|
Post seg spine instrument/3-6 seg 22842
|
$2,575.33 |
$3,099.50 |
$5,888.50 |
|
|
Potassium 24 hour urine
|
$14.00 |
$26.50 |
$108.00 |
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$9.00 |
$21.15 |
$72.45 |
|
|
Potassium serum/plasma/whole blood
|
$9.60 |
$30.00 |
$83.40 |
|
|
Pq biliary strict dil s&i
|
$1,093.00 |
$2,365.00 |
$2,365.00 |
|
|
Pq dr cath chg w cont s&i
|
$39.00 |
$99.00 |
$538.50 |
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$787.20 |
$5,800.50 |
$17,101.00 |
|
|
Pq thr inj ext pse
|
$503.00 |
$792.50 |
$4,599.00 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$344.80 |
$1,822.00 |
$6,954.50 |
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$711.20 |
$3,643.00 |
$6,881.00 |
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$669.60 |
$3,643.00 |
$5,505.50 |
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$743.00 |
$4,595.50 |
$11,894.76 |
|
|
Pr application of long arm splint
|
$156.00 |
$262.00 |
$623.00 |
|
|
Pr application splint static short arm
|
$152.50 |
$274.00 |
$396.00 |
|
|
Pr assessment emotional/behavioral per instrument brief
|
$4.50 |
$61.50 |
$226.50 |
|
|
Pr biopsy skin punch single lesion
|
$254.40 |
$714.50 |
$3,693.50 |
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$624.00 |
$6,784.67 |
$23,164.50 |
|
|
Pr correction hammertoe
|
$403.00 |
$5,323.50 |
$17,132.34 |
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$24.00 |
$43.20 |
$85.50 |
|
|
Prcrd drg 0-5yr or w/anomly
|
$303.50 |
$308.00 |
$4,018.00 |
|
|
Prcrd drg 6+yr without anomly
|
$258.50 |
$2,148.00 |
$6,388.50 |
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$160.50 |
$4,423.00 |
$16,421.67 |
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$122.50 |
$358.00 |
$3,843.50 |
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$84.50 |
$91.20 |
$141.00 |
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$118.80 |
$123.50 |
$192.00 |
|
|
Prealbumin
|
$19.20 |
$82.50 |
$122.40 |
|
|
Pr ecg 12 lead report only
|
$9.00 |
$15.20 |
$67.00 |
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$18.50 |
$31.20 |
$258.50 |
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$0.50 |
$1.33 |
$333.00 |
|
|
Prednisone 1 mg tablet
|
$1.07 |
$1.61 |
$51.39 |
|
|
Prefab stnlss steel crown pe
|
$7,081.00 |
$7,081.00 |
$7,081.00 |
|
|
Pregabalin - sendout
|
$5.00 |
$85.00 |
$103.00 |
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$329.60 |
$2,340.50 |
$4,861.50 |
|
|
Pregnancy associated plasma protein-a
|
$57.00 |
$57.00 |
$70.50 |
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$52.50 |
$445.00 |
$745.00 |
|
|
Pregnancy Ultrasound (first trimester)
|
$156.50 |
$452.00 |
$883.80 |
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$9.50 |
$104.00 |
$281.00 |
|
|
Prenatal Care Only (4-6 visits)
|
$44.50 |
$55.00 |
$1,189.00 |
|
|
Prenatal Care Only (7+ visits)
|
$9.50 |
$869.50 |
$2,046.50 |
|
|
Prepare fecal microbiota
|
$809.50 |
$809.50 |
$809.50 |
|
|
Prep corneal endo allograft
|
$121.00 |
$123.50 |
$1,890.33 |
|
|
Prepj tum cav iort prtl mast
|
$93.50 |
$93.50 |
$105.50 |
|
|
Prep skin to 100cm2 other
|
$389.50 |
$623.20 |
$6,594.17 |
|
|
Prep skin to 100cm2 trk/ext
|
$228.00 |
$840.00 |
$7,162.34 |
|
|
Prep skn trk/ext adl 100cm2
|
$47.50 |
$76.00 |
$2,936.92 |
|
|
Pressure max expiratory/inspiratory
|
$52.50 |
$322.50 |
$857.00 |
|
|
Pressure treatment esophagus
|
$209.50 |
$209.50 |
$224.00 |
|
|
Pressure velocity wire add ves
|
$580.00 |
$1,565.00 |
$4,142.00 |
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$55.00 |
$88.50 |
$131.50 |
|
|
Pretreat rbc absorption reference
|
$64.50 |
$103.00 |
$536.00 |
|
|
Pretreat rbc w chem/drugs reference
|
$19.00 |
$57.00 |
$199.50 |
|
|
Pretreat rbc w enzyme reference
|
$71.50 |
$118.50 |
$461.00 |
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$95.00 |
$204.50 |
$547.00 |
|
|
Preventive counseling group
|
$218.50 |
$218.50 |
$218.50 |
|
|
Preventive counseling group
|
$434.50 |
$434.50 |
$434.50 |
|
|
Prev med cnsl indiv apprx 15
|
$23.50 |
$29.50 |
$134.50 |
|
|
Prev med cnsl indiv apprx 30
|
$48.00 |
$48.50 |
$268.50 |
|
|
Prev med cnsl indiv apprx 45
|
$87.00 |
$400.50 |
$400.50 |
|
|
Prev med cnsl indiv apprx 60
|
$535.50 |
$535.50 |
$535.50 |
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$84.00 |
$159.00 |
$349.50 |
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$87.00 |
$1,904.00 |
$11,068.00 |
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,368.50 |
$1,898.50 |
$4,313.25 |
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$336.60 |
$1,099.00 |
$6,827.50 |
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$1,465.50 |
$1,501.00 |
$4,823.00 |
|
|
Prgrmg dev eval impltbl sys
|
$58.50 |
$58.50 |
$58.50 |
|
|
Prgrmg dev eval pm/ldls pm
|
$31.50 |
$43.00 |
$115.00 |
|
|
Prgrmg dev eval scrms ip
|
$25.50 |
$44.80 |
$115.00 |
|
|
Prgrmg eval implantable dfb
|
$41.50 |
$69.00 |
$154.50 |
|
|
Prgrmg eval implantable dfb
|
$42.00 |
$60.50 |
$306.00 |
|
|
Prgrmg eval implantable dfb
|
$45.50 |
$76.50 |
$180.50 |
|
|
Prgr stim/pace a/iv drug
|
$2,231.00 |
$4,389.50 |
$4,470.00 |
|
|
Pr hospital ip/obs care initial high level per day
|
$179.00 |
$226.50 |
$431.50 |
|
|
Pr hospital ip/obs care initial moderate level per day
|
$133.20 |
$189.00 |
$292.00 |
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$86.50 |
$91.00 |
$289.50 |
|
|
Pr hospital ip/obs care subsequent high level per day
|
$109.20 |
$129.00 |
$206.40 |
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$74.40 |
$86.00 |
$137.60 |
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$50.50 |
$54.00 |
$86.40 |
|
|
Prim art mech thrmbc non-intracranial
|
$5,843.50 |
$9,515.00 |
$21,145.00 |
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,269.54 |
$3,368.00 |
$13,723.00 |
|
|
Prin care mgmt staff 1st 30
|
$50.50 |
$54.00 |
$194.00 |
|
|
Pr incision & drainage abscess complicated/multiple
|
$404.50 |
$1,470.50 |
$9,012.00 |
|
|
Pr incision & drainage abscess simple/single
|
$264.50 |
$1,321.60 |
$5,138.00 |
|
|
Pr incision & drainage abscess vulva/perineal
|
$123.00 |
$462.50 |
$3,780.00 |
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$387.60 |
$1,421.50 |
$10,037.00 |
|
|
Pr management transitional care high w/in 7 days of discharge
|
$107.50 |
$206.00 |
$390.00 |
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$139.50 |
$168.50 |
$319.50 |
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$47.00 |
$166.50 |
$1,467.75 |
|
|
Pr neuroplasty and/or transposition ulnar nerve at elbow
|
$638.50 |
$2,411.50 |
$16,428.50 |
|
|
Probe cryo 1150mm endo flex ster disp
|
$2,350.50 |
$2,702.00 |
$6,682.50 |
|
|
Probe nasolacrimal duct
|
$122.00 |
$364.50 |
$694.00 |
|
|
Probe nasolacrimal duct
|
$1,980.00 |
$1,980.00 |
$8,705.00 |
|
|
Probe nasolacrimal duct
|
$2,187.00 |
$2,777.00 |
$4,643.00 |
|
|
Probe nl duct w/balloon
|
$1,287.00 |
$1,287.00 |
$6,098.25 |
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$135.07 |
$239.40 |
$351.32 |
|
|
Procalcitonin
|
$32.80 |
$130.50 |
$382.80 |
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$4.00 |
$6.86 |
$62.40 |
|
|
Prochlorperazine maleate 5 mg tablet
|
$0.82 |
$2.83 |
$5.66 |
|
|
Proctosigmoidoscopy control bleed 45317
|
$3,622.00 |
$3,622.00 |
$3,622.00 |
|
|
Proctosigmoidoscopy dilate 45303
|
$89.00 |
$146.40 |
$2,046.50 |
|
|
Proctosigmoidoscopy dx 45300
|
$51.00 |
$82.40 |
$1,961.00 |
|
