|
Place right device/marker pros
|
$1,610.00 |
$1,610.00 |
$1,610.00 |
$2,195.93
|
|
Place slctv cath carotd art uni
|
$5,069.50 |
$5,069.50 |
$5,069.50 |
$10,014.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$2,865.50 |
$2,865.50 |
$2,865.50 |
$6,498.00
|
|
Place slctv cath carotid/inom art intcrn uni
|
$5,069.50 |
$5,069.50 |
$5,069.50 |
$8,538.00
|
|
Place slctv cath subclavian art
|
$2,865.50 |
$2,865.50 |
$2,865.50 |
$6,325.00
|
|
Place slctv cath vertebral art uni
|
$5,069.50 |
$5,069.50 |
$5,069.50 |
$8,971.00
|
|
Platelet aggregation each agent teg
|
$62.00 |
$62.00 |
$62.00 |
$148.80
|
|
Platelet automated
|
$59.00 |
$59.00 |
$59.00 |
$45.60
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,951.50 |
$1,951.50 |
$1,951.50 |
$1,094.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$2,009.00 |
$2,009.00 |
$2,009.00 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,951.50 |
$1,951.50 |
$1,951.50 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$789.00 |
$789.00 |
$789.00 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,426.50 |
$3,426.50 |
$3,426.50 |
$4,482.60
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,599.00 |
$3,599.00 |
$3,599.00 |
$5,074.68
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$5,589.75
|
|
Plcmt dlyd xtn pros 1st vsl
|
$3,833.50 |
$3,833.50 |
$3,833.50 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$822.00 |
$822.00 |
$822.00 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$322.50 |
$322.50 |
$322.50 |
$751.30
|
|
Plcmt xtn pros evasc rpr per vsl
|
$3,833.50 |
$3,833.50 |
$3,833.50 |
$3,579.75
|
|
Plc pq device breast ea addl lesion stereo guide
|
$178.00 |
$178.00 |
$178.00 |
$691.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$178.00 |
$178.00 |
$178.00 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$430.00 |
$430.00 |
$430.00 |
$405.00
|
|
Plmt biliary drainage cath
|
$3,426.50 |
$3,426.50 |
$3,426.50 |
$4,762.80
|
|
Plmt nephroureteral catheter
|
$5,354.50 |
$5,354.50 |
$5,354.50 |
$4,081.37
|
|
Plmt ureteral stent prq
|
$5,128.50 |
$5,128.50 |
$5,128.50 |
$5,104.20
|
|
Plug insert indwelling 16f
|
$338.00 |
$338.00 |
$338.00 |
$149.90
|
|
Pm device progr eval dual
|
$107.00 |
$107.00 |
$107.00 |
$148.00
|
|
Pm device progr eval multi
|
$107.00 |
$107.00 |
$107.00 |
$139.00
|
|
Pmp22 gene dup/delet
|
$995.00 |
$995.00 |
$995.00 |
$1,029.75
|
|
#pnh-flow cytometry interp
|
$99.00 |
$99.00 |
$99.00 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$123.50 |
$123.50 |
$123.50 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$3,494.55
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,966.00 |
$2,966.00 |
$2,966.00 |
$3,751.48
|
|
Positional nystagmus test
|
$48.50 |
$48.50 |
$48.50 |
$73.50
|
|
Postop app non-wgt bear dsg
|
$903.50 |
$903.50 |
$903.50 |
$977.13
|
|
Postop dress & 1 cast chg bk
|
$2,159.50 |
$2,159.50 |
$2,159.50 |
$2,533.77
|
|
Postop dsg & 1 cast chg ak/d
|
$2,483.50 |
$2,483.50 |
$2,483.50 |
$3,339.01
|
|
Potassium 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$50.40
|
|
Potassium serum/plasma/whole blood
|
$34.50 |
$34.50 |
$34.50 |
$46.75
|
|
Pq biliary strict dil s&i
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$1,097.60
|
|
Pq dr cath chg w cont s&i
|
$538.50 |
$538.50 |
$538.50 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$5,801.00 |
$5,801.00 |
$5,801.00 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,855.50 |
$4,855.50 |
$4,855.50 |
$3,738.90
|
|
Pr application of long arm splint
|
$250.00 |
$250.00 |
$250.00 |
$329.00
|
|
Pr application splint static short arm
|
$199.50 |
$199.50 |
$199.50 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$59.50 |
$59.50 |
$59.50 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$714.50 |
$714.50 |
$714.50 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$42.50 |
$42.50 |
$42.50 |
$46.56
|
|
Prcrd drg 0-5yr or w/anomly
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$2,022.35
|
|
Prcrd drg 6+yr without anomly
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$5,228.00 |
$5,228.00 |
$5,228.00 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$295.00 |
$295.00 |
$295.00 |
$351.60
|
|
Prealbumin
|
$94.00 |
$94.00 |
$94.00 |
$93.36
|
|
Pr ecg 12 lead report only
|
$67.00 |
$67.00 |
$67.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$138.00 |
$138.00 |
$138.00 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$1.00 |
$1.00 |
$1.00 |
$13.87
|
|
Pregabalin - sendout
|
$85.00 |
$85.00 |
$85.00 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,340.50 |
$2,340.50 |
$2,340.50 |
$2,246.75
|
|
Pregnancy associated plasma protein-a
|
$57.00 |
$57.00 |
$57.00 |
$71.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$424.00 |
$424.00 |
$424.00 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$331.00 |
$331.00 |
$331.00 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$9.50 |
$9.50 |
$9.50 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$55.00 |
$55.00 |
$55.00 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$9.50 |
$9.50 |
$9.50 |
$1,143.04
|
|
Prep skin to 100cm2 other
|
$466.50 |
$466.50 |
$466.50 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$840.00 |
$840.00 |
$840.00 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$840.00 |
$840.00 |
$840.00 |
$1,018.50
|
|
Pressure max expiratory/inspiratory
|
$421.50 |
$421.50 |
$421.50 |
$238.33
|
|
Pressure treatment esophagus
|
$209.50 |
$209.50 |
$209.50 |
$1,555.50
|
|
Pressure velocity wire add ves
|
$580.00 |
$580.00 |
$580.00 |
$1,579.40
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$88.50 |
$88.50 |
$88.50 |
$152.85
|
|
Pretreat rbc absorption reference
|
$88.00 |
$88.00 |
$88.00 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$34.00 |
$34.00 |
$34.00 |
$112.20
|
|
Pretreat rbc w enzyme reference
|
$71.50 |
$71.50 |
$71.50 |
$167.05
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$204.50 |
$204.50 |
$204.50 |
$297.00
|
|
Preventive counseling group
|
$218.50 |
$218.50 |
$218.50 |
$35.20
|
|
Preventive counseling group
|
$434.50 |
$434.50 |
$434.50 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$134.50 |
$134.50 |
$134.50 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$268.50 |
$268.50 |
$268.50 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$400.50 |
$400.50 |
$400.50 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$535.50 |
$535.50 |
$535.50 |
$223.68
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$84.00 |
$84.00 |
$84.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$573.50 |
$573.50 |
$573.50 |
$779.35
|
|
Prgrmg dev eval pm/ldls pm
|
$76.50 |
$76.50 |
$76.50 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$69.00 |
$69.00 |
$69.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$69.00 |
$69.00 |
$69.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$69.00 |
$69.00 |
$69.00 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$76.50 |
$76.50 |
$76.50 |
$205.40
|
|
Prim art mech thrmbc non-intracranial
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$9,149.60
|
|
Prim art mech thrmbc non-intracranial add-on
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
$3,687.00
|
|
Prin care mgmt staff 1st 30
|
$117.00 |
$117.00 |
$117.00 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$467.50 |
$467.50 |
$467.50 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$315.00 |
$315.00 |
$315.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$353.50 |
$353.50 |
$353.50 |
$539.80
|
