|
Pq kyphplsty 1 bdy lumb w/img
|
$8,534.40 |
$8,534.40 |
$9,857.40 |
$10,195.00
|
|
Pq thr inj ext pse
|
$248.40 |
$248.40 |
$264.00 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,640.00 |
$2,640.00 |
$3,049.20 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,822.60 |
$3,822.60 |
$4,415.40 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,822.60 |
$3,822.60 |
$4,415.40 |
$4,811.54
|
|
Pralatrexate injection
|
$22,150.81 |
$22,150.81 |
$22,150.81 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$183.17 |
$183.17 |
$183.17 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,157.40 |
$1,157.40 |
$1,215.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$192.00 |
$192.00 |
$232.20 |
$334.08
|
|
Pr application splint static short arm
|
$284.40 |
$284.40 |
$316.80 |
$288.51
|
|
Pr assessment emotional/behavioral per instrument brief
|
$7.80 |
$7.80 |
$56.40 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$321.00 |
$321.00 |
$371.40 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$1,494.00 |
$1,494.00 |
$1,569.00 |
$6,653.00
|
|
Pr correction hammertoe
|
$955.20 |
$955.20 |
$1,003.20 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$26.40 |
$26.40 |
$27.60 |
$48.00
|
|
Prcrd drg 6+yr without anomly
|
$585.00 |
$585.00 |
$614.40 |
$2,253.00
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$137.40 |
$137.40 |
$144.00 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$203.40 |
$203.40 |
$213.60 |
$178.75
|
|
Prealbumin
|
$123.60 |
$123.60 |
$130.20 |
$94.00
|
|
Pr ecg 12 lead report only
|
$17.40 |
$17.40 |
$18.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$70.20 |
$70.20 |
$73.80 |
$51.75
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$13.87 |
$13.87 |
$13.87 |
$13.80
|
|
Pregabalin - sendout
|
$186.60 |
$186.60 |
$208.20 |
$76.70
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,924.80 |
$1,924.80 |
$2,223.60 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$48.00 |
$48.00 |
$54.00 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$413.40 |
$413.40 |
$451.80 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$346.80 |
$346.80 |
$379.20 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$294.60 |
$294.60 |
$322.20 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$159.60 |
$159.60 |
$183.00 |
$144.00
|
|
Prenatal Care Only (4-6 visits)
|
$889.80 |
$889.80 |
$934.20 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$1,593.00 |
$1,593.00 |
$1,672.80 |
$1,143.04
|
|
Prep skin to 100cm2 other
|
$721.80 |
$721.80 |
$757.80 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$619.80 |
$619.80 |
$651.00 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$135.60 |
$135.60 |
$142.20 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$97.80 |
$97.80 |
$109.20 |
$243.75
|
|
Pressure velocity wire add ves
|
$541.20 |
$541.20 |
$682.20 |
$1,618.20
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$36.00 |
$36.00 |
$40.80 |
$162.00
|
|
Pretreat rbc absorption reference
|
$87.60 |
$87.60 |
$97.80 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$58.80 |
$58.80 |
$66.00 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$81.00 |
$81.00 |
$90.60 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$32.40 |
$32.40 |
$36.00 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$170.40 |
$170.40 |
$178.80 |
$308.00
|
|
Preventive counseling group
|
$18.60 |
$18.60 |
$19.80 |
$29.60
|
|
Prev med cnsl indiv apprx 15
|
$56.40 |
$56.40 |
$59.40 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$111.60 |
$111.60 |
$117.00 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$167.40 |
$167.40 |
$175.80 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$225.00 |
$225.00 |
$236.40 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$246.60 |
$246.60 |
$259.20 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$220.20 |
$220.20 |
$2,329.80 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$387.60 |
$387.60 |
$2,329.80 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$400.20 |
$400.20 |
$465.60 |
$780.60
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$2,427.60 |
$2,427.60 |
$2,548.80 |
$3,336.80
|
|
Prgr stim/pace a/iv drug
|
$4,101.60 |
$4,101.60 |
$4,565.40 |
$4,540.00
|
|
Pr hospital ip/obs care initial high level per day
|
$384.60 |
$384.60 |
$403.80 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$261.00 |
$261.00 |
$274.20 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$192.00 |
$192.00 |
$201.60 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$198.60 |
$198.60 |
$208.80 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$138.60 |
$138.60 |
$145.80 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$75.00 |
$75.00 |
$78.60 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$7,086.00 |
$7,086.00 |
$8,184.60 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,137.20 |
$2,137.20 |
$2,468.40 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$405.00 |
$405.00 |
$489.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$207.00 |
$207.00 |
$242.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$357.00 |
$357.00 |
$431.40 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$288.60 |
$288.60 |
$348.60 |
$605.28
|
|
Pr management transitional care high w/in 7 days of discharge
|
$321.60 |
$321.60 |
$337.80 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$227.40 |
$227.40 |
$238.80 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$92.40 |
$92.40 |
$111.60 |
$255.00
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$1,064.40 |
$1,064.40 |
$1,117.80 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$5,118.60 |
$5,118.60 |
$5,118.60 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,075.14 |
$1,075.14 |
$1,075.14 |
$674.78
|
|
Procalcitonin
|
$228.60 |
$228.60 |
$240.60 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$22.34 |
$22.34 |
$28.36 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$2.59 |
$2.59 |
$2.59 |
$2.09
|
|
Proctectomy combined abd pull-thru px 45112
|
$3,417.60 |
$3,417.60 |
$3,588.60 |
$4,636.80
|
|
Proctectomy complete abd w/clst 45110
|
$3,348.00 |
$3,348.00 |
$3,515.40 |
$3,515.40
|
|
Proctosigmoidoscopy control bleed 45317
|
$432.00 |
$432.00 |
$453.60 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$1,680.60 |
$1,680.60 |
$1,764.60 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$219.00 |
$219.00 |
$229.80 |
$1,078.88
|
|
Proctosigmoidoscopy tumor removal 45315
|
$415.80 |
$415.80 |
$436.80 |
$1,395.28
|
|
Proctosigmoidoscopy w/bx 45305
|
$351.60 |
$351.60 |
$369.00 |
$1,645.43
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$408.60 |
$408.60 |
$429.00 |
$3,245.23
|
|
Progesterone
|
$104.40 |
$104.40 |
$109.80 |
$116.00
|
|
Prolactin
|
$125.40 |
$125.40 |
$132.00 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$60.00 |
$60.00 |
$63.00 |
$64.46
|
|
Prolng off/op e/m ea 15 min 99417
|
$54.00 |
$54.00 |
$57.00 |
$61.60
|
|
Prolng svc o/p 1st hour
|
$189.00 |
$189.00 |
$198.60 |
$178.76
|
|
Prolng svc o/p ea addl 30
|
$186.60 |
$186.60 |
$196.20 |
$67.09
|
|
Prolong home eval add 15m
|
$44.40 |
$44.40 |
$46.80 |
$59.20
|
|
Prolong service without contact
|
$203.40 |
$203.40 |
$213.60 |
$165.20
|
|
Prolong serv without contact add
|
$102.00 |
$102.00 |
$107.40 |
$81.20
|
|
_propoxygc/msur
|
$274.80 |
$274.80 |
$306.00 |
$95.55
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$32.75 |
$32.75 |
$39.82 |
$33.31
|
|
Prostate ca screening; dre
|
$29.40 |
$29.40 |
$30.60 |
$25.50
|
|
Prosthesis voc advantage 20f 14mm
|
$578.40 |
$578.40 |
$578.40 |
$1,088.12
|
|
Prosthesis voc lopres 20f 22mm
|
$78.60 |
$78.60 |
$82.80 |
$622.73
|
|
Prost sock sgl ply blw knee ea
|
$67.80 |
$67.80 |
$67.80 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$28.36 |
$28.36 |
$94.62 |
$56.70
|
|
Protein c activity
|
$274.80 |
$274.80 |
$288.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$155.40 |
$155.40 |
$163.20 |
$84.00
|