|
Prepare fecal microbiota
|
$277.60 |
$2,730.70 |
$48,446.87 |
|
|
Prepare penis study
|
$249.60 |
$1,139.40 |
$1,372.20 |
|
|
Prepare sperm duct x-ray
|
$472.00 |
$472.00 |
$472.00 |
|
|
Prep cadaver renal allograft
|
$476.00 |
$476.00 |
$476.00 |
|
|
Prep corneal endo allograft
|
$53,020.73 |
$53,020.73 |
$53,020.73 |
|
|
Prep donor renal graft
|
$415.20 |
$415.20 |
$415.20 |
|
|
Prepj tum cav iort prtl mast
|
$404.00 |
$404.00 |
$404.00 |
|
|
Pre-plan 3d model w/ccta
|
$2,227.40 |
$2,227.40 |
$2,227.40 |
|
|
Prep renal graft/arterial
|
$466.40 |
$466.40 |
$466.40 |
|
|
Prep renal graft/ureteral
|
$444.80 |
$444.80 |
$444.80 |
|
|
Prep renal graft/venous
|
$532.00 |
$532.00 |
$532.00 |
|
|
Prep skin to 100cm2 other
|
$325.00 |
$1,354.20 |
$3,892.00 |
|
|
Prep skin to 100cm2 trk/ext
|
$450.00 |
$1,735.20 |
$4,596.20 |
|
|
Prep skn trk/ext adl 100cm2
|
$142.20 |
$177.60 |
$1,140.00 |
|
|
Pressure max expiratory/inspiratory
|
$62.30 |
$334.40 |
$442.40 |
|
|
Pressure treatment esophagus
|
$1,376.64 |
$3,647.70 |
$3,647.70 |
|
|
Pressure velocity wire add ves
|
$500.00 |
$868.55 |
$4,331.52 |
|
|
Pre-tibial shell molded to p
|
$760.20 |
$760.20 |
$760.20 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$125.30 |
$216.00 |
$695.20 |
|
|
Pretreat rbc absorption reference
|
$30.00 |
$133.92 |
$345.10 |
|
|
Pretreat rbc density gradient separation reference
|
$105.60 |
$165.60 |
$322.70 |
|
|
Pretreat rbc w chem/drugs reference
|
$30.00 |
$100.10 |
$287.70 |
|
|
Pretreat rbc w enzyme reference
|
$77.50 |
$187.92 |
$600.60 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$178.80 |
$252.70 |
$417.50 |
|
|
Preventive counseling group
|
$19.80 |
$19.80 |
$35.20 |
|
|
Preventive counseling group
|
$44.80 |
$44.80 |
$44.80 |
|
|
Prev med cnsl indiv apprx 15
|
$26.60 |
$52.20 |
$69.60 |
|
|
Prev med cnsl indiv apprx 30
|
$59.50 |
$84.00 |
$117.00 |
|
|
Prev med cnsl indiv apprx 45
|
$88.20 |
$130.80 |
$175.80 |
|
|
Prev med cnsl indiv apprx 60
|
$116.20 |
$168.60 |
$236.40 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$259.20 |
$259.20 |
$304.00 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$149.40 |
$1,358.40 |
$3,499.92 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$406.80 |
$1,603.80 |
$4,666.20 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$112.50 |
$700.00 |
$2,220.48 |
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$2,548.80 |
$2,548.80 |
$3,336.80 |
|
|
Prgrmg dev eval impltbl sys
|
$67.50 |
$258.30 |
$258.30 |
|
|
Prgrmg dev eval pm/ldls pm
|
$95.40 |
$205.00 |
$1,029.70 |
|
|
Prgrmg dev eval scrms ip
|
$97.80 |
$177.50 |
$459.60 |
|
|
Prgrmg eval implantable dfb
|
$93.75 |
$260.00 |
$1,029.70 |
|
|
Prgrmg eval implantable dfb
|
$182.40 |
$315.00 |
$1,207.50 |
|
|
Prgrmg eval implantable dfb
|
$162.00 |
$370.00 |
$539.00 |
|
|
Prgr stim/pace a/iv drug
|
$2,175.00 |
$4,491.63 |
$8,359.20 |
|
|
Pr hospital ip/obs care initial high level per day
|
$140.00 |
$362.40 |
$769.20 |
|
|
Pr hospital ip/obs care initial moderate level per day
|
$246.40 |
$274.20 |
$555.00 |
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$181.60 |
$201.60 |
$347.40 |
|
|
Pr hospital ip/obs care subsequent high level per day
|
$87.50 |
$193.20 |
$362.40 |
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$87.50 |
$133.80 |
$291.60 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$73.80 |
$87.50 |
$1,156.80 |
|
|
Prim art mech thrmbc non-intracranial
|
$3,750.00 |
$9,548.80 |
$121,115.28 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$750.00 |
$4,182.50 |
$73,237.98 |
|
|
Prin care mgmt staff 1st 30
|
$141.00 |
$165.00 |
$212.00 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$175.00 |
$689.01 |
$1,434.00 |
|
|
Pr incision & drainage abscess simple/single
|
$105.00 |
$480.00 |
$1,524.00 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$162.50 |
$525.00 |
$29,271.95 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$112.50 |
$612.15 |
$1,481.90 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$171.60 |
$316.20 |
$512.80 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$158.40 |
$219.00 |
$378.40 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$66.25 |
$375.90 |
$1,449.36 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$1,117.80 |
$16,880.90 |
$26,461.34 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$1,374.94 |
$5,877.68 |
$42,966.14 |
|
|
Probe nasolacrimal duct
|
$851.20 |
$851.20 |
$19,784.53 |
|
|
Probe nasolacrimal duct
|
$729.60 |
$4,554.05 |
$20,651.36 |
|
|
Probe nasolacrimal duct
|
$1,910.40 |
$17,601.21 |
$20,522.91 |
|
|
Probe nl duct w/balloon
|
$3,817.60 |
$13,470.12 |
$31,045.87 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$200.20 |
$1,075.14 |
$3,939.07 |
|
|
Procalcitonin
|
$18.90 |
$202.80 |
$500.80 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$13.82 |
$69.64 |
$290.32 |
|
|
Prochlorperazine maleate 5 mg tablet
|
$2.59 |
$5.77 |
$38.50 |
|
|
Proctectomy combined abd pull-thru px 45112
|
$3,588.60 |
$3,588.60 |
$4,636.80 |
|
|
Proctectomy complete abd w/clst 45110
|
$3,515.40 |
$3,515.40 |
$4,544.80 |
|
|
Proctosigmoidoscopy ablate
|
$488.80 |
$488.80 |
$488.80 |
|
|
Proctosigmoidoscopy control bleed 45317
|
$453.60 |
$453.60 |
$496.80 |
|
|
Proctosigmoidoscopy dilate 45303
|
$1,764.60 |
$1,764.60 |
$8,299.89 |
|
|
Proctosigmoidoscopy dx 45300
|
$229.80 |
$1,266.40 |
$10,898.88 |
|
|
Proctosigmoidoscopy removal
|
$444.80 |
$444.80 |
$444.80 |
|
|
Proctosigmoidoscopy removal
|
$460.00 |
$460.00 |
$460.00 |
|
|
Proctosigmoidoscopy tumor removal 45315
|
$436.80 |
$436.80 |
$501.60 |
|
|
Proctosigmoidoscopy volvul
|
$252.80 |
$252.80 |
$5,923.44 |
|
|
Proctosigmoidoscopy w/bx 45305
|
$369.00 |
$5,770.10 |
$22,113.36 |
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$429.00 |
$5,969.60 |
$5,969.60 |
|
|
Proctosigmoidoscopy w/stent
|
$286.40 |
$286.40 |
$286.40 |
|
|
Progesterone
|
$47.30 |
$136.08 |
$524.80 |
|
|
Prolactin
|
$53.75 |
$146.30 |
$458.40 |
|
|
Prolng clin staff svc 1st hr
|
$36.80 |
$36.80 |
$36.80 |
|
|
Prolng clin staff svc ea add
|
$17.60 |
$17.60 |
$17.60 |
|
|
Prolng ip/obs e/m ea 15 min
|
$63.00 |
$63.00 |
$74.40 |
|
|
Prolng off/op e/m ea 15 min 99417
|
$15.00 |
$75.00 |
$100.80 |
|
|
Prolng svc o/p 1st hour
|
$198.60 |
$198.60 |
$198.60 |
|
|
Prolng svc o/p ea addl 30
|
$196.20 |
$196.20 |
$196.20 |
|
|
Prolonged IV inf, req pump
|
$253.20 |
$922.60 |
$3,536.64 |
|
|
Prolong home eval add 15m
|
$46.80 |
$46.80 |
$59.20 |
|
|
Prolong service without contact
|
$213.60 |
$213.60 |
$233.60 |
|
|
Prolong serv without contact add
|
$107.40 |
$107.40 |
$113.60 |
|
|
Promethazine 25 mg tablet
|
$0.47 |
$0.47 |
$0.88 |
|
|
Promethazine hcl injection
|
$15.93 |
$35.40 |
$75.40 |
|
|
Proph rta dtchmnt crtx dthrm
|
$2,598.40 |
$2,598.40 |
$2,598.40 |
|
|
Proph rta dtchmnt pc
|
$1,336.20 |
$2,616.00 |
$85,905.28 |
|
|
Proph tx w/wo mthylmthcrylt
|
$4,262.40 |
$4,262.40 |
$4,262.40 |
|
|
Prophylactic tx radius
|
$3,531.20 |
$3,531.20 |
$3,531.20 |
|
|
Prophylactic tx radius&ulna
|
$4,451.20 |
$4,451.20 |
$4,451.20 |
|
