|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$243.20 |
$243.20 |
$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
|
$987.20 |
$987.20 |
$987.20 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$859.20 |
$859.20 |
$17,191.69 |
$2,172.00
|
|
Prep skn trk/ext adl 100cm2
|
$177.60 |
$177.60 |
$177.60 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$243.69 |
$243.69 |
$243.69 |
$243.75
|
|
Pressure velocity wire add ves
|
$602.55 |
$602.55 |
$880.23 |
$1,636.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$164.99 |
$164.99 |
$597.35 |
$162.00
|
|
Pretreat rbc absorption reference
|
$173.55 |
$173.55 |
$312.80 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$164.99 |
$164.99 |
$226.20 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$164.99 |
$164.99 |
$226.20 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$148.20 |
$148.20 |
$164.99 |
$168.50
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$362.40 |
$362.40 |
$421.00 |
$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
|
$304.00 |
$304.00 |
$304.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$311.20 |
$311.20 |
$311.20 |
$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
|
$634.72 |
$634.72 |
$634.72 |
$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
|
$863.20 |
$863.20 |
$7,779.20 |
$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 |
$16,996.20 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$6,228.88 |
$6,228.88 |
$6,228.88 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$516.00 |
$516.00 |
$13,287.04 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$267.15 |
$267.15 |
$298.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$458.31 |
$458.31 |
$458.31 |
$543.84
|
|
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
|
$411.02 |
$411.02 |
$17,409.35 |
$255.94
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$2,921.60 |
$2,921.60 |
$20,144.13 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$4,097.91 |
$4,097.91 |
$4,097.91 |
$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
|
|
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 |
$2,889.60 |
$674.78
|
|
Procalcitonin
|
$55.20 |
$55.20 |
$198.25 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$24.40 |
$24.40 |
$79.68 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.09
|
|
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 |
$215.80 |
$116.00
|
|
Prolactin
|
$55.00 |
$55.00 |
$210.60 |
$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
|
$676.54 |
$676.54 |
$676.54 |
$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
|
$25.10 |
$25.10 |
$25.10 |
$3.83
|
|
Promethazine hcl injection
|
$72.96 |
$72.96 |
$72.96 |
$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
|
