|
Place slctv cath subclavian art
|
$5,855.85 |
$5,855.85 |
$10,055.65 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$9,200.62 |
$9,200.62 |
$13,342.45 |
$9,472.00
|
|
Plasma volume single
|
$1,019.70 |
$1,019.70 |
$1,019.70 |
$1,544.85
|
|
Platelet aggregation each agent teg
|
$153.45 |
$153.45 |
$172.15 |
$147.96
|
|
Platelet automated
|
$17.60 |
$17.60 |
$22.00 |
$44.00
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,323.30 |
$1,323.30 |
$2,097.70 |
$1,341.40
|
|
Platelets leukocytes reduced each unit
|
$1,135.75 |
$1,135.75 |
$1,135.75 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$304.70 |
$304.70 |
$1,669.80 |
$397.15
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$904.20 |
$904.20 |
$1,437.15 |
$1,019.20
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,155.55 |
$1,155.55 |
$2,455.75 |
$1,220.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,155.55 |
$1,155.55 |
$1,192.40 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,613.70 |
$1,613.70 |
$1,651.10 |
$1,363.70
|
|
Platelets pheresis pathogen-reduced each unit
|
$413.60 |
$413.60 |
$1,706.10 |
$992.49
|
|
Plcmnt biliary drainage cath w/img ext
|
$6,789.64 |
$6,789.64 |
$7,748.95 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$2,604.23 |
$2,604.23 |
$22,550.00 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,505.50 |
$5,505.50 |
$7,459.10 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$7,003.42 |
$7,003.42 |
$8,717.50 |
$6,048.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,287.00 |
$1,287.00 |
$1,508.10 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$923.78 |
$923.78 |
$4,516.05 |
$878.22
|
|
Plcmt xtn pros evasc rpr per vsl
|
$2,410.10 |
$2,410.10 |
$2,410.10 |
$3,969.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$3,710.85 |
$3,710.85 |
$3,710.85 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$1,922.25 |
$1,922.25 |
$1,922.25 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,681.25 |
$2,681.25 |
$2,681.25 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$315.70 |
$315.70 |
$368.50 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$3,876.73 |
$3,876.73 |
$3,876.73 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$7,748.95 |
$7,748.95 |
$9,331.46 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$4,564.45 |
$4,564.45 |
$6,212.64 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$6,322.74 |
$6,322.74 |
$7,459.10 |
$5,419.00
|
|
Pm device progr eval dual
|
$68.20 |
$68.20 |
$91.85 |
$148.00
|
|
Pm device progr eval multi
|
$55.00 |
$55.00 |
$55.00 |
$160.55
|
|
Pm phone r-strip device eval
|
$145.20 |
$145.20 |
$145.20 |
$127.20
|
|
Pms2 known familial variants
|
$617.65 |
$617.65 |
$894.30 |
$397.20
|
|
#pnh-flow cytometry interp
|
$100.65 |
$100.65 |
$106.15 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$90.75 |
$90.75 |
$130.35 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$6,920.59 |
$6,920.59 |
$6,920.59 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,360.50 |
$3,360.50 |
$3,360.50 |
$4,293.60
|
|
Potassium 24 hour urine
|
$34.10 |
$34.10 |
$55.00 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$33.00 |
$33.00 |
$39.05 |
$44.64
|
|
Pq biliary strict dil s&i
|
$979.55 |
$979.55 |
$991.56 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$543.78 |
$543.78 |
$631.40 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$6,115.45 |
$6,115.45 |
$6,115.45 |
$10,430.78
|
|
Pq thr inj ext pse
|
$935.00 |
$935.00 |
$1,000.03 |
$872.61
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$2,527.80 |
$2,527.80 |
$2,527.80 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,527.80 |
$2,527.80 |
$2,527.80 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,971.00 |
$3,971.00 |
$4,129.12 |
$3,761.65
|
|
Pr application of long arm splint
|
$445.44 |
$445.44 |
$891.55 |
$332.75
|
|
Pr application splint static short arm
|
$282.42 |
$282.42 |
$389.40 |
$301.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$42.90 |
$42.90 |
$42.90 |
$44.67
|
|
Pr biopsy skin punch single lesion
|
$489.50 |
$489.50 |
$978.12 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$39.49 |
$39.49 |
$69.30 |
$48.71
|
|
Prcrd drg 0-5yr or w/anomly
|
$3,123.28 |
$3,123.28 |
$3,123.28 |
$2,253.00
|
|
Prcrd drg 6+yr without anomly
|
$462.00 |
$462.00 |
$3,384.88 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$452.60 |
$452.60 |
$501.05 |
$356.40
|
|
Prealbumin
|
$58.30 |
$58.30 |
$60.50 |
$87.20
|
|
Pregabalin - sendout
|
$178.20 |
$178.20 |
$392.15 |
$65.25
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,246.75 |
$2,246.75 |
$2,246.75 |
$2,363.79
|
|
Pregnancy associated plasma protein-a
|
$80.30 |
$80.30 |
$80.30 |
$67.60
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$287.65 |
$287.65 |
$530.75 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$587.40 |
$587.40 |
$749.32 |
$541.45
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$34.31 |
$34.31 |
$34.31 |
$167.25
|
|
Pre-plan 3d model w/ccta
|
$1,791.75 |
$1,791.75 |
$1,791.75 |
$1,126.11
|
|
Pressure max expiratory/inspiratory
|
$419.10 |
$419.10 |
$429.72 |
$253.00
|
|
Pressure velocity wire add ves
|
$981.20 |
$981.20 |
$2,408.12 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$126.50 |
$126.50 |
$126.50 |
$141.00
|
|
Pretreat rbc absorption reference
|
$116.05 |
$116.05 |
$196.35 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$85.25 |
$85.25 |
$322.85 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$112.20 |
$112.20 |
$178.20 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$166.10 |
$166.10 |
$204.60 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$222.20 |
$222.20 |
$222.20 |
$313.30
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$185.90 |
$185.90 |
$185.90 |
$178.57
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,834.69 |
$1,834.69 |
$1,834.69 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$180.58 |
$180.58 |
$2,211.50 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$844.42 |
$844.42 |
$1,375.00 |
$827.94
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$8,258.80 |
$8,258.80 |
$8,258.80 |
$3,938.98
|
|
Prgrmg dev eval impltbl sys
|
$43.45 |
$43.45 |
$60.21 |
$148.00
|
|
Prgrmg dev eval pm/ldls pm
|
$91.85 |
$91.85 |
$91.85 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$57.75 |
$57.75 |
$57.75 |
$126.00
|
|
Prgrmg eval implantable dfb
|
$67.10 |
$67.10 |
$124.30 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$115.50 |
$115.50 |
$115.50 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$109.45 |
$109.45 |
$109.45 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$3,465.00 |
$3,465.00 |
$11,194.80 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$7,987.65 |
$7,987.65 |
$8,115.96 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,080.55 |
$3,080.55 |
$6,553.69 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,055.34 |
$1,055.34 |
$1,763.30 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$594.16 |
$594.16 |
$1,225.40 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$809.38 |
$809.38 |
$1,162.70 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,113.75 |
$1,113.75 |
$1,161.16 |
$615.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$198.00 |
$198.00 |
$198.00 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$198.00 |
$198.00 |
$198.00 |
$198.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$168.30 |
$168.30 |
$260.26 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,867.56 |
$2,867.56 |
$4,113.48 |
$7,350.00
|
|
Probe nasolacrimal duct
|
$310.72 |
$310.72 |
$310.72 |
$361.92
|
|
Probe nasolacrimal duct
|
$1,522.27 |
$1,522.27 |
$4,613.40 |
$2,902.77
|
|
Procalcitonin
|
$144.10 |
$144.10 |
$148.50 |
$144.10
|
|
Proctosigmoidoscopy dx 45300
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$1,073.68
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,390.95 |
$1,390.95 |
$1,390.95 |
$3,245.23
|
|
Progesterone
|
$147.40 |
$147.40 |
$267.85 |
$105.00
|
|
Prolactin
|
$82.50 |
$82.50 |
$151.25 |
$127.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$68.62 |
$68.62 |
$68.62 |
$61.25
|
|
Proph rta dtchmnt pc
|
$834.31 |
$834.31 |
$834.31 |
$756.27
|