|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$214.40 |
$214.40 |
$214.40 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$171.20 |
$171.20 |
$171.20 |
$93.12
|
|
Ovulation tests
|
$311.20 |
$311.20 |
$311.20 |
$29.60
|
|
Parathormone (pth) intact
|
$402.40 |
$402.40 |
$402.40 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$1,574.40
|
|
Parathyroid planar imaging
|
$812.80 |
$812.80 |
$812.80 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$749.60 |
$749.60 |
$749.60 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$302.40 |
$302.40 |
$302.40 |
$245.67
|
|
Pelvic CT scan (with and without contrast)
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,312.00 |
$2,312.00 |
$2,312.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,734.40 |
$1,734.40 |
$1,734.40 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$5,112.00 |
$5,112.00 |
$5,112.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$4,801.60 |
$4,801.60 |
$4,801.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$4,801.60 |
$4,801.60 |
$4,801.60 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$792.00 |
$792.00 |
$792.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$488.80 |
$488.80 |
$488.80 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$548.00 |
$548.00 |
$548.00 |
$351.75
|
|
Penile vascular study
|
$588.00 |
$588.00 |
$588.00 |
$561.00
|
|
Penile vascular study
|
$1,710.40 |
$1,710.40 |
$1,710.40 |
$574.60
|
|
Pericardiocentesis wwo imaging
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$2,375.00
|
|
Peripheral vascular rehab
|
$183.20 |
$183.20 |
$183.20 |
$132.50
|
|
Perit-vens shunt pat tst
|
$1,317.60 |
$1,317.60 |
$1,317.60 |
$752.49
|
|
Perq dev breast 1st strtctc
|
$1,652.80 |
$1,652.80 |
$1,652.80 |
$1,456.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$6,482.40 |
$6,482.40 |
$6,482.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,568.80 |
$6,568.80 |
$6,568.80 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,826.40 |
$5,826.40 |
$5,826.40 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$6,144.80 |
$6,144.80 |
$6,144.80 |
$4,349.76
|
|
Ph body fluid
|
$117.60 |
$117.60 |
$117.60 |
$42.00
|
|
Phencyclidine (pcp)
|
$502.40 |
$502.40 |
$502.40 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$253.60 |
$253.60 |
$253.60 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$368.80 |
$368.80 |
$368.80 |
$111.27
|
|
Phlebotomy therapeutic
|
$338.40 |
$338.40 |
$338.40 |
$231.40
|
|
Phosphorus
|
$97.60 |
$97.60 |
$97.60 |
$49.20
|
|
Phosphorus 24 hour urine
|
$172.00 |
$172.00 |
$172.00 |
$42.25
|
|
Phys blood bank serv reactj
|
$312.80 |
$312.80 |
$312.80 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$371.20 |
$371.20 |
$371.20 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$308.80 |
$308.80 |
$308.80 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$329.60 |
$329.60 |
$329.60 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$214.40 |
$214.40 |
$214.40 |
$154.80
|
|
Pin service 60m per month
|
$186.40 |
$186.40 |
$186.40 |
$114.00
|
|
Pinworm exam
|
$109.60 |
$109.60 |
$109.60 |
$39.62
|
|
Place duod/jej tube perc
|
$2,407.20 |
$2,407.20 |
$2,407.20 |
$2,562.75
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,542.40 |
$1,542.40 |
$1,542.40 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
$1,332.43
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$9,359.20 |
$9,359.20 |
$9,359.20 |
$13,879.25
|
|
Plasma cryoprecipitate reduced each unit
|
$230.40 |
$230.40 |
$230.40 |
$163.04
|
|
Platelet aggregation each agent teg
|
$844.80 |
$844.80 |
$844.80 |
$148.98
|
|
Platelet automated
|
$92.80 |
$92.80 |
$92.80 |
$46.00
|
|
Platelet pheresis each unit
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$1,012.80
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$3,295.20 |
$3,295.20 |
$3,295.20 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$315.25
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$2,841.60 |
$2,841.60 |
$2,841.60 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,668.80 |
$2,668.80 |
$2,668.80 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,132.00 |
$3,132.00 |
$3,132.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,865.60 |
$2,865.60 |
$2,865.60 |
$1,005.65
|
|
Plethysmography lung volumes/airway resistance
|
$261.60 |
$261.60 |
$261.60 |
$408.05
|
|
Plmt nephroureteral catheter
|
$2,825.60 |
$2,825.60 |
$2,825.60 |
$4,128.81
|
|
Pmp22 gene dup/delet
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$986.40
|
|
Pms2 gene dup/delet variants
|
$821.60 |
$821.60 |
$821.60 |
$407.27
|
|
Pms2 gene full seq analysis
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$1,002.60
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$300.00 |
$300.00 |
$300.00 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$6,335.20 |
$6,335.20 |
$6,335.20 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$6,135.20 |
$6,135.20 |
$6,135.20 |
$3,790.61
|
|
Potassium 24 hour urine
|
$128.00 |
$128.00 |
$128.00 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$68.00 |
$68.00 |
$68.00 |
$47.85
|
|
Pq biliary strict dil s&i
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$2,073.60 |
$2,073.60 |
$2,073.60 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$6,000.80 |
$6,000.80 |
$6,000.80 |
$10,173.15
|
|
Pq thr inj ext pse
|
$512.80 |
$512.80 |
$512.80 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,127.20 |
$2,127.20 |
$2,127.20 |
$2,957.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$5,484.80 |
$5,484.80 |
$5,484.80 |
$4,627.00
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$5,484.80 |
$5,484.80 |
$5,484.80 |
$4,811.54
|
|
Pr application of long arm splint
|
$407.20 |
$407.20 |
$407.20 |
$332.75
|
|
Pr application splint static short arm
|
$348.80 |
$348.80 |
$348.80 |
$288.00
|
|
Pr biopsy skin punch single lesion
|
$449.60 |
$449.60 |
$449.60 |
$458.25
|
|
Prealbumin
|
$170.40 |
$170.40 |
$170.40 |
$94.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$924.00 |
$924.00 |
$924.00 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$186.40 |
$186.40 |
$186.40 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,633.60 |
$1,633.60 |
$1,633.60 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$954.40 |
$954.40 |
$954.40 |
$459.00
|
|
Prepare penis study
|
$898.40 |
$898.40 |
$898.40 |
$275.52
|
|
Pressure velocity wire add ves
|
$1,340.80 |
$1,340.80 |
$1,340.80 |
$1,596.10
|
|
Pretreat rbc density gradient separation reference
|
$144.00 |
$144.00 |
$144.00 |
$182.31
|
|
Pretreat rbc w enzyme reference
|
$301.60 |
$301.60 |
$301.60 |
$168.50
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$779.35
|
|
Prgr stim/pace a/iv drug
|
$13,704.80 |
$13,704.80 |
$13,704.80 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$14,248.80 |
$14,248.80 |
$14,248.80 |
$9,298.32
|
|
Prin care mgmt staff 1st 30
|
$186.40 |
$186.40 |
$186.40 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$737.60 |
$737.60 |
$737.60 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,109.60 |
$1,109.60 |
$1,109.60 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$443.20 |
$443.20 |
$443.20 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$919.20 |
$919.20 |
$919.20 |
$253.55
|
