|
Prepare heart-aorta conduit
|
$1,109.52 |
$1,109.52 |
$1,254.24 |
|
|
Prepare penis study
|
$51.75 |
$51.75 |
$58.50 |
|
|
Prepare sperm duct x-ray
|
$119.83 |
$119.83 |
$135.46 |
|
|
Prep cadaver renal allograft
|
$252.77 |
$285.74 |
$2,292.60 |
|
|
Prep donor intestine/artery
|
$245.64 |
$245.64 |
$277.68 |
|
|
Prep donor intestine/venous
|
$175.26 |
$175.26 |
$198.12 |
|
|
Prep donor liver/arterial
|
$245.41 |
$245.41 |
$277.42 |
|
|
Prep donor liver/venous
|
$209.76 |
$209.76 |
$237.12 |
|
|
Prep donor liver whole
|
$335.11 |
$335.11 |
$378.82 |
|
|
Prep donor pancreas
|
$187.91 |
$212.42 |
$1,720.20 |
|
|
Prep donor pancreas/venous
|
$150.88 |
$170.56 |
$1,072.80 |
|
|
Prep donor renal graft
|
$126.04 |
$142.48 |
$2,292.60 |
|
|
Prepj skn cll ssp agrft 1st
|
$81.88 |
$81.88 |
$92.56 |
|
|
Prepj tum cav iort prtl mast
|
$105.80 |
$105.80 |
$119.60 |
|
|
Prep renal graft/arterial
|
$121.67 |
$137.54 |
$725.40 |
|
|
Prep renal graft/ureteral
|
$115.69 |
$115.69 |
$130.78 |
|
|
Prep renal graft/venous
|
$138.46 |
$156.52 |
$999.00 |
|
|
Prep skin to 100cm2 other
|
$167.90 |
$1,287.60 |
$5,034.60 |
|
|
Prep skin to 100cm2 trk/ext
|
$141.45 |
$2,460.00 |
$5,034.60 |
|
|
Prep skn trk/ext adl 100cm2
|
$28.52 |
$67.80 |
$1,772.40 |
|
|
Pressure max expiratory/inspiratory
|
$144.60 |
$279.00 |
$7,348.20 |
|
|
Pressure treatment esophagus
|
$135.47 |
$153.14 |
$3,380.80 |
|
|
Pressure velocity wire add ves
|
$33.12 |
$2,131.20 |
$12,025.00 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$126.00 |
$139.80 |
$1,128.05 |
|
|
Pretreat rbc absorption reference
|
$49.20 |
$136.20 |
$892.20 |
|
|
Pretreat rbc density gradient separation reference
|
$30.60 |
$102.00 |
$1,128.05 |
|
|
Pretreat rbc w chem/drugs reference
|
$48.00 |
$175.80 |
$552.00 |
|
|
Pretreat rbc w enzyme reference
|
$105.00 |
$222.60 |
$1,783.80 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$110.40 |
$351.60 |
$1,276.20 |
|
|
Preventive counseling group
|
$5.06 |
$5.06 |
$5.72 |
|
|
Preventive counseling group
|
$8.51 |
$8.51 |
$9.62 |
|
|
Prev med cnsl indiv apprx 15
|
$16.10 |
$55.20 |
$152.00 |
|
|
Prev med cnsl indiv apprx 30
|
$32.43 |
$76.80 |
$211.20 |
|
|
Prev med cnsl indiv apprx 45
|
$48.53 |
$352.80 |
$968.80 |
|
|
Prev med cnsl indiv apprx 60
|
$64.63 |
$148.80 |
$412.00 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$83.95 |
$94.90 |
$208.20 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$60.32 |
$2,080.80 |
$4,740.89 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$106.95 |
$2,184.60 |
$3,505.20 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$484.80 |
$834.00 |
$2,184.00 |
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$879.98 |
$994.76 |
$6,738.00 |
|
|
Prgrmg dev eval impltbl sys
|
$26.45 |
$85.20 |
$226.20 |
|
|
Prgrmg dev eval pm/ldls pm
|
$22.62 |
$191.40 |
$298.20 |
|
|
Prgrmg dev eval scrms ip
|
$16.10 |
$179.40 |
$649.80 |
|
|
Prgrmg eval implantable dfb
|
$26.22 |
$188.40 |
$595.80 |
|
|
Prgrmg eval implantable dfb
|
$35.42 |
$265.20 |
$649.80 |
|
|
Prgrmg eval implantable dfb
|
$38.64 |
$298.80 |
$649.80 |
|
|
Prgr stim/pace a/iv drug
|
$77.97 |
$3,457.20 |
$6,268.20 |
|
|
Pr hospital ip/obs care initial high level per day
|
$111.78 |
$347.40 |
$584.40 |
|
|
Pr hospital ip/obs care initial moderate level per day
|
$83.72 |
$242.40 |
$420.00 |
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$53.13 |
$123.00 |
$277.80 |
|
|
Pr hospital ip/obs care subsequent high level per day
|
$76.13 |
$133.80 |
$296.40 |
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$51.06 |
$138.00 |
$205.20 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$31.51 |
$82.80 |
$134.40 |
|
|
Prim art mech thrmbc non-intracranial
|
$5,352.00 |
$17,281.80 |
$52,541.72 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$976.50 |
$8,763.82 |
$9,877.80 |
|
|
Prin care mgmt staff 1st 30
|
$31.74 |
$35.88 |
$117.00 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$301.20 |
$955.80 |
$2,184.00 |
|
|
Pr incision & drainage abscess simple/single
|
$324.00 |
$510.60 |
$1,385.50 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$434.00 |
$998.40 |
$5,052.60 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$280.20 |
$520.80 |
$1,246.40 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$121.90 |
$153.00 |
$1,831.20 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$89.70 |
$255.00 |
$1,295.40 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$21.00 |
$377.40 |
$831.60 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$394.68 |
$446.16 |
$2,477.67 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$1,267.01 |
$3,250.20 |
$35,997.00 |
|
|
Probe nasolacrimal duct
|
$81.42 |
$92.04 |
$365.00 |
|
|
Probe nasolacrimal duct
|
$86.25 |
$86.25 |
$97.50 |
|
|
Probe nasolacrimal duct
|
$140.53 |
$158.86 |
$2,732.50 |
|
|
Probe nl duct w/balloon
|
$99.36 |
$99.36 |
$112.32 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$36.00 |
$216.00 |
$1,092.00 |
|
|
Procalcitonin
|
$90.50 |
$138.00 |
$388.80 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$4.80 |
$18.20 |
$119.20 |
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.60 |
$1.20 |
$9.60 |
|
|
Proctectomy combined abd pull-thru px 45112
|
$1,163.34 |
$1,163.34 |
$1,315.08 |
|
|
Proctectomy complete abd w/clst 45110
|
$1,162.88 |
$1,162.88 |
$1,314.56 |
|
|
Proctosigmoidoscopy ablate
|
$68.31 |
$77.22 |
$301.20 |
|
|
Proctosigmoidoscopy control bleed 45317
|
$71.30 |
$71.30 |
$80.60 |
|
|
Proctosigmoidoscopy dilate 45303
|
$54.97 |
$62.14 |
$3,933.60 |
|
|
Proctosigmoidoscopy dx 45300
|
$31.28 |
$1,420.20 |
$3,816.80 |
|
|
Proctosigmoidoscopy removal
|
$54.74 |
$61.88 |
$2,579.40 |
|
|
Proctosigmoidoscopy removal
|
$58.19 |
$58.19 |
$65.78 |
|
|
Proctosigmoidoscopy tumor removal 45315
|
$68.77 |
$68.77 |
$77.74 |
|
|
Proctosigmoidoscopy volvul
|
$67.16 |
$67.16 |
$75.92 |
|
|
Proctosigmoidoscopy w/bx 45305
|
$47.15 |
$2,517.00 |
$3,933.60 |
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$65.09 |
$3,009.60 |
$4,468.20 |
|
|
Proctosigmoidoscopy w/stent
|
$75.90 |
$75.90 |
$85.80 |
|
|
Progesterone
|
$82.80 |
$137.83 |
$411.60 |
|
|
Prolactin
|
$70.80 |
$122.10 |
$955.80 |
|
|
Prolng ip/obs e/m ea 15 min
|
$26.45 |
$26.45 |
$29.90 |
|
|
Prolng off/op e/m ea 15 min 99417
|
$20.24 |
$67.80 |
$162.00 |
|
|
Prolng svc o/p 1st hour
|
$128.40 |
$128.40 |
$128.40 |
|
|
Prolng svc o/p ea addl 30
|
$126.00 |
$126.00 |
$126.00 |
|
|
Prolonged IV inf, req pump
|
$17.40 |
$374.00 |
$760.80 |
|
|
Prolong home eval add 15m
|
$19.32 |
$19.32 |
$21.84 |
|
|
Prolong service without contact
|
$0.01 |
$61.41 |
$69.42 |
|
|
Prolong serv without contact add
|
$28.98 |
$28.98 |
$32.76 |
|
|
Promethazine 25 mg tablet
|
$0.33 |
$0.33 |
$1.80 |
|
|
Promethazine hcl injection
|
$1.68 |
$11.00 |
$71.60 |
|
|
Proph rta dtchmnt crtx dthrm
|
$230.69 |
$260.78 |
$393.00 |
|
|
Proph rta dtchmnt pc
|
$235.75 |
$266.50 |
$815.50 |
|
