|
Plc pq device breast ea addl lesion Ultrasound guide
|
$5,181.00 |
$5,181.00 |
$5,181.00 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$443.00 |
$443.00 |
$443.00 |
$408.05
|
|
Plmt access bil tree sm bwl
|
$10,996.00 |
$10,996.00 |
$10,996.00 |
$4,679.40
|
|
Plmt biliary drainage cath
|
$12,861.00 |
$12,861.00 |
$12,861.00 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$10,675.00 |
$10,675.00 |
$10,675.00 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$12,485.00 |
$12,485.00 |
$12,485.00 |
$5,128.50
|
|
Pm device progr eval dual
|
$296.00 |
$296.00 |
$296.00 |
$149.15
|
|
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 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$4,096.00 |
$4,096.00 |
$4,096.00 |
$3,514.50
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$6,130.00 |
$6,130.00 |
$6,130.00 |
$3,790.61
|
|
Postpartum Care Only
|
$542.00 |
$542.00 |
$542.00 |
$364.80
|
|
Potassium 24 hour urine
|
$36.00 |
$36.00 |
$36.00 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$29.00 |
$29.00 |
$29.00 |
$47.85
|
|
Pq dr cath chg w cont s&i
|
$774.00 |
$774.00 |
$774.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$22,212.00 |
$22,212.00 |
$22,212.00 |
$10,173.15
|
|
Pq thr inj ext pse
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$781.62
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$9,065.00 |
$9,065.00 |
$9,065.00 |
$4,627.00
|
|
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 |
$332.75
|
|
Pr application splint static short arm
|
$451.00 |
$451.00 |
$451.00 |
$288.00
|
|
Pr assessment emotional/behavioral per instrument brief
|
$138.00 |
$138.00 |
$138.00 |
$47.49
|
|
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 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,173.00 |
$2,173.00 |
$2,173.00 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$2,253.00
|
|
Prealbumin
|
$65.00 |
$65.00 |
$65.00 |
$94.00
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$2,298.00
|
|
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
|
|
Pressure max expiratory/inspiratory
|
$358.00 |
$358.00 |
$358.00 |
$243.69
|
|
Pressure velocity wire add ves
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$1,596.10
|
|
Pretreat rbc absorption reference
|
$122.00 |
$122.00 |
$122.00 |
$150.00
|
|
Pretreat rbc w enzyme reference
|
$69.00 |
$69.00 |
$69.00 |
$168.50
|
|
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
|
$5,678.00 |
$5,678.00 |
$5,678.00 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$779.35
|
|
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
|
|
Prgrmg eval implantable dfb
|
$293.00 |
$293.00 |
$293.00 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$8,431.00 |
$8,431.00 |
$8,431.00 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$9,298.32
|
|
Prim art mech thrmbc non-intracranial add-on
|
$7,126.00 |
$7,126.00 |
$7,126.00 |
$3,659.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$592.62
|
|
Pr management transitional care high w/in 7 days of discharge
|
$300.00 |
$300.00 |
$300.00 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$300.00 |
$300.00 |
$300.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$604.00 |
$604.00 |
$604.00 |
$253.55
|
|
Probe nasolacrimal duct
|
$7,544.00 |
$7,544.00 |
$7,544.00 |
$2,902.77
|
|
Procalcitonin
|
$73.00 |
$73.00 |
$73.00 |
$161.11
|
|
Progesterone
|
$93.00 |
$93.00 |
$93.00 |
$116.00
|
|
Prolactin
|
$86.00 |
$86.00 |
$86.00 |
$123.50
|
|
Prolong service without contact
|
$235.00 |
$235.00 |
$235.00 |
$165.20
|
|
Proph rta dtchmnt pc
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$1,077.50
|
|
_propoxygc/msur
|
$81.50 |
$81.50 |
$81.50 |
$95.55
|
|
Protein c activity
|
$58.00 |
$58.00 |
$58.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$63.00 |
$63.00 |
$63.00 |
$84.00
|
|
Protein total 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$52.50
|
|
Protein total body fluid
|
$36.00 |
$36.00 |
$36.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$17.00 |
$17.00 |
$17.00 |
$43.00
|
|
Proton treatment complex
|
$5,474.00 |
$5,474.00 |
$5,474.00 |
$5,876.00
|
|
Proton trmt intermediate
|
$5,474.00 |
$5,474.00 |
$5,474.00 |
$4,402.28
|
|
Proton trmt simple without comp
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$2,804.10
|
|
Prq av fstl crt uxtr sep acs
|
$56,166.00 |
$56,166.00 |
$56,166.00 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$28,269.00 |
$28,269.00 |
$28,269.00 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$14,826.00 |
$14,826.00 |
$14,826.00 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$27,827.00 |
$27,827.00 |
$27,827.00 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$27,827.00 |
$27,827.00 |
$27,827.00 |
$14,817.50
|
|
Prq card stent/ath/angio
|
$29,217.00 |
$29,217.00 |
$29,217.00 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$27,827.00 |
$27,827.00 |
$27,827.00 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$24,526.00 |
$24,526.00 |
$24,526.00 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$56,367.00 |
$56,367.00 |
$56,367.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$17,519.00 |
$17,519.00 |
$17,519.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$28,269.00 |
$28,269.00 |
$28,269.00 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$451.00 |
$451.00 |
$451.00 |
$252.00
|
|
Pr removal intrauterine device
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$872.00 |
$872.00 |
$872.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$660.00 |
$660.00 |
$660.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$724.00 |
$724.00 |
$724.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$833.00 |
$833.00 |
$833.00 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,067.00 |
$3,067.00 |
$3,067.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$55.00 |
$55.00 |
$55.00 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$301.00 |
$301.00 |
$301.00 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$348.00 |
$348.00 |
$348.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$339.00 |
$339.00 |
$339.00 |
$287.95
|
|
Psycl/nrpsyc tech 1st
|
$980.00 |
$980.00 |
$980.00 |
$330.00
|
