|
Preparation palate mold
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$583.82
|
|
Prepare penis study
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$314.65
|
|
Prep skin to 100cm2 other
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,164.64
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$47.56 |
$47.56 |
$47.56 |
$141.00
|
|
Pretreat rbc absorption reference
|
$29.00 |
$29.00 |
$29.00 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$54.39 |
$54.39 |
$54.39 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$37.11 |
$37.11 |
$37.11 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$73.80 |
$73.80 |
$73.80 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$104.30 |
$104.30 |
$104.30 |
$313.30
|
|
Prev med cnsl indiv apprx 45
|
$61.85 |
$61.85 |
$61.85 |
$177.75
|
|
Prev med cnsl indiv apprx 60
|
$89.58 |
$89.58 |
$89.58 |
$223.68
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$827.94
|
|
Prgrmg dev eval impltbl sys
|
$31.56 |
$31.56 |
$31.56 |
$148.00
|
|
Prgrmg dev eval pm/ldls pm
|
$53.96 |
$53.96 |
$53.96 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$103.02 |
$103.02 |
$103.02 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$110.48 |
$110.48 |
$110.48 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$1,622.35 |
$1,622.35 |
$1,622.35 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$615.60
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,921.60
|
|
Probe nasolacrimal duct
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$361.92
|
|
Probe nasolacrimal duct
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,685.65
|
|
Probe nasolacrimal duct
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,269.14
|
|
Procalcitonin
|
$29.94 |
$29.94 |
$29.94 |
$144.10
|
|
Proctosigmoidoscopy ablate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,229.60
|
|
Proctosigmoidoscopy control bleed 45317
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,764.60
|
|
Proctosigmoidoscopy dx 45300
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,073.68
|
|
Proctosigmoidoscopy removal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,245.23
|
|
Proctosigmoidoscopy removal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,594.64
|
|
Progesterone
|
$22.95 |
$22.95 |
$22.95 |
$105.00
|
|
Prolactin
|
$21.32 |
$21.32 |
$21.32 |
$127.50
|
|
Prolonged IV inf, req pump
|
$254.89 |
$254.89 |
$254.89 |
$500.12
|
|
Proph rta dtchmnt crtx dthrm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$436.44
|
|
Proph rta dtchmnt pc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$756.27
|
|
Proph tx w/wo mthylmthcrylt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,890.59
|
|
Prophylactic tx radius
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Prophylactic tx radius&ulna
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,451.20
|
|
Prophylactic tx ulna
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,399.16
|
|
_propoxygc/msur
|
$61.21 |
$61.21 |
$61.21 |
$104.00
|
|
Prostatectomy (turp)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Prostate laser enucleation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,631.74
|
|
Prostatic microwave thermotx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Prostatic rf thermotx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Prosthesis voc advantage 20f 14mm
|
$285.30 |
$285.30 |
$285.30 |
$961.35
|
|
Protector nerve neurawrap 4cm
|
$555.72 |
$555.72 |
$555.72 |
$3,580.71
|
|
Protein analysis w/probe
|
$28.84 |
$28.84 |
$28.84 |
$37.60
|
|
Protein c activity
|
$15.22 |
$15.22 |
$15.22 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$11.81 |
$11.81 |
$11.81 |
$85.20
|
|
Protein s total
|
$12.77 |
$12.77 |
$12.77 |
$78.87
|
|
Protein total 24 hour urine
|
$4.04 |
$4.04 |
$4.04 |
$52.50
|
|
Protein total body fluid
|
$4.40 |
$4.40 |
$4.40 |
$52.57
|
|
Protein total serum plasma whole blood
|
$4.04 |
$4.04 |
$4.04 |
$42.81
|
|
Protein western blot tissue
|
$24.45 |
$24.45 |
$24.45 |
$30.68
|
|
Prothrombin time substitution plasma fractions each
|
$4.33 |
$4.33 |
$4.33 |
$37.05
|
|
Proton treatment complex
|
$2,743.67 |
$2,743.67 |
$2,743.67 |
$1,718.45
|
|
Proton trmt intermediate
|
$2,325.39 |
$2,325.39 |
$2,325.39 |
$1,588.99
|
|
Proton trmt simple w/comp
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$1,718.45
|
|
Proton trmt simple without comp
|
$1,360.42 |
$1,360.42 |
$1,360.42 |
$1,360.42
|
|
Protoporphyrin rbc screen
|
$10.71 |
$10.71 |
$10.71 |
$22.90
|
|
Prp i/hern init block >5 yr
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,176.15
|
|
Prq av fstl crtj uxtr 1 acs
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$19,875.58
|
|
Prq av fstl crt uxtr sep acs
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$20,328.00
|
|
Prq skel fix clcnl fx w/mnpj
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Prq skel fix epcndylr hum fx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,079.75
|
|
Prq skel fix sprcndlr hum fx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,731.17
|
|
Prq skel fix talus fx w/mnpj
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,731.17
|
|
Prq skel fix tarsl fx w/mnpj
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Pr removal drug delivery implant
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$280.79
|
|
Pr removal intrauterine device
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$422.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,753.28
|
|
Prtl exc bone olecrn process
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,819.82
|
|
Prtl exc bone radial h/n
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,855.00
|
|
Prtl exchange transfuse nb
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$511.35
|
|
Prtl excision bone clavicle
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Prtl excision bone scapula
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,790.60
|
|
PSA (Prostate) Test
|
$20.23 |
$20.23 |
$20.23 |
$109.35
|
|
Psychotherapy patient individual therapy 30 minutes
|
$98.33 |
$98.33 |
$98.33 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$110.48 |
$110.48 |
$110.48 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$120.94 |
$120.94 |
$120.94 |
$294.45
|
