|
Pretreat rbc w chem/drugs reference
|
$132.48 |
$222.75 |
$222.75 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$159.75 |
$159.75 |
$214.33 |
$170.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$328.28 |
$328.28 |
$328.28 |
$308.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$178.57 |
$178.57 |
$178.57 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$449.25 |
$449.25 |
$1,015.52 |
$780.60
|
|
Prgrmg dev eval impltbl sys
|
$210.00 |
$210.00 |
$210.00 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$194.40 |
$194.40 |
$194.40 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$180.33 |
$180.33 |
$180.33 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$202.13 |
$202.13 |
$202.13 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$218.79 |
$218.79 |
$218.79 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$247.66 |
$247.66 |
$247.66 |
$206.05
|
|
Prgr stim/pace a/iv drug
|
$6,468.87 |
$6,468.87 |
$7,396.05 |
$4,540.00
|
|
Prim art mech thrmbc non-intracranial
|
$6,534.20 |
$6,534.20 |
$10,774.05 |
$9,395.50
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,524.55 |
$3,524.55 |
$5,187.67 |
$3,675.76
|
|
Prin care mgmt staff 1st 30
|
$91.70 |
$91.70 |
$91.70 |
$108.93
|
|
Pr incision & drainage abscess complicated/multiple
|
$782.98 |
$782.98 |
$812.40 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$467.85 |
$467.85 |
$596.67 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$306.90 |
$306.90 |
$692.24 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$484.50 |
$484.50 |
$699.02 |
$605.28
|
|
Pr management transitional care high w/in 7 days of discharge
|
$84.79 |
$84.79 |
$84.79 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$64.44 |
$64.44 |
$64.44 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$228.45 |
$228.45 |
$232.42 |
$255.00
|
|
Probe cryo 1150mm endo flex ster disp
|
$12,003.00 |
$12,003.00 |
$12,640.20 |
$7,350.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$170.27 |
$170.27 |
$248.56 |
$674.78
|
|
Procalcitonin
|
$137.55 |
$194.93 |
$488.27 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$22.86 |
$24.63 |
$24.63 |
$38.32
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.60 |
$0.60 |
$0.97 |
$2.09
|
|
Proctosigmoidoscopy control bleed 45317
|
$748.50 |
$748.50 |
$748.50 |
$1,395.28
|
|
Proctosigmoidoscopy dx 45300
|
$1,094.55 |
$1,094.55 |
$1,650.30 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$1,671.30 |
$1,671.30 |
$1,671.30 |
$3,481.77
|
|
Proctosigmoidoscopy volvul
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$3,245.23
|
|
Proctosigmoidoscopy w/bx 45305
|
$748.50 |
$748.50 |
$748.50 |
$1,645.43
|
|
Progesterone
|
$30.75 |
$30.75 |
$146.26 |
$116.00
|
|
Prolactin
|
$25.95 |
$25.95 |
$181.04 |
$123.50
|
|
Prolng svc o/p 1st hour
|
$178.76 |
$178.76 |
$178.76 |
$178.76
|
|
Prolng svc o/p ea addl 30
|
$67.09 |
$67.09 |
$67.09 |
$67.09
|
|
Promethazine hcl injection
|
$6.00 |
$6.00 |
$12.96 |
$12.16
|
|
Propofol infusion 10 mg/ml
|
$75.60 |
$75.60 |
$108.00 |
$73.36
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$21.89 |
$21.89 |
$28.80 |
$33.31
|
|
Prostate biopsy, any mthd
|
$361.05 |
$361.05 |
$614.11 |
$492.88
|
|
Prosthesis voc advantage 20f 14mm
|
$319.80 |
$319.80 |
$2,641.03 |
$1,088.12
|
|
Prosthetic sock multi ply bk
|
$50.95 |
$50.95 |
$57.89 |
$52.00
|
|
Protamine 10 mg/ml intravenous solution
|
$21.18 |
$21.18 |
$159.63 |
$56.70
|
|
Protect body sock ea pre ots
|
$113.63 |
$113.63 |
$113.63 |
$113.63
|
|
Protector nerve neurawrap 4cm
|
$3,326.26 |
$6,280.80 |
$6,280.80 |
$3,842.36
|
|
Protein c activity
|
$216.97 |
$421.65 |
$421.65 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$129.22 |
$262.80 |
$262.80 |
$84.00
|
|
Protein s total
|
$35.70 |
$35.70 |
$164.26 |
$85.10
|
|
Protein total 24 hour urine
|
$77.09 |
$94.50 |
$94.50 |
$52.50
|
|
Protein total body fluid
|
$77.77 |
$147.60 |
$147.60 |
$49.80
|
|
Protein total serum plasma whole blood
|
$121.50 |
$121.50 |
$225.00 |
$42.90
|
|
Prothrombin complex kcentra
|
$27.53 |
$27.53 |
$27.53 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$84.79 |
$84.79 |
$135.60 |
$41.50
|
|
Provide inr test mater/equip
|
$151.14 |
$151.14 |
$151.14 |
$250.08
|
|
Prq av fstl crtj uxtr 1 acs
|
$17,010.00 |
$17,010.00 |
$17,010.00 |
$21,249.26
|
|
Prq av fstl crt uxtr sep acs
|
$16,135.50 |
$16,135.50 |
$16,135.50 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$11,261.55 |
$11,261.55 |
$11,537.46 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$5,963.10 |
$5,963.10 |
$12,185.48 |
$5,574.15
|
|
Prq card revasc chronic addl
|
$11,695.05 |
$11,695.05 |
$20,797.93 |
$10,706.53
|
|
Prq card revasc mi 1 vsl
|
$11,695.05 |
$11,695.05 |
$18,392.20 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$18,808.65 |
$18,808.65 |
$25,591.93 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$10,817.96 |
$10,817.96 |
$10,817.96 |
$9,853.00
|
|
Prq card stent w/angio addl
|
$11,695.05 |
$11,695.05 |
$16,507.97 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$11,695.05 |
$11,695.05 |
$12,920.31 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$15,079.29 |
$15,079.29 |
$15,079.29 |
$9,180.60
|
|
Prq skel fix sprcndlr hum fx
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$6,990.61
|
|
Prq skel fix talus fx w/mnpj
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$7,907.11
|
|
Prq tcat plmt ntrac st 1 les
|
$11,695.05 |
$11,695.05 |
$16,220.54 |
$13,127.50
|
|
Prq tcat plmt ntrac st 2+les
|
$22,098.20 |
$22,098.20 |
$22,098.20 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$11,695.05 |
$11,695.05 |
$14,295.96 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$23,158.66 |
$23,158.66 |
$23,158.66 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$8,539.65 |
$8,539.65 |
$12,569.50 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$11,261.55 |
$11,261.55 |
$14,770.25 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$11,695.05 |
$11,695.05 |
$17,474.24 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$271.48 |
$271.48 |
$612.90 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$197.25 |
$197.25 |
$280.79 |
$252.00
|
|
Pr removal intrauterine device
|
$219.60 |
$219.60 |
$483.35 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$449.25 |
$449.25 |
$814.87 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$312.90 |
$312.90 |
$452.17 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$312.90 |
$312.90 |
$517.20 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$312.90 |
$312.90 |
$483.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$312.90 |
$312.90 |
$480.84 |
$397.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,448.70 |
$1,448.70 |
$1,835.30 |
$1,761.00
|
|
PSA (Prostate) Test
|
$127.05 |
$150.44 |
$150.45 |
$108.11
|
|
Psychoeducation 45 min +
|
$168.81 |
$168.81 |
$202.50 |
$201.45
|
|
Psychotherapy group therapy
|
$643.20 |
$643.20 |
$643.20 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$200.43 |
$200.43 |
$200.43 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$274.50 |
$274.50 |
$274.50 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$287.47 |
$287.47 |
$488.40 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$339.40 |
$339.40 |
$339.40 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$281.16 |
$281.16 |
$281.16 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$95.80 |
$95.80 |
$349.65 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$277.03 |
$277.03 |
$277.03 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$224.75 |
$224.75 |
$224.75 |
$206.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$181.03 |
$181.03 |
$181.03 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$173.06 |
$173.06 |
$173.06 |
$123.63
|
|
Pt application of modality >=1 area hot/cold packs
|
$43.19 |
$90.15 |
$93.90 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$99.45 |
$103.50 |
$154.64 |
$103.20
|
