|
Place slctv cath carotd art uni
|
$4,996.98 |
$4,996.98 |
$4,996.98 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$4,996.98 |
$4,996.98 |
$4,996.98 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$6,288.30 |
$6,288.30 |
$6,288.30 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$4,996.98 |
$4,996.98 |
$4,996.98 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$4,996.98 |
$4,996.98 |
$4,996.98 |
$8,971.00
|
|
Platelet aggregation each agent teg
|
$168.13 |
$168.13 |
$168.13 |
$148.80
|
|
Platelet automated
|
$64.09 |
$64.09 |
$64.09 |
$45.60
|
|
Platelet pheresis each unit
|
$94.01 |
$94.01 |
$94.01 |
$961.70
|
|
Platelet pheresis irr ea
|
$102.85 |
$102.85 |
$102.85 |
$1,082.25
|
|
Platelets each unit
|
$16.32 |
$16.32 |
$16.32 |
$169.29
|
|
Platelets leukocytes reduced irradiated each unit
|
$118.49 |
$118.49 |
$118.49 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$103.36 |
$103.36 |
$103.36 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$122.44 |
$122.44 |
$122.44 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$309.74 |
$309.74 |
$309.74 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$1,619.08 |
$1,619.08 |
$1,619.08 |
$4,482.60
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,387.65 |
$2,387.65 |
$2,387.65 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$2,173.45 |
$2,173.45 |
$2,173.45 |
$5,589.75
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$47.94 |
$47.94 |
$47.94 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$24.14 |
$24.14 |
$24.14 |
$751.30
|
|
Plc pq device breast ea addl lesion MRI guide
|
$36.21 |
$36.21 |
$36.21 |
$1,482.50
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$58.31 |
$58.31 |
$58.31 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$245.14 |
$245.14 |
$245.14 |
$405.00
|
|
Plmt biliary drainage cath
|
$207.57 |
$207.57 |
$207.57 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$1,513.17 |
$1,513.17 |
$1,513.17 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$1,668.55 |
$1,668.55 |
$1,668.55 |
$5,104.20
|
|
Pm device progr eval dual
|
$33.83 |
$33.83 |
$33.83 |
$148.00
|
|
Pm device progr eval multi
|
$35.87 |
$35.87 |
$35.87 |
$139.00
|
|
Pmp22 gene dup/delet
|
$88.40 |
$88.40 |
$88.40 |
$1,029.75
|
|
Pm phone r-strip device eval
|
$24.99 |
$24.99 |
$24.99 |
$139.10
|
|
Pms2 gene dup/delet variants
|
$24.31 |
$24.31 |
$24.31 |
$407.20
|
|
Pms2 gene full seq analysis
|
$80.75 |
$80.75 |
$80.75 |
$1,002.60
|
|
Pms2 known familial variants
|
$56.27 |
$56.27 |
$56.27 |
$540.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$58.82 |
$58.82 |
$58.82 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$322.15 |
$322.15 |
$322.15 |
$3,494.55
|
|
Polysom any age 1-3> param
|
$244.97 |
$244.97 |
$244.97 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$971.55 |
$971.55 |
$971.55 |
$3,751.48
|
|
Post 1 srfc resinbased cmpst
|
$53.55 |
$53.55 |
$53.55 |
$142.80
|
|
Post 2 srfc resinbased cmpst
|
$70.04 |
$70.04 |
$70.04 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$106.76 |
$106.76 |
$106.76 |
$285.60
|
|
Post non-seg/spine instrumentation 22840
|
$418.71 |
$418.71 |
$418.71 |
$1,831.20
|
|
Postpartum Care Only
|
$238.00 |
$238.00 |
$238.00 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$422.28 |
$422.28 |
$422.28 |
$1,837.60
|
|
Potassium 24 hour urine
|
$71.74 |
$71.74 |
$71.74 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$75.78 |
$75.78 |
$75.78 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$59.84 |
$59.84 |
$59.84 |
$46.75
|
|
Pq biliary strict dil s&i
|
$243.27 |
$243.27 |
$243.27 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$206.04 |
$206.04 |
$206.04 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$4,317.15 |
$4,317.15 |
$4,317.15 |
$9,977.57
|
|
Pq thr inj ext pse
|
$71.06 |
$71.06 |
$71.06 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$609.28 |
$609.28 |
$609.28 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$609.28 |
$609.28 |
$609.28 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$822.46 |
$822.46 |
$822.46 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,747.20 |
$2,747.20 |
$2,747.20 |
$3,738.90
|
|
Pr application of long arm splint
|
$80.75 |
$80.75 |
$80.75 |
$329.00
|
|
Pr application splint static short arm
|
$80.75 |
$80.75 |
$80.75 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$10.71 |
$10.71 |
$10.71 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$75.31 |
$75.31 |
$75.31 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$358.36 |
$358.36 |
$358.36 |
$10,090.50
|
|
Pr correction hammertoe
|
$326.91 |
$326.91 |
$326.91 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$16.49 |
$16.49 |
$16.49 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$1,356.43 |
$1,356.43 |
$1,356.43 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$134.64 |
$134.64 |
$134.64 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$120.19 |
$120.19 |
$120.19 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$33.83 |
$33.83 |
$33.83 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$47.94 |
$47.94 |
$47.94 |
$182.65
|
|
Prealbumin
|
$169.66 |
$169.66 |
$169.66 |
$93.36
|
|
Pr ecg 12 lead report only
|
$21.42 |
$21.42 |
$21.42 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$11.22 |
$11.22 |
$11.22 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$9.00 |
$9.00 |
$9.00 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.87 |
$1.87 |
$1.87 |
$3.00
|
|
Prefab stnlss steel crown pe
|
$102.34 |
$102.34 |
$102.34 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$71.91 |
$71.91 |
$71.91 |
$845.60
|
|
Pregabalin - sendout
|
$11.69 |
$11.69 |
$11.69 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$113.90 |
$113.90 |
$113.90 |
$2,246.75
|
|
Pregnancy associated plasma protein-a
|
$2.27 |
$2.27 |
$2.27 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$265.03 |
$265.03 |
$265.03 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$315.86 |
$315.86 |
$315.86 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$43.69 |
$43.69 |
$43.69 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$323.17 |
$323.17 |
$323.17 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$590.75 |
$590.75 |
$590.75 |
$1,143.04
|
|
Prepare fecal microbiota
|
$71.06 |
$71.06 |
$71.06 |
$425.60
|
|
Prep skin to 100cm2 other
|
$233.75 |
$233.75 |
$233.75 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$150.79 |
$150.79 |
$150.79 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$24.99 |
$24.99 |
$24.99 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$206.38 |
$206.38 |
$206.38 |
$238.33
|
|
Pressure velocity wire add ves
|
$1,100.75 |
$1,100.75 |
$1,100.75 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$76.50 |
$76.50 |
$76.50 |
$152.85
|
|
Pretreat rbc absorption reference
|
$31.88 |
$31.88 |
$31.88 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$72.26 |
$72.26 |
$72.26 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$31.88 |
$31.88 |
$31.88 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$31.88 |
$31.88 |
$31.88 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$81.60 |
$81.60 |
$81.60 |
$297.00
|
|
Preventive counseling group
|
$4.25 |
$4.25 |
$4.25 |
$35.20
|
|
Preventive counseling group
|
$6.80 |
$6.80 |
$6.80 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$12.92 |
$12.92 |
$12.92 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$26.18 |
$26.18 |
$26.18 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$39.27 |
$39.27 |
$39.27 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$52.53 |
$52.53 |
$52.53 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$70.72 |
$70.72 |
$70.72 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$498.10 |
$498.10 |
$498.10 |
$1,917.33
|