|
Prcrd drg 0-5yr or w/anomly
|
$695.20 |
$1,222.62 |
$4,971.82 |
|
|
Prcrd drg 6+yr without anomly
|
$585.00 |
$1,222.62 |
$4,325.49 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$2,228.80 |
$2,228.80 |
$38,464.23 |
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$96.96 |
$148.00 |
$240.00 |
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$142.08 |
$209.60 |
$50,863.17 |
|
|
Prealbumin
|
$64.28 |
$72.96 |
$254.00 |
|
|
Pr ecg 12 lead report only
|
$11.52 |
$19.20 |
$32.00 |
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$25.92 |
$60.00 |
$83.00 |
|
|
Prednisolone acetate inj
|
$1.20 |
$1.20 |
$1.20 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.80 |
$5.90 |
$720.00 |
|
|
Prednisone 1 mg tablet
|
$0.40 |
$1.00 |
$28,210.47 |
|
|
Prefab stnlss steel crown pe
|
$18,166.69 |
$42,204.30 |
$47,050.20 |
|
|
Prefab stnlss steel crwn pri
|
$19,833.06 |
$41,537.80 |
$45,129.65 |
|
|
Pregabalin - sendout
|
$72.14 |
$72.14 |
$208.20 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$264.48 |
$502.40 |
$17,577.20 |
|
|
Pregnancy associated plasma protein-a
|
$48.00 |
$64.28 |
$64.28 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$270.40 |
$706.48 |
$981.00 |
|
|
Pregnancy Ultrasound (first trimester)
|
$270.40 |
$592.15 |
$1,244.00 |
|
|
Pregnancy Ultrasound (limited)
|
$181.60 |
$503.67 |
$16,754.60 |
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$159.60 |
$243.20 |
$405.68 |
|
|
Prenatal Care Only (4-6 visits)
|
$889.80 |
$1,136.00 |
$1,400.00 |
|
|
Prenatal Care Only (7+ visits)
|
$1,593.00 |
$2,024.80 |
$2,571.00 |
|
|
Preparation for bladder xray
|
$203.20 |
$203.20 |
$203.20 |
|
|
Preparation palate mold
|
$441.60 |
$441.60 |
$441.60 |
|
|
Prepare embryo for transfer
|
$565.60 |
$565.60 |
$565.60 |
|
|
Prepare fecal microbiota
|
$277.60 |
$277.60 |
$277.60 |
|
|
Prepare penis study
|
$249.60 |
$249.60 |
$249.60 |
|
|
Prepare sperm duct x-ray
|
$472.00 |
$472.00 |
$472.00 |
|
|
Prep cadaver renal allograft
|
$476.00 |
$476.00 |
$476.00 |
|
|
Prep donor renal graft
|
$415.20 |
$415.20 |
$415.20 |
|
|
Prepj tum cav iort prtl mast
|
$404.00 |
$404.00 |
$404.00 |
|
|
Prep renal graft/arterial
|
$466.40 |
$466.40 |
$466.40 |
|
|
Prep renal graft/ureteral
|
$444.80 |
$444.80 |
$444.80 |
|
|
Prep renal graft/venous
|
$532.00 |
$532.00 |
$532.00 |
|
|
Prep skin to 100cm2 other
|
$360.36 |
$987.20 |
$35,119.33 |
|
|
Prep skin to 100cm2 trk/ext
|
$619.80 |
$1,183.98 |
$25,512.10 |
|
|
Prep skn trk/ext adl 100cm2
|
$135.60 |
$177.60 |
$20,760.03 |
|
|
Pressure max expiratory/inspiratory
|
$84.20 |
$181.86 |
$294.81 |
|
|
Pressure velocity wire add ves
|
$332.80 |
$868.55 |
$30,292.41 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$36.00 |
$164.99 |
$919.00 |
|
|
Pretreat rbc absorption reference
|
$49.40 |
$173.55 |
$312.80 |
|
|
Pretreat rbc density gradient separation reference
|
$58.80 |
$116.00 |
$348.00 |
|
|
Pretreat rbc w chem/drugs reference
|
$75.36 |
$136.00 |
$348.00 |
|
|
Pretreat rbc w enzyme reference
|
$32.40 |
$148.20 |
$228.00 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$170.40 |
$362.40 |
$467.84 |
|
|
Preventive counseling group
|
$18.60 |
$35.20 |
$35.20 |
|
|
Preventive counseling group
|
$44.80 |
$44.80 |
$44.80 |
|
|
Prev med cnsl indiv apprx 15
|
$56.40 |
$69.60 |
$77.35 |
|
|
Prev med cnsl indiv apprx 30
|
$111.60 |
$116.00 |
$156.77 |
|
|
Prev med cnsl indiv apprx 45
|
$160.00 |
$160.00 |
$380.90 |
|
|
Prev med cnsl indiv apprx 60
|
$204.80 |
$204.80 |
$236.40 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$246.60 |
$304.00 |
$1,886.30 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$220.20 |
$894.78 |
$25,617.40 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$387.60 |
$543.20 |
$11,775.13 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$260.82 |
$579.32 |
$13,295.35 |
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$2,427.60 |
$3,336.80 |
$4,853.00 |
|
|
Prgrmg dev eval impltbl sys
|
$30.55 |
$162.40 |
$230.00 |
|
|
Prgrmg dev eval pm/ldls pm
|
$36.40 |
$140.80 |
$204.00 |
|
|
Prgrmg dev eval scrms ip
|
$76.70 |
$124.00 |
$321.00 |
|
|
Prgrmg eval implantable dfb
|
$36.40 |
$168.80 |
$243.00 |
|
|
Prgrmg eval implantable dfb
|
$36.40 |
$209.60 |
$353.84 |
|
|
Prgrmg eval implantable dfb
|
$36.40 |
$226.40 |
$389.00 |
|
|
Prgr stim/pace a/iv drug
|
$863.20 |
$4,101.60 |
$7,779.20 |
|
|
Pr hospital ip/obs care initial high level per day
|
$267.36 |
$362.40 |
$536.00 |
|
|
Pr hospital ip/obs care initial moderate level per day
|
$181.44 |
$261.00 |
$55,310.77 |
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$133.44 |
$181.60 |
$277.00 |
|
|
Pr hospital ip/obs care subsequent high level per day
|
$138.24 |
$217.60 |
$323.00 |
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$96.00 |
$145.60 |
$239.00 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$51.84 |
$89.60 |
$115.00 |
|
|
Prim art mech thrmbc non-intracranial
|
$4,483.80 |
$9,548.80 |
$35,768.75 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,315.80 |
$4,009.85 |
$19,338.00 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$401.52 |
$550.76 |
$13,287.04 |
|
|
Pr incision & drainage abscess simple/single
|
$168.48 |
$374.60 |
$11,096.85 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$260.82 |
$437.15 |
$1,387.69 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$203.52 |
$372.80 |
$18,817.75 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$321.60 |
$512.80 |
$795.00 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$227.40 |
$378.40 |
$516.00 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$37.00 |
$202.86 |
$17,409.35 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$1,064.40 |
$2,921.60 |
$34,288.85 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,234.60 |
$4,097.91 |
$13,471.36 |
|
|
Probe nasolacrimal duct
|
$851.20 |
$851.20 |
$851.20 |
|
|
Probe nasolacrimal duct
|
$729.60 |
$729.60 |
$729.60 |
|
|
Probe nasolacrimal duct
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
|
|
Probe nl duct w/balloon
|
$3,817.60 |
$3,817.60 |
$27,077.40 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$64.40 |
$1,075.14 |
$2,889.60 |
|
|
Procalcitonin
|
$55.20 |
$187.68 |
$398.00 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$21.15 |
$28.36 |
$99.60 |
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.00 |
$1.00 |
$2.59 |
|
|
Proctectomy combined abd pull-thru px 45112
|
$3,417.60 |
$4,636.80 |
$4,636.80 |
|
|
Proctectomy complete abd w/clst 45110
|
$3,348.00 |
$4,544.80 |
$4,544.80 |
|
|
Proctosigmoidoscopy ablate
|
$304.80 |
$488.80 |
$488.80 |
|
|
Proctosigmoidoscopy control bleed 45317
|
$302.88 |
$496.80 |
$496.80 |
|
|
Proctosigmoidoscopy dilate 45303
|
$1,343.52 |
$2,326.40 |
$3,265.60 |
|
|
Proctosigmoidoscopy dx 45300
|
$219.00 |
$302.40 |
$2,074.15 |
|
|
Proctosigmoidoscopy removal
|
$279.36 |
$444.80 |
$444.80 |
|
|
Proctosigmoidoscopy removal
|
$288.00 |
$460.00 |
$460.00 |
|
|
Proctosigmoidoscopy tumor removal 45315
|
$310.56 |
$501.60 |
$501.60 |
|
|
Proctosigmoidoscopy volvul
|
$132.48 |
$252.80 |
$252.80 |
|
|
Proctosigmoidoscopy w/bx 45305
|
$248.64 |
$396.80 |
$4,071.00 |
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$408.60 |
$456.80 |
$5,484.42 |
|
