|
Pregnancy Ultrasound (complete, after first trimester)
|
$677.30 |
$677.30 |
$677.30 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$592.15 |
$592.15 |
$592.15 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$247.00 |
$247.00 |
$247.00 |
$144.00
|
|
Prenatal Care Only (4-6 visits)
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$1,143.04
|
|
Pressure max expiratory/inspiratory
|
$252.85 |
$252.85 |
$252.85 |
$243.75
|
|
Pressure velocity wire add ves
|
$30,292.41 |
$30,292.41 |
$30,292.41 |
$1,618.20
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$333.45 |
$333.45 |
$333.45 |
$162.00
|
|
Pretreat rbc absorption reference
|
$49.40 |
$49.40 |
$49.40 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$84.50 |
$84.50 |
$84.50 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$86.45 |
$86.45 |
$86.45 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$75.40 |
$75.40 |
$75.40 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$421.00 |
$421.00 |
$421.00 |
$308.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$25,617.40 |
$25,617.40 |
$25,617.40 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,047.80 |
$1,047.80 |
$1,047.80 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$805.00 |
$805.00 |
$805.00 |
$780.60
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$4,853.00 |
$4,853.00 |
$4,853.00 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$30.55 |
$30.55 |
$30.55 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$36.40 |
$36.40 |
$36.40 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$36.40 |
$36.40 |
$36.40 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$36.40 |
$36.40 |
$36.40 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$36.40 |
$36.40 |
$36.40 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$4,540.00
|
|
Pr hospital ip/obs care initial high level per day
|
$483.00 |
$483.00 |
$483.00 |
$348.40
|
|
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 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$106.00 |
$106.00 |
$106.00 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$17,392.05 |
$17,392.05 |
$17,392.05 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,009.85 |
$4,009.85 |
$4,009.85 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$762.00 |
$762.00 |
$762.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$618.15 |
$618.15 |
$618.15 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$995.00 |
$995.00 |
$995.00 |
$605.28
|
|
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
|
$374.00 |
$374.00 |
$374.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$37.00 |
$37.00 |
$37.00 |
$255.00
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$34,288.85 |
$34,288.85 |
$34,288.85 |
$4,209.00
|
|
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
|
$230.75 |
$230.75 |
$230.75 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$24.95 |
$24.95 |
$24.95 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$2.09
|
|
Progesterone
|
$120.90 |
$120.90 |
$120.90 |
$116.00
|
|
Prolactin
|
$130.65 |
$130.65 |
$130.65 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$99.00 |
$99.00 |
$99.00 |
$64.46
|
|
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
|
|
Propofol infusion 10 mg/ml
|
$99.50 |
$99.50 |
$99.50 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$9.20 |
$9.20 |
$9.20 |
$33.31
|
|
Prostatectomy (turp)
|
$50,936.35 |
$50,936.35 |
$50,936.35 |
$6,999.96
|
|
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
|
$150.50 |
$150.50 |
$150.50 |
$56.70
|
|
Protector nerve neurawrap 4cm
|
$3,580.71 |
$3,580.71 |
$3,580.71 |
$3,842.36
|
|
Protein c activity
|
$162.50 |
$162.50 |
$162.50 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$84.00
|
|
Protein s total
|
$157.30 |
$157.30 |
$157.30 |
$85.10
|
|
Protein total 24 hour urine
|
$800.00 |
$800.00 |
$800.00 |
$52.50
|
|
Protein total body fluid
|
$59.80 |
$59.80 |
$59.80 |
$49.80
|
|
Protein total serum plasma whole blood
|
$2,389.00 |
$2,389.00 |
$2,389.00 |
$42.90
|
|
Prothrombin time substitution plasma fractions each
|
$126.75 |
$126.75 |
$126.75 |
$41.50
|
|
Provide inr test mater/equip
|
$168.00 |
$168.00 |
$168.00 |
$250.08
|
|
Provox xtraflange 17fr
|
$84.23 |
$84.23 |
$84.23 |
$84.23
|
|
Pr planning advance care 1st 30 minutes
|
$190.00 |
$190.00 |
$190.00 |
$123.20
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$81.00 |
$81.00 |
$81.00 |
$52.14
|
|
Prq cardiac angio addl art
|
$2,826.85 |
$2,826.85 |
$2,826.85 |
$5,574.15
|
|
Prq card revasc mi 1 vsl
|
$12,090.00 |
$12,090.00 |
$12,090.00 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$15,800.20 |
$15,800.20 |
$15,800.20 |
$17,651.36
|
|
Prq revasc byp graft 1 art and/or branches
|
$10,309.65 |
$10,309.65 |
$10,309.65 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$45,292.20 |
$45,292.20 |
$45,292.20 |
$13,127.50
|
|
Prq trl rvs ch occ ant&rtrgr
|
$22,998.30 |
$22,998.30 |
$22,998.30 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$5,653.70 |
$5,653.70 |
$5,653.70 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$3,522.35 |
$3,522.35 |
$3,522.35 |
$13,410.10
|
|
Pr removal drug delivery implant
|
$297.00 |
$297.00 |
$297.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$366.00 |
$366.00 |
$366.00 |
$252.00
|
|
Pr removal intrauterine device
|
$213.20 |
$213.20 |
$213.20 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$265.00 |
$265.00 |
$265.00 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$405.00 |
$405.00 |
$405.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$548.00 |
$548.00 |
$548.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$598.00 |
$598.00 |
$598.00 |
$397.80
|
|
Pr robotic surgical system
|
$66,821.98 |
$66,821.98 |
$66,821.98 |
$0.52
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$101.00 |
$101.00 |
$101.00 |
$71.20
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,018.60 |
$3,018.60 |
$3,018.60 |
$1,761.00
|
|
Pr visit complexity e&m service serious/complex condition
|
$42.00 |
$42.00 |
$42.00 |
$26.65
|
|
PSA (Prostate) Test
|
$669.00 |
$669.00 |
$669.00 |
$108.11
|
|
Psychotherapy group therapy
|
$167.70 |
$167.70 |
$167.70 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$300.30 |
$300.30 |
$300.30 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$300.30 |
$300.30 |
$300.30 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$376.00 |
$376.00 |
$376.00 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$334.00 |
$334.00 |
$334.00 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$251.00 |
$251.00 |
$251.00 |
$207.20
|
|
Psycl/nrpsyc tech 1st
|
$750.10 |
$750.10 |
$750.10 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$240.50 |
$240.50 |
$240.50 |
$206.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$85.15 |
$85.15 |
$85.15 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$106.00 |
$106.00 |
$106.00 |
$123.63
|
