|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$17,203.20 |
$17,203.20 |
$17,203.20 |
$4,811.54
|
|
Pralatrexate injection
|
$21,919.03 |
$21,919.03 |
$21,919.03 |
$21,919.03
|
|
Pralidoxime 1 gram solution for injection
|
$154.28 |
$154.28 |
$154.28 |
$271.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$7,694.40 |
$7,694.40 |
$7,694.40 |
$3,738.90
|
|
Pr application of long arm splint
|
$548.80 |
$548.80 |
$548.80 |
$329.00
|
|
Pr application splint static short arm
|
$560.00 |
$560.00 |
$560.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$104.72 |
$104.72 |
$104.72 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$10,645.60 |
$10,645.60 |
$10,645.60 |
$10,090.50
|
|
Pr correction hammertoe
|
$5,348.00 |
$5,348.00 |
$5,348.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$73.36 |
$73.36 |
$73.36 |
$46.56
|
|
Prcrd drg 0-5yr or w/anomly
|
$666.40 |
$666.40 |
$666.40 |
$2,022.35
|
|
Prcrd drg 6+yr without anomly
|
$616.00 |
$616.00 |
$616.00 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$10,746.40 |
$10,746.40 |
$10,746.40 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$616.00 |
$616.00 |
$616.00 |
$351.60
|
|
Prealbumin
|
$114.24 |
$114.24 |
$114.24 |
$93.36
|
|
Pr ecg 12 lead report only
|
$52.64 |
$52.64 |
$52.64 |
$20.40
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1,465.60 |
$1,465.60 |
$1,465.60 |
$13.87
|
|
Prednisone 1 mg tablet
|
$228.26 |
$228.26 |
$228.26 |
$3.00
|
|
Prefab glove for term device
|
$257.60 |
$257.60 |
$257.60 |
$257.60
|
|
Prefab stnlss steel crown pe
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$845.60 |
$845.60 |
$845.60 |
$845.60
|
|
Pregabalin - sendout
|
$80.08 |
$80.08 |
$80.08 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$7,168.00 |
$7,168.00 |
$7,168.00 |
$2,246.75
|
|
Pregnancy associated plasma protein-a
|
$152.88 |
$152.88 |
$152.88 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$946.40 |
$946.40 |
$946.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$539.37
|
|
Pre-op service lvrs 10-15dos
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$1,568.00
|
|
Pre-op service lvrs 1-9 dos
|
$1,579.20 |
$1,579.20 |
$1,579.20 |
$1,579.20
|
|
Pre-op service lvrs complete
|
$4,127.20 |
$4,127.20 |
$4,127.20 |
$948.13
|
|
Prep ak ischial direct form
|
$2,898.00 |
$2,898.00 |
$2,898.00 |
$2,898.00
|
|
Prep ak ischial laminated
|
$3,603.60 |
$3,603.60 |
$3,603.60 |
$3,603.60
|
|
Prep ak ischial plast molded
|
$2,643.20 |
$2,643.20 |
$2,643.20 |
$2,643.20
|
|
Prep ak ischial thermo mold
|
$3,516.80 |
$3,516.80 |
$3,516.80 |
$3,516.80
|
|
Preparation for bladder xray
|
$1,366.40 |
$1,366.40 |
$1,366.40 |
$1,222.00
|
|
Preparation palate mold
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$602.63
|
|
Prepare embryo for transfer
|
$273.28 |
$273.28 |
$273.28 |
$273.28
|
|
Prepare fecal microbiota
|
$425.60 |
$425.60 |
$425.60 |
$425.60
|
|
Prepare penis study
|
$275.52 |
$275.52 |
$275.52 |
$275.52
|
|
Prepare sperm duct x-ray
|
$504.00 |
$504.00 |
$504.00 |
$504.00
|
|
Prep bk ptb laminated socket
|
$2,713.20 |
$2,713.20 |
$2,713.20 |
$2,713.20
|
|
Prep bk ptb open end socket
|
$2,542.40 |
$2,542.40 |
$2,542.40 |
$4,073.94
|
|
Prep bk ptb plaster molded
|
$1,979.60 |
$1,979.60 |
$1,979.60 |
$1,979.60
|
|
Prep bk ptb thermopls molded
|
$2,590.00 |
$2,590.00 |
$2,590.00 |
$3,998.60
|
|
Prep corneal endo allograft
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$1,484.00
|
|
Prepj skn cll ssp agrft 1st
|
$17,886.40 |
$17,886.40 |
$17,886.40 |
$14,138.80
|
|
Prepj tum cav iort prtl mast
|
$980.00 |
$980.00 |
$980.00 |
$780.00
|
|
Pre-plan 3d model w/ccta
|
$2,508.80 |
$2,508.80 |
$2,508.80 |
$1,203.94
|
|
Prep skin cell susp, automtd
|
$13,652.80 |
$13,652.80 |
$13,652.80 |
$9,758.35
|
|
Prep skin to 100cm2 other
|
$4,468.80 |
$4,468.80 |
$4,468.80 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$5,107.20 |
$5,107.20 |
$5,107.20 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$263.20 |
$263.20 |
$263.20 |
$238.33
|
|
Pressure treatment esophagus
|
$621.60 |
$621.60 |
$621.60 |
$1,555.50
|
|
Pressure velocity wire add ves
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$1,579.40
|
|
Pre-tibial shell molded to p
|
$630.00 |
$630.00 |
$630.00 |
$708.74
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$470.40 |
$470.40 |
$470.40 |
$152.85
|
|
Pretreat rbc absorption reference
|
$199.92 |
$199.92 |
$199.92 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$403.20 |
$403.20 |
$403.20 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$162.40 |
$162.40 |
$162.40 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$828.80 |
$828.80 |
$828.80 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$2,178.40 |
$2,178.40 |
$2,178.40 |
$297.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$392.00 |
$392.00 |
$392.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$6,316.80 |
$6,316.80 |
$6,316.80 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$208.88 |
$208.88 |
$208.88 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$249.20 |
$249.20 |
$249.20 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$230.16 |
$230.16 |
$230.16 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$548.80 |
$548.80 |
$548.80 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$548.80 |
$548.80 |
$548.80 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$364.00 |
$364.00 |
$364.00 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$5,314.40 |
$5,314.40 |
$5,314.40 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$9,066.40 |
$9,066.40 |
$9,066.40 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$996.80 |
$996.80 |
$996.80 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$319.20 |
$319.20 |
$319.20 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$319.20 |
$319.20 |
$319.20 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$291.20 |
$291.20 |
$291.20 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$7,089.60 |
$7,089.60 |
$7,089.60 |
$4,154.01
|
|
Probe cryo 1150mm endo flex ster disp
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$7,267.51
|
|
Probe nasolacrimal duct
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$533.50
|
|
Probe nasolacrimal duct
|
$6,988.80 |
$6,988.80 |
$6,988.80 |
$2,760.73
|
|
Probe nasolacrimal duct
|
$6,652.80 |
$6,652.80 |
$6,652.80 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,731.70
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,051.12 |
$1,051.12 |
$1,051.12 |
$670.00
|
|
Procalcitonin
|
$201.60 |
$201.60 |
$201.60 |
$161.11
|
|
Procarbazine 50 mg caps 100 each bottle
|
$116.48 |
$116.48 |
$116.48 |
$116.48
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$23.93 |
$23.93 |
$23.93 |
$36.72
|
|
Proctosigmoidoscopy ablate
|
$8,164.80 |
$8,164.80 |
$8,164.80 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$4,648.00 |
$4,648.00 |
$4,648.00 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$4,648.00 |
$4,648.00 |
$4,648.00 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$2,536.80 |
$2,536.80 |
$2,536.80 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$5,129.60 |
$5,129.60 |
$5,129.60 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$8,164.80 |
$8,164.80 |
$8,164.80 |
$3,245.23
|
