|
Preparation for bladder xray
|
$50.03 |
$50.03 |
$50.03 |
|
|
Preparation palate mold
|
$741.60 |
$741.60 |
$741.60 |
|
|
Prepare embryo for transfer
|
$17.86 |
$71.65 |
$71.65 |
|
|
Prepare heart-aorta conduit
|
$2,509.83 |
$2,509.83 |
$2,509.83 |
|
|
Prepare penis study
|
$105.17 |
$105.17 |
$1,026.06 |
|
|
Prepare sperm duct x-ray
|
$239.53 |
$239.53 |
$239.53 |
|
|
Prep bk ptb laminated socket
|
$3,481.49 |
$3,481.49 |
$3,481.49 |
|
|
Prep bk ptb open end socket
|
$3,287.08 |
$3,287.08 |
$3,287.08 |
|
|
Prep bk ptb plaster molded
|
$2,992.42 |
$2,992.42 |
$2,992.42 |
|
|
Prep bk ptb thermopls molded
|
$1,186.76 |
$1,186.76 |
$3,526.11 |
|
|
Prep cadaver renal allograft
|
$218.96 |
$840.00 |
$840.00 |
|
|
Prep donor intestine/artery
|
$530.09 |
$530.09 |
$530.09 |
|
|
Prep donor intestine/venous
|
$379.22 |
$379.22 |
$379.22 |
|
|
Prep donor liver/arterial
|
$528.21 |
$528.21 |
$528.21 |
|
|
Prep donor liver/venous
|
$454.03 |
$454.03 |
$454.03 |
|
|
Prep donor liver whole
|
$1,618.00 |
$1,618.00 |
$1,618.00 |
|
|
Prep donor pancreas/venous
|
$325.54 |
$325.54 |
$325.54 |
|
|
Prep donor renal graft
|
$218.96 |
$218.96 |
$218.96 |
|
|
Prepj skn cll ssp agrft 1st
|
$9,758.35 |
$9,758.35 |
$9,758.35 |
|
|
Prepj tum cav iort prtl mast
|
$227.02 |
$227.02 |
$227.02 |
|
|
Pre-plan 3d model w/ccta
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
|
|
Prep renal graft/arterial
|
$191.52 |
$260.49 |
$260.49 |
|
|
Prep renal graft/ureteral
|
$183.12 |
$249.46 |
$249.46 |
|
|
Prep renal graft/venous
|
$218.96 |
$298.84 |
$298.84 |
|
|
Prep skin cell susp, automtd
|
$9,758.35 |
$9,758.35 |
$9,758.35 |
|
|
Prep skin to 100cm2 other
|
$558.97 |
$741.00 |
$1,906.00 |
|
|
Prep skin to 100cm2 trk/ext
|
$869.68 |
$2,273.00 |
$6,146.00 |
|
|
Prep skn trk/ext adl 100cm2
|
$60.17 |
$60.17 |
$979.44 |
|
|
Pressure max expiratory/inspiratory
|
$176.93 |
$358.00 |
$2,146.00 |
|
|
Pressure treatment esophagus
|
$269.90 |
$269.90 |
$269.90 |
|
|
Pressure velocity wire add ves
|
$109.09 |
$1,737.00 |
$5,326.00 |
|
|
Pre-tibial shell molded to p
|
$302.82 |
$708.74 |
$708.74 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$34.16 |
$39.76 |
$234.27 |
|
|
Pretreat rbc absorption reference
|
$29.12 |
$122.00 |
$133.00 |
|
|
Pretreat rbc density gradient separation reference
|
$62.98 |
$80.08 |
$234.27 |
|
|
Pretreat rbc w chem/drugs reference
|
$16.24 |
$22.40 |
$81.12 |
|
|
Pretreat rbc w enzyme reference
|
$69.00 |
$171.92 |
$301.60 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$112.33 |
$244.07 |
$244.07 |
|
|
Preventive counseling group
|
$16.00 |
$16.00 |
$16.00 |
|
|
Preventive counseling group
|
$75.00 |
$75.00 |
$75.00 |
|
|
Prev med cnsl indiv apprx 15
|
$30.00 |
$186.00 |
$186.00 |
|
|
Prev med cnsl indiv apprx 30
|
$45.00 |
$207.00 |
$207.00 |
|
|
Prev med cnsl indiv apprx 45
|
$75.00 |
$228.00 |
$251.00 |
|
|
Prev med cnsl indiv apprx 60
|
$98.00 |
$260.00 |
$289.00 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$183.07 |
$300.00 |
$339.00 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$93.00 |
$2,271.01 |
$5,678.00 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$187.00 |
$2,361.00 |
$2,623.00 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$535.92 |
$922.00 |
$1,432.80 |
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$5,301.42 |
$5,301.42 |
$5,301.42 |
|
|
Prgrmg dev eval impltbl sys
|
$56.61 |
$128.00 |
$165.00 |
|
|
Prgrmg dev eval pm/ldls pm
|
$44.18 |
$133.84 |
$506.80 |
|
|
Prgrmg dev eval scrms ip
|
$51.32 |
$200.00 |
$200.00 |
|
|
Prgrmg eval implantable dfb
|
$56.15 |
$139.00 |
$346.00 |
|
|
Prgrmg eval implantable dfb
|
$73.32 |
$139.00 |
$396.00 |
|
|
Prgrmg eval implantable dfb
|
$82.03 |
$139.00 |
$293.00 |
|
|
Prgr stim/pace a/iv drug
|
$77.69 |
$5,510.00 |
$13,704.80 |
|
|
Pr hospital ip/obs care initial high level per day
|
$211.12 |
$223.12 |
$223.12 |
|
|
Pr hospital ip/obs care initial moderate level per day
|
$131.04 |
$259.00 |
$259.00 |
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$81.76 |
$108.14 |
$108.14 |
|
|
Pr hospital ip/obs care subsequent high level per day
|
$109.51 |
$152.19 |
$152.19 |
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$59.92 |
$100.41 |
$100.41 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$45.59 |
$62.98 |
$62.98 |
|
|
Prim art mech thrmbc non-intracranial
|
$5,291.44 |
$35,038.00 |
$42,423.00 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$212.92 |
$3,659.00 |
$7,126.00 |
|
|
Prin care mgmt staff 1st 30
|
$139.68 |
$139.68 |
$186.40 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$187.04 |
$504.00 |
$1,322.00 |
|
|
Pr incision & drainage abscess simple/single
|
$140.56 |
$404.00 |
$1,348.00 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$410.00 |
$444.00 |
$1,120.00 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$248.08 |
$689.00 |
$1,322.00 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$235.61 |
$300.00 |
$627.00 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$183.07 |
$300.00 |
$438.00 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$16.08 |
$106.00 |
$919.20 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,744.00 |
$11,477.00 |
$11,477.00 |
|
|
Probe nasolacrimal duct
|
$436.44 |
$436.44 |
$436.44 |
|
|
Probe nasolacrimal duct
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Probe nasolacrimal duct
|
$3,269.14 |
$7,544.00 |
$7,544.00 |
|
|
Probe nl duct w/balloon
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$90.04 |
$475.45 |
$475.45 |
|
|
Procalcitonin
|
$28.20 |
$66.00 |
$344.80 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$3.48 |
$3.48 |
$28.51 |
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
|
|
Proctectomy combined abd pull-thru px 45112
|
$2,391.91 |
$2,391.91 |
$2,391.91 |
|
|
Proctectomy complete abd w/clst 45110
|
$2,459.27 |
$2,459.27 |
$2,459.27 |
|
|
Proctosigmoidoscopy ablate
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Proctosigmoidoscopy control bleed 45317
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Proctosigmoidoscopy dilate 45303
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Proctosigmoidoscopy dx 45300
|
$857.00 |
$988.00 |
$1,388.00 |
|
|
Proctosigmoidoscopy removal
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Proctosigmoidoscopy removal
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Proctosigmoidoscopy tumor removal 45315
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Proctosigmoidoscopy volvul
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Proctosigmoidoscopy w/bx 45305
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Proctosigmoidoscopy w/stent
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
|
|
Progenamatrix, per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Progesterone
|
$25.85 |
$84.00 |
$450.40 |
|
|
Prolactin
|
$16.45 |
$78.00 |
$230.40 |
|
|
Prolng clin staff svc 1st hr
|
$31.02 |
$31.02 |
$31.02 |
|
|
Prolng clin staff svc ea add
|
$17.24 |
$17.24 |
$17.24 |
|
