Primary Care Practices

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Service Description	CPT Code	Charge Type	PrimaryCare Practice Price
ALLERGY SHOT,SINGLE INJ PPG	95115	Prof	$21.00
ALLERGY SHOT,SINGLE INJ TP	95115	Tech	$28.00
ALLERGY TESTING,PERCUT,SEQ/INTRACUTANEOUS,W DRUGS PPG	95018	Prof	$16.00
ALLERGY TESTING,PERCUT,SEQ/INTRACUTANEOUS,W DRUGS TP	95018	Tech	$26.00
ALLERGY TESTING,PERCUT,SEQ/INTRACUTANEOUS,W VENOMS PPG	95017	Prof	$8.00
ALLERGY TESTING,PERCUT,SEQ/INTRACUTANEOUS,W VENOMS TP	95017	Tech	$26.00
ALLOGRAFT,HEMICORTICAL INTERCALARY,PARTIAL PP	20933	Prof	$1413.00
ALLOGRAFT,INTERCALARY,COMPLETE PP	20934	Prof	$1540.00
ALLOGRAFT,OSTEOARTICULAR,INCL CONTIG BONE PP	20932	Prof	$1541.00
ALLOGRAFT,STRUCTURAL,SPINE SURGERY PP	20931	Prof	$242.00
ALVEOLECTOMY,INC CURETTAGE OSTEITIS/SEQUESTRECTOMY PP	41830	Prof	$621.00
alveoloplasty in conjunction with extractions - four or more teeth or tooth spaces, per quadrant PP	D7310	Prof	$326.18
alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant PP	D7311	Prof	$100.00
alveoloplasty not in conjunction with extractions - four or more teeth or tooth spaces, per quadrant PP	D7320	Prof	$478.30
alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant PP	D7321	Prof	$19.00
ALVEOLOPLASTY,EACH QUADRANT PP	41874	Prof	$577.00
amalgam - four or more surfaces, primary or permanent PP	D2161	Prof	$321.99
amalgam - one surface, primary or permanent PP	D2140	Prof	$174.96
amalgam - three surfaces, primary or permanent PP	D2160	Prof	$272.67
amalgam - two surfaces, primary or permanent PP	D2150	Prof	$221.49