|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$86.42 |
$86.42 |
$86.42 |
$187.00
|
|
Polysom <6 yrs cpap/bilvl
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$3,557.58
|
|
Polysom any age 1-3> param
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$1,652.18
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,795.92 |
$2,795.92 |
$2,795.92 |
$3,770.09
|
|
Polyvalent mult org ea ag ia
|
$26.40 |
$26.40 |
$26.40 |
$14.50
|
|
Positional change of finger
|
$3,372.80 |
$3,372.80 |
$3,372.80 |
$7,907.11
|
|
Positional nystagmus test
|
$42.40 |
$42.40 |
$42.40 |
$73.50
|
|
Post-coital mucous exam
|
$50.40 |
$50.40 |
$50.40 |
$34.50
|
|
Post non-seg/spine instrumentation 22840
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$1,831.20
|
|
Postop app non-wgt bear dsg
|
$2,500.42 |
$2,500.42 |
$2,500.42 |
$977.13
|
|
Postpartum Care Only
|
$501.60 |
$501.60 |
$501.60 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$1,837.60 |
$1,837.60 |
$1,837.60 |
$1,837.60
|
|
Potassium 24 hour urine
|
$33.57 |
$33.57 |
$33.57 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$15.57 |
$15.57 |
$15.57 |
$61.80
|
|
Potassium hydroxide preps
|
$12.00 |
$12.00 |
$12.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$33.57 |
$33.57 |
$33.57 |
$47.40
|
|
Pq biliary strict dil s&i
|
$593.06 |
$593.06 |
$593.06 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$366.66 |
$366.66 |
$366.66 |
$724.68
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$16,062.40 |
$16,062.40 |
$16,062.40 |
$10,203.30
|
|
Pq thr inj ext pse
|
$799.38 |
$799.38 |
$799.38 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,095.20 |
$2,095.20 |
$2,095.20 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,452.80 |
$4,452.80 |
$4,452.80 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$4,811.54
|
|
Pralatrexate injection
|
$402.40 |
$402.40 |
$402.40 |
$20,353.38
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,735.51 |
$3,735.51 |
$3,735.51 |
$3,738.90
|
|
Pr application of long arm splint
|
$396.80 |
$396.80 |
$396.80 |
$334.20
|
|
Pr application splint static short arm
|
$312.00 |
$312.00 |
$312.00 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$56.80 |
$56.80 |
$56.80 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$417.28 |
$417.28 |
$417.28 |
$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 |
$5,227.20 |
$6,653.00
|
|
Pr correction hammertoe
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$48.50 |
$48.50 |
$48.50 |
$48.10
|
|
Prcrd drg 0-5yr or w/anomly
|
$695.20 |
$695.20 |
$695.20 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$604.80 |
$604.80 |
$604.80 |
$2,260.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$2,228.80 |
$2,228.80 |
$2,228.80 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$148.00 |
$148.00 |
$148.00 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$209.60 |
$209.60 |
$209.60 |
$178.75
|
|
Prealbumin
|
$64.28 |
$64.28 |
$64.28 |
$93.00
|
|
Pr ecg 12 lead report only
|
$19.20 |
$19.20 |
$19.20 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$60.00 |
$60.00 |
$60.00 |
$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
|
$2.00 |
$2.00 |
$2.00 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.50 |
$0.50 |
$0.50 |
$2.88
|
|
Pregabalin - sendout
|
$72.14 |
$72.14 |
$72.14 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$502.40 |
$502.40 |
$502.40 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$64.28 |
$64.28 |
$64.28 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$447.73 |
$447.73 |
$447.73 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$447.73 |
$447.73 |
$447.73 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$181.60 |
$181.60 |
$181.60 |
$459.00
|
|
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 |
$859.20 |
$2,186.41
|
|
Prep skn trk/ext adl 100cm2
|
$177.60 |
$177.60 |
$177.60 |
$1,100.06
|
|
Pressure velocity wire add ves
|
$767.04 |
$767.04 |
$767.04 |
$1,636.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$164.99 |
$164.99 |
$164.99 |
$162.00
|
|
Pretreat rbc absorption reference
|
$312.80 |
$312.80 |
$312.80 |
$148.80
|
|
Pretreat rbc density gradient separation reference
|
$164.99 |
$164.99 |
$164.99 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$164.99 |
$164.99 |
$164.99 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$164.99 |
$164.99 |
$164.99 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$362.40 |
$362.40 |
$362.40 |
$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
|
$3,025.20 |
$3,025.20 |
$3,025.20 |
$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
|
$414.19 |
$414.19 |
$414.19 |
$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 |
$863.20 |
$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
|
$3,438.88 |
$3,438.88 |
$3,438.88 |
$3,687.00
|
