Service Description CPT Code Charge Type PrimaryCare Practice Price
URINE COLLECTION,OTHER DRUG TESTING,SUBST ABUSE PROG PP H0048 Prof $12.50
UROFLOWMETRY,COMPLEX PP 51741 Prof $25.00
UROGRAPHY,ANTEGRADE,RS&I PP 74425 Prof $57.00
UROGRAPHY,INTRAVENOUS,W/WO KUB,W/WO TOMOGRAPHY PP 74400 Prof $53.00
UROGRAPHY,RETROGRADE,W/WO KUB PP 74420 Prof $58.00
US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL PP 76936 Prof $571.50
US,ABD,REAL TIME W IMAGE DOCUMENTATION, LIMITED PP 76705 Prof $63.00
US,ABDOMINAL,W IMAGE DOCUM,LIMITED PPG 76705 Prof $62.00
US,ABDOMINAL,W IMAGE DOCUM,LIMITED TP 76705 Tech $130.50
US,BREAST,UNIL,INCL AXILLA,COMPLETE PP 76641 Prof $79.00
US,BREAST,UNIL,INCL AXILLA,LIMITED PP 76642 Prof $74.00
US,EXTREMITY,NONVASCULAR,IMG,LIMITED PP 76882 Prof $59.00
US,EXTREMITY,NONVASCULAR,W IMAGE DOCUM,COMPLETE PPG 76881 Prof $68.00
US,EXTREMITY,NONVASCULAR,W IMAGE DOCUM,COMPLETE TP 76881 Tech $97.50
US,EXTREMITY,NONVASCULAR,W IMAGE DOCUM,LIMITED PG 76882 Prof $59.00
US,EXTREMITY,NONVASCULAR,W IMAGE DOCUM,LIMITED TP 76882 Tech $95.50
US,FOLLOW-UP PP 76970 Prof $44.00
US,GUIDANCE,AMNIOCENTESIS,RS&I PP 76946 Prof $41.00
US,GUIDANCE,INTRAOPERATIVE PP 76998 Prof $144.00
US,OPHTHALMIC,B-SCAN PP 76512 Prof $124.00
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