|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,738.90
|
|
Pr application of long arm splint
|
$223.45 |
$223.45 |
$223.45 |
$334.20
|
|
Pr application splint static short arm
|
$182.95 |
$182.95 |
$182.95 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$51.36 |
$51.36 |
$51.36 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$558.97 |
$558.97 |
$558.97 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$6,653.00
|
|
Pr correction hammertoe
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$51.52 |
$51.52 |
$51.52 |
$48.10
|
|
Prcrd drg 0-5yr or w/anomly
|
$385.64 |
$385.64 |
$385.64 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$326.94 |
$326.94 |
$326.94 |
$2,260.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$106.04 |
$106.04 |
$106.04 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$150.68 |
$150.68 |
$150.68 |
$178.75
|
|
Prealbumin
|
$20.13 |
$20.13 |
$20.13 |
$93.00
|
|
Pr ecg 12 lead report only
|
$16.00 |
$16.00 |
$16.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$24.52 |
$24.52 |
$24.52 |
$51.75
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1.27 |
$1.27 |
$1.27 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.01 |
$0.01 |
$0.01 |
$2.88
|
|
Prefab glove for term device
|
$339.38 |
$339.38 |
$339.38 |
$257.60
|
|
Prefab stnlss steel crown pe
|
$888.94 |
$888.94 |
$888.94 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$888.94 |
$888.94 |
$888.94 |
$845.60
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$20.77 |
$20.77 |
$20.77 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$143.75 |
$143.75 |
$143.75 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$143.75 |
$143.75 |
$143.75 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$143.75 |
$143.75 |
$143.75 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$141.00 |
$141.00 |
$141.00 |
$149.50
|
|
Prenatal Care Only (4-6 visits)
|
$608.44 |
$608.44 |
$608.44 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$1,116.09 |
$1,116.09 |
$1,116.09 |
$1,143.04
|
|
Pre-op service lvrs 10-15dos
|
$296.91 |
$296.91 |
$296.91 |
$1,568.00
|
|
Pre-op service lvrs 1-9 dos
|
$513.11 |
$513.11 |
$513.11 |
$1,579.20
|
|
Pre-op service lvrs complete
|
$513.11 |
$513.11 |
$513.11 |
$948.13
|
|
Prep ak ischial direct form
|
$3,850.09 |
$3,850.09 |
$3,850.09 |
$2,898.00
|
|
Prep ak ischial laminated
|
$4,982.09 |
$4,982.09 |
$4,982.09 |
$3,603.60
|
|
Prep ak ischial plast molded
|
$3,966.98 |
$3,966.98 |
$3,966.98 |
$2,643.20
|
|
Prep ak ischial thermo mold
|
$4,778.54 |
$4,778.54 |
$4,778.54 |
$3,516.80
|
|
Preparation for bladder xray
|
$50.03 |
$50.03 |
$50.03 |
$1,222.00
|
|
Preparation palate mold
|
$741.60 |
$741.60 |
$741.60 |
$602.63
|
|
Prepare embryo for transfer
|
$71.65 |
$71.65 |
$71.65 |
$273.28
|
|
Prepare heart-aorta conduit
|
$2,509.83 |
$2,509.83 |
$2,509.83 |
$2,509.83
|
|
Prepare penis study
|
$105.17 |
$105.17 |
$105.17 |
$275.52
|
|
Prepare sperm duct x-ray
|
$239.53 |
$239.53 |
$239.53 |
$504.00
|
|
Prep bk ptb laminated socket
|
$3,481.49 |
$3,481.49 |
$3,481.49 |
$2,713.20
|
|
Prep bk ptb open end socket
|
$3,287.08 |
$3,287.08 |
$3,287.08 |
$4,073.94
|
|
Prep bk ptb plaster molded
|
$2,992.42 |
$2,992.42 |
$2,992.42 |
$1,979.60
|
|
Prep bk ptb thermopls molded
|
$3,526.11 |
$3,526.11 |
$3,526.11 |
$3,908.16
|
|
Prep cadaver renal allograft
|
$840.00 |
$840.00 |
$840.00 |
$476.00
|
|
Prep donor intestine/artery
|
$530.09 |
$530.09 |
$530.09 |
$530.09
|
|
Prep donor intestine/venous
|
$379.22 |
$379.22 |
$379.22 |
$379.22
|
|
Prep donor liver/arterial
|
$528.21 |
$528.21 |
$528.21 |
$528.21
|
|
Prep donor liver/venous
|
$454.03 |
$454.03 |
$454.03 |
$454.03
|
|
Prep donor liver whole
|
$1,618.00 |
$1,618.00 |
$1,618.00 |
$1,618.00
|
|
Prep donor pancreas/venous
|
$325.54 |
$325.54 |
$325.54 |
$325.54
|
|
Prepj skn cll ssp agrft 1st
|
$9,758.35 |
$9,758.35 |
$9,758.35 |
$14,138.80
|
|
Prepj tum cav iort prtl mast
|
$227.02 |
$227.02 |
$227.02 |
$780.00
|
|
Pre-plan 3d model w/ccta
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$1,203.94
|
|
Prep renal graft/arterial
|
$260.49 |
$260.49 |
$260.49 |
$466.40
|
|
Prep renal graft/ureteral
|
$249.46 |
$249.46 |
$249.46 |
$444.80
|
|
Prep renal graft/venous
|
$298.84 |
$298.84 |
$298.84 |
$532.00
|
|
Prep skin cell susp, automtd
|
$9,758.35 |
$9,758.35 |
$9,758.35 |
$9,758.35
|
|
Prep skin to 100cm2 other
|
$558.97 |
$558.97 |
$558.97 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$2,186.41
|
|
Prep skn trk/ext adl 100cm2
|
$60.17 |
$60.17 |
$60.17 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$176.93 |
$176.93 |
$176.93 |
$243.75
|
|
Pressure treatment esophagus
|
$269.90 |
$269.90 |
$269.90 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$109.09 |
$109.09 |
$109.09 |
$1,636.60
|
|
Pre-tibial shell molded to p
|
$708.74 |
$708.74 |
$708.74 |
$661.30
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$234.27 |
$234.27 |
$234.27 |
$162.00
|
|
Pretreat rbc absorption reference
|
$81.12 |
$81.12 |
$81.12 |
$148.80
|
|
Pretreat rbc density gradient separation reference
|
$234.27 |
$234.27 |
$234.27 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$81.12 |
$81.12 |
$81.12 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$234.27 |
$234.27 |
$234.27 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$244.07 |
$244.07 |
$244.07 |
$308.00
|
|
Preventive counseling group
|
$16.00 |
$16.00 |
$16.00 |
$29.60
|
|
Preventive counseling group
|
$75.00 |
$75.00 |
$75.00 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$30.00 |
$30.00 |
$30.00 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$45.00 |
$45.00 |
$45.00 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$75.00 |
$75.00 |
$75.00 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$98.00 |
$98.00 |
$98.00 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$183.07 |
$183.07 |
$183.07 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$558.97 |
$558.97 |
$558.97 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$5,301.42 |
$5,301.42 |
$5,301.42 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$56.61 |
$56.61 |
$56.61 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$51.32 |
$51.32 |
$51.32 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$51.32 |
$51.32 |
$51.32 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$56.15 |
$56.15 |
$56.15 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$75.64 |
$75.64 |
$75.64 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$82.03 |
$82.03 |
$82.03 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$77.69 |
$77.69 |
$77.69 |
$4,555.93
|
|
Pr hospital ip/obs care initial high level per day
|
$223.12 |
$223.12 |
$223.12 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$259.00 |
$259.00 |
$259.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$108.14 |
$108.14 |
$108.14 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$152.19 |
$152.19 |
$152.19 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$100.41 |
$100.41 |
$100.41 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$62.98 |
$62.98 |
$62.98 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$212.92 |
$212.92 |
$212.92 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$139.68 |
$139.68 |
$139.68 |
$108.93
|
