|
Perineoplasty rpr per nonob
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,522.35
|
|
Peri-proc device eval pm
|
$109.00 |
$109.00 |
$109.00 |
$159.90
|
|
Pertussis ag if
|
$74.50 |
$74.50 |
$74.50 |
$69.05
|
|
Pet CT skull-mid thgh initial
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$3,466.00 |
$3,466.00 |
$3,466.00 |
$4,060.00
|
|
Pet image full body
|
$2,579.00 |
$2,579.00 |
$2,579.00 |
$5,070.50
|
|
Pet image ltd area
|
$2,277.50 |
$2,277.50 |
$2,277.50 |
$3,677.40
|
|
Pet image skull-thigh
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$4,256.70
|
|
Pet image w/ct lmtd
|
$2,923.00 |
$2,923.00 |
$2,923.00 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$38,834.22
|
|
Ph body fluid
|
$20.50 |
$20.50 |
$20.50 |
$41.28
|
|
Phencyclidine (pcp)
|
$77.00 |
$77.00 |
$77.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$24.80 |
$24.80 |
$24.80 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$207.50 |
$207.50 |
$207.50 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$89.37 |
$89.37 |
$89.37 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$13.94 |
$13.94 |
$13.94 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$127.00 |
$127.00 |
$127.00 |
$110.88
|
|
Phlebotomy therapeutic
|
$127.50 |
$127.50 |
$127.50 |
$231.66
|
|
Phone e/m phys/qhp 11-20 min
|
$29.00 |
$29.00 |
$29.00 |
$152.13
|
|
Phone e/m phys/qhp 21-30 min
|
$42.50 |
$42.50 |
$42.50 |
$138.14
|
|
Phone e/m phys/qhp 5-10 min
|
$15.50 |
$15.50 |
$15.50 |
$93.75
|
|
Phosphorus
|
$27.00 |
$27.00 |
$27.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$61.50 |
$61.50 |
$61.50 |
$41.51
|
|
Photo patch test
|
$67.00 |
$67.00 |
$67.00 |
$71.50
|
|
Photopheresis
|
$5,460.00 |
$5,460.00 |
$5,460.00 |
$7,967.00
|
|
Phys blood bank serv authrj
|
$57.50 |
$57.50 |
$57.50 |
$107.67
|
|
Phys blood bank serv reactj
|
$165.00 |
$165.00 |
$165.00 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$19.85 |
$19.85 |
$19.85 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$692.00 |
$692.00 |
$692.00 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$681.00 |
$681.00 |
$681.00 |
$463.20
|
|
Pillow shldr abduc inflat univ
|
$319.00 |
$319.00 |
$319.00 |
$614.36
|
|
Pin caspar distraction 12mm
|
$2,566.00 |
$2,566.00 |
$2,566.00 |
$11,925.00
|
|
Pinworm exam
|
$30.50 |
$30.50 |
$30.50 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$11.91 |
$11.91 |
$11.91 |
$83.03
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$401.50 |
$401.50 |
$401.50 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$1,332.43
|
|
Placement occlusive device venous/arterial access site post procedure
|
$591.00 |
$591.00 |
$591.00 |
$571.45
|
|
Placement of seton
|
$3,367.00 |
$3,367.00 |
$3,367.00 |
$3,845.10
|
|
Place right device/marker pros
|
$1,559.50 |
$1,559.50 |
$1,559.50 |
$2,195.93
|
|
Platelet automated
|
$60.00 |
$60.00 |
$60.00 |
$45.60
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$817.50 |
$817.50 |
$817.50 |
$1,504.10
|
|
Platelets leukocytes reduced each unit
|
$112.00 |
$112.00 |
$112.00 |
$302.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$737.50 |
$737.50 |
$737.50 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$809.00 |
$809.00 |
$809.00 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$952.50 |
$952.50 |
$952.50 |
$1,004.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$852.00 |
$852.00 |
$852.00 |
$1,230.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$452.50 |
$452.50 |
$452.50 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$323.50 |
$323.50 |
$323.50 |
$405.00
|
|
Pm device progr eval dual
|
$115.00 |
$115.00 |
$115.00 |
$148.00
|
|
Pm device progr eval multi
|
$115.00 |
$115.00 |
$115.00 |
$139.00
|
|
Pmp22 gene dup/delet
|
$995.00 |
$995.00 |
$995.00 |
$1,029.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$208.00 |
$208.00 |
$208.00 |
$187.32
|
|
Polysom <6 yrs cpap/bilvl
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$3,494.55
|
|
Polysom any age 1-3> param
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,135.50 |
$3,135.50 |
$3,135.50 |
$3,751.48
|
|
Postop app non-wgt bear dsg
|
$998.00 |
$998.00 |
$998.00 |
$977.13
|
|
Postop dress & 1 cast chg bk
|
$2,387.00 |
$2,387.00 |
$2,387.00 |
$2,533.77
|
|
Postop dsg & 1 cast chg ak/d
|
$2,744.50 |
$2,744.50 |
$2,744.50 |
$3,339.01
|
|
Potassium 24 hour urine
|
$44.50 |
$44.50 |
$44.50 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$20.25 |
$20.25 |
$20.25 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$44.50 |
$44.50 |
$44.50 |
$46.75
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$14,537.50 |
$14,537.50 |
$14,537.50 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,643.00 |
$3,643.00 |
$3,643.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,643.00 |
$3,643.00 |
$3,643.00 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,981.50 |
$3,981.50 |
$3,981.50 |
$3,738.90
|
|
Pr application of long arm splint
|
$241.00 |
$241.00 |
$241.00 |
$329.00
|
|
Pr application splint static short arm
|
$241.00 |
$241.00 |
$241.00 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$56.50 |
$56.50 |
$56.50 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$528.00 |
$528.00 |
$528.00 |
$458.25
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$44.50 |
$44.50 |
$44.50 |
$46.56
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,287.00 |
$4,287.00 |
$4,287.00 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$280.50 |
$280.50 |
$280.50 |
$351.60
|
|
Prealbumin
|
$88.00 |
$88.00 |
$88.00 |
$93.36
|
|
Pr ecg 12 lead report only
|
$20.00 |
$20.00 |
$20.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$61.50 |
$61.50 |
$61.50 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$52.56 |
$52.56 |
$52.56 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.82 |
$1.82 |
$1.82 |
$3.00
|
|
Pregabalin - sendout
|
$85.00 |
$85.00 |
$85.00 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,329.50 |
$2,329.50 |
$2,329.50 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$710.50 |
$710.50 |
$710.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$710.50 |
$710.50 |
$710.50 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$149.50 |
$149.50 |
$149.50 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$47.00 |
$47.00 |
$47.00 |
$613.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$55.00 |
$55.00 |
$55.00 |
$152.85
|
|
Pretreat rbc absorption reference
|
$64.50 |
$64.50 |
$64.50 |
$150.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$200.50 |
$200.50 |
$200.50 |
$297.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$183.50 |
$183.50 |
$183.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,847.50 |
$1,847.50 |
$1,847.50 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$4,492.00 |
$4,492.00 |
$4,492.00 |
$779.35
|
|
Prgrmg dev eval pm/ldls pm
|
$115.00 |
$115.00 |
$115.00 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$115.00 |
$115.00 |
$115.00 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$115.00 |
$115.00 |
$115.00 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$115.00 |
$115.00 |
$115.00 |
$181.35
|
|
Prin care mgmt staff 1st 30
|
$100.50 |
$100.50 |
$100.50 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$509.50 |
$509.50 |
$509.50 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$264.50 |
$264.50 |
$264.50 |
$467.85
|
