|
Plmt nephroureteral catheter
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,220.74
|
|
Plmt ureteral stent prq
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$5,194.80
|
|
Pm device progr eval dual
|
$44.13 |
$44.13 |
$44.13 |
$153.00
|
|
Pm device progr eval multi
|
$44.13 |
$44.13 |
$44.13 |
$139.10
|
|
Pml/raralpha 1 breakpoint
|
$207.31 |
$207.31 |
$207.31 |
$307.13
|
|
Pmp22 gene dup/delet
|
$758.36 |
$758.36 |
$758.36 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$769.58 |
$769.58 |
$769.58 |
$986.40
|
|
Pmp22 gene known fam variant
|
$46.60 |
$46.60 |
$46.60 |
$63.42
|
|
Pm phone r-strip device eval
|
$44.13 |
$44.13 |
$44.13 |
$139.10
|
|
Pms2 gene dup/delet variants
|
$203.50 |
$203.50 |
$203.50 |
$407.27
|
|
Pms2 gene full seq analysis
|
$676.50 |
$676.50 |
$676.50 |
$1,002.60
|
|
Pms2 known familial variants
|
$331.00 |
$331.00 |
$331.00 |
$540.00
|
|
Pne flu hepb cov home admin
|
$43.61 |
$43.61 |
$43.61 |
$43.61
|
|
Pneumothrx tx-intraplrl inj ai
|
$731.62 |
$731.62 |
$731.62 |
$785.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$26.07 |
$26.07 |
$26.07 |
$187.00
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$129.78 |
$129.78 |
$129.78 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$1,203.94 |
$1,203.94 |
$1,203.94 |
$3,557.58
|
|
Polysom any age 1-3> param
|
$1,203.94 |
$1,203.94 |
$1,203.94 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$1,203.94 |
$1,203.94 |
$1,203.94 |
$3,804.00
|
|
Polyvalent mult org ea ag ia
|
$10.51 |
$10.51 |
$10.51 |
$14.50
|
|
Porfimer sodium injection
|
$23,870.14 |
$23,870.14 |
$23,870.14 |
$37,618.13
|
|
Positional change of finger
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Post 1 srfc resinbased cmpst
|
$1,967.49 |
$1,967.49 |
$1,967.49 |
$142.80
|
|
Post 2 srfc resinbased cmpst
|
$1,967.49 |
$1,967.49 |
$1,967.49 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$1,967.49 |
$1,967.49 |
$1,967.49 |
$285.60
|
|
Post-coital mucous exam
|
$25.00 |
$25.00 |
$25.00 |
$34.50
|
|
Post d/c phone follow up
|
$109.46 |
$109.46 |
$109.46 |
$153.95
|
|
Post op service lvrs min 6
|
$627.89 |
$627.89 |
$627.89 |
$948.13
|
|
Potassium 24 hour urine
|
$4.73 |
$4.73 |
$4.73 |
$50.70
|
|
Potassium hydroxide preps
|
$5.83 |
$5.83 |
$5.83 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$4.76 |
$4.76 |
$4.76 |
$47.80
|
|
Ppp2r2b gen detc abnor allel
|
$137.00 |
$137.00 |
$137.00 |
$189.06
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$10,203.30
|
|
Pq thr inj ext pse
|
$731.62 |
$731.62 |
$731.62 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,811.54
|
|
Pralatrexate injection
|
$373.77 |
$373.77 |
$373.77 |
$20,353.38
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,738.90
|
|
Pr application of long arm splint
|
$186.72 |
$186.72 |
$186.72 |
$334.20
|
|
Pr application splint static short arm
|
$152.54 |
$152.54 |
$152.54 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$46.45 |
$46.45 |
$46.45 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$472.79 |
$472.79 |
$472.79 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$6,653.00
|
|
Pr correction hammertoe
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$38.28 |
$38.28 |
$38.28 |
$48.10
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$5,262.80
|
|
Prealbumin
|
$14.59 |
$14.59 |
$14.59 |
$93.98
|
|
Prefab stnlss steel crown pe
|
$1,967.49 |
$1,967.49 |
$1,967.49 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$1,967.49 |
$1,967.49 |
$1,967.49 |
$845.60
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$15.05 |
$15.05 |
$15.05 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$125.84 |
$125.84 |
$125.84 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$125.84 |
$125.84 |
$125.84 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$125.84 |
$125.84 |
$125.84 |
$459.00
|
|
Pre-op service lvrs 10-15dos
|
$368.50 |
$368.50 |
$368.50 |
$1,568.00
|
|
Pre-op service lvrs 1-9 dos
|
$627.89 |
$627.89 |
$627.89 |
$1,579.20
|
|
Pre-op service lvrs complete
|
$627.89 |
$627.89 |
$627.89 |
$948.13
|
|
Preparation palate mold
|
$602.63 |
$602.63 |
$602.63 |
$602.63
|
|
Prepare embryo for transfer
|
$63.23 |
$63.23 |
$63.23 |
$273.28
|
|
Prepj skn cll ssp agrft 1st
|
$7,396.59 |
$7,396.59 |
$7,396.59 |
$14,138.80
|
|
Pre-plan 3d model w/ccta
|
$1,203.94 |
$1,203.94 |
$1,203.94 |
$1,203.94
|
|
Prep skin cell susp, automtd
|
$7,396.59 |
$7,396.59 |
$7,396.59 |
$9,758.35
|
|
Prep skin to 100cm2 other
|
$724.37 |
$724.37 |
$724.37 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,172.00
|
|
Pressure max expiratory/inspiratory
|
$185.15 |
$185.15 |
$185.15 |
$243.75
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$202.78 |
$202.78 |
$202.78 |
$162.00
|
|
Pretreat rbc absorption reference
|
$70.29 |
$70.29 |
$70.29 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$202.78 |
$202.78 |
$202.78 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$70.29 |
$70.29 |
$70.29 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$202.78 |
$202.78 |
$202.78 |
$168.50
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$190.13 |
$190.13 |
$190.13 |
$308.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$152.50 |
$152.50 |
$152.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$472.79 |
$472.79 |
$472.79 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$3,938.98 |
$3,938.98 |
$3,938.98 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$44.13 |
$44.13 |
$44.13 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$44.13 |
$44.13 |
$44.13 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$44.13 |
$44.13 |
$44.13 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$44.13 |
$44.13 |
$44.13 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$44.13 |
$44.13 |
$44.13 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$44.13 |
$44.13 |
$44.13 |
$206.25
|
|
Prim art mech thrmbc non-intracranial
|
$21,249.26 |
$21,249.26 |
$21,249.26 |
$9,470.97
|
|
Prin care mgmt staff 1st 30
|
$109.46 |
$109.46 |
$109.46 |
$108.93
|
|
Pr incision & drainage abscess complicated/multiple
|
$472.79 |
$472.79 |
$472.79 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$235.13 |
$235.13 |
$235.13 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$359.97 |
$359.97 |
$359.97 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$472.79 |
$472.79 |
$472.79 |
$606.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$152.50 |
$152.50 |
$152.50 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$152.50 |
$152.50 |
$152.50 |
$195.53
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$4,209.00
|
|
Probe nasolacrimal duct
|
$353.74 |
$353.74 |
$353.74 |
$533.50
|
|
Probe nasolacrimal duct
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,760.73
|
|
Probe nasolacrimal duct
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,817.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$546.07 |
$546.07 |
$546.07 |
$674.78
|
|
Procalcitonin
|
$27.22 |
$27.22 |
$27.22 |
$161.11
|
|
Proctosigmoidoscopy ablate
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,326.40
|