|
Pretreat rbc density gradient separation reference
|
$135.80 |
$135.80 |
$135.80 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$67.98 |
$100.00 |
$147.70 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$77.50 |
$77.50 |
$189.09 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$195.00 |
$195.36 |
$399.00 |
$308.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,392.20 |
$3,392.20 |
$3,392.20 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$4,666.20 |
$4,666.20 |
$4,666.20 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$627.90 |
$700.00 |
$700.00 |
$780.60
|
|
Prgrmg dev eval impltbl sys
|
$258.30 |
$258.30 |
$258.30 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$205.00 |
$205.00 |
$1,029.70 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$177.50 |
$177.50 |
$177.50 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$260.00 |
$260.00 |
$1,029.70 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$315.00 |
$315.00 |
$1,207.50 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$370.00 |
$370.00 |
$539.00 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$2,415.00 |
$2,748.90 |
$4,491.63 |
$4,540.00
|
|
Pr hospital ip/obs care initial high level per day
|
$140.00 |
$140.00 |
$140.00 |
$348.40
|
|
Pr hospital ip/obs care subsequent high level per day
|
$87.50 |
$87.50 |
$87.50 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$87.50 |
$87.50 |
$87.50 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$87.50 |
$87.50 |
$87.50 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$5,550.00 |
$8,840.00 |
$63,451.67 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,160.00 |
$3,085.00 |
$73,237.98 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$605.00 |
$605.00 |
$1,132.60 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$480.00 |
$480.00 |
$954.10 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$362.50 |
$362.50 |
$1,459.50 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$465.00 |
$465.00 |
$1,481.90 |
$605.28
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$122.50 |
$183.15 |
$427.50 |
$255.00
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$12,241.39 |
$12,241.39 |
$12,241.39 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,058.99 |
$5,877.68 |
$42,966.14 |
$7,350.00
|
|
Probe nasolacrimal duct
|
$4,554.05 |
$4,554.05 |
$4,554.05 |
$2,760.73
|
|
Probe nasolacrimal duct
|
$20,522.91 |
$20,522.91 |
$20,522.91 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$31,045.87 |
$31,045.87 |
$31,045.87 |
$3,817.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$3,228.75 |
$3,228.75 |
$3,228.75 |
$674.78
|
|
Procalcitonin
|
$56.10 |
$142.50 |
$179.20 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$69.64 |
$72.64 |
$145.25 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$15.92 |
$15.92 |
$15.92 |
$2.09
|
|
Proctosigmoidoscopy dilate 45303
|
$8,299.89 |
$8,299.89 |
$8,299.89 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$1,100.00 |
$1,100.00 |
$10,898.88 |
$1,078.88
|
|
Proctosigmoidoscopy w/bx 45305
|
$5,770.10 |
$5,770.10 |
$5,770.10 |
$1,645.43
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$5,969.60 |
$5,969.60 |
$5,969.60 |
$3,245.23
|
|
Progesterone
|
$112.70 |
$135.00 |
$169.62 |
$116.00
|
|
Prolactin
|
$55.44 |
$115.00 |
$299.60 |
$123.50
|
|
Prolonged IV inf, req pump
|
$922.60 |
$922.60 |
$922.60 |
$609.00
|
|
Promethazine hcl injection
|
$15.93 |
$15.93 |
$15.93 |
$12.16
|
|
Proph rta dtchmnt pc
|
$85,905.28 |
$85,905.28 |
$85,905.28 |
$1,077.50
|
|
Propofol infusion 10 mg/ml
|
$6.12 |
$7.93 |
$473.90 |
$73.36
|
|
_propoxygc/msur
|
$85.14 |
$185.00 |
$185.00 |
$95.55
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$27.47 |
$27.47 |
$27.47 |
$33.31
|
|
Prostate biopsy, any mthd
|
$302.50 |
$302.50 |
$1,280.30 |
$492.88
|
|
Prostatectomy (turp)
|
$25,003.36 |
$25,003.36 |
$25,003.36 |
$6,999.96
|
|
Prostate laser enucleation
|
$33,589.33 |
$33,589.33 |
$33,589.33 |
$6,030.00
|
|
Prosthesis voc advantage 20f 14mm
|
$1,325.10 |
$1,325.10 |
$1,595.89 |
$1,088.12
|
|
Prosthetic sock multi ply bk
|
$50.40 |
$50.40 |
$50.40 |
$52.00
|
|
Protamine 10 mg/ml intravenous solution
|
$167.00 |
$167.00 |
$514.50 |
$56.70
|
|
Protector nerve neurawrap 4cm
|
$14,797.85 |
$14,797.85 |
$14,797.85 |
$3,842.36
|
|
Protein c activity
|
$115.00 |
$115.00 |
$359.10 |
$119.60
|
|
Protein c concentrate
|
$3,262.35 |
$3,262.35 |
$3,262.35 |
$5.78
|
|
Protein electrophoretic fractionation & quantitation serum
|
$30.69 |
$97.50 |
$259.70 |
$84.00
|
|
Protein s total
|
$62.50 |
$62.50 |
$312.51 |
$85.10
|
|
Protein total 24 hour urine
|
$10.56 |
$52.50 |
$70.70 |
$52.50
|
|
Protein total body fluid
|
$10.56 |
$52.50 |
$181.30 |
$49.80
|
|
Protein total serum plasma whole blood
|
$10.56 |
$45.00 |
$111.30 |
$42.90
|
|
Prothrombin complex kcentra
|
$5.45 |
$5.49 |
$7,563.15 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$10.23 |
$32.50 |
$116.90 |
$41.50
|
|
Provide inr test mater/equip
|
$151.14 |
$151.14 |
$151.14 |
$250.08
|
|
Prp i/hern init block >5 yr
|
$23,657.10 |
$23,657.10 |
$23,657.10 |
$4,176.15
|
|
Prq av fstl crtj uxtr 1 acs
|
$11,685.00 |
$11,685.00 |
$16,360.00 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$13,635.00 |
$13,635.00 |
$19,085.00 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$13,240.00 |
$13,240.00 |
$17,354.40 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$2,438.10 |
$3,880.00 |
$6,635.00 |
$5,574.15
|
|
Prq card revasc chronic addl
|
$4,945.00 |
$4,945.00 |
$12,330.00 |
$10,706.53
|
|
Prq card revasc mi 1 vsl
|
$4,290.00 |
$6,937.70 |
$16,220.49 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$7,501.20 |
$7,501.20 |
$7,501.20 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$2,774.97 |
$4,760.00 |
$20,179.60 |
$9,853.00
|
|
Prq card stent w/angio addl
|
$3,735.00 |
$5,122.92 |
$20,179.60 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,841.99 |
$8,755.00 |
$20,875.40 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$3,985.00 |
$12,330.00 |
$19,483.80 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$11,690.00 |
$12,535.00 |
$22,266.30 |
$13,127.50
|
|
Prq tcat plmt ntrac st 2+les
|
$41,253.80 |
$41,253.80 |
$41,253.80 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$7,663.26 |
$14,430.00 |
$33,800.90 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$2,438.10 |
$5,975.00 |
$9,465.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$17,400.00 |
$17,400.00 |
$27,445.60 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$6,007.98 |
$7,462.00 |
$15,260.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$495.00 |
$495.00 |
$3,350.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$275.00 |
$275.00 |
$406.00 |
$252.00
|
|
Pr removal intrauterine device
|
$245.00 |
$362.50 |
$31,235.91 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$675.00 |
$675.00 |
$14,317.29 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$410.00 |
$410.00 |
$11,862.51 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$448.00 |
$452.50 |
$452.50 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$410.00 |
$410.00 |
$23,086.46 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$343.00 |
$452.50 |
$452.50 |
$397.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,581.30 |
$3,580.00 |
$3,580.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$52.47 |
$107.50 |
$175.70 |
$108.11
|
|
Psychotherapy group therapy
|
$128.04 |
$157.50 |
$319.90 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$71.61 |
$135.00 |
$219.80 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$109.56 |
$135.80 |
$180.00 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$156.09 |
$225.00 |
$555.80 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$335.00 |
$335.00 |
$805.00 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$255.00 |
$255.00 |
$805.00 |
$207.20
|
|
Psycl/nrpsyc tech 1st
|
$920.50 |
$920.50 |
$920.50 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$510.00 |
$510.00 |
$805.00 |
$206.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$385.00 |
$385.00 |
$805.00 |
$156.00
|
