|
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
|
$617.50 |
$617.50 |
$617.50 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$231.50 |
$231.50 |
$231.50 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$47.50 |
$47.50 |
$47.50 |
$1,018.50
|
|
Pretreat rbc w chem/drugs reference
|
$30.50 |
$30.50 |
$30.50 |
$112.20
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$189.00 |
$189.00 |
$189.00 |
$297.00
|
|
Prev med cnsl indiv apprx 15
|
$24.00 |
$24.00 |
$24.00 |
$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
|
$248.00 |
$248.00 |
$248.00 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,139.00 |
$1,139.00 |
$1,139.00 |
$779.35
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$4,823.00 |
$4,823.00 |
$4,823.00 |
$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
|
$61.00 |
$61.00 |
$61.00 |
$205.40
|
|
Pr hospital ip/obs care initial high level per day
|
$188.50 |
$188.50 |
$188.50 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$142.50 |
$142.50 |
$142.50 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$91.00 |
$91.00 |
$91.00 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$129.00 |
$129.00 |
$129.00 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$86.00 |
$86.00 |
$86.00 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$54.00 |
$54.00 |
$54.00 |
$74.75
|
|
Prin care mgmt staff 1st 30
|
$50.50 |
$50.50 |
$50.50 |
$109.46
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,410.50 |
$1,410.50 |
$1,410.50 |
$696.00
|
|
Pr incision & drainage abscess simple/single
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$306.50 |
$306.50 |
$306.50 |
$539.80
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$586.80
|
|
Pr management transitional care high w/in 7 days of discharge
|
$300.00 |
$300.00 |
$300.00 |
$247.50
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$152.00 |
$152.00 |
$152.00 |
$195.53
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$170.50 |
$170.50 |
$170.50 |
$256.27
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$2,411.50 |
$2,411.50 |
$2,411.50 |
$4,154.01
|
|
Probe nasolacrimal duct
|
$128.00 |
$128.00 |
$128.00 |
$533.50
|
|
Probe nasolacrimal duct
|
$2,187.00 |
$2,187.00 |
$2,187.00 |
$2,902.77
|
|
Procalcitonin
|
$111.00 |
$111.00 |
$111.00 |
$161.11
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$4.35 |
$4.35 |
$4.35 |
$36.72
|
|
Prochlorperazine maleate 5 mg tablet
|
$3.33 |
$3.33 |
$3.33 |
$1.50
|
|
Proctosigmoidoscopy dilate 45303
|
$89.00 |
$89.00 |
$89.00 |
$2,326.40
|
|
Proctosigmoidoscopy dx 45300
|
$51.00 |
$51.00 |
$51.00 |
$1,078.88
|
|
Proctosigmoidoscopy removal
|
$91.00 |
$91.00 |
$91.00 |
$3,481.77
|
|
Proctosigmoidoscopy removal
|
$96.50 |
$96.50 |
$96.50 |
$1,395.28
|
|
Proctosigmoidoscopy tumor removal 45315
|
$114.50 |
$114.50 |
$114.50 |
$1,395.28
|
|
Proctosigmoidoscopy w/bx 45305
|
$76.50 |
$76.50 |
$76.50 |
$1,395.28
|
|
Proctosigmoidoscopy w/fb remove 45307
|
$108.00 |
$108.00 |
$108.00 |
$3,245.23
|
|
Progesterone
|
$146.00 |
$146.00 |
$146.00 |
$115.64
|
|
Prolactin
|
$68.00 |
$68.00 |
$68.00 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$43.00 |
$43.00 |
$43.00 |
$63.00
|
|
Prolng off/op e/m ea 15 min 99417
|
$85.50 |
$85.50 |
$85.50 |
$61.10
|
|
Prolong service without contact
|
$91.00 |
$91.00 |
$91.00 |
$165.20
|
|
Prolong serv without contact add
|
$37.50 |
$37.50 |
$37.50 |
$81.20
|
|
Promethazine 25 mg tablet
|
$0.75 |
$0.75 |
$0.75 |
$4.06
|
|
Promethazine hcl injection
|
$5.50 |
$5.50 |
$5.50 |
$12.96
|
|
Proph rta dtchmnt pc
|
$214.00 |
$214.00 |
$214.00 |
$948.50
|
|
Propofol infusion 10 mg/ml
|
$37.35 |
$37.35 |
$37.35 |
$73.36
|
|
_propoxygc/msur
|
$132.00 |
$132.00 |
$132.00 |
$96.85
|
|
Prostate biopsy, any mthd
|
$175.50 |
$175.50 |
$175.50 |
$481.77
|
|
Prostate ca screening; dre
|
$9.00 |
$9.00 |
$9.00 |
$29.16
|
|
Prostatectomy (turp)
|
$760.50 |
$760.50 |
$760.50 |
$6,999.96
|
|
Prostate laser enucleation
|
$860.50 |
$860.50 |
$860.50 |
$6,311.00
|
|
Prostatic microwave thermotx
|
$370.00 |
$370.00 |
$370.00 |
$4,081.37
|
|
Protein c activity
|
$177.50 |
$177.50 |
$177.50 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$74.50 |
$74.50 |
$74.50 |
$84.00
|
|
Protein total 24 hour urine
|
$10.00 |
$10.00 |
$10.00 |
$52.50
|
|
Protein total body fluid
|
$31.00 |
$31.00 |
$31.00 |
$49.80
|
|
Protein total serum plasma whole blood
|
$55.50 |
$55.50 |
$55.50 |
$42.81
|
|
Prothrombin complex kcentra
|
$11,322.00 |
$11,322.00 |
$11,322.00 |
$7.40
|
|
Prothrombin time substitution plasma fractions each
|
$21.00 |
$21.00 |
$21.00 |
$41.50
|
|
Prp i/hern init block >5 yr
|
$3,594.50 |
$3,594.50 |
$3,594.50 |
$4,176.15
|
|
Pr planning advance care 1st 30 minutes
|
$97.50 |
$97.50 |
$97.50 |
$121.00
|
|
Pr prolonged e&m service office outpatient each 15 minutes (g2212)
|
$35.50 |
$35.50 |
$35.50 |
$52.00
|
|
Prq skel fix sprcndlr hum fx
|
$827.00 |
$827.00 |
$827.00 |
$6,990.61
|
|
Pr removal drug delivery implant
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$158.50 |
$158.50 |
$158.50 |
$251.43
|
|
Pr removal intrauterine device
|
$392.50 |
$392.50 |
$392.50 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$515.67 |
$515.67 |
$515.67 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$236.50 |
$236.50 |
$236.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$242.50 |
$242.50 |
$242.50 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$242.50 |
$242.50 |
$242.50 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$253.50 |
$253.50 |
$253.50 |
$396.00
|
|
Pr robotic surgical system
|
$131.00 |
$131.00 |
$131.00 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$748.50 |
$748.50 |
$748.50 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$41.00 |
$41.00 |
$41.00 |
$71.40
|
|
Prtl exc bone olecrn process
|
$664.50 |
$664.50 |
$664.50 |
$3,208.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,720.00 |
$3,720.00 |
$3,720.00 |
$1,720.93
|
|
Pr visit complexity e&m service serious/complex condition
|
$18.00 |
$18.00 |
$18.00 |
$27.30
|
|
PSA (Prostate) Test
|
$89.50 |
$89.50 |
$89.50 |
$107.50
|
|
Psychoanalysis
|
$94.00 |
$94.00 |
$94.00 |
$250.85
|
|
Psychotherapy patient individual therapy 30 minutes
|
$74.00 |
$74.00 |
$74.00 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$98.00 |
$98.00 |
$98.00 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$189.00 |
$189.00 |
$189.00 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$114.50 |
$114.50 |
$114.50 |
$316.50
|
|
Psytx pt w/e&m 16-37 min
|
$69.50 |
$69.50 |
$69.50 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$95.50 |
$95.50 |
$95.50 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$189.00 |
$189.00 |
$189.00 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$71.50 |
$71.50 |
$71.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$18.50 |
$18.50 |
$18.50 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$49.50 |
$49.50 |
$49.50 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$49.50 |
$49.50 |
$49.50 |
$81.00
|