|
Prenatal Care Only (7+ visits)
|
$492.29 |
$492.29 |
$492.29 |
$1,143.04
|
|
Prepare fecal microbiota
|
$79.42 |
$79.42 |
$79.42 |
$425.60
|
|
Prep skin to 100cm2 other
|
$177.84 |
$177.84 |
$177.84 |
$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 density gradient separation reference
|
$13.06 |
$13.06 |
$13.06 |
$174.00
|
|
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
|
$78.66 |
$78.66 |
$78.66 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$11.78 |
$11.78 |
$11.78 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$16.91 |
$16.91 |
$16.91 |
$116.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$60.80 |
$60.80 |
$60.80 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$55.86 |
$55.86 |
$55.86 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$110.58 |
$110.58 |
$110.58 |
$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
|
$14.44 |
$14.44 |
$14.44 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$11.59 |
$11.59 |
$11.59 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$19.00 |
$19.00 |
$19.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$57.57 |
$57.57 |
$57.57 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$28.12 |
$28.12 |
$28.12 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$2,220.53 |
$2,220.53 |
$2,220.53 |
$4,601.35
|
|
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
|
$2,749.11 |
$2,749.11 |
$2,749.11 |
$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
|
$88.16 |
$88.16 |
$88.16 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$64.98 |
$64.98 |
$64.98 |
$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
|
$85.88 |
$85.88 |
$85.88 |
$533.50
|
|
Probe nasolacrimal duct
|
$90.44 |
$90.44 |
$90.44 |
$2,760.73
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$465.12 |
$465.12 |
$465.12 |
$670.00
|
|
Procalcitonin
|
$57.38 |
$57.38 |
$57.38 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$11.59 |
$11.59 |
$11.59 |
$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
|
$31.54 |
$31.54 |
$31.54 |
$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
|
|
Prolng off/op e/m ea 15 min 99417
|
$13.87 |
$13.87 |
$13.87 |
$61.10
|
|
Prolong service without contact
|
$43.89 |
$43.89 |
$43.89 |
$165.20
|
|
Prolong serv without contact add
|
$29.83 |
$29.83 |
$29.83 |
$81.20
|
|
Promethazine hcl injection
|
$8.51 |
$8.51 |
$8.51 |
$12.96
|
|
Proph rta dtchmnt pc
|
$144.40 |
$144.40 |
$144.40 |
$948.50
|
|
Propofol infusion 10 mg/ml
|
$48.77 |
$48.77 |
$48.77 |
$73.36
|
|
_propoxygc/msur
|
$35.34 |
$35.34 |
$35.34 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$17.33 |
$17.33 |
$17.33 |
$32.93
|
|
Prostate biopsy, any mthd
|
$66.25 |
$66.25 |
$66.25 |
$481.77
|
|
Prostatectomy (turp)
|
$473.29 |
$473.29 |
$473.29 |
$6,999.96
|
|
Protamine 10 mg/ml intravenous solution
|
$24.67 |
$24.67 |
$24.67 |
$57.89
|
|
Protein c activity
|
$2.34 |
$2.34 |
$2.34 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1.33 |
$1.33 |
$1.33 |
$84.00
|
|
Protein s total
|
$1.96 |
$1.96 |
$1.96 |
$83.52
|
|
Protein total 24 hour urine
|
$29.07 |
$29.07 |
$29.07 |
$52.50
|
|
Protein total body fluid
|
$37.05 |
$37.05 |
$37.05 |
$49.80
|
|
Protein total serum plasma whole blood
|
$25.46 |
$25.46 |
$25.46 |
$42.81
|
|
Prothrombin complex kcentra
|
$2.27 |
$2.27 |
$2.27 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$0.67 |
$0.67 |
$0.67 |
$41.50
|
|
Prpertl pel pack hemrrg trma 49013
|
$281.58 |
$281.58 |
$281.58 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$379.43 |
$379.43 |
$379.43 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$34.96 |
$34.96 |
$34.96 |
$121.00
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$14.44 |
$14.44 |
$14.44 |
$52.00
|
|
Prq card revasc mi 1 vsl
|
$287.28 |
$287.28 |
$287.28 |
$15,190.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$7,052.61 |
$7,052.61 |
$7,052.61 |
$13,398.65
|
|
Prq skel fix epcndylr hum fx
|
$486.21 |
$486.21 |
$486.21 |
$3,526.40
|
|
Prq skel fix sprcndlr hum fx
|
$528.58 |
$528.58 |
$528.58 |
$6,990.61
|
|
Prq skel fix tarsl fx w/mnpj
|
$257.64 |
$257.64 |
$257.64 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$7,052.61 |
$7,052.61 |
$7,052.61 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$11,199.36 |
$11,199.36 |
$11,199.36 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$11,199.36 |
$11,199.36 |
$11,199.36 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$7,052.61 |
$7,052.61 |
$7,052.61 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$4,172.59 |
$4,172.59 |
$4,172.59 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$7,052.61 |
$7,052.61 |
$7,052.61 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$7,052.61 |
$7,052.61 |
$7,052.61 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$478.80 |
$478.80 |
$478.80 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$31.16 |
$31.16 |
$31.16 |
$251.43
|
|
Pr removal intrauterine device
|
$41.99 |
$41.99 |
$41.99 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$127.49 |
$127.49 |
$127.49 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$34.96 |
$34.96 |
$34.96 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$35.91 |
$35.91 |
$35.91 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$105.26 |
$105.26 |
$105.26 |
$374.23
|