|
Prep skin to 100cm2 trk/ext
|
$1,388.28 |
$1,388.28 |
$1,388.28 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$932.14 |
$932.14 |
$932.14 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$551.28 |
$551.28 |
$551.28 |
$253.00
|
|
Pressure velocity wire add ves
|
$2,507.05 |
$2,507.05 |
$2,507.05 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$100.10 |
$100.10 |
$100.10 |
$141.00
|
|
Pretreat rbc absorption reference
|
$160.60 |
$160.60 |
$160.60 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$57.20 |
$57.20 |
$57.20 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$71.50 |
$71.50 |
$71.50 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$100.10 |
$100.10 |
$100.10 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$151.04 |
$151.04 |
$151.04 |
$313.30
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$127.51 |
$127.51 |
$127.51 |
$178.57
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,205.16 |
$1,205.16 |
$1,205.16 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$213.95 |
$213.95 |
$213.95 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$559.02 |
$559.02 |
$559.02 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$28.54 |
$28.54 |
$28.54 |
$139.10
|
|
Pr hospital ip/obs care initial high level per day
|
$436.15 |
$436.15 |
$436.15 |
$365.60
|
|
Pr hospital ip/obs care initial moderate level per day
|
$184.80 |
$184.80 |
$184.80 |
$261.00
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$136.40 |
$136.40 |
$136.40 |
$181.60
|
|
Pr hospital ip/obs care subsequent high level per day
|
$154.00 |
$154.00 |
$154.00 |
$217.60
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$108.35 |
$108.35 |
$108.35 |
$145.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$66.55 |
$66.55 |
$66.55 |
$78.60
|
|
Prim art mech thrmbc non-intracranial
|
$7,072.56 |
$7,072.56 |
$7,072.56 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$8,044.93 |
$8,044.93 |
$8,044.93 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,226.28 |
$1,226.28 |
$1,226.28 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$826.98 |
$826.98 |
$826.98 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$224.40 |
$224.40 |
$224.40 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$906.18 |
$906.18 |
$906.18 |
$615.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$203.54 |
$203.54 |
$203.54 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$150.48 |
$150.48 |
$150.48 |
$198.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$185.46 |
$185.46 |
$185.46 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,176.69 |
$2,176.69 |
$2,176.69 |
$7,350.00
|
|
Procalcitonin
|
$138.05 |
$138.05 |
$138.05 |
$144.10
|
|
Progesterone
|
$103.40 |
$103.40 |
$103.40 |
$105.00
|
|
Prolactin
|
$105.60 |
$105.60 |
$105.60 |
$127.50
|
|
_propoxygc/msur
|
$171.05 |
$171.05 |
$171.05 |
$104.00
|
|
Prostate biopsy, any mthd
|
$620.95 |
$620.95 |
$620.95 |
$492.80
|
|
Prostatic microwave thermotx
|
$8,420.09 |
$8,420.09 |
$8,420.09 |
$4,081.37
|
|
Protector nerve neurawrap 4cm
|
$2,919.59 |
$2,919.59 |
$2,919.59 |
$3,580.71
|
|
Protein c activity
|
$184.80 |
$184.80 |
$184.80 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$72.60 |
$72.60 |
$72.60 |
$85.20
|
|
Protein s total
|
$264.00 |
$264.00 |
$264.00 |
$78.87
|
|
Protein total 24 hour urine
|
$37.95 |
$37.95 |
$37.95 |
$52.50
|
|
Protein total body fluid
|
$43.45 |
$43.45 |
$43.45 |
$52.57
|
|
Protein total serum plasma whole blood
|
$27.50 |
$27.50 |
$27.50 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$293.15 |
$293.15 |
$293.15 |
$37.05
|
|
Prq cardiac angio addl art
|
$4,024.82 |
$4,024.82 |
$4,024.82 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$6,609.10 |
$6,609.10 |
$6,609.10 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$7,005.16 |
$7,005.16 |
$7,005.16 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$10,319.90 |
$10,319.90 |
$10,319.90 |
$20,854.53
|
|
Prq card stent w/angio addl
|
$9,287.96 |
$9,287.96 |
$9,287.96 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$7,223.56 |
$7,223.56 |
$7,223.56 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$7,270.06 |
$7,270.06 |
$7,270.06 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$9,287.96 |
$9,287.96 |
$9,287.96 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$6,707.86 |
$6,707.86 |
$6,707.86 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$6,191.62 |
$6,191.62 |
$6,191.62 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$10,319.90 |
$10,319.90 |
$10,319.90 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$6,609.10 |
$6,609.10 |
$6,609.10 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$143.88 |
$143.88 |
$143.88 |
$280.79
|
|
Pr removal intrauterine device
|
$207.24 |
$207.24 |
$207.24 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,116.06 |
$1,116.06 |
$1,116.06 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$564.96 |
$564.96 |
$564.96 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$613.80 |
$613.80 |
$613.80 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$557.70 |
$557.70 |
$557.70 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$656.04 |
$656.04 |
$656.04 |
$422.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$950.95 |
$950.95 |
$950.95 |
$2,753.28
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,491.50 |
$2,491.50 |
$2,491.50 |
$1,790.60
|
|
PSA (Prostate) Test
|
$85.80 |
$85.80 |
$85.80 |
$109.35
|
|
Psychoeducation 45 min +
|
$189.20 |
$189.20 |
$189.20 |
$201.45
|
|
Psychotherapy group therapy
|
$757.13 |
$757.13 |
$757.13 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$212.14 |
$212.14 |
$212.14 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$276.08 |
$276.08 |
$276.08 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$118.01 |
$118.01 |
$118.01 |
$294.45
|
|
Psychthrp grp 45-50min mcr
|
$328.68 |
$328.68 |
$328.68 |
$157.15
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$65.49 |
$65.49 |
$65.49 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$77.35 |
$77.35 |
$77.35 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$47.43 |
$47.43 |
$47.43 |
$82.55
|
|
Pt application of modality traction mechanical
|
$41.78 |
$41.78 |
$41.78 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$198.00 |
$198.00 |
$198.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$167.75 |
$167.75 |
$167.75 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$202.40 |
$202.40 |
$202.40 |
$263.90
|
|
Pt re-evaluation patient/family
|
$144.65 |
$144.65 |
$144.65 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$55.44 |
$55.44 |
$55.44 |
$77.13
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$59.28 |
$59.28 |
$59.28 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$106.72 |
$106.72 |
$106.72 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$93.73 |
$93.73 |
$93.73 |
$85.00
|
|
Pulmonary vent imaging
|
$772.86 |
$772.86 |
$772.86 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$248.88 |
$248.88 |
$248.88 |
$368.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$190.74 |
$190.74 |
$190.74 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$799.92 |
$799.92 |
$799.92 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$1,967.46 |
$1,967.46 |
$1,967.46 |
$1,134.64
|
|
Pyruvate
|
$128.15 |
$128.15 |
$128.15 |
$65.00
|
|
Pyruvate kinase
|
$257.95 |
$257.95 |
$257.95 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$817.08 |
$817.08 |
$817.08 |
$1,524.16
|
|
Radiation handling
|
$126.66 |
$126.66 |
$126.66 |
$331.89
|
|
Radiation physics consult
|
$419.94 |
$419.94 |
$419.94 |
$574.75
|
|
Radiation therapy dose plan
|
$358.05 |
$358.05 |
$358.05 |
$530.53
|
|
Radiation treatment aid(s)
|
$472.86 |
$472.86 |
$472.86 |
$541.45
|
|
Radiation treatment aid(s)
|
$502.69 |
$502.69 |
$502.69 |
$665.00
|
|
Radiation treatment aid(s)
|
$768.39 |
$768.39 |
$768.39 |
$1,103.09
|
|
Radiation treatment delivery
|
$184.80 |
$184.80 |
$184.80 |
$552.40
|