|
Prev med cnsl indiv apprx 60
|
$204.80 |
$204.80 |
$204.80 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$304.00 |
$304.00 |
$304.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,502.23 |
$1,502.23 |
$1,502.23 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$543.20 |
$543.20 |
$543.20 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$689.01 |
$689.01 |
$689.01 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$3,336.80 |
$3,336.80 |
$3,336.80 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$162.40 |
$162.40 |
$162.40 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$140.80 |
$140.80 |
$140.80 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$124.00 |
$124.00 |
$124.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$168.80 |
$168.80 |
$168.80 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$209.60 |
$209.60 |
$209.60 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$226.40 |
$226.40 |
$226.40 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$4,061.26 |
$4,061.26 |
$4,061.26 |
$4,555.93
|
|
Pr hospital ip/obs care initial high level per day
|
$362.40 |
$362.40 |
$362.40 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$246.40 |
$246.40 |
$246.40 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$181.60 |
$181.60 |
$181.60 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$217.60 |
$217.60 |
$217.60 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$145.60 |
$145.60 |
$145.60 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$89.60 |
$89.60 |
$89.60 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$9,548.80 |
$9,548.80 |
$9,548.80 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$6,203.97 |
$6,203.97 |
$6,203.97 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$689.01 |
$689.01 |
$689.01 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$374.60 |
$374.60 |
$374.60 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$503.67 |
$503.67 |
$503.67 |
$544.05
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$372.80 |
$372.80 |
$372.80 |
$606.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$512.80 |
$512.80 |
$512.80 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$378.40 |
$378.40 |
$378.40 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$365.86 |
$365.86 |
$365.86 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$2,921.60 |
$2,921.60 |
$2,921.60 |
$4,209.00
|
|
Probe nasolacrimal duct
|
$851.20 |
$851.20 |
$851.20 |
$533.50
|
|
Probe nasolacrimal duct
|
$729.60 |
$729.60 |
$729.60 |
$2,760.73
|
|
Probe nasolacrimal duct
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$3,817.60 |
$3,817.60 |
$3,817.60 |
$3,817.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$330.40 |
$330.40 |
$330.40 |
$674.78
|
|
Procalcitonin
|
$55.20 |
$55.20 |
$55.20 |
$159.25
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$81.64 |
$81.64 |
$81.64 |
$37.27
|
|
Proctectomy combined abd pull-thru px 45112
|
$4,636.80 |
$4,636.80 |
$4,636.80 |
$4,636.80
|
|
Proctectomy complete abd w/clst 45110
|
$4,544.80 |
$4,544.80 |
$4,544.80 |
$3,515.40
|
|
Proctosigmoidoscopy ablate
|
$488.80 |
$488.80 |
$488.80 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$496.80 |
$496.80 |
$496.80 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$2,326.40 |
$2,326.40 |
$2,326.40 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$302.40 |
$302.40 |
$302.40 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$444.80 |
$444.80 |
$444.80 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$460.00 |
$460.00 |
$460.00 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$501.60 |
$501.60 |
$501.60 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$252.80 |
$252.80 |
$252.80 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$396.80 |
$396.80 |
$396.80 |
$1,645.43
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$456.80 |
$456.80 |
$456.80 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$286.40 |
$286.40 |
$286.40 |
$6,588.93
|
|
Progesterone
|
$55.00 |
$55.00 |
$55.00 |
$116.00
|
|
Prolactin
|
$55.00 |
$55.00 |
$55.00 |
$123.50
|
|
Prolng clin staff svc 1st hr
|
$36.80 |
$36.80 |
$36.80 |
$36.80
|
|
Prolng clin staff svc ea add
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Prolng ip/obs e/m ea 15 min
|
$74.40 |
$74.40 |
$74.40 |
$64.46
|
|
Prolng off/op e/m ea 15 min 99417
|
$61.60 |
$61.60 |
$61.60 |
$61.60
|
|
Prolonged IV inf, req pump
|
$1,012.17 |
$1,012.17 |
$1,012.17 |
$609.00
|
|
Prolong home eval add 15m
|
$59.20 |
$59.20 |
$59.20 |
$59.20
|
|
Prolong service without contact
|
$233.60 |
$233.60 |
$233.60 |
$165.20
|
|
Prolong serv without contact add
|
$113.60 |
$113.60 |
$113.60 |
$81.20
|
|
Promethazine 25 mg tablet
|
$0.88 |
$0.88 |
$0.88 |
$3.83
|
|
Promethazine hcl injection
|
$75.40 |
$75.40 |
$75.40 |
$12.16
|
|
Proph rta dtchmnt crtx dthrm
|
$2,598.40 |
$2,598.40 |
$2,598.40 |
$878.80
|
|
Proph rta dtchmnt pc
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$1,077.50
|
|
Proph tx w/wo mthylmthcrylt
|
$4,262.40 |
$4,262.40 |
$4,262.40 |
$14,061.89
|
|
Prophylactic tx radius
|
$3,531.20 |
$3,531.20 |
$3,531.20 |
$7,913.97
|
|
Prophylactic tx radius&ulna
|
$4,451.20 |
$4,451.20 |
$4,451.20 |
$4,499.12
|
|
Prophylactic tx ulna
|
$3,632.00 |
$3,632.00 |
$3,632.00 |
$10,629.07
|
|
Propofol infusion 10 mg/ml
|
$19.80 |
$19.80 |
$19.80 |
$73.36
|
|
_propoxygc/msur
|
$72.14 |
$72.14 |
$72.14 |
$83.48
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$88.40 |
$88.40 |
$88.40 |
$33.31
|
|
Prostate biopsy, any mthd
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$518.40
|
|
Prostate ca screening; dre
|
$49.60 |
$49.60 |
$49.60 |
$25.50
|
|
Prostatectomy (turp)
|
$1,841.60 |
$1,841.60 |
$1,841.60 |
$6,999.96
|
|
Prostate laser enucleation
|
$2,082.40 |
$2,082.40 |
$2,082.40 |
$6,030.00
|
|
Prostatic microwave thermotx
|
$3,799.20 |
$3,799.20 |
$3,799.20 |
$4,081.37
|
|
Prostatic rf thermotx
|
$3,688.00 |
$3,688.00 |
$3,688.00 |
$4,846.99
|
|
Prosthesis voc advantage 20f 14mm
|
$262.40 |
$262.40 |
$262.40 |
$1,104.11
|
|
Protamine 10 mg/ml intravenous solution
|
$22.36 |
$22.36 |
$22.36 |
$56.70
|
|
Protein analysis w/probe
|
$37.60 |
$37.60 |
$37.60 |
$43.20
|
|
Protein c activity
|
$35.20 |
$35.20 |
$35.20 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$44.80 |
$44.80 |
$44.80 |
$84.00
|
|
Protein s total
|
$32.85 |
$32.85 |
$32.85 |
$85.10
|
|
Protein total 24 hour urine
|
$33.57 |
$33.57 |
$33.57 |
$52.50
|
|
Protein total body fluid
|
$33.57 |
$33.57 |
$33.57 |
$49.80
|
|
Protein total serum plasma whole blood
|
$33.57 |
$33.57 |
$33.57 |
$42.81
|
|
Protein western blot tissue
|
$44.80 |
$44.80 |
$44.80 |
$44.80
|
|
Prothrombin complex kcentra
|
$4.81 |
$4.81 |
$4.81 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$32.85 |
$32.85 |
$32.85 |
$41.50
|
|
Protoporphyrin rbc screen
|
$24.00 |
$24.00 |
$24.00 |
$28.71
|
|
Provide inr test mater/equip
|
$170.40 |
$170.40 |
$170.40 |
$250.08
|
|
Prpertl pel pack hemrrg trma 49013
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$2,873.60 |
$2,873.60 |
$2,873.60 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$153.60 |
$153.60 |
$153.60 |
$123.20
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$61.60 |
$61.60 |
$61.60 |
$52.14
|
|
Prq av fstl crtj uxtr 1 acs
|
$17,934.40 |
$17,934.40 |
$17,934.40 |
$21,321.00
|
|
Prq card angio/athrect addl
|
$17,198.98 |
$17,198.98 |
$17,198.98 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$6,996.83 |
$6,996.83 |
$6,996.83 |
$5,574.15
|
|
Prq card revasc chronic addl
|
$17,016.54 |
$17,016.54 |
$17,016.54 |
$10,706.53
|
|
Prq card revasc mi 1 vsl
|
$14,928.16 |
$14,928.16 |
$14,928.16 |
$14,749.41
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$19,819.15 |
$19,819.15 |
$19,819.15 |
$17,651.36
|
