|
Postpartum Care Only
|
$1,872.70 |
$1,872.70 |
$1,872.70 |
$364.80
|
|
Potassium 24 hour urine
|
$56.73 |
$56.73 |
$56.73 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$0.56 |
$0.56 |
$0.56 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$25.62 |
$25.62 |
$25.62 |
$46.75
|
|
Pouch uros new (both sides) 2.75in clr
|
$3.29 |
$3.29 |
$3.29 |
$15.80
|
|
Pq biliary strict dil s&i
|
$1,014.43 |
$1,014.43 |
$1,014.43 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$598.41 |
$598.41 |
$598.41 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$9,095.10 |
$9,095.10 |
$9,095.10 |
$9,977.57
|
|
Pq thr inj ext pse
|
$384.91 |
$384.91 |
$384.91 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,146.99 |
$3,146.99 |
$3,146.99 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,146.99 |
$3,146.99 |
$3,146.99 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,146.99 |
$3,146.99 |
$3,146.99 |
$4,811.54
|
|
Pralidoxime 1 gram solution for injection
|
$48.37 |
$48.37 |
$48.37 |
$271.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,507.92 |
$1,507.92 |
$1,507.92 |
$3,738.90
|
|
Pr application of long arm splint
|
$272.06 |
$272.06 |
$272.06 |
$329.00
|
|
Pr application splint static short arm
|
$246.44 |
$246.44 |
$246.44 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$384.30 |
$384.30 |
$384.30 |
$458.25
|
|
Prcrd drg 6+yr without anomly
|
$491.05 |
$491.05 |
$491.05 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,242.15 |
$3,242.15 |
$3,242.15 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$350.14 |
$350.14 |
$350.14 |
$351.60
|
|
Prealbumin
|
$39.04 |
$39.04 |
$39.04 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.37 |
$0.37 |
$0.37 |
$13.87
|
|
Prednisone 1 mg tablet
|
$0.27 |
$0.27 |
$0.27 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$864.37 |
$864.37 |
$864.37 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$688.69 |
$688.69 |
$688.69 |
$539.37
|
|
Prep skin to 100cm2 trk/ext
|
$1,540.25 |
$1,540.25 |
$1,540.25 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$193.37 |
$193.37 |
$193.37 |
$238.33
|
|
Pressure velocity wire add ves
|
$907.07 |
$907.07 |
$907.07 |
$1,579.40
|
|
Pretreat rbc absorption reference
|
$149.45 |
$149.45 |
$149.45 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$124.44 |
$124.44 |
$124.44 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$180.56 |
$180.56 |
$180.56 |
$167.05
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$342.21 |
$342.21 |
$342.21 |
$779.35
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$46.97 |
$46.97 |
$46.97 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$4,662.23 |
$4,662.23 |
$4,662.23 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$4,316.97 |
$4,316.97 |
$4,316.97 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,091.29 |
$1,091.29 |
$1,091.29 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$340.38 |
$340.38 |
$340.38 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$279.38 |
$279.38 |
$279.38 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$824.72 |
$824.72 |
$824.72 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$251.32 |
$251.32 |
$251.32 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$5,490.00 |
$5,490.00 |
$5,490.00 |
$7,267.51
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$159.01 |
$159.01 |
$159.01 |
$670.00
|
|
Procalcitonin
|
$164.09 |
$164.09 |
$164.09 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$5.17 |
$5.17 |
$5.17 |
$36.72
|
|
Progesterone
|
$101.26 |
$101.26 |
$101.26 |
$115.64
|
|
Prolactin
|
$80.52 |
$80.52 |
$80.52 |
$123.50
|
|
Prolonged IV inf, req pump
|
$354.41 |
$354.41 |
$354.41 |
$557.50
|
|
Promethazine hcl injection
|
$1.94 |
$1.94 |
$1.94 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$0.08 |
$0.08 |
$0.08 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$6.41 |
$6.41 |
$6.41 |
$32.93
|
|
Protamine 10 mg/ml intravenous solution
|
$1.22 |
$1.22 |
$1.22 |
$57.89
|
|
Protect body sock ea pre ots
|
$88.38 |
$88.38 |
$88.38 |
$113.63
|
|
Protector nerve neurawrap 4cm
|
$2,502.40 |
$2,502.40 |
$2,502.40 |
$3,831.38
|
|
Protein c activity
|
$176.90 |
$176.90 |
$176.90 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$98.82 |
$98.82 |
$98.82 |
$84.00
|
|
Protein s total
|
$106.14 |
$106.14 |
$106.14 |
$83.52
|
|
Protein total 24 hour urine
|
$52.46 |
$52.46 |
$52.46 |
$52.50
|
|
Protein total body fluid
|
$61.00 |
$61.00 |
$61.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$9.15 |
$9.15 |
$9.15 |
$42.81
|
|
Prothrombin complex kcentra
|
$1.13 |
$1.13 |
$1.13 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$59.17 |
$59.17 |
$59.17 |
$41.50
|
|
Protoporphyrin rbc screen
|
$14.64 |
$14.64 |
$14.64 |
$29.40
|
|
Prq av fstl crtj uxtr 1 acs
|
$17,992.56 |
$17,992.56 |
$17,992.56 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$12,029.81 |
$12,029.81 |
$12,029.81 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$7,853.14 |
$7,853.14 |
$7,853.14 |
$5,362.20
|
|
Prq card revasc chronic addl
|
$2,005.07 |
$2,005.07 |
$2,005.07 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$19,381.53 |
$19,381.53 |
$19,381.53 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$18,712.97 |
$18,712.97 |
$18,712.97 |
$18,150.00
|
|
Prq card stent/ath/angio
|
$17,710.74 |
$17,710.74 |
$17,710.74 |
$9,418.65
|
|
Prq card stent w/angio addl
|
$12,029.81 |
$12,029.81 |
$12,029.81 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$11,862.67 |
$11,862.67 |
$11,862.67 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$16,374.23 |
$16,374.23 |
$16,374.23 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$16,707.90 |
$16,707.90 |
$16,707.90 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$19,214.39 |
$19,214.39 |
$19,214.39 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$3,341.58 |
$3,341.58 |
$3,341.58 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$20,383.76 |
$20,383.76 |
$20,383.76 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$9,690.46 |
$9,690.46 |
$9,690.46 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$175.07 |
$175.07 |
$175.07 |
$251.43
|
|
Pr removal intrauterine device
|
$231.19 |
$231.19 |
$231.19 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$980.88 |
$980.88 |
$980.88 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$338.55 |
$338.55 |
$338.55 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$365.39 |
$365.39 |
$365.39 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$317.20 |
$317.20 |
$317.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$348.92 |
$348.92 |
$348.92 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,059.57 |
$1,059.57 |
$1,059.57 |
$1,720.93
|
|
PSA (Prostate) Test
|
$79.30 |
$79.30 |
$79.30 |
$107.50
|
|
Psychotherapy group therapy
|
$100.65 |
$100.65 |
$100.65 |
$216.80
|
|
Psychotherapy patient individual therapy 45 minutes
|
$134.81 |
$134.81 |
$134.81 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$196.42 |
$196.42 |
$196.42 |
$287.47
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$56.12 |
$56.12 |
$56.12 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$70.76 |
$70.76 |
$70.76 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$49.41 |
$49.41 |
$49.41 |
$81.00
|
|
Pt application of modality traction mechanical
|
$121.39 |
$121.39 |
$121.39 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$200.08 |
$200.08 |
$200.08 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$200.08 |
$200.08 |
$200.08 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$200.08 |
$200.08 |
$200.08 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$24,552.50 |
$24,552.50 |
$24,552.50 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$78.08 |
$78.08 |
$78.08 |
$152.80
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$68.93 |
$68.93 |
$68.93 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$71.98 |
$71.98 |
$71.98 |
$87.50
|