|
Protein s total
|
$62.72 |
$62.72 |
$62.72 |
$83.52
|
|
Protein total 24 hour urine
|
$33.30 |
$33.30 |
$53.20 |
$52.50
|
|
Protein total body fluid
|
$45.00 |
$45.00 |
$106.40 |
$49.80
|
|
Protein total serum plasma whole blood
|
$11.25 |
$11.25 |
$20.72 |
$42.81
|
|
Protein western blot tissue
|
$225.68 |
$225.68 |
$225.68 |
$44.80
|
|
Prothrombin complex kcentra
|
$9.61 |
$9.61 |
$9.61 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$38.25 |
$38.25 |
$52.64 |
$41.50
|
|
Proton treatment complex
|
$7,935.20 |
$7,935.20 |
$7,935.20 |
$5,474.00
|
|
Proton trmt intermediate
|
$7,935.20 |
$7,935.20 |
$7,935.20 |
$4,402.28
|
|
Proton trmt simple w/comp
|
$7,935.20 |
$7,935.20 |
$7,935.20 |
$3,826.55
|
|
Proton trmt simple without comp
|
$4,894.40 |
$4,894.40 |
$4,894.40 |
$2,804.10
|
|
Protoporphyrin rbc screen
|
$105.84 |
$105.84 |
$105.84 |
$29.40
|
|
Provide inr test mater/equip
|
$392.00 |
$392.00 |
$392.00 |
$253.47
|
|
Prpertl pel pack hemrrg trma 49013
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$328.95 |
$328.95 |
$7,246.40 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$24.75 |
$24.75 |
$24.75 |
$121.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$8,193.75 |
$8,193.75 |
$36,282.40 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$36,282.40 |
$36,282.40 |
$36,282.40 |
$20,978.32
|
|
Prq card revasc mi 1 vsl
|
$5,791.35 |
$5,791.35 |
$26,325.60 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$9,755.10 |
$9,755.10 |
$18,860.80 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$10,353.00 |
$10,353.00 |
$26,325.60 |
$13,398.65
|
|
Prq skel fix clcnl fx w/mnpj
|
$6,025.60 |
$6,025.60 |
$6,025.60 |
$6,025.60
|
|
Prq skel fix epcndylr hum fx
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,526.40
|
|
Prq skel fix sprcndlr hum fx
|
$13,361.60 |
$13,361.60 |
$13,361.60 |
$6,990.61
|
|
Prq skel fix talus fx w/mnpj
|
$9,744.00 |
$9,744.00 |
$9,744.00 |
$7,907.11
|
|
Prq skel fix tarsl fx w/mnpj
|
$9,744.00 |
$9,744.00 |
$9,744.00 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$7,727.85 |
$7,727.85 |
$13,748.00 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$11,616.45 |
$11,616.45 |
$54,537.84 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$10,588.20 |
$10,588.20 |
$26,325.60 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$34,344.80 |
$34,344.80 |
$34,344.80 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$6,729.00 |
$6,729.00 |
$11,681.60 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$7,963.80 |
$7,963.80 |
$27,350.40 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$7,963.80 |
$7,963.80 |
$26,325.60 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$39.75 |
$39.75 |
$593.60 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$330.40 |
$330.40 |
$330.40 |
$251.43
|
|
Pr removal intrauterine device
|
$1,562.40 |
$1,562.40 |
$1,562.40 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$113.25 |
$113.25 |
$1,092.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$940.80 |
$940.80 |
$940.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$940.80 |
$940.80 |
$940.80 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$795.20 |
$795.20 |
$795.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$800.80 |
$800.80 |
$800.80 |
$396.00
|
|
Pr robotic surgical system
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$7,532.00 |
$7,532.00 |
$7,532.00 |
$3,087.15
|
|
Prtl exc bone olecrn process
|
$3,208.80 |
$3,208.80 |
$3,208.80 |
$3,208.80
|
|
Prtl exc bone radial h/n
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Prtl exchange transfuse nb
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$537.90
|
|
Prtl excision bone clavicle
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$6,311.00
|
|
Prtl excision bone scapula
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$7,285.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$933.90 |
$933.90 |
$3,662.40 |
$1,720.93
|
|
Pr visit complexity e&m service serious/complex condition
|
$6.45 |
$6.45 |
$6.45 |
$27.30
|
|
PSA (Prostate) Test
|
$47.70 |
$47.70 |
$130.48 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$481.60 |
$481.60 |
$481.60 |
$51.15
|
|
Psychoanalysis
|
$537.60 |
$537.60 |
$537.60 |
$250.85
|
|
Psychophysiological therapy
|
$98.56 |
$98.56 |
$98.56 |
$106.20
|
|
Psychophysiological therapy
|
$175.28 |
$175.28 |
$175.28 |
$175.28
|
|
Psychotherapy group therapy
|
$104.70 |
$104.70 |
$532.00 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$162.90 |
$162.90 |
$442.96 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$145.65 |
$145.65 |
$582.40 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$247.80 |
$247.80 |
$403.20 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$828.80 |
$828.80 |
$828.80 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$255.36 |
$255.36 |
$255.36 |
$221.42
|
|
Psychthrp grp 45-50min mcr
|
$632.80 |
$632.80 |
$632.80 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$321.60
|
|
Psy evaluation of records
|
$78.40 |
$78.40 |
$78.40 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$369.60 |
$369.60 |
$369.60 |
$203.20
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$261.52 |
$261.52 |
$261.52 |
$153.75
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$929.60 |
$929.60 |
$929.60 |
$123.63
|
|
Psytx complex interactive
|
$47.60 |
$47.60 |
$47.60 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$174.72 |
$174.72 |
$174.72 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$212.24 |
$212.24 |
$212.24 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$236.32 |
$236.32 |
$236.32 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$93.00 |
$93.00 |
$124.88 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$38.08 |
$38.08 |
$106.65 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$54.60 |
$54.60 |
$118.16 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$37.95 |
$37.95 |
$104.72 |
$81.00
|
|
Pt application of modality traction mechanical
|
$63.45 |
$63.45 |
$100.80 |
$91.00
|
|
Pt/caregiver traing home inr
|
$16.05 |
$16.05 |
$212.24 |
$137.60
|
|
Pten gene dup/delet variant
|
$41.85 |
$41.85 |
$683.20 |
$330.00
|
|
Pten gene full sequence
|
$42.00 |
$42.00 |
$3,836.00 |
$826.00
|
|
Pten gene known fam variant
|
$5.71 |
$5.71 |
$425.60 |
$127.86
|
|
Pterygomaxillary fossa surg any appr 31040
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$6,839.00
|
|
Pt evaluation high complexity patient/family
|
$111.45 |
$111.45 |
$453.60 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$106.05 |
$106.05 |
$336.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$108.75 |
$108.75 |
$380.80 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$0.01 |
$0.01 |
$0.01 |
$57.85
|
|
Pt prgrm for implt neurostim
|
$4,015.20 |
$4,015.20 |
$4,015.20 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$107.70 |
$107.70 |
$324.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$233.52 |
$233.52 |
$233.52 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$20.16 |
$20.16 |
$20.16 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$58.20 |
$58.20 |
$190.96 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$47.70 |
$47.70 |
$127.68 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$36.90 |
$36.90 |
$168.56 |
$87.50
|
|
Pul art balloon repr percut
|
$242.40 |
$242.40 |
$16,335.20 |
$9,760.40
|
|
Pul art balloon repr percut
|
$120.45 |
$120.45 |
$7,548.80 |
$3,965.20
|
|
Pulm ds ipf mrna 190 gen alg
|
$9,150.40 |
$9,150.40 |
$9,150.40 |
$6,926.45
|
|
Pulmonary vent imaging
|
$629.70 |
$629.70 |
$1,159.20 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$187.80 |
$187.80 |
$963.20 |
$344.00
|
|
Pulse ox multiple
|
$119.55 |
$119.55 |
$154.56 |
$156.40
|
|
Pulse ox single
|
$39.15 |
$39.15 |
$168.56 |
$81.70
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$969.00
|
