|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$256.00 |
$256.00 |
$256.00 |
$182.65
|
|
Prealbumin
|
$77.35 |
$77.35 |
$77.35 |
$94.00
|
|
Pr ecg 12 lead report only
|
$26.00 |
$26.00 |
$26.00 |
$21.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$151.70 |
$151.70 |
$151.70 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.88
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$8,345.93 |
$8,345.93 |
$8,345.93 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$819.00 |
$819.00 |
$819.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$735.15 |
$735.15 |
$735.15 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$512.20 |
$512.20 |
$512.20 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$188.00 |
$188.00 |
$188.00 |
$149.50
|
|
Prep skin to 100cm2 other
|
$856.00 |
$856.00 |
$856.00 |
$1,193.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$597.35 |
$597.35 |
$597.35 |
$161.40
|
|
Pretreat rbc absorption reference
|
$173.55 |
$173.55 |
$173.55 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$226.20 |
$226.20 |
$226.20 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$226.20 |
$226.20 |
$226.20 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$148.20 |
$148.20 |
$148.20 |
$168.50
|
|
Prev med cnsl indiv apprx 45
|
$380.90 |
$380.90 |
$380.90 |
$175.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$404.00 |
$404.00 |
$404.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$15,943.17 |
$15,943.17 |
$15,943.17 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$422.00 |
$422.00 |
$422.00 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$4,853.00 |
$4,853.00 |
$4,853.00 |
$3,336.80
|
|
Pr hospital ip/obs care initial high level per day
|
$483.00 |
$483.00 |
$483.00 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$328.00 |
$328.00 |
$328.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$241.00 |
$241.00 |
$241.00 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$255.00 |
$255.00 |
$255.00 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$173.00 |
$173.00 |
$173.00 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$106.00 |
$106.00 |
$106.00 |
$74.75
|
|
Pr incision & drainage abscess complicated/multiple
|
$607.00 |
$607.00 |
$607.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$419.90 |
$419.90 |
$419.90 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$283.00 |
$283.00 |
$283.00 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$14,984.87 |
$14,984.87 |
$14,984.87 |
$592.62
|
|
Pr management transitional care high w/in 7 days of discharge
|
$549.00 |
$549.00 |
$549.00 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$295.00 |
$295.00 |
$295.00 |
$195.53
|
|
Probe cryo 1150mm endo flex ster disp
|
$4,097.91 |
$4,097.91 |
$4,097.91 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,889.60 |
$2,889.60 |
$2,889.60 |
$674.78
|
|
Procalcitonin
|
$182.00 |
$182.00 |
$182.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$25.05 |
$25.05 |
$25.05 |
$38.48
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.09
|
|
Progesterone
|
$215.15 |
$215.15 |
$215.15 |
$116.00
|
|
Prolactin
|
$174.85 |
$174.85 |
$174.85 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$79.00 |
$79.00 |
$79.00 |
$61.60
|
|
Promethazine 25 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$3.83
|
|
Promethazine hcl injection
|
$7.65 |
$7.65 |
$7.65 |
$12.37
|
|
Propofol infusion 10 mg/ml
|
$14,309.07 |
$14,309.07 |
$14,309.07 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$45.50 |
$45.50 |
$45.50 |
$33.31
|
|
Prosthesis voc advantage 20f 14mm
|
$2,365.32 |
$2,365.32 |
$2,365.32 |
$1,088.12
|
|
Prosthesis voc lopres 20f 22mm
|
$462.69 |
$462.69 |
$462.69 |
$622.73
|
|
Protamine 10 mg/ml intravenous solution
|
$50.15 |
$50.15 |
$50.15 |
$56.70
|
|
Protector nerve neurawrap 4cm
|
$3,580.71 |
$3,580.71 |
$3,580.71 |
$3,891.30
|
|
Protein c activity
|
$157.30 |
$157.30 |
$157.30 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$83.20 |
$83.20 |
$83.20 |
$84.00
|
|
Protein s total
|
$141.05 |
$141.05 |
$141.05 |
$85.10
|
|
Protein total 24 hour urine
|
$628.55 |
$628.55 |
$628.55 |
$52.50
|
|
Protein total body fluid
|
$57.85 |
$57.85 |
$57.85 |
$49.80
|
|
Protein total serum plasma whole blood
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$349.70 |
$349.70 |
$349.70 |
$42.00
|
|
Provide inr test mater/equip
|
$168.00 |
$168.00 |
$168.00 |
$250.08
|
|
Provox xtraflange 17fr
|
$84.23 |
$84.23 |
$84.23 |
$84.23
|
|
Prp i/hern init block >5 yr
|
$18,493.60 |
$18,493.60 |
$18,493.60 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$159.00 |
$159.00 |
$159.00 |
$123.24
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$81.00 |
$81.00 |
$81.00 |
$53.62
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$23,895.30 |
$23,895.30 |
$23,895.30 |
$17,651.36
|
|
Pr removal drug delivery implant
|
$156.00 |
$156.00 |
$156.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$168.00 |
$168.00 |
$168.00 |
$252.00
|
|
Pr removal intrauterine device
|
$20,142.43 |
$20,142.43 |
$20,142.43 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$14,957.73 |
$14,957.73 |
$14,957.73 |
$711.48
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$179.00 |
$179.00 |
$179.00 |
$374.23
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$19,247.64 |
$19,247.64 |
$19,247.64 |
$3,247.19
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$101.00 |
$101.00 |
$101.00 |
$71.40
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,761.00
|
|
Pr visit complexity e&m service serious/complex condition
|
$42.00 |
$42.00 |
$42.00 |
$27.30
|
|
PSA (Prostate) Test
|
$380.90 |
$380.90 |
$380.90 |
$107.50
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$81.90 |
$81.90 |
$81.90 |
$81.48
|
|
Pt application of modality traction mechanical
|
$104.00 |
$104.00 |
$104.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$600.60 |
$600.60 |
$600.60 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$91.00 |
$91.00 |
$91.00 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$49.40 |
$49.40 |
$49.40 |
$80.30
|
|
Pulse ox continuous overnight monitoring
|
$371.15 |
$371.15 |
$371.15 |
$347.11
|
|
Pulse ox multiple
|
$156.00 |
$156.00 |
$156.00 |
$157.30
|
|
Pulse ox single
|
$52.65 |
$52.65 |
$52.65 |
$84.00
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$367.13 |
$367.13 |
$367.13 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$34,170.63 |
$34,170.63 |
$34,170.63 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$566.15 |
$566.15 |
$566.15 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,847.30 |
$1,847.30 |
$1,847.30 |
$1,060.47
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,213.80 |
$3,213.80 |
$3,213.80 |
$4,017.00
|
|
Radiation physics consult
|
$22,122.10 |
$22,122.10 |
$22,122.10 |
$610.68
|
|
Radiation therapy dose plan
|
$521.30 |
$521.30 |
$521.30 |
$518.76
|
|
Radiation treatment aid(s)
|
$600.60 |
$600.60 |
$600.60 |
$526.80
|
|
Radiation treatment aid(s)
|
$26,740.35 |
$26,740.35 |
$26,740.35 |
$655.50
|
|
Radiation treatment aid(s)
|
$21,446.10 |
$21,446.10 |
$21,446.10 |
$1,100.38
|
|
Radiation treatment delivery
|
$1,799.20 |
$1,799.20 |
$1,799.20 |
$552.40
|
|
Radiation treatment delivery
|
$1,977.95 |
$1,977.95 |
$1,977.95 |
$921.00
|
|
Radiotherapy dose plan imrt
|
$6,538.35 |
$6,538.35 |
$6,538.35 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$507.10 |
$507.10 |
$507.10 |
$217.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$22,849.50 |
$22,849.50 |
$22,849.50 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$16,770.95 |
$16,770.95 |
$16,770.95 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$73,649.25 |
$73,649.25 |
$73,649.25 |
$41,926.70
|
|
Rbc count only automated
|
$32.50 |
$32.50 |
$32.50 |
$20.40
|
|
Rbc deglycerolized each unit
|
$767.00 |
$767.00 |
$767.00 |
$856.71
|
|
Reconstruct finger joint
|
$2,791.00 |
$2,791.00 |
$2,791.00 |
$4,350.00
|
