|
Prep donor intestine/venous
|
$175.26 |
$175.26 |
$175.26 |
$379.22
|
|
Prep donor liver/arterial
|
$245.41 |
$245.41 |
$245.41 |
$528.21
|
|
Prep donor liver/venous
|
$209.76 |
$209.76 |
$209.76 |
$454.03
|
|
Prep donor liver whole
|
$335.11 |
$335.11 |
$335.11 |
$1,618.00
|
|
Prep donor pancreas
|
$187.91 |
$187.91 |
$187.91 |
$212.42
|
|
Prep donor pancreas/venous
|
$150.88 |
$150.88 |
$150.88 |
$325.54
|
|
Prep donor renal graft
|
$126.04 |
$126.04 |
$126.04 |
$415.20
|
|
Prepj skn cll ssp agrft 1st
|
$81.88 |
$81.88 |
$81.88 |
$14,138.80
|
|
Prepj tum cav iort prtl mast
|
$105.80 |
$105.80 |
$105.80 |
$780.00
|
|
Prep renal graft/arterial
|
$121.67 |
$121.67 |
$121.67 |
$466.40
|
|
Prep renal graft/ureteral
|
$115.69 |
$115.69 |
$115.69 |
$444.80
|
|
Prep renal graft/venous
|
$138.46 |
$138.46 |
$138.46 |
$532.00
|
|
Prep skin to 100cm2 other
|
$167.90 |
$167.90 |
$167.90 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$141.45 |
$141.45 |
$141.45 |
$2,186.41
|
|
Prep skn trk/ext adl 100cm2
|
$28.52 |
$28.52 |
$28.52 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$371.91 |
$371.91 |
$371.91 |
$243.75
|
|
Pressure treatment esophagus
|
$135.47 |
$135.47 |
$135.47 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$33.12 |
$33.12 |
$33.12 |
$1,636.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$162.00
|
|
Pretreat rbc absorption reference
|
$391.16 |
$391.16 |
$391.16 |
$148.80
|
|
Pretreat rbc density gradient separation reference
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$391.16 |
$391.16 |
$391.16 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$110.40 |
$110.40 |
$110.40 |
$308.00
|
|
Preventive counseling group
|
$5.06 |
$5.06 |
$5.06 |
$29.60
|
|
Preventive counseling group
|
$8.51 |
$8.51 |
$8.51 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$16.10 |
$16.10 |
$16.10 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$32.43 |
$32.43 |
$32.43 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$48.53 |
$48.53 |
$48.53 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$64.63 |
$64.63 |
$64.63 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$83.95 |
$83.95 |
$83.95 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$4,740.89 |
$4,740.89 |
$4,740.89 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$106.95 |
$106.95 |
$106.95 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$879.98 |
$879.98 |
$879.98 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$26.45 |
$26.45 |
$26.45 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$136.29 |
$136.29 |
$136.29 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$16.10 |
$16.10 |
$16.10 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$26.22 |
$26.22 |
$26.22 |
$158.55
|
|
Prgrmg eval implantable dfb
|
$35.42 |
$35.42 |
$35.42 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$38.64 |
$38.64 |
$38.64 |
$206.25
|
|
Prgr stim/pace a/iv drug
|
$77.97 |
$77.97 |
$77.97 |
$4,555.93
|
|
Pr hospital ip/obs care initial high level per day
|
$111.78 |
$111.78 |
$111.78 |
$348.40
|
|
Pr hospital ip/obs care initial moderate level per day
|
$83.72 |
$83.72 |
$83.72 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$53.13 |
$53.13 |
$53.13 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$76.13 |
$76.13 |
$76.13 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$51.06 |
$51.06 |
$51.06 |
$117.65
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$31.51 |
$31.51 |
$31.51 |
$74.75
|
|
Prim art mech thrmbc non-intracranial
|
$52,541.72 |
$52,541.72 |
$52,541.72 |
$9,492.40
|
|
Prim art mech thrmbc non-intracranial add-on
|
$9,119.11 |
$9,119.11 |
$9,119.11 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$31.74 |
$31.74 |
$31.74 |
$108.93
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$712.80
|
|
Pr incision & drainage abscess simple/single
|
$581.35 |
$581.35 |
$581.35 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$890.12 |
$890.12 |
$890.12 |
$544.05
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$606.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$121.90 |
$121.90 |
$121.90 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$89.70 |
$89.70 |
$89.70 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$636.79 |
$636.79 |
$636.79 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$394.68 |
$394.68 |
$394.68 |
$4,209.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$1,267.01 |
$1,267.01 |
$1,267.01 |
$7,372.61
|
|
Probe nasolacrimal duct
|
$81.42 |
$81.42 |
$81.42 |
$533.50
|
|
Probe nasolacrimal duct
|
$86.25 |
$86.25 |
$86.25 |
$2,760.73
|
|
Probe nasolacrimal duct
|
$140.53 |
$140.53 |
$140.53 |
$2,902.77
|
|
Probe nl duct w/balloon
|
$99.36 |
$99.36 |
$99.36 |
$3,817.60
|
|
Procalcitonin
|
$179.41 |
$179.41 |
$179.41 |
$159.25
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$14.89 |
$14.89 |
$14.89 |
$37.27
|
|
Proctectomy combined abd pull-thru px 45112
|
$1,163.34 |
$1,163.34 |
$1,163.34 |
$4,636.80
|
|
Proctectomy complete abd w/clst 45110
|
$1,162.88 |
$1,162.88 |
$1,162.88 |
$3,515.40
|
|
Proctosigmoidoscopy ablate
|
$68.31 |
$68.31 |
$68.31 |
$3,481.77
|
|
Proctosigmoidoscopy control bleed 45317
|
$71.30 |
$71.30 |
$71.30 |
$1,395.28
|
|
Proctosigmoidoscopy dilate 45303
|
$54.97 |
$54.97 |
$54.97 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$31.28 |
$31.28 |
$31.28 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$54.74 |
$54.74 |
$54.74 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$58.19 |
$58.19 |
$58.19 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$68.77 |
$68.77 |
$68.77 |
$1,395.28
|
|
Proctosigmoidoscopy volvul
|
$67.16 |
$67.16 |
$67.16 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$47.15 |
$47.15 |
$47.15 |
$1,645.43
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$65.09 |
$65.09 |
$65.09 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$75.90 |
$75.90 |
$75.90 |
$6,588.93
|
|
Progesterone
|
$137.83 |
$137.83 |
$137.83 |
$116.00
|
|
Prolactin
|
$127.05 |
$127.05 |
$127.05 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$26.45 |
$26.45 |
$26.45 |
$64.46
|
|
Prolng off/op e/m ea 15 min 99417
|
$20.24 |
$20.24 |
$20.24 |
$61.60
|
|
Prolong home eval add 15m
|
$19.32 |
$19.32 |
$19.32 |
$59.20
|
|
Prolong service without contact
|
$61.41 |
$61.41 |
$61.41 |
$165.20
|
|
Prolong serv without contact add
|
$28.98 |
$28.98 |
$28.98 |
$81.20
|
|
Proph rta dtchmnt crtx dthrm
|
$230.69 |
$230.69 |
$230.69 |
$878.80
|
|
Proph rta dtchmnt pc
|
$235.75 |
$235.75 |
$235.75 |
$1,077.50
|
|
Proph tx w/wo mthylmthcrylt
|
$562.58 |
$562.58 |
$562.58 |
$14,061.89
|
|
Prophylactic tx radius
|
$470.12 |
$470.12 |
$470.12 |
$7,913.97
|
|
Prophylactic tx radius&ulna
|
$590.87 |
$590.87 |
$590.87 |
$4,499.12
|
|
Prophylactic tx ulna
|
$483.69 |
$483.69 |
$483.69 |
$10,629.07
|
|
Propofol infusion 10 mg/ml
|
$24.15 |
$24.15 |
$24.15 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$6.44 |
$6.44 |
$6.44 |
$33.31
|
|
Prostate biopsy, any mthd
|
$1,052.59 |
$1,052.59 |
$1,052.59 |
$518.40
|
|
Prostate ca screening; dre
|
$5.52 |
$5.52 |
$5.52 |
$25.50
|
|
Prostatectomy (turp)
|
$470.12 |
$470.12 |
$470.12 |
$6,999.96
|
|
Prostate laser enucleation
|
$532.68 |
$532.68 |
$532.68 |
$6,030.00
|
|
Prostatic microwave thermotx
|
$230.92 |
$230.92 |
$230.92 |
$4,081.37
|
|
Prostatic rf thermotx
|
$247.25 |
$247.25 |
$247.25 |
$4,846.99
|
