|
Pet fdg brain metoblic eval sb
|
$7,581.00 |
$7,581.00 |
$7,581.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$7,581.00 |
$7,581.00 |
$7,581.00 |
$4,366.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$73.00 |
$73.00 |
$73.00 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$111.00 |
$111.00 |
$111.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$36.00 |
$36.00 |
$36.00 |
$31.20
|
|
Ph body fluid
|
$16.00 |
$16.00 |
$16.00 |
$41.60
|
|
Phencyclidine (pcp)
|
$60.00 |
$60.00 |
$60.00 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$149.00 |
$149.00 |
$149.00 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$110.88
|
|
Phlebotomy therapeutic
|
$450.00 |
$450.00 |
$450.00 |
$235.11
|
|
Phleb veins 1 extrm 10-20 stab
|
$11,463.00 |
$11,463.00 |
$11,463.00 |
$4,810.00
|
|
Phosphorus
|
$21.00 |
$21.00 |
$21.00 |
$48.60
|
|
Phosphorus 24 hour urine
|
$44.00 |
$44.00 |
$44.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$395.00 |
$395.00 |
$395.00 |
$292.80
|
|
Physical Therapy Evaluation (low complexity)
|
$198.00 |
$198.00 |
$198.00 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$297.00 |
$297.00 |
$297.00 |
$257.34
|
|
Physical Therapy Re-Evaluation
|
$189.00 |
$189.00 |
$189.00 |
$155.40
|
|
Pinworm exam
|
$46.00 |
$46.00 |
$46.00 |
$39.62
|
|
Place cath intracranial art
|
$12,744.00 |
$12,744.00 |
$12,744.00 |
$3,775.95
|
|
Place cath xtrnl carotid
|
$14,571.00 |
$14,571.00 |
$14,571.00 |
$4,202.90
|
|
Place cecostomy tube perc
|
$3,701.00 |
$3,701.00 |
$3,701.00 |
$2,580.90
|
|
Place device/marker, non pro
|
$5,978.00 |
$5,978.00 |
$5,978.00 |
$2,039.82
|
|
Place duod/jej tube perc
|
$10,276.00 |
$10,276.00 |
$10,276.00 |
$2,575.96
|
|
Place gastrostomy tube perc
|
$9,459.00 |
$9,459.00 |
$9,459.00 |
$2,316.30
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$1,498.00
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$6,264.00 |
$6,264.00 |
$6,264.00 |
$3,949.98
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$581.20
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$36,791.00 |
$36,791.00 |
$36,791.00 |
$13,964.50
|
|
Place needles pelvic for right
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$6,624.80
|
|
Place non-slctv cath thoracic arta
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$5,274.33
|
|
Placental lactogen
|
$133.00 |
$133.00 |
$133.00 |
$163.28
|
|
Place right device/marker pros
|
$4,536.00 |
$4,536.00 |
$4,536.00 |
$2,402.50
|
|
Place slctv cath carotd art uni
|
$17,802.00 |
$17,802.00 |
$17,802.00 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$8,924.40
|
|
Place slctv cath subclavian art
|
$9,412.00 |
$9,412.00 |
$9,412.00 |
$6,327.66
|
|
Place slctv cath vertebral art uni
|
$15,480.00 |
$15,480.00 |
$15,480.00 |
$9,320.00
|
|
Plasma cryoprecipitate reduced each unit
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$163.04
|
|
Platelet aggregation each agent teg
|
$152.00 |
$152.00 |
$152.00 |
$148.98
|
|
Platelet automated
|
$27.00 |
$27.00 |
$27.00 |
$45.63
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,558.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$1,176.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,654.00 |
$1,654.00 |
$1,654.00 |
$1,007.82
|
|
Plcmnt biliary drainage cath w/img ext
|
$12,861.00 |
$12,861.00 |
$12,861.00 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$27,838.00 |
$27,838.00 |
$27,838.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$12,485.00 |
$12,485.00 |
$12,485.00 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$12,485.00 |
$12,485.00 |
$12,485.00 |
$5,653.73
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,583.00 |
$1,583.00 |
$1,583.00 |
$1,236.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$4,956.00 |
$4,956.00 |
$4,956.00 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$3,572.00 |
$3,572.00 |
$3,572.00 |
$3,473.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$540.00 |
$540.00 |
$540.00 |
$1,238.40
|
|
Plc pq device breast ea addl lesion stereo guide
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$5,181.00 |
$5,181.00 |
$5,181.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$443.00 |
$443.00 |
$443.00 |
$419.52
|
|
Plmt access bil tree sm bwl
|
$10,996.00 |
$10,996.00 |
$10,996.00 |
$4,687.50
|
|
Plmt biliary drainage cath
|
$12,861.00 |
$12,861.00 |
$12,861.00 |
$4,799.10
|
|
Plmt nephroureteral catheter
|
$10,675.00 |
$10,675.00 |
$10,675.00 |
$4,220.74
|
|
Plmt ureteral stent prq
|
$12,485.00 |
$12,485.00 |
$12,485.00 |
$5,194.80
|
|
Pm device progr eval dual
|
$296.00 |
$296.00 |
$296.00 |
$153.00
|
|
Pm device progr eval multi
|
$293.00 |
$293.00 |
$293.00 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$55.00 |
$55.00 |
$55.00 |
$187.00
|
|
Polysom <6 yrs cpap/bilvl
|
$4,096.00 |
$4,096.00 |
$4,096.00 |
$3,557.58
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$6,130.00 |
$6,130.00 |
$6,130.00 |
$3,785.10
|
|
Postpartum Care Only
|
$542.00 |
$542.00 |
$542.00 |
$364.80
|
|
Potassium 24 hour urine
|
$36.00 |
$36.00 |
$36.00 |
$50.74
|
|
Potassium serum/plasma/whole blood
|
$29.00 |
$29.00 |
$29.00 |
$47.40
|
|
Pq dr cath chg w cont s&i
|
$774.00 |
$774.00 |
$774.00 |
$724.68
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$22,212.00 |
$22,212.00 |
$22,212.00 |
$10,203.30
|
|
Pq thr inj ext pse
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$9,065.00 |
$9,065.00 |
$9,065.00 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$9,065.00 |
$9,065.00 |
$9,065.00 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$9,686.00 |
$9,686.00 |
$9,686.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$554.00 |
$554.00 |
$554.00 |
$334.20
|
|
Pr application splint static short arm
|
$451.00 |
$451.00 |
$451.00 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$138.00 |
$138.00 |
$138.00 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$764.00 |
$764.00 |
$764.00 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$71.00 |
$71.00 |
$71.00 |
$48.10
|
|
Prcrd drg 6+yr without anomly
|
$2,260.00 |
$2,260.00 |
$2,260.00 |
$2,260.00
|
|
Prealbumin
|
$65.00 |
$65.00 |
$65.00 |
$93.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,566.00 |
$2,566.00 |
$2,566.00 |
$2,334.15
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$930.00 |
$930.00 |
$930.00 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$662.00 |
$662.00 |
$662.00 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$218.00 |
$218.00 |
$218.00 |
$149.50
|
|
Prep skin to 100cm2 other
|
$1,906.00 |
$1,906.00 |
$1,906.00 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$6,146.00 |
$6,146.00 |
$6,146.00 |
$2,186.41
|
|
Pressure max expiratory/inspiratory
|
$358.00 |
$358.00 |
$358.00 |
$243.75
|
|
Pressure velocity wire add ves
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$1,636.60
|
|
Pretreat rbc absorption reference
|
$122.00 |
$122.00 |
$122.00 |
$148.80
|
|
Pretreat rbc w enzyme reference
|
$69.00 |
$69.00 |
$69.00 |
$167.05
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$300.00 |
$300.00 |
$300.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$5,530.00 |
$5,530.00 |
$5,530.00 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$788.40
|
|
Prgrmg dev eval impltbl sys
|
$128.00 |
$128.00 |
$128.00 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$251.00 |
$251.00 |
$251.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$200.00 |
$200.00 |
$200.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$346.00 |
$346.00 |
$346.00 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$396.00 |
$396.00 |
$396.00 |
$181.35
|
