Service Description CPT Code Charge Type PrimaryCare Practice Price
GRAFT,ASCENDING AORTA GRAFT,W BYPASS,VALVE SUSPENSION,CORONARY RECONSTRUCTION PP 33864 Prof $9119.00
GRAFT,ASCENDING AORTA,W BYPASS,INCL VALVE SUSPENSION PP 33860 Prof $7037.00
GRAFT,ASCENDING AORTA,W BYPASS,W AORTIC ROOT REPLACEMENT,CORONARY RECONSTRUCTION PP 33863 Prof $8912.00
GRAFT,BONE,ANY AREA,MAJOR/LARGE PP 20902 Prof $617.00
GRAFT,BONE,ANY AREA,MINOR/SMALL PP 20900 Prof $412.00
GRAFT,BONE,MANDIBLE PP 21215 Prof $2147.00
GRAFT,BONE,NASAL/MAXILLARY OR MALAR AREAS PP 21210 Prof $2011.00
GRAFT,COMPOSITE,PRIMARY CLOSURE,DERMA-FAT-FASCIA PP 15770 Prof $1456.00
GRAFT,DESCENDING THORACIC AORTA,W/WO BYPASS PP 33875 Prof $6029.00
GRAFT,FASCIA LATA,BY INCISION,COMPLEX PP 20922 Prof $1071.00
GRAFT,FASCIA LATA,BY STRIPPER PP 20920 Prof $848.00
GRAFT,TRANSVERSE ARCH,W BYPASS PP 33871 Prof $5516.00
GRAFTING,AUTOLOGOUS SOFT TISSUE,OTHER,HARVESTED DIRECT EXCISION PP 15769 Prof $1273.00
GRAFTING,AUTOLOGOUS,FAT HARVESTED BIPOSUCTION,TRUNK/BREASTS/SCALP/ARMS/LEGS EA ADTL 50CC INJECTATE PP 15772 Prof $377.00
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,FACE/EYELIDS/MOUTH/NECK/EARS/ORBITS/GEN/HANDS/FEET,<=25CC PP 15773 Prof $1043.25
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,FACE/EYELIDS/MOUTH/NECK/EARS/ORBITS/GEN/HANDS/FEET,EA ADTL 25CC PP 15774 Prof $293.25
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,TRUNK/BREASTS/SCALP/ARMS/LEGS <=50CC INJECTATE PP 15771 Prof $1264.00
GROUP ADAPTIVE BEHAVIOR TX,PROTOCOL MODIFICATION,EA 15MIN PP 97158 Prof $169.00
GROUP ADAPTIVE BEHAVIOR TX,PROTOCOL,EA 15MIN PP 97154 Prof $169.00
GROUP COUNSELING,SUBSTANCE ABUSE,UNLICENSED PROV PP H0005 Prof $15.00
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