|
Plasma cryoprecipitate reduced each unit
|
$328.50 |
$328.50 |
$328.50 |
$157.95
|
|
Plas shoe insert w ank joint
|
$94.18 |
$94.18 |
$406.92 |
$245.71
|
|
Plastic mod low ext pad/line
|
$101.43 |
$101.43 |
$578.48 |
$241.54
|
|
Plastic mold recipro hip & c
|
$8,318.95 |
$8,318.95 |
$8,318.95 |
$3,850.61
|
|
Platelet aggregation each agent teg
|
$113.40 |
$113.40 |
$202.50 |
$148.80
|
|
Platelet automated
|
$54.60 |
$54.60 |
$108.00 |
$45.60
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,285.20 |
$1,285.20 |
$1,897.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,288.20 |
$1,288.20 |
$2,506.50 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,004.00 |
$1,004.00 |
$2,514.00 |
$1,004.00
|
|
Plating chrome/nickel pr bar
|
$304.22 |
$304.22 |
$304.22 |
$184.93
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,584.50 |
$3,584.50 |
$3,584.50 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$869.50 |
$869.50 |
$869.50 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$999.50 |
$999.50 |
$999.50 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$399.00 |
$399.00 |
$399.00 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$3,579.75
|
|
Plc pq device breast ea addl lesion MRI guide
|
$3,363.00 |
$3,363.00 |
$3,363.00 |
$1,482.50
|
|
Plc pq device breast ea addl lesion stereo guide
|
$3,363.00 |
$3,363.00 |
$3,363.00 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$430.00 |
$430.00 |
$430.00 |
$405.00
|
|
Plmt access bil tree sm bwl
|
$4,687.50 |
$4,687.50 |
$4,687.50 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$3,584.50 |
$3,584.50 |
$3,584.50 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$5,104.20
|
|
Pm device progr eval dual
|
$389.00 |
$389.00 |
$389.00 |
$148.00
|
|
Pm device progr eval multi
|
$389.00 |
$389.00 |
$389.00 |
$139.00
|
|
Pm phone r-strip device eval
|
$145.50 |
$145.50 |
$145.50 |
$139.10
|
|
Pneum full leg splnt pre ots
|
$509.15 |
$509.15 |
$509.15 |
$309.50
|
|
#pnh-flow cytometry interp
|
$20.00 |
$20.00 |
$20.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$213.00 |
$213.00 |
$290.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$347.24 |
$347.24 |
$983.93 |
$977.13
|
|
Postop app non-wgt bear dsg
|
$388.64 |
$388.64 |
$2,286.16 |
$1,389.71
|
|
Postop dress & 1 cast chg bk
|
$971.35 |
$971.35 |
$971.35 |
$2,533.77
|
|
Postop dsg & 1 cast chg ak/d
|
$5,492.86 |
$5,492.86 |
$5,492.86 |
$3,339.01
|
|
Post-operative body jacket
|
$6,987.32 |
$6,987.32 |
$6,987.32 |
$3,773.28
|
|
Post-op hip abduct custom fa
|
$940.82 |
$940.82 |
$940.82 |
$1,760.02
|
|
Potassium 24 hour urine
|
$47.00 |
$47.00 |
$58.20 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$256.80 |
$256.80 |
$256.80 |
$63.35
|
|
Potassium hydroxide preps
|
$20.00 |
$20.00 |
$20.00 |
$22.40
|
|
Potassium serum/plasma/whole blood
|
$58.80 |
$58.80 |
$63.00 |
$46.75
|
|
Pouch drainable w barrier at
|
$16.56 |
$16.56 |
$16.56 |
$7.00
|
|
Pq biliary strict dil s&i
|
$760.50 |
$760.50 |
$760.50 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$500.00 |
$500.00 |
$500.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$7,971.50 |
$7,971.50 |
$7,971.50 |
$9,977.57
|
|
Pq thr inj ext pse
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$775.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$3,465.50 |
$3,465.50 |
$3,465.50 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,028.00 |
$4,028.00 |
$4,537.20 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,035.50 |
$4,035.50 |
$4,537.20 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,935.00 |
$1,935.00 |
$4,135.80 |
$3,738.90
|
|
Pr application of long arm splint
|
$334.20 |
$334.20 |
$489.00 |
$329.00
|
|
Pr application splint static short arm
|
$334.20 |
$334.20 |
$422.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$31.00 |
$31.00 |
$31.00 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$393.50 |
$393.50 |
$448.80 |
$458.25
|
|
Pr correction hammertoe
|
$5,445.00 |
$5,445.00 |
$5,445.00 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$17.40 |
$17.40 |
$46.50 |
$46.56
|
|
Prcrd drg 6+yr without anomly
|
$1,640.50 |
$1,640.50 |
$1,640.50 |
$2,253.00
|
|
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/<
|
$300.00 |
$300.00 |
$338.00 |
$351.60
|
|
Prealbumin
|
$96.00 |
$96.00 |
$158.50 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$9.00 |
$9.00 |
$9.00 |
$13.87
|
|
Prednisone 1 mg tablet
|
$9.00 |
$9.00 |
$9.00 |
$3.00
|
|
Pregnancy associated plasma protein-a
|
$111.50 |
$111.50 |
$111.50 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$518.40 |
$518.40 |
$604.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$399.60 |
$399.60 |
$514.00 |
$539.37
|
|
Preparation for bladder xray
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,222.00
|
|
Prep bk ptb open end socket
|
$7,544.13 |
$7,544.13 |
$7,544.13 |
$4,073.94
|
|
Prep bk ptb thermopls molded
|
$6,577.94 |
$6,577.94 |
$6,577.94 |
$3,998.60
|
|
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
|
$303.00 |
$303.00 |
$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
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$305.40 |
$305.40 |
$305.40 |
$152.85
|
|
Pretreat rbc absorption reference
|
$138.50 |
$138.50 |
$138.50 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$148.50 |
$148.50 |
$305.40 |
$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 |
$100.20 |
$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 |
$2,083.80 |
$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 |
$846.00 |
$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
|
$696.00 |
$696.00 |
$750.50 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$470.40 |
$470.40 |
$652.50 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$470.40 |
$470.40 |
$490.50 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$518.40 |
$518.40 |
$690.50 |
$586.80
|
