|
Postpartum Care Only
|
$135.68 |
$135.68 |
$135.68 |
$364.80
|
|
Potassium 24 hour urine
|
$43.84 |
$43.84 |
$43.84 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$26.54 |
$26.54 |
$26.54 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$44.48 |
$44.48 |
$44.48 |
$46.75
|
|
Pq biliary strict dil s&i
|
$775.04 |
$775.04 |
$775.04 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$559.68 |
$559.68 |
$559.68 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$3,304.32 |
$3,304.32 |
$3,304.32 |
$9,977.57
|
|
Pq thr inj ext pse
|
$615.36 |
$615.36 |
$615.36 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$601.92 |
$601.92 |
$601.92 |
$3,738.90
|
|
Pr application of long arm splint
|
$32.00 |
$32.00 |
$32.00 |
$329.00
|
|
Pr application splint static short arm
|
$112.00 |
$112.00 |
$112.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$23.72 |
$23.72 |
$23.72 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$462.40 |
$462.40 |
$462.40 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$17.92 |
$17.92 |
$17.92 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$407.04 |
$407.04 |
$407.04 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$121.92 |
$121.92 |
$121.92 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$112.96 |
$112.96 |
$112.96 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$64.96 |
$64.96 |
$64.96 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$91.52 |
$91.52 |
$91.52 |
$182.65
|
|
Prealbumin
|
$28.80 |
$28.80 |
$28.80 |
$93.36
|
|
Pr ecg 12 lead report only
|
$8.96 |
$8.96 |
$8.96 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$14.72 |
$14.72 |
$14.72 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$7.60 |
$7.60 |
$7.60 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.57 |
$1.57 |
$1.57 |
$3.00
|
|
Pregabalin - sendout
|
$1.28 |
$1.28 |
$1.28 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$155.84 |
$155.84 |
$155.84 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$278.40 |
$278.40 |
$278.40 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$247.68 |
$247.68 |
$247.68 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$63.04 |
$63.04 |
$63.04 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$328.32 |
$328.32 |
$328.32 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$602.56 |
$602.56 |
$602.56 |
$1,143.04
|
|
Prep skin to 100cm2 trk/ext
|
$149.12 |
$149.12 |
$149.12 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$29.44 |
$29.44 |
$29.44 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$156.16 |
$156.16 |
$156.16 |
$238.33
|
|
Pressure velocity wire add ves
|
$158.08 |
$158.08 |
$158.08 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$147.84 |
$147.84 |
$147.84 |
$152.85
|
|
Pretreat rbc absorption reference
|
$114.24 |
$114.24 |
$114.24 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$114.24 |
$114.24 |
$114.24 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$114.24 |
$114.24 |
$114.24 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$134.08 |
$134.08 |
$134.08 |
$297.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$104.64 |
$104.64 |
$104.64 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$640.00 |
$640.00 |
$640.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$136.00 |
$136.00 |
$136.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$227.20 |
$227.20 |
$227.20 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$1,051.52 |
$1,051.52 |
$1,051.52 |
$3,336.80
|
|
Prgrmg dev eval pm/ldls pm
|
$72.96 |
$72.96 |
$72.96 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$19.84 |
$19.84 |
$19.84 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$72.96 |
$72.96 |
$72.96 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$72.96 |
$72.96 |
$72.96 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$72.96 |
$72.96 |
$72.96 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$753.60 |
$753.60 |
$753.60 |
$4,601.35
|
|
Pr hospital ip/obs care initial high level per day
|
$136.96 |
$136.96 |
$136.96 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$103.04 |
$103.04 |
$103.04 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$64.96 |
$64.96 |
$64.96 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$93.76 |
$93.76 |
$93.76 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$62.40 |
$62.40 |
$62.40 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$39.04 |
$39.04 |
$39.04 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$10,148.16 |
$10,148.16 |
$10,148.16 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,780.16 |
$2,780.16 |
$2,780.16 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$272.00 |
$272.00 |
$272.00 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$212.16 |
$212.16 |
$212.16 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$173.12 |
$173.12 |
$173.12 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$227.20 |
$227.20 |
$227.20 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$151.68 |
$151.68 |
$151.68 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$111.68 |
$111.68 |
$111.68 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$246.08 |
$246.08 |
$246.08 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$503.04 |
$503.04 |
$503.04 |
$4,154.01
|
|
Procalcitonin
|
$57.92 |
$57.92 |
$57.92 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$12.16 |
$12.16 |
$12.16 |
$36.72
|
|
Proctectomy complete abd w/clst 45110
|
$1,423.04 |
$1,423.04 |
$1,423.04 |
$3,515.40
|
|
Proctosigmoidoscopy control bleed 45317
|
$87.04 |
$87.04 |
$87.04 |
$1,395.28
|
|
Progesterone
|
$105.60 |
$105.60 |
$105.60 |
$115.64
|
|
Prolactin
|
$71.36 |
$71.36 |
$71.36 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$26.88 |
$26.88 |
$26.88 |
$63.00
|
|
Prolng off/op e/m ea 15 min 99417
|
$6.08 |
$6.08 |
$6.08 |
$61.10
|
|
Prolong service without contact
|
$59.20 |
$59.20 |
$59.20 |
$165.20
|
|
Prolong serv without contact add
|
$21.76 |
$21.76 |
$21.76 |
$81.20
|
|
Promethazine hcl injection
|
$12.16 |
$12.16 |
$12.16 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$42.61 |
$42.61 |
$42.61 |
$73.36
|
|
_propoxygc/msur
|
$23.36 |
$23.36 |
$23.36 |
$96.85
|
|
Prostate ca screening; dre
|
$7.68 |
$7.68 |
$7.68 |
$29.16
|
|
Prostatectomy (turp)
|
$577.92 |
$577.92 |
$577.92 |
$6,999.96
|
|
Prosthesis voc advantage 20f 14mm
|
$219.84 |
$219.84 |
$219.84 |
$1,104.11
|
|
Protamine 10 mg/ml intravenous solution
|
$21.99 |
$21.99 |
$21.99 |
$57.89
|
|
Protein c activity
|
$18.88 |
$18.88 |
$18.88 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$22.08 |
$22.08 |
$22.08 |
$84.00
|
|
Protein s total
|
$145.92 |
$145.92 |
$145.92 |
$83.52
|
|
Protein total 24 hour urine
|
$22.08 |
$22.08 |
$22.08 |
$52.50
|
|
Protein total body fluid
|
$16.32 |
$16.32 |
$16.32 |
$49.80
|
|
Protein total serum plasma whole blood
|
$44.48 |
$44.48 |
$44.48 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$4.48 |
$4.48 |
$4.48 |
$41.50
|
|
Prp i/hern init block >5 yr
|
$464.32 |
$464.32 |
$464.32 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$60.16 |
$60.16 |
$60.16 |
$121.00
|
|
Prq card revasc mi 1 vsl
|
$5,868.16 |
$5,868.16 |
$5,868.16 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$6,784.00 |
$6,784.00 |
$6,784.00 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,868.16 |
$5,868.16 |
$5,868.16 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$8,083.84 |
$8,083.84 |
$8,083.84 |
$13,239.59
|