|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$156.50 |
$156.50 |
$156.50 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,668.50 |
$2,668.50 |
$2,668.50 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$347.24 |
$347.24 |
$347.24 |
$977.13
|
|
Postop app non-wgt bear dsg
|
$551.14 |
$551.14 |
$551.14 |
$1,389.71
|
|
Postop dress & 1 cast chg bk
|
$971.35 |
$971.35 |
$971.35 |
$2,533.77
|
|
Post-op hip abduct custom fa
|
$766.94 |
$766.94 |
$766.94 |
$1,760.02
|
|
Potassium 24 hour urine
|
$21.00 |
$21.00 |
$21.00 |
$50.40
|
|
Potassium hydroxide preps
|
$15.00 |
$15.00 |
$15.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$39.00 |
$39.00 |
$39.00 |
$46.75
|
|
Pouch drainable w barrier at
|
$16.56 |
$16.56 |
$16.56 |
$7.00
|
|
Pq biliary strict dil s&i
|
$812.50 |
$812.50 |
$812.50 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$322.50 |
$322.50 |
$322.50 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$9,031.00 |
$9,031.00 |
$9,031.00 |
$9,977.57
|
|
Pq thr inj ext pse
|
$473.50 |
$473.50 |
$473.50 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,587.00 |
$3,587.00 |
$3,587.00 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$6,857.50 |
$6,857.50 |
$6,857.50 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$2,269.00 |
$2,269.00 |
$2,269.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$171.50 |
$171.50 |
$171.50 |
$329.00
|
|
Pr application splint static short arm
|
$297.00 |
$297.00 |
$297.00 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$367.50 |
$367.50 |
$367.50 |
$458.25
|
|
Pr correction hammertoe
|
$1,523.50 |
$1,523.50 |
$1,523.50 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$44.50 |
$44.50 |
$44.50 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,709.50 |
$3,709.50 |
$3,709.50 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$354.00 |
$354.00 |
$354.00 |
$351.60
|
|
Prealbumin
|
$65.00 |
$65.00 |
$65.00 |
$93.36
|
|
Pregnancy associated plasma protein-a
|
$520.50 |
$520.50 |
$520.50 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$428.00 |
$428.00 |
$428.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$377.00 |
$377.00 |
$377.00 |
$539.37
|
|
Preparation for bladder xray
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
$1,222.00
|
|
Prep skin to 100cm2 other
|
$1,257.50 |
$1,257.50 |
$1,257.50 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,210.00 |
$3,210.00 |
$3,210.00 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$356.50 |
$356.50 |
$356.50 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$111.00 |
$111.00 |
$111.00 |
$238.33
|
|
Pressure treatment esophagus
|
$2,035.50 |
$2,035.50 |
$2,035.50 |
$1,555.50
|
|
Pressure velocity wire add ves
|
$1,538.50 |
$1,538.50 |
$1,538.50 |
$1,579.40
|
|
Pre-tibial shell molded to p
|
$439.88 |
$439.88 |
$439.88 |
$708.74
|
|
Pretreat rbc absorption reference
|
$227.50 |
$227.50 |
$227.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$237.50 |
$237.50 |
$237.50 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$237.50 |
$237.50 |
$237.50 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$237.50 |
$237.50 |
$237.50 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$319.50 |
$319.50 |
$319.50 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$118.00 |
$118.00 |
$118.00 |
$77.18
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$319.50 |
$319.50 |
$319.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,343.50 |
$2,343.50 |
$2,343.50 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$639.50 |
$639.50 |
$639.50 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$56.50 |
$56.50 |
$56.50 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$128.50 |
$128.50 |
$128.50 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$325.50 |
$325.50 |
$325.50 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$157.00 |
$157.00 |
$157.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$176.50 |
$176.50 |
$176.50 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$201.50 |
$201.50 |
$201.50 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$236.00 |
$236.00 |
$236.00 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$7,658.50 |
$7,658.50 |
$7,658.50 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,598.50 |
$1,598.50 |
$1,598.50 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$394.00 |
$394.00 |
$394.00 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$398.00 |
$398.00 |
$398.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$548.00 |
$548.00 |
$548.00 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$398.00 |
$398.00 |
$398.00 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$98.50 |
$98.50 |
$98.50 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,185.00 |
$2,185.00 |
$2,185.00 |
$7,267.51
|
|
Procalcitonin
|
$68.00 |
$68.00 |
$68.00 |
$161.11
|
|
Proctosigmoidoscopy dx 45300
|
$396.00 |
$396.00 |
$396.00 |
$1,078.88
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,041.00 |
$3,041.00 |
$3,041.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$6,588.93
|
|
Progesterone
|
$76.00 |
$76.00 |
$76.00 |
$115.64
|
|
Prolactin
|
$84.50 |
$84.50 |
$84.50 |
$123.50
|
|
Prolonged IV inf, req pump
|
$454.50 |
$454.50 |
$454.50 |
$557.50
|
|
Prolong service without contact
|
$176.00 |
$176.00 |
$176.00 |
$165.20
|
|
Proph rta dtchmnt pc
|
$937.00 |
$937.00 |
$937.00 |
$948.50
|
|
Pros sock single ply ak
|
$9.84 |
$9.84 |
$9.84 |
$14.00
|
|
Prostate biopsy, any mthd
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$481.77
|
|
Prostate ca screening; dre
|
$41.00 |
$41.00 |
$41.00 |
$29.16
|
|
Prosthesis voc advantage 20f 14mm
|
$336.90 |
$336.90 |
$336.90 |
$1,104.11
|
|
Prosthetic sock multi ply bk
|
$46.32 |
$46.32 |
$46.32 |
$52.32
|
|
Prost sock sgl ply blw knee ea
|
$8.80 |
$8.80 |
$8.80 |
$14.67
|
|
Protect body sock ea pre ots
|
$41.40 |
$41.40 |
$41.40 |
$113.63
|
|
Protein c activity
|
$68.00 |
$68.00 |
$68.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$19.00 |
$19.00 |
$19.00 |
$84.00
|
|
Protein s total
|
$32.50 |
$32.50 |
$32.50 |
$83.52
|
|
Protein total 24 hour urine
|
$19.50 |
$19.50 |
$19.50 |
$52.50
|
|
Protein total body fluid
|
$19.00 |
$19.00 |
$19.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$19.00 |
$19.00 |
$19.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$22.00 |
$22.00 |
$22.00 |
$41.50
|
|
Pr planning advance care 1st 30 minutes
|
$156.00 |
$156.00 |
$156.00 |
$121.00
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$32.50 |
$32.50 |
$32.50 |
$52.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$21,527.50 |
$21,527.50 |
$21,527.50 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$583.50 |
$583.50 |
$583.50 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$4,402.50 |
$4,402.50 |
$4,402.50 |
$5,362.20
|
|
Prq card revasc chronic addl
|
$612.00 |
$612.00 |
$612.00 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$6,871.50 |
$6,871.50 |
$6,871.50 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$15,784.50 |
$15,784.50 |
$15,784.50 |
$18,150.00
|
|
Prq card stent/ath/angio
|
$610.50 |
$610.50 |
$610.50 |
$9,418.65
|
|
Prq card stent w/angio addl
|
$6,871.50 |
$6,871.50 |
$6,871.50 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$6,871.50 |
$6,871.50 |
$6,871.50 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$546.50 |
$546.50 |
$546.50 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$6,871.50 |
$6,871.50 |
$6,871.50 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$10,612.00 |
$10,612.00 |
$10,612.00 |
$15,296.00
|
