|
Plcmt sft tiss loc pq w/img 1st lsn
|
$860.80 |
$860.80 |
$1,017.60 |
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
|
|
Plcmt xtn pros evasc rpr per vsl
|
$872.00 |
$872.00 |
$872.00 |
|
|
Plc pq device breast ea addl lesion MRI guide
|
$171.20 |
$171.20 |
$171.20 |
|
|
Plc pq device breast ea addl lesion stereo guide
|
$171.20 |
$171.20 |
$171.20 |
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$171.20 |
$171.20 |
$545.60 |
|
|
Plethysmography lung volumes/airway resistance
|
$245.60 |
$245.60 |
$302.40 |
|
|
Plmt access bil tree sm bwl
|
$6,168.80 |
$6,168.80 |
$6,168.80 |
|
|
Plmt biliary drainage cath
|
$4,616.00 |
$4,616.00 |
$4,616.00 |
|
|
Plmt nephroureteral catheter
|
$3,936.80 |
$3,936.80 |
$3,936.80 |
|
|
Plmt ureteral stent prq
|
$5,060.00 |
$5,060.00 |
$5,060.00 |
|
|
Pm device progr eval dual
|
$120.80 |
$120.80 |
$120.80 |
|
|
Pm device progr eval multi
|
$128.00 |
$128.00 |
$128.00 |
|
|
Pm phone r-strip device eval
|
$61.60 |
$61.60 |
$61.60 |
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$251.20 |
$251.20 |
$260.00 |
|
|
Polysom <6 yrs cpap/bilvl
|
$890.40 |
$890.40 |
$890.40 |
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,818.40 |
$1,818.40 |
$2,143.20 |
|
|
Positional nystagmus test
|
$131.20 |
$131.20 |
$131.20 |
|
|
Postpartum Care Only
|
$392.80 |
$392.80 |
$392.80 |
|
|
Potassium 24 hour urine
|
$78.40 |
$78.40 |
$102.40 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$189.51 |
$189.51 |
$189.51 |
|
|
Potassium serum/plasma/whole blood
|
$32.00 |
$32.00 |
$35.20 |
|
|
Pq dr cath chg w cont s&i
|
$650.40 |
$650.40 |
$650.40 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$8,862.40 |
$8,862.40 |
$8,862.40 |
|
|
Pq thr inj ext pse
|
$461.60 |
$461.60 |
$798.40 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$2,784.80 |
$2,784.80 |
$4,289.60 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,780.80 |
$2,780.80 |
$4,289.60 |
|
|
Pralidoxime 1 gram solution for injection
|
$376.80 |
$376.80 |
$376.80 |
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,050.40 |
$1,050.40 |
$1,816.80 |
|
|
Pr application of long arm splint
|
$119.20 |
$119.20 |
$172.80 |
|
|
Pr application splint static short arm
|
$96.00 |
$96.00 |
$136.00 |
|
|
Pr assessment emotional/behavioral per instrument brief
|
$7.20 |
$7.20 |
$7.20 |
|
|
Pr biopsy skin punch single lesion
|
$188.00 |
$188.00 |
$345.60 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$22.40 |
$22.40 |
$22.40 |
|
|
Prcrd drg 0-5yr or w/anomly
|
$423.20 |
$423.20 |
$4,572.80 |
|
|
Prcrd drg 6+yr without anomly
|
$358.40 |
$358.40 |
$4,012.80 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$556.80 |
$556.80 |
$556.80 |
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$144.80 |
$144.80 |
$150.40 |
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$103.20 |
$103.20 |
$130.40 |
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$151.20 |
$151.20 |
$193.60 |
|
|
Prealbumin
|
$102.40 |
$102.40 |
$102.40 |
|
|
Pr ecg 12 lead report only
|
$12.00 |
$12.00 |
$16.80 |
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$27.20 |
$27.20 |
$27.20 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$13.01 |
$13.01 |
$53.03 |
|
|
Prednisone 1 mg tablet
|
$23.60 |
$23.60 |
$1,156.90 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$295.20 |
$295.20 |
$2,089.60 |
|
|
Pregnancy associated plasma protein-a
|
$63.20 |
$63.20 |
$63.20 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$710.40 |
$710.40 |
$730.40 |
|
|
Pregnancy Ultrasound (first trimester)
|
$375.20 |
$375.20 |
$644.80 |
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$199.20 |
$199.20 |
$199.20 |
|
|
Prenatal Care Only (4-6 visits)
|
$841.60 |
$841.60 |
$841.60 |
|
|
Prenatal Care Only (7+ visits)
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
|
|
Prep skin to 100cm2 other
|
$583.20 |
$583.20 |
$1,224.80 |
|
|
Prep skin to 100cm2 trk/ext
|
$516.00 |
$516.00 |
$4,483.20 |
|
|
Prep skn trk/ext adl 100cm2
|
$102.40 |
$102.40 |
$1,323.20 |
|
|
Pressure max expiratory/inspiratory
|
$319.20 |
$319.20 |
$319.20 |
|
|
Pressure velocity wire add ves
|
$1,667.20 |
$1,667.20 |
$1,667.20 |
|
|
Pretreat rbc absorption reference
|
$148.80 |
$148.80 |
$167.20 |
|
|
Pretreat rbc density gradient separation reference
|
$168.00 |
$168.00 |
$185.60 |
|
|
Pretreat rbc w chem/drugs reference
|
$114.40 |
$114.40 |
$127.20 |
|
|
Pretreat rbc w enzyme reference
|
$39.20 |
$39.20 |
$39.20 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$287.20 |
$287.20 |
$366.40 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$247.20 |
$247.20 |
$247.20 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$189.60 |
$189.60 |
$1,657.60 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$332.80 |
$332.80 |
$2,068.80 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$480.00 |
$480.00 |
$799.20 |
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
|
|
Prgrmg dev eval pm/ldls pm
|
$102.40 |
$102.40 |
$102.40 |
|
|
Prgrmg dev eval scrms ip
|
$88.00 |
$88.00 |
$88.00 |
|
|
Prgrmg eval implantable dfb
|
$121.60 |
$121.60 |
$121.60 |
|
|
Prgrmg eval implantable dfb
|
$148.00 |
$148.00 |
$148.00 |
|
|
Prgrmg eval implantable dfb
|
$160.00 |
$160.00 |
$160.00 |
|
|
Prgr stim/pace a/iv drug
|
$6,766.40 |
$6,766.40 |
$6,766.40 |
|
|
Pr hospital ip/obs care initial high level per day
|
$284.80 |
$284.80 |
$365.60 |
|
|
Pr hospital ip/obs care initial moderate level per day
|
$194.40 |
$194.40 |
$247.20 |
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$144.80 |
$144.80 |
$183.20 |
|
|
Pr hospital ip/obs care subsequent high level per day
|
$147.20 |
$147.20 |
$198.40 |
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$102.40 |
$102.40 |
$130.40 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$56.00 |
$56.00 |
$76.00 |
|
|
Prim art mech thrmbc non-intracranial
|
$7,590.40 |
$7,590.40 |
$7,590.40 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,127.20 |
$4,127.20 |
$4,127.20 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$313.60 |
$313.60 |
$799.20 |
|
|
Pr incision & drainage abscess simple/single
|
$191.20 |
$191.20 |
$397.60 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$222.40 |
$222.40 |
$332.80 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$253.60 |
$253.60 |
$799.20 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$404.00 |
$404.00 |
$404.00 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$300.00 |
$300.00 |
$300.00 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$298.40 |
$298.40 |
$397.60 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$886.40 |
$886.40 |
$886.40 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$7,689.44 |
$7,689.44 |
$7,689.44 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$250.78 |
$250.78 |
$1,462.23 |
|
|
Procalcitonin
|
$120.80 |
$120.80 |
$128.00 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$107.61 |
$107.61 |
$131.02 |
|
|
Proctosigmoidoscopy dx 45300
|
$997.60 |
$997.60 |
$997.60 |
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,083.20 |
$3,083.20 |
$3,083.20 |
|
|
Progesterone
|
$96.00 |
$96.00 |
$96.00 |
|
|
Prolactin
|
$102.40 |
$102.40 |
$102.40 |
|
|
Prolng off/op e/m ea 15 min 99417
|
$44.80 |
$44.80 |
$46.40 |
|
|
Promethazine 25 mg tablet
|
$3.52 |
$3.52 |
$3.52 |
|
