|
#pnh-flow cytometry interp
|
$121.60 |
$121.60 |
$121.60 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$86.42 |
$86.42 |
$658.00 |
$187.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$59,184.30 |
$59,184.30 |
$59,184.30 |
$35,781.91
|
|
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 |
$1,598.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,146.11 |
$3,146.11 |
$3,866.20 |
$3,751.48
|
|
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
|
|
Positioner proc acufex leg acs
|
$197.14 |
$197.14 |
$197.14 |
$79.80
|
|
Post 1 srfc resinbased cmpst
|
$41,669.75 |
$41,669.75 |
$41,669.75 |
$142.80
|
|
Post 2 srfc resinbased cmpst
|
$41,002.90 |
$41,002.90 |
$41,002.90 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$40,915.85 |
$40,915.85 |
$40,915.85 |
$285.60
|
|
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
|
$2,538.72 |
$2,538.72 |
$2,538.72 |
$977.13
|
|
Postop app non-wgt bear dsg
|
$2,538.72 |
$2,538.72 |
$2,538.72 |
$1,374.88
|
|
Postpartum Care Only
|
$501.60 |
$501.60 |
$580.00 |
$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 |
$55.25 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$15.56 |
$15.56 |
$60.00 |
$61.80
|
|
Potassium hydroxide preps
|
$12.00 |
$12.00 |
$12.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$33.57 |
$33.57 |
$229.00 |
$47.40
|
|
Pouch high output 2pc 50mm red
|
$282.29 |
$282.29 |
$282.29 |
$10.83
|
|
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp
|
$0.28 |
$0.28 |
$0.28 |
$3.25
|
|
Pouch ostmy nb pouchkin ctf
|
$0.36 |
$0.36 |
$0.36 |
$1.55
|
|
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
|
$431.20 |
$431.20 |
$431.20 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$773.68 |
$773.68 |
$819.00 |
$724.68
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$14,430.00 |
$14,430.00 |
$16,062.40 |
$10,203.30
|
|
Pq thr inj ext pse
|
$764.80 |
$764.80 |
$2,119.00 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,619.05 |
$2,619.05 |
$2,619.05 |
$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
|
|
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
|
$2,445.00 |
$2,445.00 |
$5,796.58 |
$3,738.90
|
|
Pr application of long arm splint
|
$396.80 |
$396.80 |
$1,140.00 |
$334.20
|
|
Pr application splint static short arm
|
$312.00 |
$312.00 |
$1,019.00 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$56.80 |
$56.80 |
$625.00 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$422.35 |
$422.35 |
$1,033.00 |
$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 |
$66,910.80 |
$6,653.00
|
|
Pr correction hammertoe
|
$2,688.00 |
$2,688.00 |
$46,023.98 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$51.39 |
$51.39 |
$453.00 |
$48.10
|
|
Prcrd drg 0-5yr or w/anomly
|
$695.20 |
$695.20 |
$695.20 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$1,576.25 |
$1,576.25 |
$4,310.65 |
$2,260.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$2,228.80 |
$2,228.80 |
$33,780.44 |
$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 |
$65.00 |
$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
|
$0.80 |
$0.80 |
$10.43 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.92 |
$0.92 |
$14.66 |
$2.88
|
|
Prefab stnlss steel crown pe
|
$42,204.30 |
$42,204.30 |
$42,204.30 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$41,537.80 |
$41,537.80 |
$41,537.80 |
$845.60
|
|
Pregabalin - sendout
|
$72.14 |
$72.14 |
$72.14 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$502.40 |
$502.40 |
$10,172.22 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$64.28 |
$64.28 |
$64.28 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$794.23 |
$794.23 |
$874.90 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$441.04 |
$441.04 |
$874.90 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$309.29 |
$309.29 |
$1,623.00 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$243.20 |
$243.20 |
$405.68 |
$149.50
|
|
Prenatal Care Only (4-6 visits)
|
$1,136.00 |
$1,136.00 |
$1,400.00 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$2,024.80 |
$2,024.80 |
$2,571.00 |
$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
|
$1,033.80 |
$1,033.80 |
$27,269.79 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,375.25 |
$3,375.25 |
$19,533.07 |
$2,186.41
|
|
Prep skn trk/ext adl 100cm2
|
$3,375.25 |
$3,375.25 |
$3,375.25 |
$1,100.06
|
|
Pressure velocity wire add ves
|
$1,132.25 |
$1,132.25 |
$1,983.80 |
$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
|
$114.40 |
$114.40 |
$312.80 |
$148.80
|
|
Pretreat rbc density gradient separation reference
|
$84.50 |
$84.50 |
$164.99 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$114.40 |
$114.40 |
$164.99 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$75.40 |
$75.40 |
$164.99 |
$167.17
|
|
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 |
$77.35 |
$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 |
$1,296.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$311.20 |
$311.20 |
$24,545.87 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,810.63 |
$2,810.63 |
$2,851.55 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$470.07 |
$470.07 |
$13,295.35 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$3,336.80 |
$3,336.80 |
$4,853.00 |
$3,336.80
|
