|
Prgrmg dev eval impltbl sys
|
$28.20 |
$28.20 |
$28.20 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$28.20 |
$28.20 |
$28.20 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$28.20 |
$28.20 |
$28.20 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$40.00 |
$40.00 |
$40.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$40.00 |
$40.00 |
$40.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$40.00 |
$40.00 |
$40.00 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$2,451.00 |
$2,451.00 |
$2,451.00 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$2,661.80 |
$2,661.80 |
$2,661.80 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$2,332.40 |
$2,332.40 |
$2,332.40 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$252.00 |
$252.00 |
$252.00 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$244.20 |
$244.20 |
$244.20 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$103.00 |
$103.00 |
$103.00 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$83.00 |
$83.00 |
$83.00 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$202.20 |
$202.20 |
$202.20 |
$256.27
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$790.96 |
$790.96 |
$790.96 |
$670.00
|
|
Procalcitonin
|
$175.00 |
$175.00 |
$175.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$124.92 |
$124.92 |
$124.92 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.16 |
$1.16 |
$1.16 |
$1.50
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,528.40 |
$1,528.40 |
$1,528.40 |
$3,245.23
|
|
Progesterone
|
$78.00 |
$78.00 |
$78.00 |
$115.64
|
|
Prolactin
|
$97.60 |
$97.60 |
$97.60 |
$123.50
|
|
Prolonged IV inf, req pump
|
$158.40 |
$158.40 |
$158.40 |
$557.50
|
|
Promethazine 25 mg tablet
|
$0.79 |
$0.79 |
$0.79 |
$4.06
|
|
Promethazine hcl injection
|
$15.30 |
$15.30 |
$15.30 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$40.50 |
$40.50 |
$40.50 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$9.30 |
$9.30 |
$9.30 |
$32.93
|
|
Prostate biopsy, any mthd
|
$169.20 |
$169.20 |
$169.20 |
$481.77
|
|
Protamine 10 mg/ml intravenous solution
|
$45.41 |
$45.41 |
$45.41 |
$57.89
|
|
Protein c activity
|
$164.60 |
$164.60 |
$164.60 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$48.60 |
$48.60 |
$48.60 |
$84.00
|
|
Protein s total
|
$101.20 |
$101.20 |
$101.20 |
$83.52
|
|
Protein total 24 hour urine
|
$46.80 |
$46.80 |
$46.80 |
$52.50
|
|
Protein total body fluid
|
$48.60 |
$48.60 |
$48.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$40.40 |
$40.40 |
$40.40 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$41.60 |
$41.60 |
$41.60 |
$41.50
|
|
Prq av fstl crtj uxtr 1 acs
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$20,978.32
|
|
Prq card angio/athrect addl
|
$6,416.20 |
$6,416.20 |
$6,416.20 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$4,311.80 |
$4,311.80 |
$4,311.80 |
$5,362.20
|
|
Prq card revasc chronic addl
|
$10,202.00 |
$10,202.00 |
$10,202.00 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$12,891.00 |
$12,891.00 |
$12,891.00 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$12,817.80 |
$12,817.80 |
$12,817.80 |
$18,150.00
|
|
Prq card stent/ath/angio
|
$12,558.20 |
$12,558.20 |
$12,558.20 |
$9,418.65
|
|
Prq card stent w/angio addl
|
$5,773.60 |
$5,773.60 |
$5,773.60 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$11,651.00 |
$11,651.00 |
$11,651.00 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$11,131.40 |
$11,131.40 |
$11,131.40 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$6,034.00 |
$6,034.00 |
$6,034.00 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$12,817.80 |
$12,817.80 |
$12,817.80 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$4,786.20 |
$4,786.20 |
$4,786.20 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$6,784.20 |
$6,784.20 |
$6,784.20 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$10,819.60 |
$10,819.60 |
$10,819.60 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$93.20 |
$93.20 |
$93.20 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$38.60 |
$38.60 |
$38.60 |
$251.43
|
|
Pr removal intrauterine device
|
$97.40 |
$97.40 |
$97.40 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$107.40 |
$107.40 |
$107.40 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$48.00 |
$48.00 |
$48.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$48.00 |
$48.00 |
$48.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$65.60 |
$65.60 |
$65.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$50.00 |
$50.00 |
$50.00 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$250.40 |
$250.40 |
$250.40 |
$1,720.93
|
|
PSA (Prostate) Test
|
$109.40 |
$109.40 |
$109.40 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$42.40 |
$42.40 |
$42.40 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$50.80 |
$50.80 |
$50.80 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$41.40 |
$41.40 |
$41.40 |
$81.00
|
|
Pt application of modality traction mechanical
|
$39.80 |
$39.80 |
$39.80 |
$91.00
|
|
Pten gene dup/delet variant
|
$202.40 |
$202.40 |
$202.40 |
$330.00
|
|
Pten gene full sequence
|
$405.00 |
$405.00 |
$405.00 |
$826.00
|
|
Pten gene known fam variant
|
$31.60 |
$31.60 |
$31.60 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$175.60 |
$175.60 |
$175.60 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$175.40 |
$175.40 |
$175.40 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$175.40 |
$175.40 |
$175.40 |
$254.88
|
|
Pt re-evaluation patient/family
|
$87.80 |
$87.80 |
$87.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$46.80 |
$46.80 |
$46.80 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$41.40 |
$41.40 |
$41.40 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$52.40 |
$52.40 |
$52.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$41.40 |
$41.40 |
$41.40 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$41.40 |
$41.40 |
$41.40 |
$87.50
|
|
Pulmonary vent imaging
|
$221.80 |
$221.80 |
$221.80 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$83.20 |
$83.20 |
$83.20 |
$344.00
|
|
Pulse ox multiple
|
$94.40 |
$94.40 |
$94.40 |
$156.40
|
|
Pulse ox single
|
$41.60 |
$41.60 |
$41.60 |
$81.70
|
|
Punc of shunt for asp or inj
|
$250.60 |
$250.60 |
$250.60 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$30.40 |
$30.40 |
$30.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$133.00 |
$133.00 |
$133.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$254.60 |
$254.60 |
$254.60 |
$1,051.80
|
|
Pvb thoracic single inj site
|
$255.20 |
$255.20 |
$255.20 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$16.82 |
$16.82 |
$16.82 |
$48.70
|
|
Pyruvate kinase
|
$81.20 |
$81.20 |
$81.20 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$609.80 |
$609.80 |
$609.80 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$398.80 |
$398.80 |
$398.80 |
$1,199.16
|
|
Quest t3 uptake
|
$23.60 |
$23.60 |
$23.60 |
$52.25
|
|
Radiation handling
|
$150.80 |
$150.80 |
$150.80 |
$324.80
|
|
Radiation physics consult
|
$238.60 |
$238.60 |
$238.60 |
$606.50
|
|
Radiation therapy dose plan
|
$151.80 |
$151.80 |
$151.80 |
$514.05
|
|
Radiation treatment aid(s)
|
$134.40 |
$134.40 |
$134.40 |
$520.00
|
|
Radiation treatment aid(s)
|
$162.20 |
$162.20 |
$162.20 |
$644.16
|
|
Radiation treatment aid(s)
|
$422.40 |
$422.40 |
$422.40 |
$1,076.78
|
|
Radiation treatment delivery
|
$128.00 |
$128.00 |
$128.00 |
$552.40
|
|
Radiation treatment delivery
|
$238.60 |
$238.60 |
$238.60 |
$920.00
|
|
Radiology port images(s)
|
$39.40 |
$39.40 |
$39.40 |
$251.50
|
