|
Pregnancy associated plasma protein-a
|
$10.12 |
$10.12 |
$10.12 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$467.22 |
$467.22 |
$467.22 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$467.22 |
$467.22 |
$467.22 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$467.22 |
$467.22 |
$467.22 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$63.14 |
$63.14 |
$63.14 |
$149.50
|
|
Prenatal Care Only (4-6 visits)
|
$267.74 |
$267.74 |
$267.74 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$491.70 |
$491.70 |
$491.70 |
$1,143.04
|
|
Preparation for bladder xray
|
$23.54 |
$23.54 |
$23.54 |
$1,222.00
|
|
Preparation palate mold
|
$66.88 |
$66.88 |
$66.88 |
$602.63
|
|
Prepare embryo for transfer
|
$79.20 |
$79.20 |
$79.20 |
$273.28
|
|
Prepare fecal microbiota
|
$46.64 |
$46.64 |
$46.64 |
$425.60
|
|
Prepare heart-aorta conduit
|
$1,061.28 |
$1,061.28 |
$1,061.28 |
$2,509.83
|
|
Prepare penis study
|
$49.50 |
$49.50 |
$49.50 |
$275.52
|
|
Prepare sperm duct x-ray
|
$114.62 |
$114.62 |
$114.62 |
$504.00
|
|
Prep cadaver renal allograft
|
$241.78 |
$241.78 |
$241.78 |
$476.00
|
|
Prep donor intestine/artery
|
$234.96 |
$234.96 |
$234.96 |
$530.09
|
|
Prep donor intestine/venous
|
$167.64 |
$167.64 |
$167.64 |
$379.22
|
|
Prep donor liver/arterial
|
$234.74 |
$234.74 |
$234.74 |
$528.21
|
|
Prep donor liver/venous
|
$200.64 |
$200.64 |
$200.64 |
$454.03
|
|
Prep donor liver whole
|
$320.54 |
$320.54 |
$320.54 |
$1,618.00
|
|
Prep donor pancreas
|
$179.74 |
$179.74 |
$179.74 |
$212.42
|
|
Prep donor pancreas/venous
|
$144.32 |
$144.32 |
$144.32 |
$325.54
|
|
Prep donor renal graft
|
$120.56 |
$120.56 |
$120.56 |
$415.20
|
|
Prepj skn cll ssp agrft 1st
|
$78.32 |
$78.32 |
$78.32 |
$14,138.80
|
|
Prepj tum cav iort prtl mast
|
$101.20 |
$101.20 |
$101.20 |
$780.00
|
|
Prep renal graft/arterial
|
$116.38 |
$116.38 |
$116.38 |
$466.40
|
|
Prep renal graft/ureteral
|
$110.66 |
$110.66 |
$110.66 |
$444.80
|
|
Prep renal graft/venous
|
$132.44 |
$132.44 |
$132.44 |
$532.00
|
|
Prep skin to 100cm2 other
|
$160.60 |
$160.60 |
$160.60 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$135.30 |
$135.30 |
$135.30 |
$2,186.41
|
|
Prep skn trk/ext adl 100cm2
|
$27.28 |
$27.28 |
$27.28 |
$1,100.06
|
|
Pressure treatment esophagus
|
$3,285.36 |
$3,285.36 |
$3,285.36 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$31.68 |
$31.68 |
$31.68 |
$1,636.60
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$105.60 |
$105.60 |
$105.60 |
$308.00
|
|
Preventive counseling group
|
$4.84 |
$4.84 |
$4.84 |
$29.60
|
|
Preventive counseling group
|
$8.14 |
$8.14 |
$8.14 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$15.40 |
$15.40 |
$15.40 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$31.02 |
$31.02 |
$31.02 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$46.42 |
$46.42 |
$46.42 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$61.82 |
$61.82 |
$61.82 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$80.30 |
$80.30 |
$80.30 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$51.04 |
$51.04 |
$51.04 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$102.30 |
$102.30 |
$102.30 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$935.22 |
$935.22 |
$935.22 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$841.72 |
$841.72 |
$841.72 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$25.30 |
$25.30 |
$25.30 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$19.14 |
$19.14 |
$19.14 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$15.40 |
$15.40 |
$15.40 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$25.08 |
$25.08 |
$25.08 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$33.88 |
$33.88 |
$33.88 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$36.96 |
$36.96 |
$36.96 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$74.58 |
$74.58 |
$74.58 |
$4,555.93
|
|
Pr hospital ip/obs care initial high level per day
|
$106.92 |
$106.92 |
$106.92 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$80.08 |
$80.08 |
$80.08 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$50.82 |
$50.82 |
$50.82 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$72.82 |
$72.82 |
$72.82 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$48.84 |
$48.84 |
$48.84 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$30.14 |
$30.14 |
$30.14 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$42,018.60 |
$42,018.60 |
$42,018.60 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$7,293.00 |
$7,293.00 |
$7,293.00 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$30.36 |
$30.36 |
$30.36 |
$108.93
|
|
Pr incision & drainage abscess complicated/multiple
|
$935.22 |
$935.22 |
$935.22 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$464.88 |
$464.88 |
$464.88 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$712.14 |
$712.14 |
$712.14 |
$544.05
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$935.22 |
$935.22 |
$935.22 |
$606.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$116.60 |
$116.60 |
$116.60 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$85.80 |
$85.80 |
$85.80 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$509.34 |
$509.34 |
$509.34 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$377.52 |
$377.52 |
$377.52 |
$4,209.00
|
|
Probe nasolacrimal duct
|
$77.88 |
$77.88 |
$77.88 |
$533.50
|
|
Probe nasolacrimal duct
|
$82.50 |
$82.50 |
$82.50 |
$2,760.73
|
|
Probe nasolacrimal duct
|
$134.42 |
$134.42 |
$134.42 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$95.04 |
$95.04 |
$95.04 |
$3,817.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$462.00 |
$462.00 |
$462.00 |
$674.78
|
|
Procalcitonin
|
$143.52 |
$143.52 |
$143.52 |
$159.25
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$4.08 |
$4.08 |
$4.08 |
$37.27
|
|
Proctectomy combined abd pull-thru px 45112
|
$1,112.76 |
$1,112.76 |
$1,112.76 |
$4,636.80
|
|
Proctectomy complete abd w/clst 45110
|
$1,112.32 |
$1,112.32 |
$1,112.32 |
$3,515.40
|
|
Proctosigmoidoscopy ablate
|
$65.34 |
$65.34 |
$65.34 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$68.20 |
$68.20 |
$68.20 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$52.58 |
$52.58 |
$52.58 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$29.92 |
$29.92 |
$29.92 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$52.36 |
$52.36 |
$52.36 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$55.66 |
$55.66 |
$55.66 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$65.78 |
$65.78 |
$65.78 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$64.24 |
$64.24 |
$64.24 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$45.10 |
$45.10 |
$45.10 |
$1,645.43
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$62.26 |
$62.26 |
$62.26 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$72.60 |
$72.60 |
$72.60 |
$6,588.93
|
|
Progesterone
|
$109.98 |
$109.98 |
$109.98 |
$116.00
|
|
Prolactin
|
$102.18 |
$102.18 |
$102.18 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$25.30 |
$25.30 |
$25.30 |
$64.46
|
|
Prolng off/op e/m ea 15 min 99417
|
$19.36 |
$19.36 |
$19.36 |
$61.60
|
|
Prolong home eval add 15m
|
$18.48 |
$18.48 |
$18.48 |
$59.20
|
|
Prolong service without contact
|
$58.74 |
$58.74 |
$58.74 |
$165.20
|
|
Prolong serv without contact add
|
$27.72 |
$27.72 |
$27.72 |
$81.20
|
|
Proph rta dtchmnt crtx dthrm
|
$220.66 |
$220.66 |
$220.66 |
$878.80
|
|
Proph rta dtchmnt pc
|
$225.50 |
$225.50 |
$225.50 |
$1,077.50
|
|
Proph tx w/wo mthylmthcrylt
|
$538.12 |
$538.12 |
$538.12 |
$14,061.89
|
|
Prophylactic tx radius
|
$449.68 |
$449.68 |
$449.68 |
$7,913.97
|
