|
Prev med cnsl indiv apprx 60
|
$92.70 |
$92.70 |
$92.70 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$124.80 |
$124.80 |
$124.80 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$510.00 |
$510.00 |
$510.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$239.10 |
$239.10 |
$239.10 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$263.70 |
$263.70 |
$263.70 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$30.30 |
$30.30 |
$30.30 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$51.00 |
$51.00 |
$51.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$45.30 |
$45.30 |
$45.30 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$60.30 |
$60.30 |
$60.30 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$73.80 |
$73.80 |
$73.80 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$79.80 |
$79.80 |
$79.80 |
$205.40
|
|
Pr hospital ip/obs care initial high level per day
|
$211.50 |
$211.50 |
$211.50 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$126.30 |
$126.30 |
$126.30 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$100.50 |
$100.50 |
$100.50 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$145.20 |
$145.20 |
$145.20 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$96.60 |
$96.60 |
$96.60 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$60.00 |
$60.00 |
$60.00 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$418.50 |
$418.50 |
$418.50 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$486.60 |
$486.60 |
$486.60 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$342.30 |
$342.30 |
$342.30 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$207.30 |
$207.30 |
$207.30 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$342.00 |
$342.00 |
$342.00 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$250.50 |
$250.50 |
$250.50 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$213.30 |
$213.30 |
$213.30 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$157.50 |
$157.50 |
$157.50 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$190.50 |
$190.50 |
$190.50 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$644.70 |
$644.70 |
$644.70 |
$4,154.01
|
|
Probe nasolacrimal duct
|
$171.00 |
$171.00 |
$171.00 |
$533.50
|
|
Probe nasolacrimal duct
|
$142.80 |
$142.80 |
$142.80 |
$2,760.73
|
|
Procalcitonin
|
$125.70 |
$125.70 |
$125.70 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$19.31 |
$19.31 |
$19.31 |
$36.72
|
|
Proctectomy complete abd w/clst 45110
|
$1,831.50 |
$1,831.50 |
$1,831.50 |
$3,515.40
|
|
Proctosigmoidoscopy control bleed 45317
|
$112.80 |
$112.80 |
$112.80 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$87.30 |
$87.30 |
$87.30 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$139.50 |
$139.50 |
$139.50 |
$1,078.88
|
|
Proctosigmoidoscopy volvul
|
$104.40 |
$104.40 |
$104.40 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$234.00 |
$234.00 |
$234.00 |
$1,395.28
|
|
Progesterone
|
$138.00 |
$138.00 |
$138.00 |
$115.64
|
|
Prolactin
|
$128.10 |
$128.10 |
$128.10 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$42.00 |
$42.00 |
$42.00 |
$63.00
|
|
Prolng off/op e/m ea 15 min 99417
|
$39.30 |
$39.30 |
$39.30 |
$61.10
|
|
Prolong service without contact
|
$69.30 |
$69.30 |
$69.30 |
$165.20
|
|
Prolong serv without contact add
|
$47.10 |
$47.10 |
$47.10 |
$81.20
|
|
Promethazine hcl injection
|
$15.00 |
$15.00 |
$15.00 |
$12.96
|
|
Proph rta dtchmnt pc
|
$228.00 |
$228.00 |
$228.00 |
$948.50
|
|
Propofol infusion 10 mg/ml
|
$67.79 |
$67.79 |
$67.79 |
$73.36
|
|
Prostate ca screening; dre
|
$15.00 |
$15.00 |
$15.00 |
$29.16
|
|
Prostatectomy (turp)
|
$747.30 |
$747.30 |
$747.30 |
$6,999.96
|
|
Protein c activity
|
$3.69 |
$3.69 |
$3.69 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$2.10 |
$2.10 |
$2.10 |
$84.00
|
|
Protein s total
|
$67.83 |
$67.83 |
$67.83 |
$83.52
|
|
Protein total 24 hour urine
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Protein total body fluid
|
$69.90 |
$69.90 |
$69.90 |
$49.80
|
|
Protein total serum plasma whole blood
|
$69.30 |
$69.30 |
$69.30 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$4.80 |
$4.80 |
$4.80 |
$41.50
|
|
Prpertl pel pack hemrrg trma 49013
|
$444.60 |
$444.60 |
$444.60 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$599.10 |
$599.10 |
$599.10 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$84.00 |
$84.00 |
$84.00 |
$121.00
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$23.70 |
$23.70 |
$23.70 |
$52.00
|
|
Prq card revasc mi 1 vsl
|
$453.60 |
$453.60 |
$453.60 |
$15,190.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$403.50 |
$403.50 |
$403.50 |
$13,398.65
|
|
Prq skel fix epcndylr hum fx
|
$767.70 |
$767.70 |
$767.70 |
$3,526.40
|
|
Prq skel fix sprcndlr hum fx
|
$834.60 |
$834.60 |
$834.60 |
$6,990.61
|
|
Prq skel fix tarsl fx w/mnpj
|
$406.80 |
$406.80 |
$406.80 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$403.80 |
$403.80 |
$403.80 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$453.00 |
$453.00 |
$453.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$363.30 |
$363.30 |
$363.30 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$432.60 |
$432.60 |
$432.60 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$453.30 |
$453.30 |
$453.30 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$115.20 |
$115.20 |
$115.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$128.40 |
$128.40 |
$128.40 |
$251.43
|
|
Pr removal intrauterine device
|
$114.60 |
$114.60 |
$114.60 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$435.60 |
$435.60 |
$435.60 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$118.50 |
$118.50 |
$118.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$122.70 |
$122.70 |
$122.70 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$100.80 |
$100.80 |
$100.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$159.90 |
$159.90 |
$159.90 |
$396.00
|
|
Pr robotic surgical system
|
$44.70 |
$44.70 |
$44.70 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$743.40 |
$743.40 |
$743.40 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$42.60 |
$42.60 |
$42.60 |
$71.40
|
|
Prtl exc bone olecrn process
|
$671.10 |
$671.10 |
$671.10 |
$3,208.80
|
|
Prtl excision bone clavicle
|
$730.80 |
$730.80 |
$730.80 |
$6,311.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,457.40 |
$1,457.40 |
$1,457.40 |
$1,720.93
|
|
Pr visit complexity e&m service serious/complex condition
|
$11.70 |
$11.70 |
$11.70 |
$27.30
|
|
PSA (Prostate) Test
|
$114.60 |
$114.60 |
$114.60 |
$107.50
|
|
Psychotherapy group therapy
|
$21.60 |
$21.60 |
$21.60 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$60.60 |
$60.60 |
$60.60 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$80.10 |
$80.10 |
$80.10 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$118.50 |
$118.50 |
$118.50 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$89.70 |
$89.70 |
$89.70 |
$316.50
|
|
Psy evaluation of records
|
$41.70 |
$41.70 |
$41.70 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$32.10 |
$32.10 |
$32.10 |
$203.20
|
|
Psytx complex interactive
|
$10.80 |
$10.80 |
$10.80 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$55.80 |
$55.80 |
$55.80 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$70.80 |
$70.80 |
$70.80 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$93.90 |
$93.90 |
$93.90 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$93.60 |
$93.60 |
$93.60 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$23.40 |
$23.40 |
$23.40 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$32.40 |
$32.40 |
$32.40 |
$102.05
|
