|
Plcmnt biliary drainage cath w/img ext
|
$2,557.50 |
$2,557.50 |
$2,557.50 |
$4,650.08
|
|
Plcmnt stent transcath ctrl dialysis seg add-on
|
$5,340.50 |
$5,340.50 |
$5,340.50 |
$8,054.72
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$3,809.30 |
$3,809.30 |
$3,809.30 |
$5,333.44
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$4,925.25 |
$4,925.25 |
$4,925.25 |
$6,048.00
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,428.35 |
$1,428.35 |
$1,428.35 |
$1,292.45
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,242.45 |
$1,242.45 |
$1,242.45 |
$878.22
|
|
Plc pq device breast ea addl lesion MRI guide
|
$451.55 |
$451.55 |
$451.55 |
$1,505.60
|
|
Plc pq device breast ea addl lesion stereo guide
|
$366.85 |
$366.85 |
$366.85 |
$818.55
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$156.75 |
$156.75 |
$156.75 |
$946.80
|
|
Plethysmography lung volumes/airway resistance
|
$299.20 |
$299.20 |
$299.20 |
$411.51
|
|
Plmt access bil tree sm bwl
|
$2,527.80 |
$2,527.80 |
$2,527.80 |
$4,661.80
|
|
Plmt biliary drainage cath
|
$2,557.50 |
$2,557.50 |
$2,557.50 |
$4,942.53
|
|
Plmt nephroureteral catheter
|
$3,359.40 |
$3,359.40 |
$3,359.40 |
$4,838.90
|
|
Plmt ureteral stent prq
|
$4,133.25 |
$4,133.25 |
$4,133.25 |
$5,419.00
|
|
Pm device progr eval dual
|
$248.05 |
$248.05 |
$248.05 |
$148.00
|
|
Pm device progr eval multi
|
$261.80 |
$261.80 |
$261.80 |
$160.55
|
|
Pmp22 gene full sequence
|
$112.75 |
$112.75 |
$112.75 |
$846.54
|
|
#pnh-flow cytometry interp
|
$322.85 |
$322.85 |
$322.85 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$96.25 |
$96.25 |
$96.25 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,472.15 |
$3,472.15 |
$3,472.15 |
$4,293.60
|
|
Potassium 24 hour urine
|
$39.60 |
$39.60 |
$39.60 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$26.40 |
$26.40 |
$26.40 |
$44.64
|
|
Pq biliary strict dil s&i
|
$1,234.75 |
$1,234.75 |
$1,234.75 |
$1,006.00
|
|
Pq dr cath chg w cont s&i
|
$537.90 |
$537.90 |
$537.90 |
$711.36
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$6,450.40 |
$6,450.40 |
$6,450.40 |
$10,430.78
|
|
Pq thr inj ext pse
|
$190.30 |
$190.30 |
$190.30 |
$872.61
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$4,394.50 |
$4,394.50 |
$4,394.50 |
$3,761.65
|
|
Pr application of long arm splint
|
$114.40 |
$114.40 |
$114.40 |
$332.75
|
|
Pr application splint static short arm
|
$114.40 |
$114.40 |
$114.40 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$279.40 |
$279.40 |
$279.40 |
$472.79
|
|
Prcrd drg 6+yr without anomly
|
$1,422.85 |
$1,422.85 |
$1,422.85 |
$2,708.85
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$277.20 |
$277.20 |
$277.20 |
$356.40
|
|
Prealbumin
|
$81.40 |
$81.40 |
$81.40 |
$87.20
|
|
Pregabalin - sendout
|
$140.25 |
$140.25 |
$140.25 |
$65.25
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$603.35 |
$603.35 |
$603.35 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$595.10 |
$595.10 |
$595.10 |
$541.45
|
|
Pressure max expiratory/inspiratory
|
$291.50 |
$291.50 |
$291.50 |
$253.00
|
|
Pressure velocity wire add ves
|
$897.60 |
$897.60 |
$897.60 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$119.35 |
$119.35 |
$119.35 |
$141.00
|
|
Pretreat rbc absorption reference
|
$119.35 |
$119.35 |
$119.35 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$168.85 |
$168.85 |
$168.85 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$132.55 |
$132.55 |
$132.55 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$73.70 |
$73.70 |
$73.70 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$169.95 |
$169.95 |
$169.95 |
$313.30
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$127.60 |
$127.60 |
$127.60 |
$178.57
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$106.70 |
$106.70 |
$106.70 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$309.10 |
$309.10 |
$309.10 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$573.65 |
$573.65 |
$573.65 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$194.15 |
$194.15 |
$194.15 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$257.40 |
$257.40 |
$257.40 |
$126.00
|
|
Prgrmg eval implantable dfb
|
$190.85 |
$190.85 |
$190.85 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$248.05 |
$248.05 |
$248.05 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$251.90 |
$251.90 |
$251.90 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$1,060.40 |
$1,060.40 |
$1,060.40 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$2,589.95 |
$2,589.95 |
$2,589.95 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$732.05 |
$732.05 |
$732.05 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$513.15 |
$513.15 |
$513.15 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$262.35 |
$262.35 |
$262.35 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$233.20 |
$233.20 |
$233.20 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$322.85 |
$322.85 |
$322.85 |
$615.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$214.50 |
$214.50 |
$214.50 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$157.30 |
$157.30 |
$157.30 |
$198.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$733.15 |
$733.15 |
$733.15 |
$277.60
|
|
Procalcitonin
|
$85.25 |
$85.25 |
$85.25 |
$144.10
|
|
Progesterone
|
$132.55 |
$132.55 |
$132.55 |
$105.00
|
|
Prolactin
|
$135.85 |
$135.85 |
$135.85 |
$127.50
|
|
_propoxygc/msur
|
$267.30 |
$267.30 |
$267.30 |
$104.00
|
|
Prostate biopsy, any mthd
|
$623.15 |
$623.15 |
$623.15 |
$492.80
|
|
Protein c activity
|
$132.55 |
$132.55 |
$132.55 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$101.20 |
$101.20 |
$101.20 |
$85.20
|
|
Protein s total
|
$134.20 |
$134.20 |
$134.20 |
$78.87
|
|
Protein total 24 hour urine
|
$38.50 |
$38.50 |
$38.50 |
$52.50
|
|
Protein total body fluid
|
$35.20 |
$35.20 |
$35.20 |
$52.57
|
|
Protein total serum plasma whole blood
|
$31.90 |
$31.90 |
$31.90 |
$42.81
|
|
Pr planning advance care 1st 30 minutes
|
$84.15 |
$84.15 |
$84.15 |
$135.80
|
|
Prq cardiac angio addl art
|
$6,541.15 |
$6,541.15 |
$6,541.15 |
$5,655.72
|
|
Prq card revasc mi 1 vsl
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$20,854.53
|
|
Prq card stent w/angio addl
|
$6,334.90 |
$6,334.90 |
$6,334.90 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$13,419.98
|
|
Prq tcat plmt ntrac st 1 les
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$9,458.90 |
$9,458.90 |
$9,458.90 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$8,578.90 |
$8,578.90 |
$8,578.90 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$14,834.05 |
$14,834.05 |
$14,834.05 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$199.10 |
$199.10 |
$199.10 |
$280.79
|
|
Pr removal intrauterine device
|
$127.05 |
$127.05 |
$127.05 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$181.50 |
$181.50 |
$181.50 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$394.90 |
$394.90 |
$394.90 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$458.70 |
$458.70 |
$458.70 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$331.10 |
$331.10 |
$331.10 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$391.60 |
$391.60 |
$391.60 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$914.10 |
$914.10 |
$914.10 |
$1,790.60
|
|
PSA (Prostate) Test
|
$101.75 |
$101.75 |
$101.75 |
$109.35
|
|
Psychotherapy patient individual therapy 30 minutes
|
$74.80 |
$74.80 |
$74.80 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$99.55 |
$99.55 |
$99.55 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$149.60 |
$149.60 |
$149.60 |
$294.45
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$148.50 |
$148.50 |
$148.50 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$148.50 |
$148.50 |
$148.50 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$141.35 |
$141.35 |
$141.35 |
$82.55
|
