|
Platelets pheresis leukocytes reduced each unit
|
$260.15 |
$260.15 |
$1,186.67 |
$1,176.80
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$386.65 |
$386.65 |
$386.65 |
$1,288.20
|
|
Plcmnt biliary drainage cath w/img ext
|
$3,808.20 |
$3,808.20 |
$5,541.88 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$3,511.20 |
$3,511.20 |
$12,754.00 |
$6,927.20
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$5,709.86 |
$5,709.86 |
$8,923.20 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$6,089.51 |
$6,089.51 |
$12,536.70 |
$5,649.04
|
|
Plcmt dlyd xtn pros 1st vsl
|
$10,328.98 |
$10,328.98 |
$17,992.70 |
$3,793.50
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,318.35 |
$1,318.35 |
$3,495.21 |
$1,236.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$308.55 |
$308.55 |
$3,495.21 |
$759.55
|
|
Plcmt xtn pros evasc rpr per vsl
|
$3,456.75 |
$3,456.75 |
$10,328.98 |
$3,572.00
|
|
Plc pq device breast ea addl lesion MRI guide
|
$250.80 |
$250.80 |
$250.80 |
$1,300.20
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$260.15 |
$260.15 |
$260.15 |
$758.52
|
|
Plethysmography lung volumes/airway resistance
|
$318.08 |
$318.08 |
$318.08 |
$416.96
|
|
Pleurectomy parietal ; separate 32310
|
$4,965.60 |
$4,965.60 |
$4,965.60 |
$2,222.40
|
|
Plmt access bil tree sm bwl
|
$5,277.99 |
$5,277.99 |
$6,408.05 |
$4,687.50
|
|
Plmt biliary drainage cath
|
$5,379.00 |
$5,379.00 |
$5,541.88 |
$4,799.10
|
|
Plmt nephroureteral catheter
|
$3,651.58 |
$3,651.58 |
$6,328.85 |
$4,220.74
|
|
Plmt ureteral stent prq
|
$5,437.95 |
$5,437.95 |
$10,185.45 |
$5,194.80
|
|
Pm device progr eval dual
|
$162.25 |
$162.25 |
$507.80 |
$153.00
|
|
Pm device progr eval multi
|
$194.15 |
$194.15 |
$522.44 |
$139.10
|
|
Pmp22 gene dup/delet
|
$986.40 |
$986.40 |
$986.40 |
$1,029.75
|
|
Pmp22 gene full sequence
|
$986.40 |
$986.40 |
$986.40 |
$986.40
|
|
Pm phone r-strip device eval
|
$128.70 |
$128.70 |
$546.94 |
$139.10
|
|
Pms2 gene full seq analysis
|
$1,129.60 |
$1,129.60 |
$1,129.60 |
$1,002.60
|
|
Pms2 known familial variants
|
$540.00 |
$540.00 |
$540.00 |
$540.00
|
|
#pnh-flow cytometry interp
|
$210.40 |
$210.40 |
$210.40 |
$123.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$187.00 |
$187.00 |
$226.79 |
$187.00
|
|
Polysom <6 yrs cpap/bilvl
|
$3,941.30 |
$3,941.30 |
$5,215.20 |
$3,557.58
|
|
Polysom any age 1-3> param
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$1,581.91
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,132.80 |
$2,132.80 |
$4,385.70 |
$3,804.00
|
|
Positional nystagmus test
|
$273.90 |
$273.90 |
$273.90 |
$73.50
|
|
Post non-seg/spine instrumentation 22840
|
$3,884.00 |
$3,884.00 |
$3,884.00 |
$1,831.20
|
|
Postop app non-wgt bear dsg
|
$208.00 |
$208.00 |
$208.00 |
$977.13
|
|
Postop dress & 1 cast chg bk
|
$208.00 |
$208.00 |
$208.00 |
$2,533.77
|
|
Postpartum Care Only
|
$467.20 |
$467.20 |
$467.20 |
$364.80
|
|
Post seg spine instrument/3-6 seg 22842
|
$3,884.00 |
$3,884.00 |
$3,884.00 |
$1,837.60
|
|
Potassium 24 hour urine
|
$58.77 |
$58.77 |
$58.85 |
$50.70
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$24.54 |
$24.54 |
$24.54 |
$61.80
|
|
Potassium serum/plasma/whole blood
|
$39.05 |
$39.05 |
$62.44 |
$47.80
|
|
Pq biliary strict dil s&i
|
$3,830.93 |
$3,830.93 |
$3,830.93 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$674.30 |
$674.30 |
$800.44 |
$724.68
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$6,853.00 |
$6,853.00 |
$16,339.28 |
$10,203.30
|
|
Pq thr inj ext pse
|
$410.30 |
$410.30 |
$1,780.28 |
$792.50
|
|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$2,384.80 |
$2,384.80 |
$3,531.27 |
$2,975.00
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$3,531.00 |
$3,531.00 |
$6,725.02 |
$4,675.78
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,010.05 |
$4,010.05 |
$7,061.28 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,706.90 |
$4,706.90 |
$6,708.28 |
$3,738.90
|
|
Pr application of long arm splint
|
$448.25 |
$448.25 |
$477.58 |
$334.20
|
|
Pr application splint static short arm
|
$184.00 |
$184.00 |
$400.40 |
$288.75
|
|
Pr assessment emotional/behavioral per instrument brief
|
$78.40 |
$78.40 |
$78.40 |
$51.12
|
|
Pr biopsy skin punch single lesion
|
$415.80 |
$415.80 |
$1,705.18 |
$458.25
|
|
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method
|
$14,798.40 |
$14,798.40 |
$14,798.40 |
$6,653.00
|
|
Pr correction hammertoe
|
$6,596.00 |
$6,596.00 |
$6,596.00 |
$4,028.00
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$34.10 |
$34.10 |
$129.34 |
$48.10
|
|
Prcrd drg 0-5yr or w/anomly
|
$1,323.85 |
$1,323.85 |
$6,028.54 |
$2,157.55
|
|
Prcrd drg 6+yr without anomly
|
$1,323.85 |
$1,323.85 |
$6,028.54 |
$2,260.00
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$4,139.30 |
$4,139.30 |
$5,197.60 |
$5,262.80
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$320.74 |
$320.74 |
$320.74 |
$130.40
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$364.80 |
$364.80 |
$364.80 |
$178.75
|
|
Prealbumin
|
$119.35 |
$119.35 |
$120.80 |
$93.98
|
|
Pr ecg 12 lead report only
|
$114.40 |
$114.40 |
$114.40 |
$20.40
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$433.60 |
$433.60 |
$433.60 |
$51.75
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$13.60 |
$13.60 |
$13.60 |
$13.80
|
|
Prednisone 1 mg tablet
|
$2.40 |
$2.40 |
$2.40 |
$2.88
|
|
Pregabalin - sendout
|
$68.75 |
$68.75 |
$156.00 |
$76.70
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$3,050.85 |
$3,050.85 |
$6,421.99 |
$2,334.15
|
|
Pregnancy associated plasma protein-a
|
$30.80 |
$30.80 |
$185.64 |
$70.85
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,271.60 |
$1,271.60 |
$1,415.87 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$778.25 |
$778.25 |
$1,047.83 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$677.05 |
$677.05 |
$919.47 |
$459.00
|
|
Pr e&m preventive medicine initial comprehensive new patient 12-17 years
|
$316.00 |
$316.00 |
$316.00 |
$149.50
|
|
Prenatal Care Only (4-6 visits)
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$613.78
|
|
Prenatal Care Only (7+ visits)
|
$2,235.20 |
$2,235.20 |
$2,235.20 |
$1,143.04
|
|
Preparation palate mold
|
$525.60 |
$525.60 |
$525.60 |
$602.63
|
|
Prepare fecal microbiota
|
$1,519.20 |
$1,519.20 |
$1,519.20 |
$425.60
|
|
Prepare heart-aorta conduit
|
$20,288.00 |
$20,288.00 |
$20,288.00 |
$2,509.83
|
|
Prep skin to 100cm2 other
|
$3,127.20 |
$3,127.20 |
$3,127.20 |
$1,193.40
|
|
Prep skin to 100cm2 trk/ext
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$2,172.00
|
|
Prep skn trk/ext adl 100cm2
|
$209.60 |
$209.60 |
$209.60 |
$1,100.06
|
|
Pressure max expiratory/inspiratory
|
$253.00 |
$253.00 |
$264.22 |
$243.75
|
|
Pressure treatment esophagus
|
$914.40 |
$914.40 |
$914.40 |
$2,035.50
|
|
Pressure velocity wire add ves
|
$1,384.35 |
$1,384.35 |
$5,329.40 |
$1,636.60
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$79.75 |
$79.75 |
$453.64 |
$162.00
|
|
Pretreat rbc absorption reference
|
$130.33 |
$130.33 |
$182.05 |
$150.00
|
|
Pretreat rbc density gradient separation reference
|
$128.24 |
$128.24 |
$145.20 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$66.00 |
$66.00 |
$102.91 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$56.10 |
$56.10 |
$253.08 |
$168.50
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$134.20 |
$134.20 |
$629.59 |
$308.00
|
|
Preventive counseling group
|
$99.20 |
$99.20 |
$99.20 |
$29.60
|
|
Preventive counseling group
|
$167.20 |
$167.20 |
$167.20 |
$44.80
|
|
Prev med cnsl indiv apprx 15
|
$196.80 |
$196.80 |
$196.80 |
$74.88
|
|
Prev med cnsl indiv apprx 30
|
$221.60 |
$221.60 |
$221.60 |
$116.00
|
|
Prev med cnsl indiv apprx 45
|
$294.40 |
$294.40 |
$294.40 |
$175.68
|
|
Prev med cnsl indiv apprx 60
|
$380.80 |
$380.80 |
$380.80 |
$209.40
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$263.20 |
$263.20 |
$263.20 |
$188.86
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$5,073.45 |
$5,073.45 |
$5,073.45 |
$1,917.33
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,862.40 |
$1,862.40 |
$1,862.40 |
$2,271.01
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$805.20 |
$805.20 |
$2,067.82 |
$788.40
|
|
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury
|
$5,716.00 |
$5,716.00 |
$5,716.00 |
$3,336.80
|
|
Prgrmg dev eval impltbl sys
|
$113.92 |
$113.92 |
$185.35 |
$130.00
|
