|
Pr incision & drainage abscess simple/single
|
$133.75 |
$133.75 |
$133.75 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$128.75 |
$128.75 |
$128.75 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$258.50 |
$258.50 |
$258.50 |
$585.65
|
|
Pr management transitional care high w/in 7 days of discharge
|
$108.75 |
$108.75 |
$108.75 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$43.00 |
$43.00 |
$43.00 |
$198.00
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$252.75 |
$252.75 |
$252.75 |
$256.80
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$988.71 |
$988.71 |
$988.71 |
$674.78
|
|
Procalcitonin
|
$205.50 |
$205.50 |
$205.50 |
$158.76
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$156.15 |
$156.15 |
$156.15 |
$36.33
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.45 |
$1.45 |
$1.45 |
$1.20
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,910.50 |
$1,910.50 |
$1,910.50 |
$3,237.36
|
|
Progesterone
|
$197.00 |
$197.00 |
$197.00 |
$114.60
|
|
Prolactin
|
$183.75 |
$183.75 |
$183.75 |
$123.50
|
|
Prolng svc o/p 1st hour
|
$15.75 |
$15.75 |
$15.75 |
$178.76
|
|
Prolonged IV inf, req pump
|
$206.00 |
$206.00 |
$206.00 |
$522.60
|
|
Promethazine 25 mg tablet
|
$0.99 |
$0.99 |
$0.99 |
$3.88
|
|
Promethazine hcl injection
|
$19.12 |
$19.12 |
$19.12 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$50.63 |
$50.63 |
$50.63 |
$73.36
|
|
_propoxygc/msur
|
$80.25 |
$80.25 |
$80.25 |
$83.48
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$11.62 |
$11.62 |
$11.62 |
$32.75
|
|
Prostate biopsy, any mthd
|
$211.50 |
$211.50 |
$211.50 |
$475.20
|
|
Protamine 10 mg/ml intravenous solution
|
$56.77 |
$56.77 |
$56.77 |
$56.70
|
|
Protein c activity
|
$113.50 |
$113.50 |
$113.50 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$18.25 |
$18.25 |
$18.25 |
$77.76
|
|
Protein s total
|
$109.50 |
$109.50 |
$109.50 |
$77.18
|
|
Protein total 24 hour urine
|
$63.50 |
$63.50 |
$63.50 |
$52.47
|
|
Protein total body fluid
|
$35.25 |
$35.25 |
$35.25 |
$49.80
|
|
Protein total serum plasma whole blood
|
$51.00 |
$51.00 |
$51.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$38.25 |
$38.25 |
$38.25 |
$41.50
|
|
Prq av fstl crtj uxtr 1 acs
|
$12,537.50 |
$12,537.50 |
$12,537.50 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$12,537.50 |
$12,537.50 |
$12,537.50 |
$20,978.32
|
|
Prq card angio/athrect addl
|
$8,020.25 |
$8,020.25 |
$8,020.25 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$5,659.00 |
$5,659.00 |
$5,659.00 |
$5,454.15
|
|
Prq card revasc chronic addl
|
$12,752.50 |
$12,752.50 |
$12,752.50 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$16,113.75 |
$16,113.75 |
$16,113.75 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$16,022.25 |
$16,022.25 |
$16,022.25 |
$18,211.50
|
|
Prq card stent/ath/angio
|
$15,697.75 |
$15,697.75 |
$15,697.75 |
$9,180.60
|
|
Prq card stent w/angio addl
|
$7,217.00 |
$7,217.00 |
$7,217.00 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$14,563.75 |
$14,563.75 |
$14,563.75 |
$13,098.36
|
|
Prq revasc byp graft addl
|
$13,914.25 |
$13,914.25 |
$13,914.25 |
$8,593.00
|
|
Prq tcat plmt ntrac st 1 les
|
$7,542.50 |
$7,542.50 |
$7,542.50 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$16,022.25 |
$16,022.25 |
$16,022.25 |
$15,443.47
|
|
Prq trluml c angiop 1art&/br
|
$5,982.75 |
$5,982.75 |
$5,982.75 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$8,480.25 |
$8,480.25 |
$8,480.25 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$13,524.50 |
$13,524.50 |
$13,524.50 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$108.00 |
$108.00 |
$108.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$48.25 |
$48.25 |
$48.25 |
$251.40
|
|
Pr removal intrauterine device
|
$82.75 |
$82.75 |
$82.75 |
$400.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$248.75 |
$248.75 |
$248.75 |
$736.90
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$60.00 |
$60.00 |
$60.00 |
$380.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$60.00 |
$60.00 |
$60.00 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$82.75 |
$82.75 |
$82.75 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$130.25 |
$130.25 |
$130.25 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$313.00 |
$313.00 |
$313.00 |
$1,719.44
|
|
PSA (Prostate) Test
|
$137.50 |
$137.50 |
$137.50 |
$107.50
|
|
Psychotherapy group therapy
|
$106.50 |
$106.50 |
$106.50 |
$219.86
|
|
Psychotherapy patient individual therapy 30 minutes
|
$58.75 |
$58.75 |
$58.75 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$137.50 |
$137.50 |
$137.50 |
$251.00
|
|
Psychthrp grp 45-50min mcr
|
$86.50 |
$86.50 |
$86.50 |
$210.44
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$43.00 |
$43.00 |
$43.00 |
$87.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$68.00 |
$68.00 |
$68.00 |
$101.40
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$43.00 |
$43.00 |
$43.00 |
$80.40
|
|
Pt application of modality traction mechanical
|
$51.00 |
$51.00 |
$51.00 |
$86.94
|
|
Pten gene dup/delet variant
|
$253.00 |
$253.00 |
$253.00 |
$300.00
|
|
Pten gene full sequence
|
$506.25 |
$506.25 |
$506.25 |
$826.00
|
|
Pten gene known fam variant
|
$39.50 |
$39.50 |
$39.50 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$223.75 |
$223.75 |
$223.75 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$223.75 |
$223.75 |
$223.75 |
$222.56
|
|
Pt evaluation moderate complexity patient/family
|
$223.75 |
$223.75 |
$223.75 |
$249.26
|
|
Pt re-evaluation patient/family
|
$113.00 |
$113.00 |
$113.00 |
$152.40
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$50.25 |
$50.25 |
$50.25 |
$79.68
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$63.00 |
$63.00 |
$63.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$40.50 |
$40.50 |
$40.50 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$40.75 |
$40.75 |
$40.75 |
$87.50
|
|
Pulmonary vent imaging
|
$277.25 |
$277.25 |
$277.25 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$129.50 |
$129.50 |
$129.50 |
$350.40
|
|
Pulse ox multiple
|
$118.00 |
$118.00 |
$118.00 |
$161.39
|
|
Pulse ox single
|
$52.00 |
$52.00 |
$52.00 |
$83.40
|
|
Punc of shunt for asp or inj
|
$204.50 |
$204.50 |
$204.50 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$37.50 |
$37.50 |
$37.50 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$215.00 |
$215.00 |
$215.00 |
$514.64
|
|
Puncture spinal lumbar diagnostic
|
$277.25 |
$277.25 |
$277.25 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$21.02 |
$21.02 |
$21.02 |
$48.70
|
|
Pyruvate kinase
|
$69.00 |
$69.00 |
$69.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$799.75 |
$799.75 |
$799.75 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$523.00 |
$523.00 |
$523.00 |
$1,200.00
|
|
Quest t3 uptake
|
$30.75 |
$30.75 |
$30.75 |
$54.12
|
|
Radiation handling
|
$182.00 |
$182.00 |
$182.00 |
$324.80
|
|
Radiation physics consult
|
$257.00 |
$257.00 |
$257.00 |
$602.12
|
|
Radiation therapy dose plan
|
$189.75 |
$189.75 |
$189.75 |
$514.05
|
|
Radiation treatment aid(s)
|
$140.50 |
$140.50 |
$140.50 |
$525.60
|
|
Radiation treatment aid(s)
|
$126.25 |
$126.25 |
$126.25 |
$644.16
|
|
Radiation treatment aid(s)
|
$528.00 |
$528.00 |
$528.00 |
$1,075.03
|
|
Radiation treatment delivery
|
$222.00 |
$222.00 |
$222.00 |
$552.40
|
|
Radiation treatment delivery
|
$257.00 |
$257.00 |
$257.00 |
$920.00
|
|
Radiology port images(s)
|
$48.25 |
$48.25 |
$48.25 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$1,644.75 |
$1,644.75 |
$1,644.75 |
$5,786.00
|
|
Radium ra223 dichl ther/uci
|
$49.25 |
$49.25 |
$49.25 |
$205.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$590.25 |
$590.25 |
$590.25 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,209.75 |
$1,209.75 |
$1,209.75 |
$2,787.20
|