|
Parial mast w/lymph removal 19302
|
$1,365.15 |
$1,365.15 |
$1,365.15 |
$5,428.78
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$207.48 |
$207.48 |
$207.48 |
$270.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$842.46 |
$842.46 |
$842.46 |
$3,881.50
|
|
Partial hip replacement
|
$1,927.17 |
$1,927.17 |
$1,927.17 |
$5,574.40
|
|
Partial removal foot fascia
|
$594.51 |
$594.51 |
$594.51 |
$3,839.54
|
|
Partial removal of foot bone
|
$668.61 |
$668.61 |
$668.61 |
$3,839.54
|
|
Partial removal of thyroid
|
$1,412.46 |
$1,412.46 |
$1,412.46 |
$6,311.00
|
|
Partial removal of ulna
|
$610.47 |
$610.47 |
$610.47 |
$3,839.54
|
|
Part removal of metatarsal
|
$466.83 |
$466.83 |
$466.83 |
$3,795.71
|
|
Part removal of metatarsal
|
$691.41 |
$691.41 |
$691.41 |
$2,942.23
|
|
Passy muir valve metal trach
|
$245.10 |
$245.10 |
$245.10 |
$242.47
|
|
Path clin consltj high 41-60
|
$278.16 |
$278.16 |
$278.16 |
$187.28
|
|
Path clin consltj mod 21-40
|
$278.16 |
$278.16 |
$278.16 |
$192.11
|
|
Path clin consltj sf 5-20
|
$88.35 |
$88.35 |
$88.35 |
$82.15
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$957.24 |
$957.24 |
$957.24 |
$11,569.18
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$622.70 |
$622.70 |
$622.70 |
$4,749.07
|
|
Pelvic CT scan (with contrast)
|
$823.08 |
$823.08 |
$823.08 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$609.90 |
$609.90 |
$609.90 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,014.38 |
$2,014.38 |
$2,014.38 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$1,411.32 |
$1,411.32 |
$1,411.32 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$607.05 |
$607.05 |
$607.05 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$470.25 |
$470.25 |
$470.25 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$93.73 |
$93.73 |
$93.73 |
$13,809.00
|
|
Peng benzathine/procaine inj
|
$17.10 |
$17.10 |
$17.10 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$21.66 |
$21.66 |
$21.66 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$6.63 |
$6.63 |
$6.63 |
$90.35
|
|
Penicillin g procaine inj
|
$42.75 |
$42.75 |
$42.75 |
$47.19
|
|
Penile injection
|
$302.10 |
$302.10 |
$302.10 |
$418.00
|
|
Peripheral vascular rehab
|
$93.48 |
$93.48 |
$93.48 |
$128.69
|
|
Pertuzumab 30 mg/ml desensitization
|
$28.59 |
$28.59 |
$28.59 |
$15,007.91
|
|
Pet CT skull-mid thgh initial
|
$3,064.32 |
$3,064.32 |
$3,064.32 |
$4,854.75
|
|
Pet CT whole body initial
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$2,107.29 |
$2,107.29 |
$2,107.29 |
$3,559.05
|
|
Phalangectomy ea toe 28150
|
$453.15 |
$453.15 |
$453.15 |
$3,591.33
|
|
Ph body fluid
|
$17.67 |
$17.67 |
$17.67 |
$39.20
|
|
Phencyclidine (pcp)
|
$59.28 |
$59.28 |
$59.28 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$82.00 |
$82.00 |
$82.00 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$41.04 |
$41.04 |
$41.04 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$13.24 |
$13.24 |
$13.24 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$1.71 |
$1.71 |
$1.71 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$63.84 |
$63.84 |
$63.84 |
$111.27
|
|
Phlebotomy therapeutic
|
$345.99 |
$345.99 |
$345.99 |
$249.00
|
|
Phosphorus
|
$22.80 |
$22.80 |
$22.80 |
$47.81
|
|
Phosphorus 24 hour urine
|
$24.51 |
$24.51 |
$24.51 |
$42.81
|
|
Phys blood bank serv authrj
|
$88.35 |
$88.35 |
$88.35 |
$97.60
|
|
Phys blood bank serv reactj
|
$278.16 |
$278.16 |
$278.16 |
$219.94
|
|
Phys blood bank serv xmatch
|
$48.45 |
$48.45 |
$48.45 |
$56.08
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$12.20 |
$12.20 |
$12.20 |
$92.07
|
|
Pin finger fracture each
|
$465.69 |
$465.69 |
$465.69 |
$3,910.33
|
|
Pinworm exam
|
$17.10 |
$17.10 |
$17.10 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$8.50 |
$8.50 |
$8.50 |
$101.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,268.03 |
$2,268.03 |
$2,268.03 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,268.03 |
$2,268.03 |
$2,268.03 |
$1,372.15
|
|
Placement of seton
|
$335.16 |
$335.16 |
$335.16 |
$3,375.00
|
|
Platelet aggregation each agent teg
|
$75.81 |
$75.81 |
$75.81 |
$147.96
|
|
Platelet automated
|
$17.67 |
$17.67 |
$17.67 |
$44.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,122.33 |
$1,122.33 |
$1,122.33 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$560.88 |
$560.88 |
$560.88 |
$878.22
|
|
Plethysmography lung volumes/airway resistance
|
$171.00 |
$171.00 |
$171.00 |
$411.51
|
|
Pm device progr eval dual
|
$70.11 |
$70.11 |
$70.11 |
$148.00
|
|
Pm device progr eval multi
|
$83.79 |
$83.79 |
$83.79 |
$160.55
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$70.68 |
$70.68 |
$70.68 |
$173.00
|
|
Polysom <6 yrs cpap/bilvl
|
$1,874.73 |
$1,874.73 |
$1,874.73 |
$3,928.40
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,268.16 |
$4,268.16 |
$4,268.16 |
$4,293.60
|
|
Postpartum Care Only
|
$221.16 |
$221.16 |
$221.16 |
$501.60
|
|
Potassium 24 hour urine
|
$20.52 |
$20.52 |
$20.52 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$1.96 |
$1.96 |
$1.96 |
$76.40
|
|
Potassium serum/plasma/whole blood
|
$17.67 |
$17.67 |
$17.67 |
$44.64
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$16,506.06 |
$16,506.06 |
$16,506.06 |
$10,430.78
|
|
Pr application of long arm splint
|
$305.52 |
$305.52 |
$305.52 |
$332.75
|
|
Pr application splint static short arm
|
$305.52 |
$305.52 |
$305.52 |
$301.60
|
|
Pr assessment emotional/behavioral per instrument brief
|
$35.34 |
$35.34 |
$35.34 |
$44.67
|
|
Pr biopsy skin punch single lesion
|
$310.65 |
$310.65 |
$310.65 |
$472.79
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$821.37 |
$821.37 |
$821.37 |
$6,727.70
|
|
Pr correction hammertoe
|
$548.34 |
$548.34 |
$548.34 |
$3,839.54
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$58.14 |
$58.14 |
$58.14 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$305.52 |
$305.52 |
$305.52 |
$356.40
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$141.93 |
$141.93 |
$141.93 |
$148.00
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$208.05 |
$208.05 |
$208.05 |
$209.60
|
|
Prealbumin
|
$76.38 |
$76.38 |
$76.38 |
$87.20
|
|
Pr ecg 12 lead report only
|
$25.65 |
$25.65 |
$25.65 |
$19.20
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$68.40 |
$68.40 |
$68.40 |
$63.35
|
|
Prednisone 1 mg tablet
|
$0.71 |
$0.71 |
$0.71 |
$3.41
|
|
Pregabalin - sendout
|
$99.18 |
$99.18 |
$99.18 |
$65.25
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$534.66 |
$534.66 |
$534.66 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$431.49 |
$431.49 |
$431.49 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$352.26 |
$352.26 |
$352.26 |
$541.45
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$205.20 |
$205.20 |
$205.20 |
$167.25
|
|
Prenatal Care Only (7+ visits)
|
$1,780.11 |
$1,780.11 |
$1,780.11 |
$1,672.80
|
|
Prep skin to 100cm2 trk/ext
|
$350.55 |
$350.55 |
$350.55 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$84.93 |
$84.93 |
$84.93 |
$1,018.50
|
|
Pretreat rbc absorption reference
|
$52.44 |
$52.44 |
$52.44 |
$138.60
|
|
Pretreat rbc w chem/drugs reference
|
$57.00 |
$57.00 |
$57.00 |
$106.00
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$377.34 |
$377.34 |
$377.34 |
$313.30
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$91.77 |
$91.77 |
$91.77 |
$178.57
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$2,106.15 |
$2,106.15 |
$2,106.15 |
$1,908.09
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$535.80 |
$535.80 |
$535.80 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$58.71 |
$58.71 |
$58.71 |
$139.10
|
|
Prgrmg eval implantable dfb
|
$80.37 |
$80.37 |
$80.37 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$122.55 |
$122.55 |
$122.55 |
$172.33
|
