|
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl
|
$4,516.60 |
$4,516.60 |
$4,516.60 |
$2,725.56
|
|
Pq vrtbrplst 1 bdy inj crv-thr w/img ini
|
$4,538.60 |
$4,538.60 |
$4,538.60 |
$4,565.03
|
|
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini
|
$4,538.60 |
$4,538.60 |
$4,538.60 |
$4,811.54
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$3,223.00 |
$3,223.00 |
$3,223.00 |
$3,761.65
|
|
Pr application of long arm splint
|
$314.60 |
$314.60 |
$314.60 |
$332.75
|
|
Pr application splint static short arm
|
$285.45 |
$285.45 |
$285.45 |
$301.60
|
|
Pr biopsy skin punch single lesion
|
$591.80 |
$591.80 |
$591.80 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$30.80 |
$30.80 |
$30.80 |
$48.71
|
|
Prcrd drg 6+yr without anomly
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$2,708.85
|
|
Pr cystourethroscopy with insertion indwelling ureteral stent
|
$834.24 |
$834.24 |
$834.24 |
$4,555.88
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$278.85 |
$278.85 |
$278.85 |
$356.40
|
|
Prealbumin
|
$69.30 |
$69.30 |
$69.30 |
$87.20
|
|
Pregabalin - sendout
|
$188.65 |
$188.65 |
$188.65 |
$65.25
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,156.65 |
$1,156.65 |
$1,156.65 |
$2,363.79
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$460.90 |
$460.90 |
$460.90 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$460.90 |
$460.90 |
$460.90 |
$541.45
|
|
Pressure max expiratory/inspiratory
|
$397.65 |
$397.65 |
$397.65 |
$253.00
|
|
Pressure velocity wire add ves
|
$1,416.80 |
$1,416.80 |
$1,416.80 |
$1,595.78
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$226.05 |
$226.05 |
$226.05 |
$141.00
|
|
Pretreat rbc absorption reference
|
$136.40 |
$136.40 |
$136.40 |
$138.60
|
|
Pretreat rbc density gradient separation reference
|
$226.05 |
$226.05 |
$226.05 |
$189.84
|
|
Pretreat rbc w chem/drugs reference
|
$446.60 |
$446.60 |
$446.60 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$446.60 |
$446.60 |
$446.60 |
$166.10
|
|
Pr evaluation psychiatric diagnostic w/medical services
|
$195.80 |
$195.80 |
$195.80 |
$313.30
|
|
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment
|
$175.75 |
$175.75 |
$175.75 |
$142.76
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$3,407.80 |
$3,407.80 |
$3,407.80 |
$1,908.09
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$3,292.30 |
$3,292.30 |
$3,292.30 |
$2,265.60
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$1,167.65 |
$1,167.65 |
$1,167.65 |
$827.94
|
|
Prgrmg dev eval pm/ldls pm
|
$96.25 |
$96.25 |
$96.25 |
$139.10
|
|
Prgrmg dev eval scrms ip
|
$91.30 |
$91.30 |
$91.30 |
$126.00
|
|
Prgrmg eval implantable dfb
|
$121.55 |
$121.55 |
$121.55 |
$143.55
|
|
Prgrmg eval implantable dfb
|
$145.20 |
$145.20 |
$145.20 |
$172.33
|
|
Prgrmg eval implantable dfb
|
$135.30 |
$135.30 |
$135.30 |
$183.00
|
|
Prgr stim/pace a/iv drug
|
$3,119.05 |
$3,119.05 |
$3,119.05 |
$4,889.30
|
|
Prim art mech thrmbc non-intracranial
|
$3,644.30 |
$3,644.30 |
$3,644.30 |
$9,470.97
|
|
Prim art mech thrmbc non-intracranial add-on
|
$1,595.55 |
$1,595.55 |
$1,595.55 |
$4,380.00
|
|
Pr incision & drainage abscess complicated/multiple
|
$670.45 |
$670.45 |
$670.45 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$563.20 |
$563.20 |
$563.20 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$638.55 |
$638.55 |
$638.55 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$733.70 |
$733.70 |
$733.70 |
$615.60
|
|
Pr management transitional care high w/in 7 days of discharge
|
$282.22 |
$282.22 |
$282.22 |
$251.56
|
|
Pr management transitional care moderate w/in 14 days of discharge
|
$192.42 |
$192.42 |
$192.42 |
$198.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$95.15 |
$95.15 |
$95.15 |
$277.60
|
|
Probe cryo 1150mm endo flex ster disp
|
$3,000.59 |
$3,000.59 |
$3,000.59 |
$6,760.00
|
|
Procalcitonin
|
$112.75 |
$112.75 |
$112.75 |
$144.10
|
|
Progesterone
|
$165.00 |
$165.00 |
$165.00 |
$105.00
|
|
Prolactin
|
$174.90 |
$174.90 |
$174.90 |
$127.50
|
|
Prolng off/op e/m ea 15 min 99417
|
$76.45 |
$76.45 |
$76.45 |
$61.25
|
|
Prostate biopsy, any mthd
|
$686.95 |
$686.95 |
$686.95 |
$555.26
|
|
Protein c activity
|
$118.80 |
$118.80 |
$118.80 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$108.35 |
$108.35 |
$108.35 |
$85.20
|
|
Protein s total
|
$101.20 |
$101.20 |
$101.20 |
$78.87
|
|
Protein total 24 hour urine
|
$47.85 |
$47.85 |
$47.85 |
$52.50
|
|
Protein total body fluid
|
$52.80 |
$52.80 |
$52.80 |
$52.57
|
|
Protein total serum plasma whole blood
|
$52.80 |
$52.80 |
$52.80 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$22.55 |
$22.55 |
$22.55 |
$37.05
|
|
Pr planning advance care 1st 30 minutes
|
$132.00 |
$132.00 |
$132.00 |
$135.80
|
|
Prq cardiac angio addl art
|
$6,943.75 |
$6,943.75 |
$6,943.75 |
$5,655.72
|
|
Prq card revasc mi 1 vsl
|
$7,533.35 |
$7,533.35 |
$7,533.35 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$7,569.65 |
$7,569.65 |
$7,569.65 |
$18,340.14
|
|
Prq card stent w/angio addl
|
$6,725.40 |
$6,725.40 |
$6,725.40 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$7,279.80 |
$7,279.80 |
$7,279.80 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$6,501.55 |
$6,501.55 |
$6,501.55 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$7,262.20 |
$7,262.20 |
$7,262.20 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$10,491.80 |
$10,491.80 |
$10,491.80 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$6,612.65 |
$6,612.65 |
$6,612.65 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$11,948.20 |
$11,948.20 |
$11,948.20 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$7,643.35 |
$7,643.35 |
$7,643.35 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$404.25 |
$404.25 |
$404.25 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$275.55 |
$275.55 |
$275.55 |
$280.79
|
|
Pr removal intrauterine device
|
$426.25 |
$426.25 |
$426.25 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$737.55 |
$737.55 |
$737.55 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$516.45 |
$516.45 |
$516.45 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$598.95 |
$598.95 |
$598.95 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$492.25 |
$492.25 |
$492.25 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$563.20 |
$563.20 |
$563.20 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,329.35 |
$1,329.35 |
$1,329.35 |
$1,790.60
|
|
PSA (Prostate) Test
|
$146.85 |
$146.85 |
$146.85 |
$109.35
|
|
Psych/neuropsych test admin automated result 96146
|
$51.15 |
$51.15 |
$51.15 |
$39.77
|
|
Psychoeducation 45 min +
|
$106.70 |
$106.70 |
$106.70 |
$198.90
|
|
Psychotherapy group therapy
|
$124.30 |
$124.30 |
$124.30 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$102.30 |
$102.30 |
$102.30 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$278.85 |
$278.85 |
$278.85 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$347.05 |
$347.05 |
$347.05 |
$294.45
|
|
Psych test eval svc phys/qhp 1st hr
|
$264.55 |
$264.55 |
$264.55 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$199.10 |
$199.10 |
$199.10 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$131.45 |
$131.45 |
$131.45 |
$227.70
|
|
Psycl/nrpsyc tech 1st
|
$92.40 |
$92.40 |
$92.40 |
$330.00
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$50.05 |
$50.05 |
$50.05 |
$203.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$50.05 |
$50.05 |
$50.05 |
$153.75
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$93.50 |
$93.50 |
$93.50 |
$117.70
|
|
Psytx complex interactive
|
$44.55 |
$44.55 |
$44.55 |
$45.00
|
|
Psytx pt w/e&m 16-37 min
|
$92.95 |
$92.95 |
$92.95 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$95.15 |
$95.15 |
$95.15 |
$158.40
|
|
Psytx pt w/e&m 53+ min
|
$118.25 |
$118.25 |
$118.25 |
$183.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$54.45 |
$54.45 |
$54.45 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$12.10 |
$12.10 |
$12.10 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$66.00 |
$66.00 |
$66.00 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$52.80 |
$52.80 |
$52.80 |
$82.55
|
|
Pt application of modality traction mechanical
|
$55.55 |
$55.55 |
$55.55 |
$88.20
|