|
Phosphorus
|
$37.80 |
$37.80 |
$37.80 |
$49.20
|
|
Phosphorus 24 hour urine
|
$32.40 |
$32.40 |
$32.40 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$272.40 |
$272.40 |
$272.40 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$233.40 |
$233.40 |
$233.40 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$245.40 |
$245.40 |
$245.40 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$233.40 |
$233.40 |
$233.40 |
$154.80
|
|
Physician standby services
|
$146.40 |
$146.40 |
$146.40 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$99.15 |
$99.15 |
$99.15 |
$90.25
|
|
Pierce earlobes 69090
|
$49.20 |
$49.20 |
$49.20 |
$75.20
|
|
Pin caspar distraction 12mm
|
$11,925.00 |
$11,925.00 |
$11,925.00 |
$11,759.36
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$1,130.58
|
|
Pin finger fracture each
|
$600.60 |
$600.60 |
$600.60 |
$4,192.86
|
|
Pinworm exam
|
$33.60 |
$33.60 |
$33.60 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$78.80 |
$78.80 |
$78.80 |
$81.36
|
|
Place duod/jej tube perc
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$2,562.75
|
|
Place gastrostomy tube open 43832
|
$1,987.20 |
$1,987.20 |
$1,987.20 |
$1,987.20
|
|
Place gastrostomy tube perc
|
$2,054.40 |
$2,054.40 |
$2,054.40 |
$2,289.60
|
|
Placement occlusive device venous/arterial access site post procedure
|
$319.20 |
$319.20 |
$319.20 |
$572.00
|
|
Placement of seton
|
$514.20 |
$514.20 |
$514.20 |
$4,160.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$744.00 |
$744.00 |
$744.00 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$5,271.46
|
|
Place slctv cath carotd art uni
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$1,219.80 |
$1,219.80 |
$1,219.80 |
$6,498.00
|
|
Place slctv cath subclavian art
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$9,090.00
|
|
Platelet aggregation each agent teg
|
$79.20 |
$79.20 |
$79.20 |
$148.98
|
|
Platelet automated
|
$28.80 |
$28.80 |
$28.80 |
$46.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,573.80 |
$1,573.80 |
$1,573.80 |
$1,532.70
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$347.40 |
$347.40 |
$347.40 |
$6,927.20
|
|
Plcmt dlyd xtn pros 1st vsl
|
$1,210.20 |
$1,210.20 |
$1,210.20 |
$3,793.50
|
|
Plcmt xtn pros evasc rpr per vsl
|
$693.00 |
$693.00 |
$693.00 |
$3,473.00
|
|
Plethysmography lung volumes/airway resistance
|
$324.60 |
$324.60 |
$324.60 |
$408.05
|
|
Pleurectomy parietal ; separate 32310
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$2,222.40
|
|
Pneum full leg splnt pre ots
|
$34.20 |
$34.20 |
$34.20 |
$309.50
|
|
Pneumothrx tx-intraplrl inj ai
|
$263.40 |
$263.40 |
$263.40 |
$811.82
|
|
#pnh-flow cytometry interp
|
$61.80 |
$61.80 |
$61.80 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$133.80 |
$133.80 |
$133.80 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$33,005.93 |
$33,005.93 |
$33,005.93 |
$35,781.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,262.80 |
$3,262.80 |
$3,262.80 |
$3,790.61
|
|
Portable 02 contents, gas
|
$27.00 |
$27.00 |
$27.00 |
$27.00
|
|
Positional nystagmus test
|
$48.00 |
$48.00 |
$48.00 |
$73.50
|
|
Post non-seg/spine instrumentation 22840
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$1,831.20
|
|
Postpartum Care Only
|
$364.80 |
$364.80 |
$364.80 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$1,441.80 |
$1,441.80 |
$1,441.80 |
$1,837.60
|
|
Potassium 24 hour urine
|
$50.40 |
$50.40 |
$50.40 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$38.73 |
$38.73 |
$38.73 |
$62.79
|
|
Potassium hydroxide preps
|
$12.60 |
$12.60 |
$12.60 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$54.00 |
$54.00 |
$54.00 |
$47.85
|
|
Powder prem protct 1oz
|
$1.80 |
$1.80 |
$1.80 |
$5.43
|
|
Pq biliary strict dil s&i
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,102.53
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$10,173.15
|
|
Pq thr inj ext pse
|
$261.00 |
$261.00 |
$261.00 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$453.60 |
$453.60 |
$453.60 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$961.80 |
$961.80 |
$961.80 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$904.20 |
$904.20 |
$904.20 |
$4,811.54
|
|
Pralatrexate injection
|
$22,150.81 |
$22,150.81 |
$22,150.81 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$183.17 |
$183.17 |
$183.17 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$232.20 |
$232.20 |
$232.20 |
$332.75
|
|
Pr application splint static short arm
|
$211.20 |
$211.20 |
$211.20 |
$288.00
|
|
Pr assessment emotional/behavioral per instrument brief
|
$8.40 |
$8.40 |
$8.40 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$201.60 |
$201.60 |
$201.60 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$6,653.00
|
|
Pr correction hammertoe
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$27.60 |
$27.60 |
$27.60 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$614.40 |
$614.40 |
$614.40 |
$2,253.00
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$144.00 |
$144.00 |
$144.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$213.60 |
$213.60 |
$213.60 |
$182.65
|
|
Prealbumin
|
$130.20 |
$130.20 |
$130.20 |
$94.00
|
|
Pr ecg 12 lead report only
|
$18.00 |
$18.00 |
$18.00 |
$21.00
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$73.80 |
$73.80 |
$73.80 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$13.87 |
$13.87 |
$13.87 |
$13.87
|
|
Pregabalin - sendout
|
$208.20 |
$208.20 |
$208.20 |
$76.70
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$431.40 |
$431.40 |
$431.40 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$54.00 |
$54.00 |
$54.00 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$451.80 |
$451.80 |
$451.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$379.20 |
$379.20 |
$379.20 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$322.20 |
$322.20 |
$322.20 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$183.00 |
$183.00 |
$183.00 |
$149.50
|
|
Prenatal Care Only (4-6 visits)
|
$934.20 |
$934.20 |
$934.20 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$1,143.04
|
|
Prep skin to 100cm2 other
|
$757.80 |
$757.80 |
$757.80 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$651.00 |
$651.00 |
$651.00 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$142.20 |
$142.20 |
$142.20 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$109.20 |
$109.20 |
$109.20 |
$243.69
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$178.80 |
$178.80 |
$178.80 |
$313.30
|
|
Preventive counseling group
|
$19.80 |
$19.80 |
$19.80 |
$35.20
|
|
Prev med cnsl indiv apprx 15
|
$59.40 |
$59.40 |
$59.40 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$117.00 |
$117.00 |
$117.00 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$175.80 |
$175.80 |
$175.80 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$236.40 |
$236.40 |
$236.40 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$259.20 |
$259.20 |
$259.20 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$231.00 |
$231.00 |
$231.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$406.80 |
$406.80 |
$406.80 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$465.60 |
$465.60 |
$465.60 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$2,548.80 |
$2,548.80 |
$2,548.80 |
$3,336.80
|
|
Pr hospital ip/obs care initial high level per day
|
$403.80 |
$403.80 |
$403.80 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$274.20 |
$274.20 |
$274.20 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$201.60 |
$201.60 |
$201.60 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$208.80 |
$208.80 |
$208.80 |
$189.80
|
