|
Prep bk ptb open end socket
|
$5,277.11 |
$5,277.11 |
$5,277.11 |
$4,073.94
|
|
Prep bk ptb thermopls molded
|
$4,601.27 |
$4,601.27 |
$4,601.27 |
$3,998.60
|
|
Prep skin to 100cm2 other
|
$37,979.39 |
$37,979.39 |
$37,979.39 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$76,731.41 |
$76,731.41 |
$76,731.41 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$51,652.87 |
$51,652.87 |
$51,652.87 |
$1,018.50
|
|
Pressure velocity wire add ves
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$256.80 |
$256.80 |
$256.80 |
$152.85
|
|
Pretreat rbc absorption reference
|
$228.00 |
$228.00 |
$228.00 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$268.80 |
$268.80 |
$268.80 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$72.00 |
$72.00 |
$72.00 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$256.80 |
$256.80 |
$256.80 |
$167.05
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$27,603.77 |
$27,603.77 |
$27,603.77 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$18,088.20 |
$18,088.20 |
$18,088.20 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$38,010.34 |
$38,010.34 |
$38,010.34 |
$779.35
|
|
Prgrmg dev eval pm/ldls pm
|
$116.40 |
$116.40 |
$116.40 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$116.40 |
$116.40 |
$116.40 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$174.00 |
$174.00 |
$174.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$174.00 |
$174.00 |
$174.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$174.00 |
$174.00 |
$174.00 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$15,337.80 |
$15,337.80 |
$15,337.80 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$149,769.38 |
$149,769.38 |
$149,769.38 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$149,769.38 |
$149,769.38 |
$149,769.38 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$23,046.46 |
$23,046.46 |
$23,046.46 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$24,507.42 |
$24,507.42 |
$24,507.42 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$23,271.06 |
$23,271.06 |
$23,271.06 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$12,477.60 |
$12,477.60 |
$12,477.60 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$28,455.11 |
$28,455.11 |
$28,455.11 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$44,602.19 |
$44,602.19 |
$44,602.19 |
$4,154.01
|
|
Probe cryo 1150mm endo flex ster disp
|
$17,982.55 |
$17,982.55 |
$17,982.55 |
$7,267.51
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$10,908.00 |
$10,908.00 |
$10,908.00 |
$670.00
|
|
Procalcitonin
|
$265.80 |
$265.80 |
$265.80 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$65.94 |
$65.94 |
$65.94 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$6.30 |
$6.30 |
$6.30 |
$1.50
|
|
Proctosigmoidoscopy dx 45300
|
$17,670.09 |
$17,670.09 |
$17,670.09 |
$1,078.88
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$2,971.20 |
$2,971.20 |
$2,971.20 |
$3,245.23
|
|
Progesterone
|
$222.00 |
$222.00 |
$222.00 |
$115.64
|
|
Prolactin
|
$293.40 |
$293.40 |
$293.40 |
$123.50
|
|
Prolonged IV inf, req pump
|
$2,185.20 |
$2,185.20 |
$2,185.20 |
$557.50
|
|
Promethazine 25 mg tablet
|
$6.30 |
$6.30 |
$6.30 |
$4.06
|
|
Promethazine hcl injection
|
$7.50 |
$7.50 |
$7.50 |
$12.96
|
|
Propofol infusion 10 mg/ml
|
$545.40 |
$545.40 |
$545.40 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$145.44 |
$145.44 |
$145.44 |
$32.93
|
|
Prostate biopsy, any mthd
|
$3,232.20 |
$3,232.20 |
$3,232.20 |
$481.77
|
|
Prostatectomy (turp)
|
$34,720.73 |
$34,720.73 |
$34,720.73 |
$6,999.96
|
|
Prostate laser enucleation
|
$20,833.44 |
$20,833.44 |
$20,833.44 |
$6,311.00
|
|
Prosthesis voc advantage 20f 14mm
|
$7,851.32 |
$7,851.32 |
$7,851.32 |
$1,104.11
|
|
Prosthesis voc lopres 20f 22mm
|
$495.24 |
$495.24 |
$495.24 |
$622.73
|
|
Prosthetic sock multi ply bk
|
$94.85 |
$94.85 |
$94.85 |
$52.32
|
|
Prosthetic type socket molde
|
$2,358.96 |
$2,358.96 |
$2,358.96 |
$1,501.10
|
|
Prost sock sgl ply blw knee ea
|
$16.88 |
$16.88 |
$16.88 |
$14.67
|
|
Protamine 10 mg/ml intravenous solution
|
$45.00 |
$45.00 |
$45.00 |
$57.89
|
|
Protect body sock ea pre ots
|
$160.41 |
$160.41 |
$160.41 |
$113.63
|
|
Protector nerve neurawrap 4cm
|
$7,280.14 |
$7,280.14 |
$7,280.14 |
$3,831.38
|
|
Protein c activity
|
$194.40 |
$194.40 |
$194.40 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$234.60 |
$234.60 |
$234.60 |
$84.00
|
|
Protein s total
|
$121.20 |
$121.20 |
$121.20 |
$83.52
|
|
Protein total 24 hour urine
|
$100.80 |
$100.80 |
$100.80 |
$52.50
|
|
Protein total body fluid
|
$103.20 |
$103.20 |
$103.20 |
$49.80
|
|
Protein total serum plasma whole blood
|
$103.20 |
$103.20 |
$103.20 |
$42.81
|
|
Prothrombin complex kcentra
|
$47,739.60 |
$47,739.60 |
$47,739.60 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$42.00 |
$42.00 |
$42.00 |
$41.50
|
|
Prp i/hern init block >5 yr
|
$42,547.80 |
$42,547.80 |
$42,547.80 |
$4,176.15
|
|
Prq card revasc mi 1 vsl
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$25,462.80 |
$25,462.80 |
$25,462.80 |
$18,150.00
|
|
Prq revasc byp graft 1 art and/or branches
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$13,398.65
|
|
Prq tcat plmt ntrac st 1 les
|
$24,028.20 |
$24,028.20 |
$24,028.20 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$132,641.07 |
$132,641.07 |
$132,641.07 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$30,531.00 |
$30,531.00 |
$30,531.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$655.80 |
$655.80 |
$655.80 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$372.60 |
$372.60 |
$372.60 |
$251.43
|
|
Pr removal intrauterine device
|
$31,032.11 |
$31,032.11 |
$31,032.11 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$24,281.94 |
$24,281.94 |
$24,281.94 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$37,257.42 |
$37,257.42 |
$37,257.42 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$396.00
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$51,652.87 |
$51,652.87 |
$51,652.87 |
$3,087.15
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,747.40 |
$2,747.40 |
$2,747.40 |
$1,720.93
|
|
PSA (Prostate) Test
|
$120.00 |
$120.00 |
$120.00 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$172.20 |
$172.20 |
$172.20 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$20.40 |
$20.40 |
$20.40 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$127.20 |
$127.20 |
$127.20 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$67.80 |
$67.80 |
$67.80 |
$81.00
|
|
Pt application of modality traction mechanical
|
$83.40 |
$83.40 |
$83.40 |
$91.00
|
|
Pten gene dup/delet variant
|
$463.20 |
$463.20 |
$463.20 |
$330.00
|
|
Pten gene full sequence
|
$559.80 |
$559.80 |
$559.80 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$499.20 |
$499.20 |
$499.20 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$369.00 |
$369.00 |
$369.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$433.20 |
$433.20 |
$433.20 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$19.20 |
$19.20 |
$19.20 |
$57.85
|
|
Pt re-evaluation patient/family
|
$229.80 |
$229.80 |
$229.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$238.80 |
$238.80 |
$238.80 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$228.00 |
$228.00 |
$228.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$143.40 |
$143.40 |
$143.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$129.60 |
$129.60 |
$129.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$222.60 |
$222.60 |
$222.60 |
$87.50
|
|
Pul art balloon repr percut
|
$8,840.40 |
$8,840.40 |
$8,840.40 |
$9,760.40
|
