|
Plethysmography lung volumes/airway resistance
|
$1,004.90 |
$1,004.90 |
$1,004.90 |
$411.51
|
|
Pleurectomy parietal ; separate 32310
|
$3,972.80 |
$3,972.80 |
$3,972.80 |
$2,222.40
|
|
Plmt access bil tree sm bwl
|
$18,656.95 |
$18,656.95 |
$18,656.95 |
$4,683.65
|
|
Plmt biliary drainage cath
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,151.51
|
|
Pm device progr eval dual
|
$339.30 |
$339.30 |
$339.30 |
$148.65
|
|
Pm device progr eval multi
|
$382.20 |
$382.20 |
$382.20 |
$139.10
|
|
Pm phone r-strip device eval
|
$227.50 |
$227.50 |
$227.50 |
$139.10
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$117.00 |
$117.00 |
$117.00 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$58,067.59 |
$58,067.59 |
$58,067.59 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$497.90 |
$497.90 |
$497.90 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,306.60 |
$5,306.60 |
$5,306.60 |
$3,785.10
|
|
Porfimer sodium injection
|
$72,767.76 |
$72,767.76 |
$72,767.76 |
$37,618.13
|
|
Positional nystagmus test
|
$139.75 |
$139.75 |
$139.75 |
$73.50
|
|
Post 1 srfc resinbased cmpst
|
$178.75 |
$178.75 |
$178.75 |
$142.80
|
|
Post 2 srfc resinbased cmpst
|
$227.50 |
$227.50 |
$227.50 |
$186.48
|
|
Post >=4srfc resinbase cmpst
|
$325.00 |
$325.00 |
$325.00 |
$285.60
|
|
Post non-seg/spine instrumentation 22840
|
$3,580.85 |
$3,580.85 |
$3,580.85 |
$1,831.20
|
|
Post op service lvrs min 6
|
$1,379.30 |
$1,379.30 |
$1,379.30 |
$948.13
|
|
Postpartum Care Only
|
$837.20 |
$837.20 |
$837.20 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$3,591.90 |
$3,591.90 |
$3,591.90 |
$1,837.60
|
|
Potassium 24 hour urine
|
$21.45 |
$21.45 |
$21.45 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$9.10 |
$9.10 |
$9.10 |
$61.80
|
|
Potassium hydroxide preps
|
$26.00 |
$26.00 |
$26.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$21.45 |
$21.45 |
$21.45 |
$47.85
|
|
Pq biliary strict dil s&i
|
$1,069.25 |
$1,069.25 |
$1,069.25 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$683.15 |
$683.15 |
$683.15 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$10,195.00
|
|
Pq thr inj ext pse
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,925.65 |
$2,925.65 |
$2,925.65 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,811.54
|
|
Pralatrexate injection
|
$15,543.74 |
$15,543.74 |
$15,543.74 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$202.88 |
$202.88 |
$202.88 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,738.90
|
|
Pr application of long arm splint
|
$471.90 |
$471.90 |
$471.90 |
$334.08
|
|
Pr application splint static short arm
|
$385.45 |
$385.45 |
$385.45 |
$288.51
|
|
Pr assessment emotional/behavioral per instrument brief
|
$42.90 |
$42.90 |
$42.90 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$779.35 |
$779.35 |
$779.35 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$6,653.00
|
|
Pr correction hammertoe
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$62.40 |
$62.40 |
$62.40 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$3,454.10 |
$3,454.10 |
$3,454.10 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$3,518.45 |
$3,518.45 |
$3,518.45 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$390.00 |
$390.00 |
$390.00 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$559.00 |
$559.00 |
$559.00 |
$178.75
|
|
Prealbumin
|
$65.65 |
$65.65 |
$65.65 |
$94.00
|
|
Pr ecg 12 lead report only
|
$48.75 |
$48.75 |
$48.75 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$111.80 |
$111.80 |
$111.80 |
$51.75
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.68 |
$2.68 |
$2.68 |
$13.80
|
|
Prednisone 1 mg tablet
|
$8.45 |
$8.45 |
$8.45 |
$2.88
|
|
Prefab stnlss steel crown pe
|
$325.00 |
$325.00 |
$325.00 |
$1,685.60
|
|
Prefab stnlss steel crwn pri
|
$260.00 |
$260.00 |
$260.00 |
$845.60
|
|
Pregabalin - sendout
|
$20.80 |
$20.80 |
$20.80 |
$76.70
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,298.00
|
|
Pregnancy associated plasma protein-a
|
$67.60 |
$67.60 |
$67.60 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$734.50 |
$734.50 |
$734.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$760.50 |
$760.50 |
$760.50 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$663.00 |
$663.00 |
$663.00 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$520.00 |
$520.00 |
$520.00 |
$144.00
|
|
Prenatal Care Only (4-6 visits)
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$3,718.00 |
$3,718.00 |
$3,718.00 |
$1,143.04
|
|
Prepare fecal microbiota
|
$369.20 |
$369.20 |
$369.20 |
$425.60
|
|
Prepj skn cll ssp agrft 1st
|
$14,138.80 |
$14,138.80 |
$14,138.80 |
$14,138.80
|
|
Prepj tum cav iort prtl mast
|
$780.00 |
$780.00 |
$780.00 |
$780.00
|
|
Prep skin to 100cm2 other
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$612.95 |
$612.95 |
$612.95 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$313.95 |
$313.95 |
$313.95 |
$243.75
|
|
Pressure treatment esophagus
|
$985.40 |
$985.40 |
$985.40 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$3,373.50 |
$3,373.50 |
$3,373.50 |
$1,618.20
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$768.30 |
$768.30 |
$768.30 |
$162.00
|
|
Pretreat rbc absorption reference
|
$266.50 |
$266.50 |
$266.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$768.30 |
$768.30 |
$768.30 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$266.50 |
$266.50 |
$266.50 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$768.30 |
$768.30 |
$768.30 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$308.00
|
|
Prev med cnsl indiv apprx 15
|
$124.80 |
$124.80 |
$124.80 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$254.80 |
$254.80 |
$254.80 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$379.60 |
$379.60 |
$379.60 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$507.00 |
$507.00 |
$507.00 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$743.60 |
$743.60 |
$743.60 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$779.35 |
$779.35 |
$779.35 |
$780.60
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$5,935.80 |
$5,935.80 |
$5,935.80 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$382.20 |
$382.20 |
$382.20 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$308.10 |
$308.10 |
$308.10 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$274.30 |
$274.30 |
$274.30 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$382.20 |
$382.20 |
$382.20 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$468.00 |
$468.00 |
$468.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$496.60 |
$496.60 |
$496.60 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$6,561.75 |
$6,561.75 |
$6,561.75 |
$4,540.00
|
|
Pr hospital ip/obs care initial high level per day
|
$910.00 |
$910.00 |
$910.00 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$676.00 |
$676.00 |
$676.00 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$423.80 |
$423.80 |
$423.80 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$624.00 |
$624.00 |
$624.00 |
$189.80
|
