|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$334.75 |
$334.75 |
$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 |
$788.40
|
|
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
|
$139.10 |
$139.10 |
$382.20 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$139.10 |
$139.10 |
$308.10 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$139.10 |
$139.10 |
$274.30 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$139.10 |
$139.10 |
$382.20 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$139.10 |
$139.10 |
$468.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$139.10 |
$139.10 |
$496.60 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$6,281.60 |
$6,281.60 |
$6,561.75 |
$4,555.93
|
|
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
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$413.40 |
$413.40 |
$413.40 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$260.00 |
$260.00 |
$260.00 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$32,778.20 |
$32,778.20 |
$32,778.20 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,600.35 |
$3,600.35 |
$3,600.35 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$260.00 |
$260.00 |
$260.00 |
$108.93
|
|
Pr incision & drainage abscess complicated/multiple
|
$779.35 |
$779.35 |
$779.35 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$387.40 |
$387.40 |
$387.40 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$909.35 |
$909.35 |
$909.35 |
$544.05
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$779.35 |
$779.35 |
$779.35 |
$606.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$577.85 |
$577.85 |
$985.40 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$577.85 |
$577.85 |
$722.80 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$455.65 |
$455.65 |
$455.65 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,080.00 |
$8,125.00 |
$8,125.00 |
$7,372.61
|
|
Probe nasolacrimal duct
|
$893.75 |
$893.75 |
$893.75 |
$533.50
|
|
Probe nasolacrimal duct
|
$497.90 |
$497.90 |
$497.90 |
$2,760.73
|
|
Probe nasolacrimal duct
|
$6,975.80 |
$6,975.80 |
$6,975.80 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$600.60 |
$600.60 |
$600.60 |
$3,817.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$526.50 |
$526.50 |
$526.50 |
$674.78
|
|
Procalcitonin
|
$122.20 |
$122.20 |
$122.20 |
$159.25
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$10.53 |
$10.53 |
$10.53 |
$37.27
|
|
Prochlorperazine maleate 5 mg tablet
|
$1.30 |
$1.30 |
$1.30 |
$2.09
|
|
Proctectomy combined abd pull-thru px 45112
|
$8,626.80 |
$8,626.80 |
$8,626.80 |
$4,636.80
|
|
Proctectomy complete abd w/clst 45110
|
$7,997.60 |
$7,997.60 |
$7,997.60 |
$3,515.40
|
|
Proctosigmoidoscopy ablate
|
$436.80 |
$436.80 |
$436.80 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$429.00 |
$429.00 |
$429.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,645.43
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$416.00 |
$416.00 |
$416.00 |
$3,245.23
|
|
Progesterone
|
$93.60 |
$93.60 |
$93.60 |
$116.00
|
|
Prolactin
|
$87.10 |
$87.10 |
$87.10 |
$123.50
|
|
Prolng clin staff svc 1st hr
|
$177.45 |
$177.45 |
$177.45 |
$36.80
|
|
Prolng clin staff svc ea add
|
$177.45 |
$177.45 |
$177.45 |
$17.60
|
|
Prolng ip/obs e/m ea 15 min
|
$231.40 |
$231.40 |
$231.40 |
$64.46
|
|
Prolng off/op e/m ea 15 min 99417
|
$174.20 |
$174.20 |
$174.20 |
$61.60
|
|
Prolonged IV inf, req pump
|
$1,239.55 |
$1,239.55 |
$1,239.55 |
$609.00
|
|
Prolong home eval add 15m
|
$158.60 |
$158.60 |
$158.60 |
$59.20
|
|
Prolong service without contact
|
$514.80 |
$514.80 |
$514.80 |
$165.20
|
|
Prolong serv without contact add
|
$214.50 |
$214.50 |
$214.50 |
$81.20
|
|
Promethazine 25 mg tablet
|
$1.30 |
$1.30 |
$1.30 |
$3.83
|
|
Promethazine hcl injection
|
$6.06 |
$6.06 |
$6.06 |
$12.16
|
|
Proph rta dtchmnt crtx dthrm
|
$893.75 |
$893.75 |
$893.75 |
$878.80
|
|
Proph rta dtchmnt pc
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$1,077.50
|
|
Proph tx w/wo mthylmthcrylt
|
$3,192.80 |
$3,192.80 |
$3,192.80 |
$14,061.89
|
|
Prophylactic tx radius
|
$2,529.80 |
$2,529.80 |
$2,529.80 |
$7,913.97
|
|
Prophylactic tx radius&ulna
|
$3,291.60 |
$3,291.60 |
$3,291.60 |
$4,499.12
|
|
Prophylactic tx ulna
|
$2,639.00 |
$2,639.00 |
$2,639.00 |
$10,629.07
|
|
Propofol infusion 10 mg/ml
|
$0.74 |
$0.74 |
$0.74 |
$73.36
|
|
_propoxygc/msur
|
$12.35 |
$12.35 |
$12.35 |
$83.48
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$26.87 |
$26.87 |
$26.87 |
$33.31
|
|
Pros sheath/sock w gel cushn
|
$57.20 |
$57.20 |
$57.20 |
$127.82
|
|
Pros sock multi ply upper lm
|
$17.21 |
$17.21 |
$17.21 |
$30.80
|
|
Prostate biopsy, any mthd
|
$1,871.35 |
$1,871.35 |
$1,871.35 |
$518.40
|
|
Prostate ca screening; dre
|
$76.70 |
$76.70 |
$76.70 |
$25.50
|
|
Prostatectomy (turp)
|
$3,763.50 |
$3,763.50 |
$3,763.50 |
$6,999.96
|
|
Prostate laser enucleation
|
$3,785.60 |
$3,785.60 |
$3,785.60 |
$6,030.00
|
|
Prostatic microwave thermotx
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$4,081.37
|
|
Prostatic rf thermotx
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,846.99
|
|
Prosthesis voc advantage 20f 14mm
|
$1,959.75 |
$1,959.75 |
$1,959.75 |
$1,104.11
|
|
Prosthetic sock multi ply bk
|
$16.25 |
$16.25 |
$16.25 |
$52.00
|
|
Prosthetic type socket molde
|
$702.65 |
$702.65 |
$702.65 |
$1,501.10
|
|
Prost sock sgl ply blw knee ea
|
$6.50 |
$6.50 |
$6.50 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$7.25 |
$7.25 |
$7.25 |
$56.70
|
|
Protect body sock ea pre ots
|
$51.78 |
$51.78 |
$51.78 |
$113.63
|
|
Protein c activity
|
$61.75 |
$61.75 |
$61.75 |
$119.60
|
|
Protein c concentrate
|
$3.51 |
$3.51 |
$3.51 |
$5.78
|
|
Protein electrophoretic fractionation & quantitation serum
|
$48.10 |
$48.10 |
$105.95 |
$84.00
|
|
Protein s total
|
$52.00 |
$52.00 |
$52.00 |
$85.10
|
|
Protein total 24 hour urine
|
$16.25 |
$16.25 |
$16.25 |
$52.50
|
|
Protein total body fluid
|
$18.20 |
$18.20 |
$18.20 |
$49.80
|
|
Protein total serum plasma whole blood
|
$16.25 |
$16.25 |
$16.25 |
$42.81
|
|
Protein western blot tissue
|
$99.45 |
$99.45 |
$99.45 |
$44.80
|
|
Prothrombin complex kcentra
|
$6.98 |
$6.98 |
$6.98 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$17.55 |
$17.55 |
$17.55 |
$41.50
|
|
Provide inr test mater/equip
|
$859.30 |
$859.30 |
$859.30 |
$250.08
|
|
Provox xtraflange 17fr
|
$56.88 |
$56.88 |
$56.88 |
$84.23
|
|
Prpertl pel pack hemrrg trma 49013
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$1,030.40
|
|
Prp i/hern init block >5 yr
|
$2,363.40 |
$2,363.40 |
$2,363.40 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$414.70 |
$414.70 |
$414.70 |
$123.20
|
