|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$116.35 |
$116.35 |
$116.35 |
$133.90
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$2,664.35 |
$2,664.35 |
$2,664.35 |
$779.35
|
|
Prim art mech thrmbc non-intracranial
|
$7,872.80 |
$7,872.80 |
$7,872.80 |
$9,548.80
|
|
Prim art mech thrmbc non-intracranial add-on
|
$6,737.90 |
$6,737.90 |
$6,737.90 |
$3,966.75
|
|
Pr incision & drainage abscess complicated/multiple
|
$2,982.20 |
$2,982.20 |
$2,982.20 |
$605.00
|
|
Pr incision & drainage abscess simple/single
|
$918.45 |
$918.45 |
$918.45 |
$437.53
|
|
Pr incision & drainage abscess vulva/perineal
|
$744.25 |
$744.25 |
$744.25 |
$539.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$161.85 |
$161.85 |
$161.85 |
$266.64
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$7,331.27 |
$7,331.27 |
$7,331.27 |
$2,921.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$6,760.00 |
$6,760.00 |
$6,760.00 |
$5,175.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$660.89
|
|
Procalcitonin
|
$152.10 |
$152.10 |
$152.10 |
$133.20
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$35.35 |
$35.35 |
$35.35 |
$35.00
|
|
Progesterone
|
$55.90 |
$55.90 |
$55.90 |
$100.24
|
|
Prolactin
|
$226.20 |
$226.20 |
$226.20 |
$123.20
|
|
Prolng off/op e/m ea 15 min 99417
|
$54.60 |
$54.60 |
$54.60 |
$61.10
|
|
Prolonged IV inf, req pump
|
$795.60 |
$795.60 |
$795.60 |
$367.13
|
|
Promethazine hcl injection
|
$12.63 |
$12.63 |
$12.63 |
$10.51
|
|
Propofol infusion 10 mg/ml
|
$146.25 |
$146.25 |
$146.25 |
$45.25
|
|
_propoxygc/msur
|
$104.00 |
$104.00 |
$104.00 |
$73.14
|
|
Prostatectomy (turp)
|
$9,692.86 |
$9,692.86 |
$9,692.86 |
$5,631.74
|
|
Protamine 10 mg/ml intravenous solution
|
$51.60 |
$51.60 |
$51.60 |
$32.68
|
|
Protein c activity
|
$177.45 |
$177.45 |
$177.45 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$28.60 |
$28.60 |
$28.60 |
$84.00
|
|
Protein s total
|
$193.05 |
$193.05 |
$193.05 |
$85.10
|
|
Protein total 24 hour urine
|
$19.50 |
$19.50 |
$19.50 |
$45.00
|
|
Protein total body fluid
|
$13.00 |
$13.00 |
$13.00 |
$49.20
|
|
Protein total serum plasma whole blood
|
$13.00 |
$13.00 |
$13.00 |
$40.70
|
|
Prothrombin complex kcentra
|
$7,568.60 |
$7,568.60 |
$7,568.60 |
$3.84
|
|
Prothrombin time substitution plasma fractions each
|
$48.10 |
$48.10 |
$48.10 |
$37.05
|
|
Prp i/hern init block >5 yr
|
$13,276.52 |
$13,276.52 |
$13,276.52 |
$3,909.56
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$52.00 |
$52.00 |
$52.00 |
$55.50
|
|
Prq av fstl crt uxtr sep acs
|
$14,308.45 |
$14,308.45 |
$14,308.45 |
$23,513.33
|
|
Prq card revasc mi 1 vsl
|
$17,921.80 |
$17,921.80 |
$17,921.80 |
$16,678.62
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$13,772.20 |
$13,772.20 |
$13,772.20 |
$21,078.63
|
|
Prq revasc byp graft 1 art and/or branches
|
$34,103.55 |
$34,103.55 |
$34,103.55 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$16,628.95 |
$16,628.95 |
$16,628.95 |
$13,054.80
|
|
Prq tcat plmt ntrac st 2+les
|
$3,615.95 |
$3,615.95 |
$3,615.95 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$20,988.50 |
$20,988.50 |
$20,988.50 |
$19,875.58
|
|
Prq trl rvs ch occ ant&rtrgr
|
$8,375.25 |
$8,375.25 |
$8,375.25 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$6,844.50 |
$6,844.50 |
$6,844.50 |
$9,255.50
|
|
Prq trluml c athrc 1 art&/br
|
$14,528.15 |
$14,528.15 |
$14,528.15 |
$14,212.25
|
|
Prq trluml revsc ch occ ant
|
$20,873.45 |
$20,873.45 |
$20,873.45 |
$17,474.24
|
|
Pr removal intrauterine device
|
$10,530.26 |
$10,530.26 |
$10,530.26 |
$411.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$6,030.20 |
$6,030.20 |
$6,030.20 |
$742.40
|
|
Pr tube thoracostomy w/connection to drainage open
|
$757.25 |
$757.25 |
$757.25 |
$1,653.31
|
|
Pr visit complexity e&m service serious/complex condition
|
$26.65 |
$26.65 |
$26.65 |
$27.30
|
|
PSA (Prostate) Test
|
$100.10 |
$100.10 |
$100.10 |
$103.85
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$115.05 |
$115.05 |
$115.05 |
$87.49
|
|
Pt application of modality >=1 area hot/cold packs
|
$24.05 |
$24.05 |
$24.05 |
$25.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$159.90 |
$159.90 |
$159.90 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$121.55 |
$121.55 |
$121.55 |
$82.55
|
|
Pt application of modality traction mechanical
|
$93.60 |
$93.60 |
$93.60 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$368.55 |
$368.55 |
$368.55 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$313.95 |
$313.95 |
$313.95 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$341.25 |
$341.25 |
$341.25 |
$247.20
|
|
Pt re-evaluation patient/family
|
$223.60 |
$223.60 |
$223.60 |
$141.93
|
|
Pt repositioning canalith procedure(s) per day
|
$117.00 |
$117.00 |
$117.00 |
$140.80
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$85.80 |
$85.80 |
$85.80 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$139.10 |
$139.10 |
$139.10 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$68.90 |
$68.90 |
$68.90 |
$84.90
|
|
Pulse ox continuous overnight monitoring
|
$551.85 |
$551.85 |
$551.85 |
$351.20
|
|
Pulse ox multiple
|
$197.60 |
$197.60 |
$197.60 |
$190.25
|
|
Pulse ox single
|
$205.40 |
$205.40 |
$205.40 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$180.70 |
$180.70 |
$180.70 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$445.90 |
$445.90 |
$445.90 |
$478.80
|
|
Puncture spinal lumbar diagnostic
|
$512.85 |
$512.85 |
$512.85 |
$1,087.80
|
|
Pyruvate
|
$76.70 |
$76.70 |
$76.70 |
$65.00
|
|
Quest t3 uptake
|
$102.05 |
$102.05 |
$102.05 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$9,249.02 |
$9,249.02 |
$9,249.02 |
$1,624.21
|
|
Radiation handling
|
$878.80 |
$878.80 |
$878.80 |
$328.50
|
|
Radiation physics consult
|
$32,631.95 |
$32,631.95 |
$32,631.95 |
$595.40
|
|
Radiation therapy dose plan
|
$37,642.68 |
$37,642.68 |
$37,642.68 |
$514.05
|
|
Radiation treatment aid(s)
|
$19,136.00 |
$19,136.00 |
$19,136.00 |
$525.04
|
|
Radiation treatment aid(s)
|
$705.90 |
$705.90 |
$705.90 |
$644.36
|
|
Radiation treatment aid(s)
|
$35,317.33 |
$35,317.33 |
$35,317.33 |
$1,075.03
|
|
Radiation treatment delivery
|
$5,978.70 |
$5,978.70 |
$5,978.70 |
$573.52
|
|
Radiation treatment delivery
|
$19,136.00 |
$19,136.00 |
$19,136.00 |
$920.00
|
|
Radiology port images(s)
|
$25,364.30 |
$25,364.30 |
$25,364.30 |
$236.40
|
|
Radiotherapy dose plan imrt
|
$36,562.50 |
$36,562.50 |
$36,562.50 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,399.80 |
$2,399.80 |
$2,399.80 |
$1,646.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,076.10 |
$2,076.10 |
$2,076.10 |
$2,582.32
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,722.55 |
$3,722.55 |
$3,722.55 |
$2,683.42
|
|
Radphm quant measure sgl area add-on
|
$2,529.80 |
$2,529.80 |
$2,529.80 |
$403.49
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$4,462.15 |
$4,462.15 |
$4,462.15 |
$115.89
|
|
Rapid Strep Test
|
$211.25 |
$211.25 |
$211.25 |
$67.80
|
|
Rasburicase 1.5 mg intravenous solution
|
$14,898.18 |
$14,898.18 |
$14,898.18 |
$568.06
|
|
Rbc count only automated
|
$14.95 |
$14.95 |
$14.95 |
$20.00
|
|
Rbc deglycerolized each unit
|
$2,332.20 |
$2,332.20 |
$2,332.20 |
$785.20
|
|
Rbc irradiated each unit
|
$1,562.60 |
$1,562.60 |
$1,562.60 |
$443.95
|
|
Rbc serum pretx incubj drugs
|
$98.80 |
$98.80 |
$98.80 |
$223.08
|
|
Red blood cells each unit
|
$1,272.05 |
$1,272.05 |
$1,272.05 |
$380.25
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$1,142.05 |
$1,142.05 |
$1,142.05 |
$537.70
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$2,666.95 |
$2,666.95 |
$2,666.95 |
$624.65
|
|
Red blood cells leukocytes reduced each unit
|
$384.15 |
$384.15 |
$384.15 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$881.40 |
$881.40 |
$881.40 |
$645.45
|
|
Red blood cells washed each unit
|
$872.30 |
$872.30 |
$872.30 |
$561.60
|
|
Reduction of procidentia 45900
|
$5,452.00 |
$5,452.00 |
$5,452.00 |
$1,056.92
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$146.25 |
$146.25 |
$146.25 |
$115.07
|
|
Relocation skin pocket aicd
|
$16,246.10 |
$16,246.10 |
$16,246.10 |
$3,153.93
|
