|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,994.40 |
$3,994.40 |
$4,098.40 |
|
|
Pr application of long arm splint
|
$159.49 |
$266.40 |
$408.00 |
|
|
Pr application splint static short arm
|
$159.49 |
$198.69 |
$364.00 |
|
|
Pr biopsy skin punch single lesion
|
$224.78 |
$512.00 |
$619.78 |
|
|
Pr correction hammertoe
|
$4,127.20 |
$4,127.20 |
$4,127.20 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$38.40 |
$48.00 |
$75.49 |
|
|
Prcrd drg 6+yr without anomly
|
$3,197.60 |
$5,218.70 |
$5,218.70 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$1,199.95 |
$1,199.95 |
$1,199.95 |
|
|
Prealbumin
|
$28.37 |
$32.26 |
$100.00 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$3.40 |
$14.64 |
$98.20 |
|
|
Prednisone 1 mg tablet
|
$2.31 |
$2.56 |
$376.18 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$3,404.00 |
$3,404.00 |
$3,669.60 |
|
|
Pregnancy associated plasma protein-a
|
$39.98 |
$81.14 |
$81.14 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$493.15 |
$659.68 |
$1,038.40 |
|
|
Pregnancy Ultrasound (first trimester)
|
$380.83 |
$510.78 |
$955.20 |
|
|
Pregnancy Ultrasound (limited)
|
$344.00 |
$550.40 |
$661.19 |
|
|
Pre-op service lvrs complete
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
|
|
Prep ak ischial direct form
|
$3,592.34 |
$4,771.70 |
$4,771.70 |
|
|
Prep ak ischial laminated
|
$4,648.56 |
$5,821.87 |
$5,821.87 |
|
|
Prep ak ischial plast molded
|
$3,701.43 |
$4,916.63 |
$4,916.63 |
|
|
Prep ak ischial thermo mold
|
$4,458.61 |
$5,583.98 |
$5,583.98 |
|
|
Prepare penis study
|
$1,061.57 |
$1,061.57 |
$1,061.57 |
|
|
Prep bk ptb laminated socket
|
$3,248.39 |
$4,314.91 |
$4,314.91 |
|
|
Prep bk ptb open end socket
|
$3,067.06 |
$4,073.94 |
$4,073.94 |
|
|
Prep bk ptb plaster molded
|
$2,792.10 |
$3,708.77 |
$3,708.77 |
|
|
Prep bk ptb thermopls molded
|
$3,290.06 |
$4,370.18 |
$4,370.18 |
|
|
Prep skin to 100cm2 other
|
$2,304.72 |
$2,304.72 |
$3,149.60 |
|
|
Prep skin to 100cm2 trk/ext
|
$1,860.86 |
$1,860.86 |
$4,012.80 |
|
|
Prep skn trk/ext adl 100cm2
|
$382.42 |
$382.42 |
$382.42 |
|
|
Pressure max expiratory/inspiratory
|
$110.40 |
$358.40 |
$429.58 |
|
|
Pressure velocity wire add ves
|
$1,370.78 |
$1,785.95 |
$3,244.00 |
|
|
Pre-tibial shell molded to p
|
$661.30 |
$878.42 |
$878.42 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$241.92 |
$296.35 |
$304.81 |
|
|
Pretreat rbc absorption reference
|
$224.80 |
$278.71 |
$286.66 |
|
|
Pretreat rbc density gradient separation reference
|
$270.72 |
$331.63 |
$341.10 |
|
|
Pretreat rbc w chem/drugs reference
|
$111.20 |
$259.22 |
$519.20 |
|
|
Pretreat rbc w enzyme reference
|
$184.32 |
$225.79 |
$289.60 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$178.13 |
$262.14 |
$340.80 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$23.02 |
$23.02 |
$23.02 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,349.60 |
$2,349.60 |
$2,873.60 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,255.20 |
$3,255.20 |
$3,381.60 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$252.90 |
$916.32 |
$1,192.80 |
|
|
Prgrmg dev eval impltbl sys
|
$113.90 |
$113.90 |
$237.07 |
|
|
Prgrmg dev eval pm/ldls pm
|
$108.30 |
$108.30 |
$237.07 |
|
|
Prgrmg dev eval scrms ip
|
$108.30 |
$108.30 |
$237.07 |
|
|
Prgrmg eval implantable dfb
|
$108.30 |
$108.30 |
$237.07 |
|
|
Prgrmg eval implantable dfb
|
$108.30 |
$108.30 |
$256.80 |
|
|
Prgrmg eval implantable dfb
|
$108.30 |
$108.30 |
$237.07 |
|
|
Prgr stim/pace a/iv drug
|
$5,922.40 |
$8,334.76 |
$8,334.76 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$103.20 |
$103.20 |
$103.20 |
|
|
Prim art mech thrmbc non-intracranial
|
$2,103.42 |
$2,103.42 |
$9,523.20 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,817.09 |
$1,817.09 |
$6,847.20 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$350.73 |
$522.53 |
$860.80 |
|
|
Pr incision & drainage abscess simple/single
|
$414.40 |
$540.00 |
$624.00 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$484.00 |
$603.20 |
$780.00 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$246.40 |
$685.60 |
$891.20 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$23.02 |
$23.02 |
$23.02 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$20.78 |
$186.72 |
$186.72 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$186.09 |
$225.60 |
$460.80 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$5,249.60 |
$5,249.60 |
$5,249.60 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$6,430.80 |
$9,651.77 |
$10,126.93 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$48.85 |
$687.05 |
$1,112.59 |
|
|
Procalcitonin
|
$96.00 |
$161.11 |
$388.80 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$25.51 |
$36.72 |
$69.00 |
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.32 |
$3.51 |
$3.81 |
|
|
Proctosigmoidoscopy control bleed 45317
|
$6,184.80 |
$6,184.80 |
$6,184.80 |
|
|
Proctosigmoidoscopy dx 45300
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
|
|
Proctosigmoidoscopy w/bx 45305
|
$2,792.00 |
$2,792.00 |
$2,792.00 |
|
|
Progesterone
|
$28.66 |
$124.00 |
$222.40 |
|
|
Prolactin
|
$35.90 |
$39.22 |
$263.20 |
|
|
Prolng off/op e/m ea 15 min 99417
|
$53.62 |
$53.62 |
$53.62 |
|
|
Prolonged IV inf, req pump
|
$841.60 |
$841.60 |
$841.60 |
|
|
Promethazine 25 mg tablet
|
$2.42 |
$2.50 |
$52.22 |
|
|
Promethazine hcl injection
|
$22.61 |
$26.73 |
$26.73 |
|
|
Propofol infusion 10 mg/ml
|
$32.00 |
$60.00 |
$93.99 |
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$36.16 |
$45.92 |
$61.52 |
|
|
Pros sheath/sock w gel cushn
|
$119.28 |
$162.90 |
$162.90 |
|
|
Pros sock multi ply upper lm
|
$35.56 |
$48.66 |
$48.66 |
|
|
Pros sock single ply ak
|
$14.50 |
$19.82 |
$19.82 |
|
|
Pros sock single ply upper l
|
$19.54 |
$26.66 |
$26.66 |
|
|
Prostate biopsy, any mthd
|
$205.07 |
$205.07 |
$1,006.40 |
|
|
Prosthesis voc advantage 20f 14mm
|
$678.34 |
$791.39 |
$1,288.00 |
|
|
Prosthesis voc lopres 20f 22mm
|
$306.00 |
$306.00 |
$306.00 |
|
|
Prosthetic sock multi ply bk
|
$33.04 |
$45.19 |
$68.08 |
|
|
Prosthetic type socket molde
|
$1,318.41 |
$1,751.29 |
$1,751.29 |
|
|
Prost sock sgl ply blw knee ea
|
$10.47 |
$14.39 |
$14.39 |
|
|
Protamine 10 mg/ml intravenous solution
|
$26.96 |
$33.51 |
$64.86 |
|
|
Protect body sock ea pre ots
|
$54.00 |
$125.42 |
$146.33 |
|
|
Protector nerve neurawrap 4cm
|
$1,876.70 |
$2,189.49 |
$2,189.49 |
|
|
Protein c activity
|
$55.20 |
$105.31 |
$564.00 |
|
|
Protein electrophoretic fractionation & quantitation serum
|
$57.60 |
$67.78 |
$136.80 |
|
|
Protein s total
|
$60.09 |
$64.80 |
$320.00 |
|
|
Protein total 24 hour urine
|
$26.83 |
$30.91 |
$93.60 |
|
|
Protein total body fluid
|
$25.60 |
$27.55 |
$100.00 |
|
|
Protein total serum plasma whole blood
|
$20.80 |
$25.73 |
$85.60 |
|
|
Prothrombin complex kcentra
|
$1,395.00 |
$1,620.00 |
$3,823.71 |
|
|
Prothrombin time substitution plasma fractions each
|
$21.06 |
$76.89 |
$88.37 |
|
|
Provide inr test mater/equip
|
$278.40 |
$278.40 |
$313.60 |
|
|
Pr planning advance care 1st 30 minutes
|
$88.48 |
$88.48 |
$161.81 |
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$53.62 |
$53.62 |
$53.62 |
|
