|
Pregnancy Ultrasound (complete, after first trimester)
|
$334.40 |
$334.40 |
$334.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$298.20 |
$298.20 |
$298.20 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$51.40 |
$51.40 |
$51.40 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$380.20 |
$380.20 |
$380.20 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$695.00 |
$695.00 |
$695.00 |
$1,143.04
|
|
Prepare fecal microbiota
|
$83.60 |
$83.60 |
$83.60 |
$425.60
|
|
Prep skin to 100cm2 other
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$583.00 |
$583.00 |
$583.00 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$29.40 |
$29.40 |
$29.40 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$210.00 |
$210.00 |
$210.00 |
$238.33
|
|
Pressure velocity wire add ves
|
$24.20 |
$24.20 |
$24.20 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$11.80 |
$11.80 |
$11.80 |
$152.85
|
|
Pretreat rbc absorption reference
|
$77.52 |
$77.52 |
$77.52 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$25.20 |
$25.20 |
$25.20 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$34.87 |
$34.87 |
$34.87 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$15.25 |
$15.25 |
$15.25 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$96.00 |
$96.00 |
$96.00 |
$297.00
|
|
Preventive counseling group
|
$5.00 |
$5.00 |
$5.00 |
$35.20
|
|
Preventive counseling group
|
$8.00 |
$8.00 |
$8.00 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$15.20 |
$15.20 |
$15.20 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$30.80 |
$30.80 |
$30.80 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$46.20 |
$46.20 |
$46.20 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$61.80 |
$61.80 |
$61.80 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$83.20 |
$83.20 |
$83.20 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$750.00 |
$750.00 |
$750.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,288.40 |
$1,288.40 |
$1,288.40 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$728.80 |
$728.80 |
$728.80 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$907.20 |
$907.20 |
$907.20 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$20.20 |
$20.20 |
$20.20 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$34.00 |
$34.00 |
$34.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$34.60 |
$34.60 |
$34.60 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$45.20 |
$45.20 |
$45.20 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$51.40 |
$51.40 |
$51.40 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$53.20 |
$53.20 |
$53.20 |
$205.40
|
|
Pr hospital ip/obs care initial high level per day
|
$84.60 |
$84.60 |
$84.60 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$84.20 |
$84.20 |
$84.20 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$40.00 |
$40.00 |
$40.00 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$57.60 |
$57.60 |
$57.60 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$39.40 |
$39.40 |
$39.40 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$23.80 |
$23.80 |
$23.80 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$279.00 |
$279.00 |
$279.00 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$324.40 |
$324.40 |
$324.40 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$397.00 |
$397.00 |
$397.00 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$274.20 |
$274.20 |
$274.20 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$267.40 |
$267.40 |
$267.40 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$476.60 |
$476.60 |
$476.60 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$142.20 |
$142.20 |
$142.20 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$105.00 |
$105.00 |
$105.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$165.60 |
$165.60 |
$165.60 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$429.80 |
$429.80 |
$429.80 |
$4,154.01
|
|
Probe nasolacrimal duct
|
$114.00 |
$114.00 |
$114.00 |
$533.50
|
|
Probe nasolacrimal duct
|
$95.20 |
$95.20 |
$95.20 |
$2,760.73
|
|
Procalcitonin
|
$85.80 |
$85.80 |
$85.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$12.28 |
$12.28 |
$12.28 |
$36.72
|
|
Proctectomy complete abd w/clst 45110
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$3,515.40
|
|
Proctosigmoidoscopy control bleed 45317
|
$75.20 |
$75.20 |
$75.20 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$58.20 |
$58.20 |
$58.20 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$93.00 |
$93.00 |
$93.00 |
$1,078.88
|
|
Proctosigmoidoscopy volvul
|
$69.60 |
$69.60 |
$69.60 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$50.00 |
$50.00 |
$50.00 |
$1,395.28
|
|
Progesterone
|
$77.40 |
$77.40 |
$77.40 |
$115.64
|
|
Prolactin
|
$49.40 |
$49.40 |
$49.40 |
$123.50
|
|
Prolng clin staff svc 1st hr
|
$5.40 |
$5.40 |
$5.40 |
$36.80
|
|
Prolng ip/obs e/m ea 15 min
|
$28.00 |
$28.00 |
$28.00 |
$63.00
|
|
Prolng off/op e/m ea 15 min 99417
|
$21.20 |
$21.20 |
$21.20 |
$61.10
|
|
Prolong service without contact
|
$46.20 |
$46.20 |
$46.20 |
$165.20
|
|
Prolong serv without contact add
|
$31.40 |
$31.40 |
$31.40 |
$81.20
|
|
Promethazine hcl injection
|
$8.00 |
$8.00 |
$8.00 |
$12.96
|
|
Proph rta dtchmnt pc
|
$164.20 |
$164.20 |
$164.20 |
$948.50
|
|
Propofol infusion 10 mg/ml
|
$52.19 |
$52.19 |
$52.19 |
$73.36
|
|
Prostate biopsy, any mthd
|
$933.60 |
$933.60 |
$933.60 |
$481.77
|
|
Prostate ca screening; dre
|
$9.80 |
$9.80 |
$9.80 |
$29.16
|
|
Prostatectomy (turp)
|
$498.20 |
$498.20 |
$498.20 |
$6,999.96
|
|
Protein c activity
|
$2.46 |
$2.46 |
$2.46 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1.40 |
$1.40 |
$1.40 |
$84.00
|
|
Protein s total
|
$2.06 |
$2.06 |
$2.06 |
$83.52
|
|
Protein total 24 hour urine
|
$16.60 |
$16.60 |
$16.60 |
$52.50
|
|
Protein total body fluid
|
$21.60 |
$21.60 |
$21.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$13.80 |
$13.80 |
$13.80 |
$42.81
|
|
Prothrombin complex kcentra
|
$2.71 |
$2.71 |
$2.71 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$3.20 |
$3.20 |
$3.20 |
$41.50
|
|
Prpertl pel pack hemrrg trma 49013
|
$296.40 |
$296.40 |
$296.40 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$399.40 |
$399.40 |
$399.40 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$40.80 |
$40.80 |
$40.80 |
$121.00
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$15.80 |
$15.80 |
$15.80 |
$52.00
|
|
Prq card revasc mi 1 vsl
|
$302.40 |
$302.40 |
$302.40 |
$15,190.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$269.00 |
$269.00 |
$269.00 |
$13,398.65
|
|
Prq skel fix epcndylr hum fx
|
$511.80 |
$511.80 |
$511.80 |
$3,526.40
|
|
Prq skel fix sprcndlr hum fx
|
$556.40 |
$556.40 |
$556.40 |
$6,990.61
|
|
Prq skel fix tarsl fx w/mnpj
|
$271.20 |
$271.20 |
$271.20 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$269.20 |
$269.20 |
$269.20 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$302.00 |
$302.00 |
$302.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$242.20 |
$242.20 |
$242.20 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$288.40 |
$288.40 |
$288.40 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$302.20 |
$302.20 |
$302.20 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$76.80 |
$76.80 |
$76.80 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$85.60 |
$85.60 |
$85.60 |
$251.43
|
|
Pr removal intrauterine device
|
$79.80 |
$79.80 |
$79.80 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$217.00 |
$217.00 |
$217.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$79.00 |
$79.00 |
$79.00 |
$380.40
|
