|
Place non-slctv cath thoracic arta
|
$4,408.00 |
$4,408.00 |
$4,408.00 |
$5,053.33
|
|
Place po breast cath for rad
|
$12,083.00 |
$12,083.00 |
$12,083.00 |
$11,066.55
|
|
Place right device/marker pros
|
$5,226.00 |
$5,226.00 |
$5,226.00 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$7,599.50 |
$7,599.50 |
$7,599.50 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$4,197.00 |
$4,197.00 |
$4,197.00 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$4,408.00 |
$4,408.00 |
$4,408.00 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$4,408.00 |
$4,408.00 |
$4,408.00 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$7,599.50 |
$7,599.50 |
$7,599.50 |
$8,971.00
|
|
Plas shoe insert w ank joint
|
$94.18 |
$94.18 |
$94.18 |
$245.71
|
|
Plastic mod low ext pad/line
|
$101.43 |
$101.43 |
$101.43 |
$241.54
|
|
Platelet aggregation each agent teg
|
$73.50 |
$73.50 |
$73.50 |
$148.80
|
|
Platelet automated
|
$58.50 |
$58.50 |
$58.50 |
$45.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$949.50 |
$949.50 |
$949.50 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,172.50 |
$1,172.50 |
$1,172.50 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$828.00 |
$828.00 |
$828.00 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,749.00 |
$3,749.00 |
$3,749.00 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$4,082.00 |
$4,082.00 |
$4,082.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$934.00 |
$934.00 |
$934.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$373.00 |
$373.00 |
$373.00 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$3,189.00 |
$3,189.00 |
$3,189.00 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$525.50 |
$525.50 |
$525.50 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,375.50 |
$2,375.50 |
$2,375.50 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$310.00 |
$310.00 |
$310.00 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$4,445.00 |
$4,445.00 |
$4,445.00 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$4,311.50 |
$4,311.50 |
$4,311.50 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,362.50 |
$2,362.50 |
$2,362.50 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$5,104.20
|
|
Pm device progr eval dual
|
$389.00 |
$389.00 |
$389.00 |
$148.00
|
|
Pm device progr eval multi
|
$389.00 |
$389.00 |
$389.00 |
$139.00
|
|
Pm phone r-strip device eval
|
$110.00 |
$110.00 |
$110.00 |
$139.10
|
|
#pnh-flow cytometry interp
|
$20.00 |
$20.00 |
$20.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$240.00 |
$240.00 |
$240.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$347.24 |
$347.24 |
$347.24 |
$977.13
|
|
Postop dress & 1 cast chg bk
|
$971.35 |
$971.35 |
$971.35 |
$2,533.77
|
|
Post-op hip abduct custom fa
|
$940.82 |
$940.82 |
$940.82 |
$1,760.02
|
|
Potassium 24 hour urine
|
$33.00 |
$33.00 |
$33.00 |
$50.40
|
|
Potassium hydroxide preps
|
$16.50 |
$16.50 |
$16.50 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$52.00 |
$52.00 |
$52.00 |
$46.75
|
|
Pouch drainable w barrier at
|
$16.56 |
$16.56 |
$16.56 |
$7.00
|
|
Pq biliary strict dil s&i
|
$663.50 |
$663.50 |
$663.50 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$2,025.50 |
$2,025.50 |
$2,025.50 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$7,559.50 |
$7,559.50 |
$7,559.50 |
$9,977.57
|
|
Pq thr inj ext pse
|
$1,087.50 |
$1,087.50 |
$1,087.50 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,286.50 |
$3,286.50 |
$3,286.50 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,819.50 |
$3,819.50 |
$3,819.50 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,828.00 |
$3,828.00 |
$3,828.00 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$425.00 |
$425.00 |
$425.00 |
$329.00
|
|
Pr application splint static short arm
|
$367.00 |
$367.00 |
$367.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$27.00 |
$27.00 |
$27.00 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$342.00 |
$342.00 |
$342.00 |
$458.25
|
|
Pr correction hammertoe
|
$4,735.00 |
$4,735.00 |
$4,735.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$44.50 |
$44.50 |
$44.50 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$2,253.00
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$294.00 |
$294.00 |
$294.00 |
$351.60
|
|
Prealbumin
|
$102.00 |
$102.00 |
$102.00 |
$93.36
|
|
Pr ecg 12 lead report only
|
$32.00 |
$32.00 |
$32.00 |
$20.40
|
|
Pregnancy associated plasma protein-a
|
$69.00 |
$69.00 |
$69.00 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$709.50 |
$709.50 |
$709.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$421.50 |
$421.50 |
$421.50 |
$539.37
|
|
Preparation for bladder xray
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
$1,222.00
|
|
Prep skin to 100cm2 other
|
$1,151.50 |
$1,151.50 |
$1,151.50 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$2,941.50 |
$2,941.50 |
$2,941.50 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$201.00 |
$201.00 |
$201.00 |
$238.33
|
|
Pressure treatment esophagus
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$1,555.50
|
|
Pressure velocity wire add ves
|
$512.50 |
$512.50 |
$512.50 |
$1,579.40
|
|
Pre-tibial shell molded to p
|
$439.88 |
$439.88 |
$439.88 |
$708.74
|
|
Pretreat rbc absorption reference
|
$149.50 |
$149.50 |
$149.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$79.50 |
$79.50 |
$79.50 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$125.00 |
$125.00 |
$125.00 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$91.50 |
$91.50 |
$91.50 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$171.00 |
$171.00 |
$171.00 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$118.00 |
$118.00 |
$118.00 |
$77.18
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$233.50 |
$233.50 |
$233.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,782.50 |
$1,782.50 |
$1,782.50 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,789.00 |
$3,789.00 |
$3,789.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$595.00 |
$595.00 |
$595.00 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$60.50 |
$60.50 |
$60.50 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$389.00 |
$389.00 |
$389.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$224.00 |
$224.00 |
$224.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$4,033.50 |
$4,033.50 |
$4,033.50 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$7,014.50 |
$7,014.50 |
$7,014.50 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,661.00 |
$5,661.00 |
$5,661.00 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$652.50 |
$652.50 |
$652.50 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$523.50 |
$523.50 |
$523.50 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$426.50 |
$426.50 |
$426.50 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$497.50 |
$497.50 |
$497.50 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$281.00 |
$281.00 |
$281.00 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$1,037.59 |
$1,037.59 |
$1,037.59 |
$7,267.51
|
|
Procalcitonin
|
$244.50 |
$244.50 |
$244.50 |
$161.11
|
|
Proctosigmoidoscopy dx 45300
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,078.88
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,041.00 |
$3,041.00 |
$3,041.00 |
$3,245.23
|
