|
Pouch uros new (both sides) 2.75in clr
|
$67.84 |
$67.84 |
$67.84 |
$15.80
|
|
Powder prem protct 1oz
|
$0.45 |
$0.45 |
$0.45 |
$5.43
|
|
Pq biliary strict dil s&i
|
$1,432.38 |
$1,432.38 |
$1,432.38 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$913.44 |
$913.44 |
$1,067.30 |
$724.68
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$6,135.00 |
$6,135.00 |
$16,062.40 |
$10,203.30
|
|
Pq thr inj ext pse
|
$764.80 |
$764.80 |
$1,080.30 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$4,942.64 |
$4,942.64 |
$4,942.64 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,436.91 |
$5,436.91 |
$5,436.91 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$1,945.00 |
$1,945.00 |
$5,436.91 |
$4,811.54
|
|
Pralatrexate injection
|
$402.40 |
$402.40 |
$402.40 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$411.85 |
$411.85 |
$411.85 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,677.77 |
$2,677.77 |
$13,771.75 |
$3,738.90
|
|
Pr application of long arm splint
|
$154.00 |
$154.00 |
$470.28 |
$334.20
|
|
Pr application splint static short arm
|
$139.00 |
$139.00 |
$381.00 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$11.00 |
$11.00 |
$56.80 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$553.92 |
$553.92 |
$7,180.07 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$5,227.20 |
$5,227.20 |
$49,011.55 |
$6,653.00
|
|
Pr correction hammertoe
|
$2,688.00 |
$2,688.00 |
$24,211.02 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$40.95 |
$40.95 |
$50.38 |
$48.10
|
|
Prcrd drg 0-5yr or w/anomly
|
$4,791.30 |
$4,791.30 |
$4,791.30 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$4,169.23 |
$4,169.23 |
$4,169.23 |
$2,260.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$2,228.80 |
$2,228.80 |
$24,014.77 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$148.00 |
$148.00 |
$174.00 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$209.60 |
$209.60 |
$256.00 |
$178.75
|
|
Prealbumin
|
$64.28 |
$64.28 |
$165.10 |
$93.00
|
|
Pr ecg 12 lead report only
|
$19.20 |
$19.20 |
$26.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$60.00 |
$60.00 |
$83.00 |
$51.75
|
|
Prednisolone acetate inj
|
$1.20 |
$1.20 |
$1.20 |
$1.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.22 |
$2.22 |
$9.75 |
$13.80
|
|
Prednisone 1 mg tablet
|
$1.04 |
$1.04 |
$60.25 |
$2.88
|
|
Pregabalin - sendout
|
$72.14 |
$72.14 |
$72.14 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$4,104.98 |
$4,104.98 |
$16,246.90 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$64.28 |
$64.28 |
$64.28 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$661.05 |
$661.05 |
$931.84 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$800.44 |
$800.44 |
$806.00 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$593.76 |
$593.76 |
$16,754.60 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$188.00 |
$188.00 |
$243.20 |
$149.50
|
|
Prenatal Care Only (4-6 visits)
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$2,024.80 |
$2,024.80 |
$2,024.80 |
$1,143.04
|
|
Preparation for bladder xray
|
$203.20 |
$203.20 |
$203.20 |
$1,222.00
|
|
Preparation palate mold
|
$441.60 |
$441.60 |
$441.60 |
$602.63
|
|
Prepare embryo for transfer
|
$565.60 |
$565.60 |
$565.60 |
$273.28
|
|
Prepare fecal microbiota
|
$277.60 |
$277.60 |
$277.60 |
$425.60
|
|
Prepare penis study
|
$249.60 |
$249.60 |
$249.60 |
$275.52
|
|
Prepare sperm duct x-ray
|
$472.00 |
$472.00 |
$472.00 |
$504.00
|
|
Prep cadaver renal allograft
|
$476.00 |
$476.00 |
$476.00 |
$476.00
|
|
Prep donor renal graft
|
$415.20 |
$415.20 |
$415.20 |
$415.20
|
|
Prepj tum cav iort prtl mast
|
$404.00 |
$404.00 |
$404.00 |
$780.00
|
|
Prep renal graft/arterial
|
$466.40 |
$466.40 |
$466.40 |
$466.40
|
|
Prep renal graft/ureteral
|
$444.80 |
$444.80 |
$444.80 |
$444.80
|
|
Prep renal graft/venous
|
$532.00 |
$532.00 |
$532.00 |
$532.00
|
|
Prep skin to 100cm2 other
|
$1,073.10 |
$1,073.10 |
$35,119.33 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,503.56 |
$3,503.56 |
$25,512.10 |
$2,186.41
|
|
Prep skn trk/ext adl 100cm2
|
$3,503.56 |
$3,503.56 |
$20,760.03 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$84.20 |
$84.20 |
$227.50 |
$243.75
|
|
Pressure velocity wire add ves
|
$557.05 |
$557.05 |
$2,797.75 |
$1,636.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$164.99 |
$164.99 |
$333.45 |
$162.00
|
|
Pretreat rbc absorption reference
|
$49.40 |
$49.40 |
$312.80 |
$148.80
|
|
Pretreat rbc density gradient separation reference
|
$84.50 |
$84.50 |
$164.99 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$86.45 |
$86.45 |
$164.99 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$75.40 |
$75.40 |
$164.99 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$421.00 |
$421.00 |
$467.84 |
$308.00
|
|
Preventive counseling group
|
$35.20 |
$35.20 |
$35.20 |
$29.60
|
|
Preventive counseling group
|
$44.80 |
$44.80 |
$44.80 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$69.60 |
$69.60 |
$69.60 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$116.00 |
$116.00 |
$116.00 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$160.00 |
$160.00 |
$160.00 |
$175.68
|
|
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
|
$277.00 |
$277.00 |
$304.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,044.00 |
$1,044.00 |
$1,289.69 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,016.30 |
$2,016.30 |
$2,306.72 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,408.65 |
$1,408.65 |
$1,408.65 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$3,336.80 |
$3,336.80 |
$4,853.00 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$162.40 |
$162.40 |
$230.00 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$140.80 |
$140.80 |
$204.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$76.70 |
$76.70 |
$124.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$168.80 |
$168.80 |
$243.00 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$209.60 |
$209.60 |
$297.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$226.40 |
$226.40 |
$321.00 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$4,718.96 |
$4,718.96 |
$4,889.30 |
$4,555.93
|
|
Pr hospital ip/obs care initial high level per day
|
$362.40 |
$362.40 |
$483.00 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$246.40 |
$246.40 |
$328.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$181.60 |
$181.60 |
$241.00 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$217.60 |
$217.60 |
$255.00 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$145.60 |
$145.60 |
$173.00 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$89.60 |
$89.60 |
$106.00 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$9,548.80 |
$9,548.80 |
$35,768.75 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$7,833.12 |
$7,833.12 |
$12,569.70 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$546.04 |
$546.04 |
$4,918.00 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$536.22 |
$536.22 |
$2,054.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$339.03 |
$339.03 |
$1,361.75 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$659.91 |
$659.91 |
$14,205.50 |
$606.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$512.80 |
$512.80 |
$549.00 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$374.00 |
$374.00 |
$378.40 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$444.25 |
$444.25 |
$14,934.45 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$2,921.60 |
$2,921.60 |
$21,012.74 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$4,097.91 |
$4,097.91 |
$7,399.38 |
$7,372.61
|
|
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
|
