|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,284.50 |
$4,284.50 |
$4,284.50 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$338.00 |
$338.00 |
$338.00 |
$351.60
|
|
Prealbumin
|
$158.50 |
$158.50 |
$158.50 |
$93.36
|
|
Pregnancy associated plasma protein-a
|
$111.50 |
$111.50 |
$111.50 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$604.50 |
$604.50 |
$604.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$514.00 |
$514.00 |
$514.00 |
$539.37
|
|
Preparation for bladder xray
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,222.00
|
|
Prep skin to 100cm2 other
|
$1,214.50 |
$1,214.50 |
$1,214.50 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$3,101.50 |
$3,101.50 |
$3,101.50 |
$2,164.64
|
|
Pressure max expiratory/inspiratory
|
$325.00 |
$325.00 |
$325.00 |
$238.33
|
|
Pressure treatment esophagus
|
$2,181.50 |
$2,181.50 |
$2,181.50 |
$1,555.50
|
|
Pressure velocity wire add ves
|
$576.00 |
$576.00 |
$576.00 |
$1,579.40
|
|
Pre-tibial shell molded to p
|
$439.88 |
$439.88 |
$439.88 |
$708.74
|
|
Pretreat rbc absorption reference
|
$138.50 |
$138.50 |
$138.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$148.50 |
$148.50 |
$148.50 |
$174.00
|
|
Pretreat rbc w chem/drugs reference
|
$115.50 |
$115.50 |
$115.50 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$84.50 |
$84.50 |
$84.50 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$333.50 |
$333.50 |
$333.50 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$123.00 |
$123.00 |
$123.00 |
$77.18
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$243.50 |
$243.50 |
$243.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,050.00 |
$2,050.00 |
$2,050.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$4,357.50 |
$4,357.50 |
$4,357.50 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$684.00 |
$684.00 |
$684.00 |
$779.35
|
|
Prgrmg dev eval impltbl sys
|
$63.50 |
$63.50 |
$63.50 |
$130.00
|
|
Prgrmg dev eval pm/ldls pm
|
$389.00 |
$389.00 |
$389.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$224.00 |
$224.00 |
$224.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$233.50 |
$233.50 |
$233.50 |
$205.40
|
|
Prgr stim/pace a/iv drug
|
$3,725.00 |
$3,725.00 |
$3,725.00 |
$4,601.35
|
|
Prim art mech thrmbc non-intracranial
|
$7,396.50 |
$7,396.50 |
$7,396.50 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$5,969.00 |
$5,969.00 |
$5,969.00 |
$3,687.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$750.50 |
$750.50 |
$750.50 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$652.50 |
$652.50 |
$652.50 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$490.50 |
$490.50 |
$490.50 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$690.50 |
$690.50 |
$690.50 |
$586.80
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$323.00 |
$323.00 |
$323.00 |
$256.27
|
|
Probe cryo 1150mm endo flex ster disp
|
$1,037.59 |
$1,037.59 |
$1,037.59 |
$7,267.51
|
|
Probe nasolacrimal duct
|
$533.50 |
$533.50 |
$533.50 |
$533.50
|
|
Probe nasolacrimal duct
|
$1,724.00 |
$1,724.00 |
$1,724.00 |
$2,902.77
|
|
Procalcitonin
|
$462.50 |
$462.50 |
$462.50 |
$161.11
|
|
Proctosigmoidoscopy dx 45300
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,078.88
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$3,041.00 |
$3,041.00 |
$3,041.00 |
$3,245.23
|
|
Proctosigmoidoscopy w/stent
|
$2,495.50 |
$2,495.50 |
$2,495.50 |
$6,588.93
|
|
Progesterone
|
$181.00 |
$181.00 |
$181.00 |
$115.64
|
|
Prolactin
|
$123.50 |
$123.50 |
$123.50 |
$123.50
|
|
Prolng clin staff svc 1st hr
|
$23.50 |
$23.50 |
$23.50 |
$36.80
|
|
Prolng clin staff svc ea add
|
$4.00 |
$4.00 |
$4.00 |
$17.60
|
|
Prolonged IV inf, req pump
|
$486.50 |
$486.50 |
$486.50 |
$557.50
|
|
Prolong service without contact
|
$133.00 |
$133.00 |
$133.00 |
$165.20
|
|
Proph rta dtchmnt pc
|
$1,077.50 |
$1,077.50 |
$1,077.50 |
$948.50
|
|
Pros sock single ply ak
|
$9.84 |
$9.84 |
$9.84 |
$14.00
|
|
Prostate biopsy, any mthd
|
$555.50 |
$555.50 |
$555.50 |
$481.77
|
|
Prostate ca screening; dre
|
$31.00 |
$31.00 |
$31.00 |
$29.16
|
|
Prosthesis voc advantage 20f 14mm
|
$336.90 |
$336.90 |
$336.90 |
$1,104.11
|
|
Prosthetic sock multi ply bk
|
$20.70 |
$20.70 |
$20.70 |
$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
|
$59.00 |
$59.00 |
$59.00 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$170.50 |
$170.50 |
$170.50 |
$84.00
|
|
Protein s total
|
$32.50 |
$32.50 |
$32.50 |
$83.52
|
|
Protein total 24 hour urine
|
$65.00 |
$65.00 |
$65.00 |
$52.50
|
|
Protein total body fluid
|
$103.00 |
$103.00 |
$103.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$69.00 |
$69.00 |
$69.00 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$27.00 |
$27.00 |
$27.00 |
$41.50
|
|
Pr planning advance care 1st 30 minutes
|
$107.50 |
$107.50 |
$107.50 |
$121.00
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$24.50 |
$24.50 |
$24.50 |
$52.00
|
|
Prq av fstl crtj uxtr 1 acs
|
$21,340.00 |
$21,340.00 |
$21,340.00 |
$21,249.26
|
|
Prq card angio/athrect addl
|
$8,736.50 |
$8,736.50 |
$8,736.50 |
$9,299.08
|
|
Prq cardiac angio addl art
|
$6,018.50 |
$6,018.50 |
$6,018.50 |
$5,362.20
|
|
Prq card revasc chronic addl
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$9,836.07
|
|
Prq card revasc mi 1 vsl
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$15,190.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$16,566.00 |
$16,566.00 |
$16,566.00 |
$18,150.00
|
|
Prq card stent/ath/angio
|
$9,854.50 |
$9,854.50 |
$9,854.50 |
$9,418.65
|
|
Prq card stent w/angio addl
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$12,217.00 |
$12,217.00 |
$12,217.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$9,402.50 |
$9,402.50 |
$9,402.50 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$8,736.50 |
$8,736.50 |
$8,736.50 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$7,924.50 |
$7,924.50 |
$7,924.50 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$675.00 |
$675.00 |
$675.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$292.50 |
$292.50 |
$292.50 |
$251.43
|
|
Pr removal intrauterine device
|
$333.50 |
$333.50 |
$333.50 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$625.00 |
$625.00 |
$625.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$483.50 |
$483.50 |
$483.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$639.00 |
$639.00 |
$639.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$461.50 |
$461.50 |
$461.50 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$775.50 |
$775.50 |
$775.50 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$3,010.00 |
$3,010.00 |
$3,010.00 |
$3,087.15
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$1,720.93
|
|
PSA (Prostate) Test
|
$86.00 |
$86.00 |
$86.00 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$18.50 |
$18.50 |
$18.50 |
$51.15
|
|
Psychotherapy patient individual therapy 30 minutes
|
$150.50 |
$150.50 |
$150.50 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$207.00 |
$207.00 |
$207.00 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$219.50 |
$219.50 |
$219.50 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$305.50 |
$305.50 |
$305.50 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$204.50 |
$204.50 |
$204.50 |
$221.42
|
|
Psycl/nrpsyc tech 1st
|
$238.00 |
$238.00 |
$238.00 |
$321.60
|
