|
Pregnancy Ultrasound (limited)
|
$425.45 |
$425.45 |
$425.45 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$333.37 |
$333.37 |
$333.37 |
$144.00
|
|
Prep bk ptb plaster molded
|
$2,782.42 |
$2,782.42 |
$2,782.42 |
$1,979.60
|
|
Pre-plan 3d model w/ccta
|
$2,209.21 |
$2,209.21 |
$2,209.21 |
$1,203.94
|
|
Prep skin to 100cm2 trk/ext
|
$2,186.41 |
$2,186.41 |
$2,186.41 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$482.35 |
$482.35 |
$482.35 |
$243.75
|
|
Pressure velocity wire add ves
|
$2,588.77 |
$2,588.77 |
$2,588.77 |
$1,618.20
|
|
Pre-tibial shell molded to p
|
$871.42 |
$871.42 |
$871.42 |
$661.30
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$318.32 |
$318.32 |
$318.32 |
$162.00
|
|
Pretreat rbc absorption reference
|
$92.99 |
$92.99 |
$92.99 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$318.32 |
$318.32 |
$318.32 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$92.99 |
$92.99 |
$92.99 |
$114.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$386.94 |
$386.94 |
$386.94 |
$308.00
|
|
Preventive counseling group
|
$47.97 |
$47.97 |
$47.97 |
$29.60
|
|
Preventive counseling group
|
$60.89 |
$60.89 |
$60.89 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$104.10 |
$104.10 |
$104.10 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$159.13 |
$159.13 |
$159.13 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$218.46 |
$218.46 |
$218.46 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$279.88 |
$279.88 |
$279.88 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$403.93 |
$403.93 |
$403.93 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$780.60
|
|
Prgrmg dev eval impltbl sys
|
$135.56 |
$135.56 |
$135.56 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$135.56 |
$135.56 |
$135.56 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$135.56 |
$135.56 |
$135.56 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$135.56 |
$135.56 |
$135.56 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$135.56 |
$135.56 |
$135.56 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$135.56 |
$135.56 |
$135.56 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$5,726.51 |
$5,726.51 |
$5,726.51 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$12,648.13 |
$12,648.13 |
$12,648.13 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$8,358.14 |
$8,358.14 |
$8,358.14 |
$3,675.76
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$584.21 |
$584.21 |
$584.21 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$958.48 |
$958.48 |
$958.48 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$605.28
|
|
Pr management transitional care high w/in 7 days of discharge
|
$391.06 |
$391.06 |
$391.06 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$391.06 |
$391.06 |
$391.06 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$202.10 |
$202.10 |
$202.10 |
$255.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$5,615.87 |
$5,615.87 |
$5,615.87 |
$7,350.00
|
|
Probe nasolacrimal duct
|
$918.99 |
$918.99 |
$918.99 |
$533.50
|
|
Probe nasolacrimal duct
|
$5,865.26 |
$5,865.26 |
$5,865.26 |
$2,902.77
|
|
Procalcitonin
|
$96.97 |
$96.97 |
$96.97 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$5.01 |
$5.01 |
$5.01 |
$38.32
|
|
Proctosigmoidoscopy dx 45300
|
$2,393.41 |
$2,393.41 |
$2,393.41 |
$1,078.88
|
|
Progesterone
|
$75.51 |
$75.51 |
$75.51 |
$116.00
|
|
Prolactin
|
$70.12 |
$70.12 |
$70.12 |
$123.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$114.11 |
$114.11 |
$114.11 |
$61.60
|
|
Prolong service without contact
|
$105.57 |
$105.57 |
$105.57 |
$165.20
|
|
Promethazine hcl injection
|
$3.28 |
$3.28 |
$3.28 |
$12.16
|
|
Proph rta dtchmnt pc
|
$1,639.22 |
$1,639.22 |
$1,639.22 |
$1,077.50
|
|
Propofol infusion 10 mg/ml
|
$4.48 |
$4.48 |
$4.48 |
$73.36
|
|
_propoxygc/msur
|
$204.48 |
$204.48 |
$204.48 |
$95.55
|
|
Pros sock single ply ak
|
$17.59 |
$17.59 |
$17.59 |
$14.00
|
|
Prostate biopsy, any mthd
|
$595.91 |
$595.91 |
$595.91 |
$492.88
|
|
Prosthesis voc advantage 20f 14mm
|
$204.91 |
$204.91 |
$204.91 |
$1,088.12
|
|
Prosthesis voc lopres 20f 22mm
|
$78.58 |
$78.58 |
$78.58 |
$622.73
|
|
Prosthetic sock multi ply bk
|
$43.09 |
$43.09 |
$43.09 |
$52.00
|
|
Prost sock sgl ply blw knee ea
|
$14.50 |
$14.50 |
$14.50 |
$14.67
|
|
Protein c activity
|
$50.06 |
$50.06 |
$50.06 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$38.86 |
$38.86 |
$38.86 |
$84.00
|
|
Protein s total
|
$42.00 |
$42.00 |
$42.00 |
$85.10
|
|
Protein total 24 hour urine
|
$13.28 |
$13.28 |
$13.28 |
$52.50
|
|
Protein total body fluid
|
$13.28 |
$13.28 |
$13.28 |
$49.80
|
|
Protein total serum plasma whole blood
|
$13.28 |
$13.28 |
$13.28 |
$42.90
|
|
Prothrombin time substitution plasma fractions each
|
$14.29 |
$14.29 |
$14.29 |
$41.50
|
|
Pr planning advance care 1st 30 minutes
|
$223.89 |
$223.89 |
$223.89 |
$123.20
|
|
Prq av fstl crt uxtr sep acs
|
$17,044.88 |
$17,044.88 |
$17,044.88 |
$21,249.26
|
|
Prq card revasc mi 1 vsl
|
$10,961.92 |
$10,961.92 |
$10,961.92 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$25,833.90 |
$25,833.90 |
$25,833.90 |
$17,651.36
|
|
Prq revasc byp graft 1 art and/or branches
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$13,127.50
|
|
Prq tcat plmt ntrac st 2+les
|
$15,967.11 |
$15,967.11 |
$15,967.11 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$25,833.90 |
$25,833.90 |
$25,833.90 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$13,317.12 |
$13,317.12 |
$13,317.12 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$12,648.13 |
$12,648.13 |
$12,648.13 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$440.81 |
$440.81 |
$440.81 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$335.52 |
$335.52 |
$335.52 |
$252.00
|
|
Pr removal intrauterine device
|
$558.63 |
$558.63 |
$558.63 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$584.21 |
$584.21 |
$584.21 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$584.21 |
$584.21 |
$584.21 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$584.21 |
$584.21 |
$584.21 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$584.21 |
$584.21 |
$584.21 |
$397.80
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.52
|
|
Prtl excision bone clavicle
|
$10,599.52 |
$10,599.52 |
$10,599.52 |
$7,807.24
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,535.44 |
$2,535.44 |
$2,535.44 |
$1,761.00
|
|
PSA (Prostate) Test
|
$66.59 |
$66.59 |
$66.59 |
$108.11
|
|
Psych/neuropsych test admin automated result 96146
|
$49.08 |
$49.08 |
$49.08 |
$51.15
|
|
Psychotherapy group therapy
|
$225.39 |
$225.39 |
$225.39 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$386.94 |
$386.94 |
$386.94 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$386.94 |
$386.94 |
$386.94 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$386.94 |
$386.94 |
$386.94 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$391.54 |
$391.54 |
$391.54 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$195.78 |
$195.78 |
$195.78 |
$207.20
|
|
Psycl/nrpsyc tech 1st
|
$49.08 |
$49.08 |
$49.08 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$49.08 |
$49.08 |
$49.08 |
$206.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$59.20 |
$59.20 |
$59.20 |
$156.00
|