|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$44.80 |
$44.80 |
$44.80 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$44.80 |
$44.80 |
$44.80 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$48.00 |
$48.00 |
$48.00 |
$104.80
|
|
Ot re-evaluation patient/family
|
$48.00 |
$48.00 |
$48.00 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$41.60 |
$41.60 |
$41.60 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$17.92 |
$17.92 |
$17.92 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$48.77 |
$48.77 |
$48.77 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$38.40 |
$38.40 |
$38.40 |
$97.44
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$38.40 |
$38.40 |
$38.40 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$59.52 |
$59.52 |
$59.52 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$91.93 |
$91.93 |
$91.93 |
$80.90
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$141.97 |
$141.97 |
$141.97 |
$128.31
|
|
Parathormone (pth) intact
|
$64.00 |
$64.00 |
$64.00 |
$200.80
|
|
Parathyroid planar imaging
|
$465.28 |
$465.28 |
$465.28 |
$1,129.91
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$188.16 |
$188.16 |
$188.16 |
$249.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$4,914.00
|
|
Partial hip replacement
|
$1,741.44 |
$1,741.44 |
$1,741.44 |
$3,874.00
|
|
Partial removal finger bone
|
$706.40 |
$706.40 |
$706.40 |
$2,021.04
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$16,019.31 |
$16,019.31 |
$16,019.31 |
$11,216.31
|
|
Pelvic CT scan (with and without contrast)
|
$918.40 |
$918.40 |
$918.40 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$915.20 |
$915.20 |
$915.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$767.04 |
$767.04 |
$767.04 |
$1,350.25
|
|
Pelvic MRI (with and without contrast)
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$809.41 |
$809.41 |
$809.41 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$814.40 |
$814.40 |
$814.40 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$266.88 |
$266.88 |
$266.88 |
$649.35
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,096.22 |
$1,096.22 |
$1,096.22 |
$826.47
|
|
Penicillin g procaine inj
|
$174.34 |
$174.34 |
$174.34 |
$147.21
|
|
Perc rf ablate renal tumor
|
$5,654.40 |
$5,654.40 |
$5,654.40 |
$7,021.90
|
|
Percut ablate liver rf
|
$5,654.40 |
$5,654.40 |
$5,654.40 |
$6,904.15
|
|
Peri-implt capslc brst compl
|
$512.00 |
$512.00 |
$512.00 |
$3,959.84
|
|
Peripheral vascular rehab
|
$59.52 |
$59.52 |
$59.52 |
$132.50
|
|
Perq dev breast 1st mr guide
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$1,768.20
|
|
Perq skel fix ulnar styld fx
|
$574.40 |
$574.40 |
$574.40 |
$3,839.54
|
|
Perq tx big toe fracture w/manip 28496
|
$441.60 |
$441.60 |
$441.60 |
$3,842.58
|
|
Ph body fluid
|
$52.80 |
$52.80 |
$52.80 |
$40.04
|
|
Phenobarbital therapeutic drug level
|
$54.40 |
$54.40 |
$54.40 |
$104.25
|
|
Phentolaine mesylate inj
|
$1,315.42 |
$1,315.42 |
$1,315.42 |
$1,021.73
|
|
Phenytoin total therapeutic drug level
|
$54.40 |
$54.40 |
$54.40 |
$111.27
|
|
Phlebotomy therapeutic
|
$63.87 |
$63.87 |
$63.87 |
$238.04
|
|
Phosphorus
|
$24.32 |
$24.32 |
$24.32 |
$48.80
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$808.96 |
$808.96 |
$808.96 |
$1,116.00
|
|
Pin finger fracture each
|
$756.80 |
$756.80 |
$756.80 |
$4,035.50
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$714.56 |
$714.56 |
$714.56 |
$1,528.80
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$906.40 |
$906.40 |
$906.40 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,852.48 |
$1,852.48 |
$1,852.48 |
$3,933.00
|
|
Platelet automated
|
$19.20 |
$19.20 |
$19.20 |
$45.00
|
|
Platelets each unit
|
$94.08 |
$94.08 |
$94.08 |
$169.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$773.44 |
$773.44 |
$773.44 |
$1,259.94
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$120.80 |
$120.80 |
$120.80 |
$1,237.70
|
|
Plethysmography lung volumes/airway resistance
|
$272.32 |
$272.32 |
$272.32 |
$405.00
|
|
Pn soln nos 10 grams lipids
|
$123.48 |
$123.48 |
$123.48 |
$96.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$152.48 |
$152.48 |
$152.48 |
$186.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,240.96 |
$3,240.96 |
$3,240.96 |
$3,751.48
|
|
Potassium serum/plasma/whole blood
|
$23.68 |
$23.68 |
$23.68 |
$46.75
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,328.58 |
$10,328.58 |
$10,328.58 |
$9,977.57
|
|
Pralidoxime 1 gram solution for injection
|
$319.61 |
$319.61 |
$319.61 |
$267.69
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,392.96 |
$4,392.96 |
$4,392.96 |
$3,738.90
|
|
Pr application of long arm splint
|
$225.28 |
$225.28 |
$225.28 |
$329.00
|
|
Pr application splint static short arm
|
$178.56 |
$178.56 |
$178.56 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$291.20 |
$291.20 |
$291.20 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$32.00 |
$32.00 |
$32.00 |
$48.60
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$497.92 |
$497.92 |
$497.92 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$64.80 |
$64.80 |
$64.80 |
$133.25
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$88.32 |
$88.32 |
$88.32 |
$189.80
|
|
Prealbumin
|
$40.32 |
$40.32 |
$40.32 |
$93.36
|
|
Pr ecg 12 lead report only
|
$20.13 |
$20.13 |
$20.13 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$35.20 |
$35.20 |
$35.20 |
$60.00
|
|
Prefab stnlss steel crwn pri
|
$26.56 |
$26.56 |
$26.56 |
$845.60
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$447.36 |
$447.36 |
$447.36 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$266.88 |
$266.88 |
$266.88 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$192.32 |
$192.32 |
$192.32 |
$535.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$106.24 |
$106.24 |
$106.24 |
$127.44
|
|
Prep skin to 100cm2 trk/ext
|
$412.00 |
$412.00 |
$412.00 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$156.80 |
$156.80 |
$156.80 |
$238.33
|
|
Prev med cnsl indiv apprx 15
|
$37.12 |
$37.12 |
$37.12 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$108.16 |
$108.16 |
$108.16 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$108.16 |
$108.16 |
$108.16 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$113.28 |
$113.28 |
$113.28 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$130.56 |
$130.56 |
$130.56 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,303.36 |
$2,303.36 |
$2,303.36 |
$1,917.33
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$723.20 |
$723.20 |
$723.20 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$1,347.20 |
$1,347.20 |
$1,347.20 |
$3,336.80
|
|
Pr hospital ip/obs care initial high level per day
|
$164.80 |
$164.80 |
$164.80 |
$362.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$108.16 |
$108.16 |
$108.16 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$79.36 |
$79.36 |
$79.36 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$84.48 |
$84.48 |
$84.48 |
$193.70
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$59.20 |
$59.20 |
$59.20 |
$120.90
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$61.44 |
$61.44 |
$61.44 |
$73.80
|
|
Pr incision & drainage abscess complicated/multiple
|
$526.08 |
$526.08 |
$526.08 |
$696.80
|
|
Pr incision & drainage abscess simple/single
|
$309.12 |
$309.12 |
$309.12 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$456.96 |
$456.96 |
$456.96 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$526.08 |
$526.08 |
$526.08 |
$583.10
|
|
Pr management transitional care high w/in 7 days of discharge
|
$196.80 |
$196.80 |
$196.80 |
$247.50
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$771.20 |
$771.20 |
$771.20 |
$3,786.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$339.39 |
$339.39 |
$339.39 |
$674.78
|
|
Procalcitonin
|
$204.80 |
$204.80 |
$204.80 |
$159.25
|
|
Progesterone
|
$50.43 |
$50.43 |
$50.43 |
$114.60
|
|
Prolactin
|
$33.60 |
$33.60 |
$33.60 |
$123.50
|
|
Propofol infusion 10 mg/ml
|
$121.92 |
$121.92 |
$121.92 |
$73.36
|