|
Perq tx big toe fracture w/manip 28496
|
$285.50 |
$285.50 |
$285.50 |
$3,842.58
|
|
Pet CT skull-mid thgh initial
|
$2,494.00 |
$2,494.00 |
$2,494.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,494.00 |
$2,494.00 |
$2,494.00 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$8,320.00 |
$8,320.00 |
$8,320.00 |
$38,834.22
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$23.50 |
$23.50 |
$23.50 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$33.00 |
$33.00 |
$33.00 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$12.00 |
$12.00 |
$12.00 |
$33.30
|
|
Ph body fluid
|
$18.00 |
$18.00 |
$18.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$77.00 |
$77.00 |
$77.00 |
$96.00
|
|
Phenobarbital therapeutic drug level
|
$66.50 |
$66.50 |
$66.50 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.75 |
$0.75 |
$0.75 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$113.10 |
$113.10 |
$113.10 |
$110.88
|
|
Phlebotomy therapeutic
|
$120.00 |
$120.00 |
$120.00 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$285.50 |
$285.50 |
$285.50 |
$4,599.65
|
|
Phleb veins 1 extrm >20 stab
|
$353.00 |
$353.00 |
$353.00 |
$4,453.46
|
|
Phosphorus
|
$30.50 |
$30.50 |
$30.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$28.50 |
$28.50 |
$28.50 |
$41.51
|
|
Photopheresis
|
$102.00 |
$102.00 |
$102.00 |
$7,967.00
|
|
Phys blood bank serv reactj
|
$49.00 |
$49.00 |
$49.00 |
$207.50
|
|
Physician standby services
|
$59.50 |
$59.50 |
$59.50 |
$145.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$26.46 |
$26.46 |
$26.46 |
$87.50
|
|
Piflu f-18, dia 1 millicurie
|
$577.00 |
$577.00 |
$577.00 |
$1,035.81
|
|
Pin finger dislocation
|
$490.50 |
$490.50 |
$490.50 |
$3,839.54
|
|
Pin finger fracture each
|
$3,855.00 |
$3,855.00 |
$3,855.00 |
$4,115.40
|
|
Pin hand dislocation
|
$537.00 |
$537.00 |
$537.00 |
$3,839.54
|
|
Pin knuckle dislocation
|
$488.50 |
$488.50 |
$488.50 |
$3,839.54
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$6.06 |
$6.06 |
$6.06 |
$83.03
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$517.50 |
$517.50 |
$517.50 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$91.50 |
$91.50 |
$91.50 |
$1,332.43
|
|
Placement of seton
|
$129.00 |
$129.00 |
$129.00 |
$3,845.10
|
|
Place right device/marker pros
|
$1,477.67 |
$1,477.67 |
$1,477.67 |
$2,195.93
|
|
Place slctv cath subclavian art
|
$356.00 |
$356.00 |
$356.00 |
$6,325.00
|
|
Platelet aggregation each agent teg
|
$34.00 |
$34.00 |
$34.00 |
$148.80
|
|
Platelet automated
|
$18.50 |
$18.50 |
$18.50 |
$45.60
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$1,004.00
|
|
Plcmnt biliary drainage cath w/img ext
|
$284.00 |
$284.00 |
$284.00 |
$4,482.60
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$218.00 |
$218.00 |
$218.00 |
$6,927.20
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$665.00 |
$665.00 |
$665.00 |
$1,230.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$43.50 |
$43.50 |
$43.50 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$354.50 |
$354.50 |
$354.50 |
$405.00
|
|
Plmt biliary drainage cath
|
$398.00 |
$398.00 |
$398.00 |
$4,762.80
|
|
Pm device progr eval dual
|
$39.00 |
$39.00 |
$39.00 |
$148.00
|
|
Pm device progr eval multi
|
$41.50 |
$41.50 |
$41.50 |
$139.00
|
|
Pmp22 gene dup/delet
|
$995.00 |
$995.00 |
$995.00 |
$1,029.75
|
|
#pnh-flow cytometry interp
|
$36.50 |
$36.50 |
$36.50 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$81.50 |
$81.50 |
$81.50 |
$187.32
|
|
Positional nystagmus test
|
$26.50 |
$26.50 |
$26.50 |
$73.50
|
|
Postpartum Care Only
|
$194.50 |
$194.50 |
$194.50 |
$364.80
|
|
Potassium 24 hour urine
|
$30.50 |
$30.50 |
$30.50 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$9.00 |
$9.00 |
$9.00 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$30.50 |
$30.50 |
$30.50 |
$46.75
|
|
Pq dr cath chg w cont s&i
|
$39.00 |
$39.00 |
$39.00 |
$720.00
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$4,702.00 |
$4,702.00 |
$4,702.00 |
$9,977.57
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$2,925.65
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,039.00 |
$3,039.00 |
$3,039.00 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$3,039.00 |
$3,039.00 |
$3,039.00 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$743.00 |
$743.00 |
$743.00 |
$3,738.90
|
|
Pr application of long arm splint
|
$350.50 |
$350.50 |
$350.50 |
$329.00
|
|
Pr application splint static short arm
|
$287.50 |
$287.50 |
$287.50 |
$287.70
|
|
Pr assessment emotional/behavioral per instrument brief
|
$142.00 |
$142.00 |
$142.00 |
$46.45
|
|
Pr biopsy skin punch single lesion
|
$2,057.50 |
$2,057.50 |
$2,057.50 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$655.00 |
$655.00 |
$655.00 |
$10,090.50
|
|
Pr correction hammertoe
|
$5,323.50 |
$5,323.50 |
$5,323.50 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$49.00 |
$49.00 |
$49.00 |
$46.56
|
|
Prcrd drg 0-5yr or w/anomly
|
$308.00 |
$308.00 |
$308.00 |
$2,022.35
|
|
Prcrd drg 6+yr without anomly
|
$261.50 |
$261.50 |
$261.50 |
$2,253.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$3,170.50 |
$3,170.50 |
$3,170.50 |
$5,212.80
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$195.50 |
$195.50 |
$195.50 |
$351.60
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$141.00 |
$141.00 |
$141.00 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$123.50 |
$123.50 |
$123.50 |
$182.65
|
|
Prealbumin
|
$51.50 |
$51.50 |
$51.50 |
$93.36
|
|
Pr ecg 12 lead report only
|
$9.00 |
$9.00 |
$9.00 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$19.50 |
$19.50 |
$19.50 |
$60.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.92 |
$0.92 |
$0.92 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.07 |
$1.07 |
$1.07 |
$3.00
|
|
Pregabalin - sendout
|
$85.00 |
$85.00 |
$85.00 |
$74.75
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$2,246.75
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$437.50 |
$437.50 |
$437.50 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$437.50 |
$437.50 |
$437.50 |
$539.37
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$144.00 |
$144.00 |
$144.00 |
$141.00
|
|
Prenatal Care Only (4-6 visits)
|
$473.00 |
$473.00 |
$473.00 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$869.50 |
$869.50 |
$869.50 |
$1,143.04
|
|
Prep corneal endo allograft
|
$121.00 |
$121.00 |
$121.00 |
$1,484.00
|
|
Prep skin to 100cm2 other
|
$574.00 |
$574.00 |
$574.00 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$241.50 |
$241.50 |
$241.50 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$50.50 |
$50.50 |
$50.50 |
$1,018.50
|
|
Pretreat rbc w chem/drugs reference
|
$19.00 |
$19.00 |
$19.00 |
$112.20
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$204.50 |
$204.50 |
$204.50 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$25.50 |
$25.50 |
$25.50 |
$77.18
|
|
Prev med cnsl indiv apprx 30
|
$48.50 |
$48.50 |
$48.50 |
$116.00
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$159.50 |
$159.50 |
$159.50 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,011.50 |
$3,011.50 |
$3,011.50 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,368.50 |
$1,368.50 |
$1,368.50 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$758.00 |
$758.00 |
$758.00 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$1,465.50 |
$1,465.50 |
$1,465.50 |
$3,336.80
|
|
Prgrmg dev eval pm/ldls pm
|
$31.50 |
$31.50 |
$31.50 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$25.50 |
$25.50 |
$25.50 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$41.50 |
$41.50 |
$41.50 |
$157.00
|
|
Prgrmg eval implantable dfb
|
$56.50 |
$56.50 |
$56.50 |
$181.35
|
|
Prgrmg eval implantable dfb
|
$64.50 |
$64.50 |
$64.50 |
$205.40
|
