|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$174.20 |
$174.20 |
$174.20 |
$52.14
|
|
Prq av fstl crtj uxtr 1 acs
|
$67,113.15 |
$67,113.15 |
$67,113.15 |
$21,321.00
|
|
Prq av fstl crt uxtr sep acs
|
$67,113.15 |
$67,113.15 |
$67,113.15 |
$21,249.26
|
|
Prq card revasc mi 1 vsl
|
$21,482.50 |
$21,482.50 |
$21,482.50 |
$14,749.41
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$21,482.50 |
$21,482.50 |
$21,482.50 |
$17,651.36
|
|
Prq revasc byp graft 1 art and/or branches
|
$29,038.10 |
$29,038.10 |
$29,038.10 |
$13,098.36
|
|
Prq skel fix clcnl fx w/mnpj
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$6,025.60
|
|
Prq skel fix epcndylr hum fx
|
$2,355.60 |
$2,355.60 |
$2,355.60 |
$3,526.40
|
|
Prq skel fix sprcndlr hum fx
|
$2,794.35 |
$2,794.35 |
$2,794.35 |
$6,990.61
|
|
Prq skel fix talus fx w/mnpj
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$7,907.11
|
|
Prq skel fix tarsl fx w/mnpj
|
$743.60 |
$743.60 |
$743.60 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$27,482.65 |
$27,482.65 |
$27,482.65 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$83,998.20 |
$83,998.20 |
$83,998.20 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$29,389.10 |
$29,389.10 |
$29,389.10 |
$14,975.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$52,897.00 |
$52,897.00 |
$52,897.00 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$19,632.60 |
$19,632.60 |
$19,632.60 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$24,922.30 |
$24,922.30 |
$24,922.30 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$778.05 |
$778.05 |
$778.05 |
$544.12
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$335.40 |
$335.40 |
$335.40 |
$252.80
|
|
Pr removal intrauterine device
|
$909.35 |
$909.35 |
$909.35 |
$383.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$779.35 |
$779.35 |
$779.35 |
$716.10
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$387.40 |
$387.40 |
$387.40 |
$382.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$387.40 |
$387.40 |
$387.40 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$387.40 |
$387.40 |
$387.40 |
$374.85
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$387.40 |
$387.40 |
$387.40 |
$400.20
|
|
Pr robotic surgical system
|
$341.90 |
$341.90 |
$341.90 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$3,247.19
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$218.40 |
$218.40 |
$218.40 |
$71.20
|
|
Prtl exc bone olecrn process
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$3,208.80
|
|
Prtl exc bone radial h/n
|
$2,030.60 |
$2,030.60 |
$2,030.60 |
$7,907.11
|
|
Prtl excision bone clavicle
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$7,807.24
|
|
Prtl excision bone scapula
|
$2,238.60 |
$2,238.60 |
$2,238.60 |
$7,285.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$4,644.90 |
$4,644.90 |
$4,644.90 |
$1,761.00
|
|
Pr visit complexity e&m service serious/complex condition
|
$94.25 |
$94.25 |
$94.25 |
$26.65
|
|
PSA (Prostate) Test
|
$82.55 |
$82.55 |
$82.55 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$47.45 |
$47.45 |
$131.95 |
$51.15
|
|
Psychoanalysis
|
$598.00 |
$598.00 |
$598.00 |
$250.85
|
|
Psychophysiological therapy
|
$312.00 |
$312.00 |
$312.00 |
$101.40
|
|
Psychophysiological therapy
|
$494.00 |
$494.00 |
$494.00 |
$175.28
|
|
Psychotherapy group therapy
|
$180.70 |
$180.70 |
$542.10 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$313.30 |
$313.30 |
$483.60 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$313.30 |
$313.30 |
$637.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$313.30 |
$313.30 |
$943.80 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$607.10 |
$607.10 |
$731.90 |
$318.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$253.50 |
$253.50 |
$560.30 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$194.35 |
$194.35 |
$194.35 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$778.05 |
$778.05 |
$778.05 |
$330.00
|
|
Psy evaluation of records
|
$252.20 |
$252.20 |
$252.20 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$251.55 |
$251.55 |
$251.55 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$253.50 |
$253.50 |
$253.50 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$253.50 |
$253.50 |
$512.20 |
$124.50
|
|
Psytx complex interactive
|
$99.45 |
$99.45 |
$99.45 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$105.30 |
$105.30 |
$426.40 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$122.85 |
$122.85 |
$540.80 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$128.05 |
$128.05 |
$712.40 |
$235.20
|
|
Pt application of modality >=1 area hot/cold packs
|
$15.60 |
$15.60 |
$15.60 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$122.85 |
$122.85 |
$122.85 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$113.10 |
$113.10 |
$113.10 |
$80.85
|
|
Pt application of modality traction mechanical
|
$126.10 |
$126.10 |
$126.10 |
$89.95
|
|
Pt/caregiver traing home inr
|
$347.75 |
$347.75 |
$347.75 |
$137.60
|
|
Pten gene dup/delet variant
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$330.00
|
|
Pten gene full sequence
|
$2,691.00 |
$2,691.00 |
$2,691.00 |
$826.00
|
|
Pterygomaxillary fossa surg any appr 31040
|
$2,794.35 |
$2,794.35 |
$2,794.35 |
$6,966.64
|
|
Pt-focused hlth risk assmt
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Pt init/spiromet rec/review/interp 94016
|
$135.20 |
$135.20 |
$135.20 |
$46.20
|
|
Pt prgrm for implt neurostim
|
$429.00 |
$429.00 |
$429.00 |
$2,922.62
|
|
Pt repositioning canalith procedure(s) per day
|
$156.00 |
$156.00 |
$195.00 |
$119.34
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$94.25 |
$94.25 |
$94.25 |
$82.80
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$131.30 |
$131.30 |
$131.30 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$165.10 |
$165.10 |
$165.10 |
$87.60
|
|
Pul art balloon repr percut
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$9,760.40
|
|
Pul art balloon repr percut
|
$3,766.10 |
$3,766.10 |
$3,766.10 |
$3,766.10
|
|
Pulm endartercomy w/bypass 33916
|
$20,280.00 |
$20,280.00 |
$20,280.00 |
$5,881.45
|
|
Pulmonary decortication partial 32225
|
$4,355.00 |
$4,355.00 |
$4,355.00 |
$1,741.80
|
|
Pulmonary vent imaging
|
$1,802.45 |
$1,802.45 |
$1,929.85 |
$909.35
|
|
Pulse ox continuous overnight monitoring
|
$468.00 |
$468.00 |
$468.00 |
$350.40
|
|
Pulse ox multiple
|
$226.20 |
$226.20 |
$226.20 |
$157.30
|
|
Pulse ox single
|
$226.20 |
$226.20 |
$226.20 |
$84.80
|
|
Punc of shunt for asp or inj
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$987.81
|
|
Puncture arterial withdrawal blood for diagnosis
|
$481.65 |
$481.65 |
$481.65 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$779.35 |
$779.35 |
$779.35 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,087.80
|
|
Puraply 1 sq cm
|
$207.47 |
$207.47 |
$207.47 |
$301.80
|
|
Puraply xt 1 sq cm
|
$99.16 |
$99.16 |
$99.16 |
$151.20
|
|
Pvb thoracic 2nd+ inj site
|
$859.30 |
$859.30 |
$859.30 |
$859.30
|
|
Pvb thoracic cont infusion
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,320.80
|
|
Pyelotomy w/drg pyelostomy
|
$4,633.20 |
$4,633.20 |
$4,633.20 |
$1,276.51
|
|
Pyelotomy w/exploration
|
$4,474.60 |
$4,474.60 |
$4,474.60 |
$1,235.32
|
|
Pyelotomy w/removal calculus
|
$4,893.20 |
$4,893.20 |
$4,893.20 |
$1,341.47
|
|
Pyloroplasty 43800
|
$4,011.80 |
$4,011.80 |
$4,011.80 |
$1,748.40
|
|
Pyridoxine hcl 100 mg
|
$50.86 |
$50.86 |
$50.86 |
$49.08
|
|
Pyruvate
|
$65.00 |
$65.00 |
$65.00 |
$66.00
|
|
Pyruvate kinase
|
$42.25 |
$42.25 |
$42.25 |
$78.00
|
|
Quan puplmtry phy/qhp uni/bi
|
$624.65 |
$624.65 |
$624.65 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$2,414.10 |
$2,414.10 |
$2,635.10 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$1,802.45 |
$1,802.45 |
$1,997.45 |
$1,199.16
|
|
Quest t3 uptake
|
$29.25 |
$29.25 |
$29.25 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,059.01 |
$1,059.01 |
$1,558.05 |
$1,291.55
|
