|
Pr evaluation psychiatric diagnostic w/medical services
|
$2,178.40 |
$2,178.40 |
$2,178.40 |
$297.00
|
|
Preventive counseling group
|
$27.60 |
$27.60 |
$27.60 |
$35.20
|
|
Preventive counseling group
|
$48.30 |
$48.30 |
$48.30 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$18.15 |
$18.15 |
$18.15 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$27.60 |
$27.60 |
$27.60 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$43.05 |
$43.05 |
$43.05 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$48.30 |
$48.30 |
$48.30 |
$223.68
|
|
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
|
$67.50 |
$67.50 |
$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
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$740.10 |
$740.10 |
$740.10 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$208.88 |
$208.88 |
$208.88 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$31.20 |
$31.20 |
$249.20 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$10.20 |
$10.20 |
$230.16 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$16.65 |
$16.65 |
$548.80 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$37.35 |
$37.35 |
$548.80 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$40.65 |
$40.65 |
$364.00 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$2,372.85 |
$2,372.85 |
$5,314.40 |
$4,601.35
|
|
Pr hospital ip/obs care initial high level per day
|
$56.40 |
$56.40 |
$56.40 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$42.45 |
$42.45 |
$42.45 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$26.70 |
$26.70 |
$26.70 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$38.70 |
$38.70 |
$38.70 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$25.65 |
$25.65 |
$25.65 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$16.05 |
$16.05 |
$16.05 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$6,581.70 |
$6,581.70 |
$11,933.60 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$328.50 |
$328.50 |
$9,066.40 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$842.25 |
$842.25 |
$1,108.80 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$308.70 |
$308.70 |
$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
|
$99.45 |
$99.45 |
$2,223.20 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$62.55 |
$62.55 |
$319.20 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$65.70 |
$65.70 |
$319.20 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$169.80 |
$169.80 |
$291.20 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$363.15 |
$363.15 |
$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
|
$70.35 |
$70.35 |
$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
|
$10.54 |
$10.54 |
$23.93 |
$36.72
|
|
Proctectomy complete abd w/clst 45110
|
$1,001.70 |
$1,001.70 |
$1,001.70 |
$3,515.40
|
|
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
|
|
Proctosigmoidoscopy w/bx 45305
|
$4,704.00 |
$4,704.00 |
$4,704.00 |
$1,395.28
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$7,728.00 |
$7,728.00 |
$7,728.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$11,552.80 |
$11,552.80 |
$11,552.80 |
$6,588.93
|
|
Progesterone
|
$81.90 |
$81.90 |
$206.08 |
$115.64
|
|
Prolactin
|
$69.45 |
$69.45 |
$133.28 |
$123.50
|
|
Prolng clin staff svc 1st hr
|
$48.72 |
$48.72 |
$48.72 |
$36.80
|
|
Prolng clin staff svc ea add
|
$24.08 |
$24.08 |
$24.08 |
$17.60
|
|
Prolng ip/obs e/m ea 15 min
|
$15.90 |
$15.90 |
$15.90 |
$63.00
|
|
Prolng off/op e/m ea 15 min 99417
|
$16.50 |
$16.50 |
$16.50 |
$61.10
|
|
Prolonged IV inf, req pump
|
$1,282.40 |
$1,282.40 |
$1,282.40 |
$557.50
|
|
Prolong home eval add 15m
|
$63.28 |
$63.28 |
$63.28 |
$63.28
|
|
Prolong service without contact
|
$125.40 |
$125.40 |
$165.20 |
$165.20
|
|
Prolong serv without contact add
|
$37.65 |
$37.65 |
$81.20 |
$81.20
|
|
Promethazine 25 mg tablet
|
$6.72 |
$6.72 |
$6.72 |
$4.06
|
|
Promethazine hcl injection
|
$7.20 |
$7.20 |
$7.56 |
$12.96
|
|
Proph rta dtchmnt crtx dthrm
|
$1,327.20 |
$1,327.20 |
$1,327.20 |
$878.80
|
|
Proph rta dtchmnt pc
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$948.50
|
|
Proph tx w/wo mthylmthcrylt
|
$24,768.80 |
$24,768.80 |
$24,768.80 |
$14,061.89
|
|
Prophylactic tx radius
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$8,412.89
|
|
Prophylactic tx radius&ulna
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,627.00
|
|
Prophylactic tx ulna
|
$14,162.40 |
$14,162.40 |
$14,162.40 |
$14,162.40
|
|
Propofol infusion 10 mg/ml
|
$46.41 |
$46.41 |
$71.34 |
$73.36
|
|
_propoxygc/msur
|
$27.90 |
$27.90 |
$80.08 |
$96.85
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$21.08 |
$21.08 |
$21.08 |
$32.93
|
|
Pros sheath/sock w gel cushn
|
$84.00 |
$84.00 |
$84.00 |
$127.82
|
|
Pros soc insert gasket/seal
|
$0.56 |
$0.56 |
$0.56 |
$0.56
|
|
Pros sock multi ply upper lm
|
$30.80 |
$30.80 |
$30.80 |
$30.80
|
|
Pros sock single ply ak
|
$14.00 |
$14.00 |
$14.00 |
$14.00
|
|
Pros sock single ply upper l
|
$16.80 |
$16.80 |
$16.80 |
$16.80
|
|
Prostate biopsy, any mthd
|
$845.60 |
$845.60 |
$845.60 |
$481.77
|
|
Prostate ca screening; dre
|
$11.20 |
$11.20 |
$11.20 |
$29.16
|
|
Prostatectomy (turp)
|
$16,822.40 |
$16,822.40 |
$16,822.40 |
$6,999.96
|
|
Prostate laser enucleation
|
$25,272.80 |
$25,272.80 |
$25,272.80 |
$6,311.00
|
|
Prostatic microwave thermotx
|
$7,459.20 |
$7,459.20 |
$7,459.20 |
$4,081.37
|
|
Prostatic rf thermotx
|
$10,416.00 |
$10,416.00 |
$10,416.00 |
$4,846.99
|
|
Prosthesis voc advantage 20f 14mm
|
$2,538.20 |
$2,538.20 |
$2,538.20 |
$1,104.11
|
|
Prosthesis voc lopres 20f 22mm
|
$670.63 |
$670.63 |
$670.63 |
$622.73
|
|
Prosthetic sock multi ply bk
|
$30.80 |
$30.80 |
$30.80 |
$52.32
|
|
Prosthetic type socket molde
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$1,501.10
|
|
Prost sock sgl ply blw knee ea
|
$11.20 |
$11.20 |
$11.20 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$81.11 |
$81.11 |
$109.48 |
$57.89
|
|
Protect body sock ea pre ots
|
$14.48 |
$14.48 |
$72.80 |
$113.63
|
|
Protector nerve neurawrap 4cm
|
$4,059.05 |
$4,059.05 |
$4,059.05 |
$3,831.38
|
|
Protein analysis w/probe
|
$230.16 |
$230.16 |
$230.16 |
$107.10
|
|
Protein c activity
|
$1.85 |
$1.85 |
$116.48 |
$119.60
|
|
Protein c concentrate
|
$6.23 |
$6.23 |
$6.23 |
$5.78
|
|
Protein electrophoretic fractionation & quantitation serum
|
$16.05 |
$16.05 |
$32.48 |
$84.00
|
