|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,316.34 |
$4,316.34 |
$4,316.34 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,804.00 |
$6,804.00 |
$6,804.00 |
$5,590.00
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,298.61 |
$3,298.61 |
$3,298.61 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,331.53 |
$1,331.53 |
$1,331.53 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$456.97 |
$456.97 |
$456.97 |
$759.55
|
|
Plc pq device breast ea addl lesion MRI guide
|
$199.28 |
$199.28 |
$199.28 |
$1,421.06
|
|
Plc pq device breast ea addl lesion stereo guide
|
$181.95 |
$181.95 |
$181.95 |
$685.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$410.62 |
$410.62 |
$410.62 |
$758.52
|
|
Plerixafor injection
|
$17,959.33 |
$17,959.33 |
$17,959.33 |
$16,079.30
|
|
Plethysmography lung volumes/airway resistance
|
$429.77 |
$429.77 |
$429.77 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$3,537.42 |
$3,537.42 |
$3,537.42 |
$4,683.65
|
|
Plmt biliary drainage cath
|
$4,762.80 |
$4,762.80 |
$4,762.80 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$3,422.08 |
$3,422.08 |
$3,422.08 |
$4,170.03
|
|
Plmt ureteral stent prq
|
$3,695.02 |
$3,695.02 |
$3,695.02 |
$5,151.51
|
|
Plug insert indwelling 16f
|
$149.90 |
$149.90 |
$149.90 |
$149.90
|
|
Pm device progr eval dual
|
$309.84 |
$309.84 |
$309.84 |
$148.65
|
|
Pm device progr eval multi
|
$338.33 |
$338.33 |
$338.33 |
$139.10
|
|
Pml/raralpha 1 breakpoint
|
$307.13 |
$307.13 |
$307.13 |
$307.13
|
|
Pmp22 gene dup/delet
|
$1,029.75 |
$1,029.75 |
$1,029.75 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$2,559.68 |
$2,559.68 |
$2,559.68 |
$986.40
|
|
Pmp22 gene known fam variant
|
$63.42 |
$63.42 |
$63.42 |
$63.42
|
|
Pm phone r-strip device eval
|
$189.72 |
$189.72 |
$189.72 |
$139.10
|
|
Pms2 gene dup/delet variants
|
$499.20 |
$499.20 |
$499.20 |
$407.27
|
|
Pms2 gene full seq analysis
|
$843.75 |
$843.75 |
$843.75 |
$1,002.60
|
|
Pms2 known familial variants
|
$397.20 |
$397.20 |
$397.20 |
$540.00
|
|
Pneum full leg splnt pre ots
|
$52.80 |
$52.80 |
$52.80 |
$309.50
|
|
Pneumothrx tx-intraplrl inj ai
|
$852.41 |
$852.41 |
$852.41 |
$785.00
|
|
#pnh-flow cytometry interp
|
$154.14 |
$154.14 |
$154.14 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$234.98 |
$234.98 |
$234.98 |
$187.32
|
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
$32,554.79 |
$32,554.79 |
$32,554.79 |
$35,781.91
|
|
Polysom <6 yrs cpap/bilvl
|
$6,277.17 |
$6,277.17 |
$6,277.17 |
$3,514.50
|
|
Polysom any age 1-3> param
|
$3,703.29 |
$3,703.29 |
$3,703.29 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$5,236.15 |
$5,236.15 |
$5,236.15 |
$3,785.10
|
|
Positional change of finger
|
$4,915.21 |
$4,915.21 |
$4,915.21 |
$7,907.11
|
|
Postop dress & 1 cast chg bk
|
$3,277.80 |
$3,277.80 |
$3,277.80 |
$2,533.77
|
|
Post op service lvrs min 6
|
$275.79 |
$275.79 |
$275.79 |
$948.13
|
|
Postpartum Care Only
|
$568.81 |
$568.81 |
$568.81 |
$364.80
|
|
Potassium 24 hour urine
|
$46.51 |
$46.51 |
$46.51 |
$51.10
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$97.20 |
$97.20 |
$97.20 |
$61.80
|
|
Potassium hydroxide preps
|
$51.47 |
$51.47 |
$51.47 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$63.43 |
$63.43 |
$63.43 |
$47.85
|
|
Pq biliary strict dil s&i
|
$861.43 |
$861.43 |
$861.43 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$745.67 |
$745.67 |
$745.67 |
$721.71
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$10,620.65 |
$10,620.65 |
$10,620.65 |
$10,195.00
|
|
Pq thr inj ext pse
|
$926.73 |
$926.73 |
$926.73 |
$786.66
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,362.53 |
$3,362.53 |
$3,362.53 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,562.22 |
$4,562.22 |
$4,562.22 |
$4,664.99
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,432.24 |
$4,432.24 |
$4,432.24 |
$4,811.54
|
|
Pralatrexate injection
|
$24,465.07 |
$24,465.07 |
$24,465.07 |
$20,353.38
|
|
Pralidoxime 1 gram solution for injection
|
$234.09 |
$234.09 |
$234.09 |
$292.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,877.24 |
$3,877.24 |
$3,877.24 |
$3,738.90
|
|
Pr application of long arm splint
|
$328.78 |
$328.78 |
$328.78 |
$334.08
|
|
Pr application splint static short arm
|
$415.17 |
$415.17 |
$415.17 |
$288.51
|
|
Pr assessment emotional/behavioral per instrument brief
|
$66.46 |
$66.46 |
$66.46 |
$47.49
|
|
Pr biopsy skin punch single lesion
|
$366.37 |
$366.37 |
$366.37 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$6,727.70 |
$6,727.70 |
$6,727.70 |
$6,653.00
|
|
Pr correction hammertoe
|
$3,496.29 |
$3,496.29 |
$3,496.29 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$48.71 |
$48.71 |
$48.71 |
$48.00
|
|
Prcrd drg 0-5yr or w/anomly
|
$1,609.03 |
$1,609.03 |
$1,609.03 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$2,432.13 |
$2,432.13 |
$2,432.13 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$5,417.24 |
$5,417.24 |
$5,417.24 |
$5,262.80
|
|
Prealbumin
|
$83.17 |
$83.17 |
$83.17 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$63.65 |
$63.65 |
$63.65 |
$13.80
|
|
Prednisone 1 mg tablet
|
$0.40 |
$0.40 |
$0.40 |
$2.88
|
|
Pregabalin - sendout
|
$152.00 |
$152.00 |
$152.00 |
$76.70
|
|
Pregnancy associated plasma protein-a
|
$91.87 |
$91.87 |
$91.87 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$652.36 |
$652.36 |
$652.36 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$614.24 |
$614.24 |
$614.24 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$459.00 |
$459.00 |
$459.00 |
$459.00
|
|
Prenatal Care Only (4-6 visits)
|
$709.95 |
$709.95 |
$709.95 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$1,141.37 |
$1,141.37 |
$1,141.37 |
$1,143.04
|
|
Pre-op service lvrs complete
|
$360.43 |
$360.43 |
$360.43 |
$948.13
|
|
Preparation for bladder xray
|
$1,143.32 |
$1,143.32 |
$1,143.32 |
$1,222.00
|
|
Preparation palate mold
|
$583.82 |
$583.82 |
$583.82 |
$602.63
|
|
Prepare embryo for transfer
|
$503.57 |
$503.57 |
$503.57 |
$273.28
|
|
Prepare fecal microbiota
|
$112.13 |
$112.13 |
$112.13 |
$425.60
|
|
Prepare penis study
|
$314.65 |
$314.65 |
$314.65 |
$275.52
|
|
Prepare sperm duct x-ray
|
$1,206.34 |
$1,206.34 |
$1,206.34 |
$504.00
|
|
Prep corneal endo allograft
|
$2,539.68 |
$2,539.68 |
$2,539.68 |
$1,484.00
|
|
Prep skin to 100cm2 other
|
$1,142.94 |
$1,142.94 |
$1,142.94 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$2,247.20 |
$2,247.20 |
$2,247.20 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$1,101.95 |
$1,101.95 |
$1,101.95 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$344.39 |
$344.39 |
$344.39 |
$243.75
|
|
Pressure treatment esophagus
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$2,050.51 |
$2,050.51 |
$2,050.51 |
$1,618.20
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$130.91 |
$130.91 |
$130.91 |
$162.00
|
|
Pretreat rbc absorption reference
|
$216.00 |
$216.00 |
$216.00 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$196.70 |
$196.70 |
$196.70 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$106.00 |
$106.00 |
$106.00 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$198.45 |
$198.45 |
$198.45 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$357.80 |
$357.80 |
$357.80 |
$308.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$188.86 |
$188.86 |
$188.86 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,953.07 |
$1,953.07 |
$1,953.07 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,426.53 |
$3,426.53 |
$3,426.53 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$940.55 |
$940.55 |
$940.55 |
$780.60
|
|
Prgrmg dev eval impltbl sys
|
$210.00 |
$210.00 |
$210.00 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$291.55 |
$291.55 |
$291.55 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$270.44 |
$270.44 |
$270.44 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$304.15 |
$304.15 |
$304.15 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$341.53 |
$341.53 |
$341.53 |
$181.35
|
