|
Prcrd drg 6+yr without anomly
|
$2,638.80 |
$2,638.80 |
$2,638.80 |
$2,253.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$391.80 |
$391.80 |
$391.80 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$189.00 |
$189.00 |
$189.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$255.60 |
$255.60 |
$255.60 |
$182.65
|
|
Prealbumin
|
$294.00 |
$294.00 |
$294.00 |
$93.36
|
|
Pregnancy associated plasma protein-a
|
$183.00 |
$183.00 |
$183.00 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$721.20 |
$721.20 |
$721.20 |
$539.37
|
|
Prep skin to 100cm2 other
|
$1,116.60 |
$1,116.60 |
$1,116.60 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,268.40 |
$1,268.40 |
$1,268.40 |
$2,164.64
|
|
Pressure velocity wire add ves
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$174.60 |
$174.60 |
$174.60 |
$152.85
|
|
Pretreat rbc absorption reference
|
$223.20 |
$223.20 |
$223.20 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$108.00 |
$108.00 |
$108.00 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$136.20 |
$136.20 |
$136.20 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$209.40 |
$209.40 |
$209.40 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$257.40 |
$257.40 |
$257.40 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$52.20 |
$52.20 |
$52.20 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$84.00 |
$84.00 |
$84.00 |
$116.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,177.00 |
$3,177.00 |
$3,177.00 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,326.60 |
$1,326.60 |
$1,326.60 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$97.20 |
$97.20 |
$97.20 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$126.60 |
$126.60 |
$126.60 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$137.40 |
$137.40 |
$137.40 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$208.20 |
$208.20 |
$208.20 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$225.60 |
$225.60 |
$225.60 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$225.60 |
$225.60 |
$225.60 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$2,626.80 |
$2,626.80 |
$2,626.80 |
$4,601.35
|
|
Pr hospital ip/obs care initial high level per day
|
$414.00 |
$414.00 |
$414.00 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$348.60 |
$348.60 |
$348.60 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$255.60 |
$255.60 |
$255.60 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$245.40 |
$245.40 |
$245.40 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$176.40 |
$176.40 |
$176.40 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$132.00 |
$132.00 |
$132.00 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$11,874.00 |
$11,874.00 |
$11,874.00 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,389.60 |
$4,389.60 |
$4,389.60 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$196.20 |
$196.20 |
$196.20 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$799.80 |
$799.80 |
$799.80 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$652.20 |
$652.20 |
$652.20 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$916.20 |
$916.20 |
$916.20 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$273.00 |
$273.00 |
$273.00 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$187.80 |
$187.80 |
$187.80 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$615.00 |
$615.00 |
$615.00 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$1,748.40 |
$1,748.40 |
$1,748.40 |
$4,154.01
|
|
Procalcitonin
|
$336.00 |
$336.00 |
$336.00 |
$161.11
|
|
Proctosigmoidoscopy dx 45300
|
$756.00 |
$756.00 |
$756.00 |
$1,078.88
|
|
Progesterone
|
$375.00 |
$375.00 |
$375.00 |
$115.64
|
|
Prolactin
|
$287.40 |
$287.40 |
$287.40 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$76.20 |
$76.20 |
$76.20 |
$61.10
|
|
_propoxygc/msur
|
$230.40 |
$230.40 |
$230.40 |
$96.85
|
|
Prostate biopsy, any mthd
|
$4,407.60 |
$4,407.60 |
$4,407.60 |
$481.77
|
|
Prostate ca screening; dre
|
$43.20 |
$43.20 |
$43.20 |
$29.16
|
|
Prosthetic sock multi ply bk
|
$169.20 |
$169.20 |
$169.20 |
$52.32
|
|
Protein c activity
|
$276.60 |
$276.60 |
$276.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$144.60 |
$144.60 |
$144.60 |
$84.00
|
|
Protein s total
|
$267.00 |
$267.00 |
$267.00 |
$83.52
|
|
Protein total 24 hour urine
|
$94.20 |
$94.20 |
$94.20 |
$52.50
|
|
Protein total body fluid
|
$137.40 |
$137.40 |
$137.40 |
$49.80
|
|
Protein total serum plasma whole blood
|
$76.80 |
$76.80 |
$76.80 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$174.60 |
$174.60 |
$174.60 |
$41.50
|
|
Prq card revasc mi 1 vsl
|
$33,724.20 |
$33,724.20 |
$33,724.20 |
$15,190.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$21,229.20 |
$21,229.20 |
$21,229.20 |
$13,398.65
|
|
Prq skel fix clcnl fx w/mnpj
|
$1,150.80 |
$1,150.80 |
$1,150.80 |
$6,025.60
|
|
Prq skel fix sprcndlr hum fx
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$6,990.61
|
|
Prq skel fix tarsl fx w/mnpj
|
$558.00 |
$558.00 |
$558.00 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$18,314.40 |
$18,314.40 |
$18,314.40 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$33,712.20 |
$33,712.20 |
$33,712.20 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$33,712.20 |
$33,712.20 |
$33,712.20 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$21,229.20 |
$21,229.20 |
$21,229.20 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$7,455.00 |
$7,455.00 |
$7,455.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$18,132.00 |
$18,132.00 |
$18,132.00 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$28,993.80 |
$28,993.80 |
$28,993.80 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$210.60 |
$210.60 |
$210.60 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$375.60 |
$375.60 |
$375.60 |
$251.43
|
|
Pr removal intrauterine device
|
$363.60 |
$363.60 |
$363.60 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,049.40 |
$1,049.40 |
$1,049.40 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$385.80 |
$385.80 |
$385.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$582.00 |
$582.00 |
$582.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$562.20 |
$562.20 |
$562.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$630.00 |
$630.00 |
$630.00 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$7,324.80 |
$7,324.80 |
$7,324.80 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$71.40 |
$71.40 |
$71.40 |
$71.40
|
|
Prtl exchange transfuse nb
|
$700.80 |
$700.80 |
$700.80 |
$537.90
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$1,720.93
|
|
PSA (Prostate) Test
|
$243.00 |
$243.00 |
$243.00 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$169.20 |
$169.20 |
$169.20 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$201.00 |
$201.00 |
$201.00 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$252.00 |
$252.00 |
$252.00 |
$287.47
|
|
Psycl/nrpsyc tech 1st
|
$251.40 |
$251.40 |
$251.40 |
$321.60
|
|
Psytx pt w/e&m 16-37 min
|
$112.80 |
$112.80 |
$112.80 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$143.40 |
$143.40 |
$143.40 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$271.20 |
$271.20 |
$271.20 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$80.40 |
$80.40 |
$80.40 |
$81.00
|
|
Pt application of modality traction mechanical
|
$80.40 |
$80.40 |
$80.40 |
$91.00
|
|
Pten gene full sequence
|
$4,087.20 |
$4,087.20 |
$4,087.20 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$278.40 |
$278.40 |
$278.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$231.60 |
$231.60 |
$231.60 |
$222.95
|
