|
Post-op hip abduct custom fa
|
$940.82 |
$940.82 |
$940.82 |
|
|
Potassium 24 hour urine
|
$33.00 |
$50.10 |
$86.10 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$117.50 |
$117.50 |
$198.73 |
|
|
Potassium hydroxide preps
|
$16.50 |
$83.33 |
$83.33 |
|
|
Potassium serum/plasma/whole blood
|
$39.30 |
$39.30 |
$82.85 |
|
|
Pouch drainable w barrier at
|
$16.56 |
$16.56 |
$16.56 |
|
|
Pq biliary strict dil s&i
|
$663.50 |
$682.48 |
$682.48 |
|
|
Pq dr cath chg w cont s&i
|
$596.15 |
$596.15 |
$2,025.50 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$6,478.73 |
$6,478.73 |
$24,015.29 |
|
|
Pq thr inj ext pse
|
$754.50 |
$754.50 |
$1,087.50 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,582.15 |
$2,582.15 |
$3,286.50 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$2,582.15 |
$2,582.15 |
$3,819.50 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$2,582.15 |
$2,582.15 |
$3,828.00 |
|
|
Pralatrexate injection
|
$29,370.73 |
$29,370.73 |
$29,370.73 |
|
|
Pralidoxime 1 gram solution for injection
|
$200.40 |
$200.40 |
$200.40 |
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,394.00 |
$2,124.78 |
$8,220.66 |
|
|
Pr application of long arm splint
|
$268.10 |
$268.10 |
$1,246.00 |
|
|
Pr application splint static short arm
|
$242.93 |
$242.93 |
$1,004.00 |
|
|
Pr assessment emotional/behavioral per instrument brief
|
$17.38 |
$17.38 |
$117.00 |
|
|
Pr biopsy skin punch single lesion
|
$206.55 |
$206.55 |
$826.00 |
|
|
Pr correction hammertoe
|
$4,735.00 |
$4,735.00 |
$4,735.00 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$20.78 |
$20.78 |
$76.34 |
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
|
|
Prcrd drg 6+yr without anomly
|
$1,776.00 |
$2,253.00 |
$2,253.00 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,555.88 |
$4,555.88 |
$4,555.88 |
|
|
Prealbumin
|
$70.00 |
$96.10 |
$102.00 |
|
|
Pr ecg 12 lead report only
|
$13.73 |
$13.73 |
$32.00 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$26.56 |
$2,871.00 |
$2,871.00 |
|
|
Prednisone 1 mg tablet
|
$681.25 |
$681.25 |
$681.25 |
|
|
Pregabalin - sendout
|
$34.48 |
$34.48 |
$34.48 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,636.00 |
$2,636.00 |
$2,636.00 |
|
|
Pregnancy associated plasma protein-a
|
$40.95 |
$40.95 |
$69.00 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$479.30 |
$479.30 |
$1,051.00 |
|
|
Pregnancy Ultrasound (first trimester)
|
$326.73 |
$326.73 |
$984.00 |
|
|
Pregnancy Ultrasound (limited)
|
$272.60 |
$272.60 |
$751.00 |
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$124.53 |
$124.53 |
$124.53 |
|
|
Preparation for bladder xray
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
|
|
Prepare embryo for transfer
|
$504.25 |
$504.25 |
$504.25 |
|
|
Pre-plan 3d model w/ccta
|
$599.13 |
$599.13 |
$599.13 |
|
|
Prep skin to 100cm2 other
|
$1,151.50 |
$1,151.50 |
$2,172.00 |
|
|
Prep skin to 100cm2 trk/ext
|
$2,172.00 |
$2,172.00 |
$2,941.50 |
|
|
Pressure max expiratory/inspiratory
|
$125.28 |
$125.28 |
$201.00 |
|
|
Pressure treatment esophagus
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
|
|
Pressure velocity wire add ves
|
$512.50 |
$1,011.73 |
$1,011.73 |
|
|
Pre-tibial shell molded to p
|
$439.88 |
$439.88 |
$439.88 |
|
|
Pretreat rbc absorption reference
|
$125.48 |
$125.48 |
$149.50 |
|
|
Pretreat rbc density gradient separation reference
|
$79.50 |
$100.05 |
$100.05 |
|
|
Pretreat rbc w chem/drugs reference
|
$68.68 |
$68.68 |
$181.00 |
|
|
Pretreat rbc w enzyme reference
|
$91.50 |
$125.48 |
$125.48 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$69.58 |
$69.58 |
$297.00 |
|
|
Prev med cnsl indiv apprx 15
|
$118.00 |
$118.00 |
$118.00 |
|
|
Prev med cnsl indiv apprx 30
|
$68.00 |
$68.00 |
$68.00 |
|
|
Prev med cnsl indiv apprx 45
|
$91.00 |
$91.00 |
$91.00 |
|
|
Prev med cnsl indiv apprx 60
|
$108.00 |
$108.00 |
$108.00 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$126.38 |
$126.38 |
$233.50 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,056.23 |
$1,056.23 |
$1,782.50 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,004.28 |
$1,004.28 |
$3,789.00 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$595.00 |
$728.25 |
$1,728.30 |
|
|
Prgrmg dev eval impltbl sys
|
$60.50 |
$60.50 |
$60.50 |
|
|
Prgrmg dev eval pm/ldls pm
|
$389.00 |
$389.00 |
$389.00 |
|
|
Prgrmg dev eval scrms ip
|
$224.00 |
$224.00 |
$224.00 |
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$303.00 |
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
|
|
Prgr stim/pace a/iv drug
|
$1,760.55 |
$1,760.55 |
$4,033.50 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$25.65 |
$25.65 |
$25.65 |
|
|
Prim art mech thrmbc non-intracranial
|
$4,294.55 |
$4,294.55 |
$7,014.50 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,748.63 |
$1,748.63 |
$5,661.00 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$473.70 |
$473.70 |
$787.50 |
|
|
Pr incision & drainage abscess simple/single
|
$437.53 |
$437.53 |
$2,075.54 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$426.50 |
$539.80 |
$2,616.00 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$429.45 |
$429.45 |
$2,317.00 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$209.15 |
$209.15 |
$1,398.00 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$151.05 |
$151.05 |
$1,398.00 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$273.38 |
$273.38 |
$845.00 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$1,037.59 |
$2,500.00 |
$2,500.00 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$1,156.58 |
$1,156.58 |
$2,569.76 |
|
|
Procalcitonin
|
$244.50 |
$282.73 |
$651.84 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$40.58 |
$51.33 |
$51.33 |
|
|
Proctosigmoidoscopy dx 45300
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$1,174.53 |
$1,174.53 |
$3,041.00 |
|
|
Proctosigmoidoscopy w/stent
|
$2,495.50 |
$2,495.50 |
$2,495.50 |
|
|
Progesterone
|
$123.38 |
$193.03 |
$233.00 |
|
|
Prolactin
|
$116.03 |
$230.58 |
$230.58 |
|
|
Prolng clin staff svc 1st hr
|
$22.50 |
$22.50 |
$22.50 |
|
|
Prolng clin staff svc ea add
|
$4.00 |
$4.00 |
$4.00 |
|
|
Prolonged IV inf, req pump
|
$217.83 |
$217.83 |
$368.00 |
|
|
Prolong service without contact
|
$127.00 |
$127.00 |
$127.00 |
|
|
Promethazine 25 mg tablet
|
$28.20 |
$28.20 |
$28.20 |
|
|
Promethazine hcl injection
|
$11.60 |
$11.60 |
$35.83 |
|
|
Proph rta dtchmnt pc
|
$948.50 |
$948.50 |
$948.50 |
|
|
Propofol infusion 10 mg/ml
|
$85.50 |
$85.50 |
$140.75 |
|
|
_propoxygc/msur
|
$43.15 |
$43.15 |
$104.53 |
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$22.20 |
$22.20 |
$22.20 |
|
|
Pros sock single ply ak
|
$9.84 |
$9.84 |
$9.84 |
|
|
Prostate biopsy, any mthd
|
$314.83 |
$314.83 |
$798.00 |
|
|
Prostate ca screening; dre
|
$3.73 |
$3.73 |
$29.50 |
|
|
Prosthesis voc advantage 20f 14mm
|
$191.35 |
$191.35 |
$336.90 |
|
|
Prosthetic sock multi ply bk
|
$20.70 |
$20.70 |
$20.70 |
|
|
Prost sock sgl ply blw knee ea
|
$8.80 |
$8.80 |
$8.80 |
|