|
Polysom <6 yrs cpap/bilvl
|
$3,557.58 |
$3,557.58 |
$7,540.00 |
|
|
Polysom any age 1-3> param
|
$1,203.93 |
$1,203.93 |
$10,440.00 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,195.14 |
$3,343.86 |
$10,435.57 |
|
|
Postop app non-wgt bear dsg
|
$204.54 |
$571.61 |
$571.61 |
|
|
Potassium 24 hour urine
|
$22.00 |
$75.66 |
$184.12 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$34.08 |
$34.08 |
$1,024.43 |
|
|
Potassium serum/plasma/whole blood
|
$13.03 |
$75.27 |
$402.04 |
|
|
Ppp2r2b gen detc abnor allel
|
$225.42 |
$225.42 |
$225.42 |
|
|
Pq biliary strict dil s&i
|
$564.18 |
$1,102.53 |
$4,521.00 |
|
|
Pq dr cath chg w cont s&i
|
$194.48 |
$711.36 |
$2,612.45 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$3,190.29 |
$9,898.59 |
$30,559.08 |
|
|
Pq thr inj ext pse
|
$532.74 |
$532.74 |
$1,602.66 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,557.85 |
$3,226.47 |
$16,385.00 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,116.00 |
$12,164.49 |
$16,385.00 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,116.00 |
$10,935.21 |
$16,385.00 |
|
|
Pralatrexate injection
|
$880.37 |
$880.37 |
$16,290.04 |
|
|
Pralidoxime 1 gram solution for injection
|
$375.07 |
$375.07 |
$1,248.48 |
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,334.37 |
$3,281.46 |
$11,959.00 |
|
|
Pr application of long arm splint
|
$37.60 |
$549.12 |
$2,052.93 |
|
|
Pr application splint static short arm
|
$129.65 |
$614.64 |
$4,609.00 |
|
|
Pr assessment emotional/behavioral per instrument brief
|
$43.29 |
$43.29 |
$106.00 |
|
|
Pr biopsy skin punch single lesion
|
$258.41 |
$560.04 |
$8,209.00 |
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Pr correction hammertoe
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$51.87 |
$51.87 |
$383.17 |
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,688.27 |
$2,688.27 |
$2,688.27 |
|
|
Prcrd drg 6+yr without anomly
|
$1,459.00 |
$2,177.97 |
$6,075.03 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$2,269.73 |
$6,766.11 |
$11,065.00 |
|
|
Prealbumin
|
$37.30 |
$143.13 |
$679.33 |
|
|
Pr ecg 12 lead report only
|
$59.00 |
$59.00 |
$59.00 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.25 |
$7.69 |
$1,209.60 |
|
|
Prednisone 1 mg tablet
|
$2.88 |
$2.88 |
$1,302.00 |
|
|
Pregabalin - sendout
|
$49.99 |
$253.00 |
$253.00 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$4,036.89 |
$4,036.89 |
$10,123.36 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$572.13 |
$606.00 |
$1,584.86 |
|
|
Pregnancy Ultrasound (first trimester)
|
$165.76 |
$606.00 |
$2,514.16 |
|
|
Pregnancy Ultrasound (limited)
|
$153.63 |
$606.00 |
$2,156.34 |
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$573.00 |
$573.00 |
$573.00 |
|
|
Prepare fecal microbiota
|
$3,809.00 |
$3,809.00 |
$3,809.00 |
|
|
Prep corneal endo allograft
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
|
|
Prep skin to 100cm2 other
|
$704.19 |
$1,862.64 |
$7,412.36 |
|
|
Prep skin to 100cm2 trk/ext
|
$1,862.64 |
$1,862.64 |
$12,600.28 |
|
|
Prep skn trk/ext adl 100cm2
|
$776.49 |
$776.49 |
$5,778.00 |
|
|
Pressure max expiratory/inspiratory
|
$596.00 |
$1,438.00 |
$1,438.00 |
|
|
Pressure treatment esophagus
|
$5,078.00 |
$5,078.00 |
$5,078.00 |
|
|
Pressure velocity wire add ves
|
$235.03 |
$1,138.41 |
$3,361.00 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$189.15 |
$189.15 |
$573.00 |
|
|
Pretreat rbc absorption reference
|
$47.07 |
$267.93 |
$493.50 |
|
|
Pretreat rbc density gradient separation reference
|
$254.67 |
$254.67 |
$573.00 |
|
|
Pretreat rbc w chem/drugs reference
|
$29.60 |
$149.46 |
$493.50 |
|
|
Pretreat rbc w enzyme reference
|
$181.74 |
$181.74 |
$1,806.26 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$198.12 |
$198.12 |
$1,122.37 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,091.95 |
$2,191.02 |
$6,630.00 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,184.60 |
$2,043.99 |
$5,912.00 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$389.84 |
$2,510.43 |
$4,862.00 |
|
|
Prgrmg dev eval impltbl sys
|
$44.46 |
$44.46 |
$73.00 |
|
|
Prgrmg dev eval pm/ldls pm
|
$38.19 |
$102.96 |
$153.00 |
|
|
Prgrmg dev eval scrms ip
|
$62.40 |
$62.40 |
$151.00 |
|
|
Prgrmg eval implantable dfb
|
$20.13 |
$67.08 |
$183.00 |
|
|
Prgrmg eval implantable dfb
|
$22.80 |
$83.85 |
$183.00 |
|
|
Prgrmg eval implantable dfb
|
$26.64 |
$90.48 |
$235.00 |
|
|
Prgr stim/pace a/iv drug
|
$291.86 |
$2,753.40 |
$25,842.20 |
|
|
Prim art mech thrmbc non-intracranial
|
$3,121.03 |
$6,705.66 |
$14,258.23 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,094.00 |
$2,161.77 |
$17,772.61 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$555.60 |
$1,016.94 |
$5,001.27 |
|
|
Pr incision & drainage abscess simple/single
|
$205.72 |
$794.82 |
$4,609.00 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,173.00 |
$1,504.62 |
$5,230.00 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$383.32 |
$1,533.48 |
$5,001.27 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$139.72 |
$156.39 |
$347.00 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$156.78 |
$156.78 |
$156.78 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$12.14 |
$566.67 |
$1,870.43 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$8,476.65 |
$8,476.65 |
$13,365.00 |
|
|
Probe nasolacrimal duct
|
$361.92 |
$361.92 |
$3,920.00 |
|
|
Probe nasolacrimal duct
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
|
|
Probe nasolacrimal duct
|
$2,902.77 |
$2,902.77 |
$4,684.00 |
|
|
Probe nl duct w/balloon
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$666.10 |
$1,498.03 |
$8,729.00 |
|
|
Procalcitonin
|
$48.25 |
$239.07 |
$563.22 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$37.27 |
$72.82 |
$186.05 |
|
|
Prochlorperazine maleate 5 mg tablet
|
$5.73 |
$5.73 |
$15.20 |
|
|
Proctosigmoidoscopy dx 45300
|
$482.04 |
$482.04 |
$5,700.00 |
|
|
Proctosigmoidoscopy w/bx 45305
|
$4,178.00 |
$4,178.00 |
$4,178.00 |
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,878.94 |
$3,878.94 |
$3,878.94 |
|
|
Progesterone
|
$28.42 |
$225.03 |
$1,036.34 |
|
|
Prolactin
|
$33.16 |
$238.68 |
$1,665.42 |
|
|
Prolng ip/obs e/m ea 15 min
|
$167.00 |
$167.00 |
$167.00 |
|
|
Prolng off/op e/m ea 15 min 99417
|
$130.00 |
$130.00 |
$130.00 |
|
|
Prolng svc o/p 1st hour
|
$494.00 |
$494.00 |
$494.00 |
|
|
Prolonged IV inf, req pump
|
$962.91 |
$962.91 |
$1,608.00 |
|
|
Prolong service without contact
|
$523.00 |
$523.00 |
$523.00 |
|
|
Promethazine 25 mg tablet
|
$3.83 |
$3.83 |
$175.48 |
|
|
Promethazine hcl injection
|
$7.21 |
$7.21 |
$147.13 |
|
|
Proph rta dtchmnt crtx dthrm
|
$211.77 |
$211.77 |
$211.77 |
|
|
Proph rta dtchmnt pc
|
$679.77 |
$679.77 |
$3,920.00 |
|
|
Prophylactic tx ulna
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Propofol infusion 10 mg/ml
|
$4.64 |
$4.64 |
$676.58 |
|
|
_propoxygc/msur
|
$111.85 |
$111.85 |
$111.85 |
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$21.65 |
$48.62 |
$48.62 |
|
|
Prostate biopsy, any mthd
|
$328.38 |
$328.38 |
$3,876.19 |
|
