|
Post 2 srfc resinbased cmpst
|
$78.28 |
$78.28 |
$78.28 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$119.32 |
$119.32 |
$119.32 |
$285.60
|
|
Post non-seg/spine instrumentation 22840
|
$467.97 |
$467.97 |
$467.97 |
$1,831.20
|
|
Postpartum Care Only
|
$170.43 |
$170.43 |
$170.43 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$471.96 |
$471.96 |
$471.96 |
$1,837.60
|
|
Potassium 24 hour urine
|
$29.07 |
$29.07 |
$29.07 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$33.88 |
$33.88 |
$33.88 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$26.03 |
$26.03 |
$26.03 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$511.29 |
$511.29 |
$511.29 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,942.25 |
$5,942.25 |
$5,942.25 |
$9,977.57
|
|
Pq thr inj ext pse
|
$447.83 |
$447.83 |
$447.83 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$129.96 |
$129.96 |
$129.96 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$479.37 |
$479.37 |
$479.37 |
$3,738.90
|
|
Pr application of long arm splint
|
$148.01 |
$148.01 |
$148.01 |
$329.00
|
|
Pr application splint static short arm
|
$76.76 |
$76.76 |
$76.76 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$3.80 |
$3.80 |
$3.80 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$154.66 |
$154.66 |
$154.66 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$400.52 |
$400.52 |
$400.52 |
$10,090.50
|
|
Pr correction hammertoe
|
$365.37 |
$365.37 |
$365.37 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$12.54 |
$12.54 |
$12.54 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$150.86 |
$150.86 |
$150.86 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$150.48 |
$150.48 |
$150.48 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$155.42 |
$155.42 |
$155.42 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$37.81 |
$37.81 |
$37.81 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$53.58 |
$53.58 |
$53.58 |
$182.65
|
|
Prealbumin
|
$48.07 |
$48.07 |
$48.07 |
$93.36
|
|
Pr ecg 12 lead report only
|
$6.08 |
$6.08 |
$6.08 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$12.54 |
$12.54 |
$12.54 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$5.34 |
$5.34 |
$5.34 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.33 |
$1.33 |
$1.33 |
$3.00
|
|
Prefab stnlss steel crown pe
|
$114.38 |
$114.38 |
$114.38 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$80.37 |
$80.37 |
$80.37 |
$845.60
|
|
Pregabalin - sendout
|
$13.06 |
$13.06 |
$13.06 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$127.30 |
$127.30 |
$127.30 |
$2,246.75
|
|
Pregnancy associated plasma protein-a
|
$2.54 |
$2.54 |
$2.54 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$265.05 |
$265.05 |
$265.05 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$258.78 |
$258.78 |
$258.78 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$58.71 |
$58.71 |
$58.71 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$361.19 |
$361.19 |
$361.19 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$660.25 |
$660.25 |
$660.25 |
$1,143.04
|
|
Prepare fecal microbiota
|
$79.42 |
$79.42 |
$79.42 |
$425.60
|
|
Prep skin to 100cm2 other
|
$261.25 |
$261.25 |
$261.25 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$557.46 |
$557.46 |
$557.46 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$338.77 |
$338.77 |
$338.77 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$150.67 |
$150.67 |
$150.67 |
$238.33
|
|
Pressure velocity wire add ves
|
$22.99 |
$22.99 |
$22.99 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$85.50 |
$85.50 |
$85.50 |
$152.85
|
|
Pretreat rbc absorption reference
|
$42.28 |
$42.28 |
$42.28 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$45.60 |
$45.60 |
$45.60 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$14.49 |
$14.49 |
$14.49 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$91.20 |
$91.20 |
$91.20 |
$297.00
|
|
Preventive counseling group
|
$4.75 |
$4.75 |
$4.75 |
$35.20
|
|
Preventive counseling group
|
$7.60 |
$7.60 |
$7.60 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$14.44 |
$14.44 |
$14.44 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$29.26 |
$29.26 |
$29.26 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$43.89 |
$43.89 |
$43.89 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$58.71 |
$58.71 |
$58.71 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$79.04 |
$79.04 |
$79.04 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$86.26 |
$86.26 |
$86.26 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$151.43 |
$151.43 |
$151.43 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$347.70 |
$347.70 |
$347.70 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$861.84 |
$861.84 |
$861.84 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$19.19 |
$19.19 |
$19.19 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$32.30 |
$32.30 |
$32.30 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$28.69 |
$28.69 |
$28.69 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$38.19 |
$38.19 |
$38.19 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$57.57 |
$57.57 |
$57.57 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$50.54 |
$50.54 |
$50.54 |
$205.40
|
|
Pr hospital ip/obs care initial high level per day
|
$80.37 |
$80.37 |
$80.37 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$60.23 |
$60.23 |
$60.23 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$38.00 |
$38.00 |
$38.00 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$54.72 |
$54.72 |
$54.72 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$36.67 |
$36.67 |
$36.67 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$22.61 |
$22.61 |
$22.61 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$10,837.60 |
$10,837.60 |
$10,837.60 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$308.18 |
$308.18 |
$308.18 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$260.87 |
$260.87 |
$260.87 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$151.81 |
$151.81 |
$151.81 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$223.44 |
$223.44 |
$223.44 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$294.69 |
$294.69 |
$294.69 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$135.09 |
$135.09 |
$135.09 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$99.75 |
$99.75 |
$99.75 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$46.36 |
$46.36 |
$46.36 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$408.31 |
$408.31 |
$408.31 |
$4,154.01
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$7,267.51
|
|
Probe nasolacrimal duct
|
$108.30 |
$108.30 |
$108.30 |
$533.50
|
|
Probe nasolacrimal duct
|
$90.44 |
$90.44 |
$90.44 |
$2,760.73
|
|
Procalcitonin
|
$57.38 |
$57.38 |
$57.38 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$11.55 |
$11.55 |
$11.55 |
$36.72
|
|
Proctectomy complete abd w/clst 45110
|
$1,159.95 |
$1,159.95 |
$1,159.95 |
$3,515.40
|
|
Proctosigmoidoscopy control bleed 45317
|
$71.44 |
$71.44 |
$71.44 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$55.29 |
$55.29 |
$55.29 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$88.35 |
$88.35 |
$88.35 |
$1,078.88
|
|
Proctosigmoidoscopy volvul
|
$66.12 |
$66.12 |
$66.12 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$47.50 |
$47.50 |
$47.50 |
$1,395.28
|
|
Progesterone
|
$68.02 |
$68.02 |
$68.02 |
$115.64
|
|
Prolactin
|
$69.92 |
$69.92 |
$69.92 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$26.60 |
$26.60 |
$26.60 |
$63.00
|