |
$728.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$696.80 |
$696.80 |
$696.80 |
$539.37
|
|
Preparation for bladder xray
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$1,222.00
|
|
Preparation palate mold
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$602.63
|
|
Prepare sperm duct x-ray
|
$494.00 |
$494.00 |
$494.00 |
$504.00
|
|
Prep skin to 100cm2 other
|
$1,721.20 |
$1,721.20 |
$1,721.20 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,343.60 |
$3,343.60 |
$3,343.60 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$193.44 |
$193.44 |
$193.44 |
$238.33
|
|
Pressure velocity wire add ves
|
$2,267.20 |
$2,267.20 |
$2,267.20 |
$1,579.40
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$318.24 |
$318.24 |
$318.24 |
$297.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$292.24 |
$292.24 |
$292.24 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,761.20 |
$2,761.20 |
$2,761.20 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,445.60 |
$1,445.60 |
$1,445.60 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$130.00 |
$130.00 |
$130.00 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$171.60 |
$171.60 |
$171.60 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$145.60 |
$145.60 |
$145.60 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$197.60 |
$197.60 |
$197.60 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$254.80 |
$254.80 |
$254.80 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$260.00 |
$260.00 |
$260.00 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$4,888.00 |
$4,888.00 |
$4,888.00 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$7,935.20 |
$7,935.20 |
$7,935.20 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,456.40 |
$4,456.40 |
$4,456.40 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,003.60 |
$1,003.60 |
$1,003.60 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$468.00 |
$468.00 |
$468.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$998.40 |
$998.40 |
$998.40 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$218.92 |
$218.92 |
$218.92 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$956.80 |
$956.80 |
$956.80 |
$4,154.01
|
|
Probe cryo 1150mm endo flex ster disp
|
$4,674.80 |
$4,674.80 |
$4,674.80 |
$7,267.51
|
|
Probe nasolacrimal duct
|
$878.80 |
$878.80 |
$878.80 |
$533.50
|
|
Probe nasolacrimal duct
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$2,927.60 |
$2,927.60 |
$2,927.60 |
$3,731.70
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$976.04 |
$976.04 |
$976.04 |
$670.00
|
|
Procalcitonin
|
$157.56 |
$157.56 |
$157.56 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$22.22 |
$22.22 |
$22.22 |
$36.72
|
|
Proctosigmoidoscopy ablate
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$1,395.28
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$6,588.93
|
|
Progesterone
|
$132.08 |
$132.08 |
$132.08 |
$115.64
|
|
Prolactin
|
$107.12 |
$107.12 |
$107.12 |
$123.50
|
|
Prolonged IV inf, req pump
|
$785.20 |
$785.20 |
$785.20 |
$557.50
|
