Service Description CPT Code Charge Type PrimaryCare Practice Price
APPLICATION,CAST,LONG LEG (THIGH TO TOES) PP 29345 Prof $218.00
APPLICATION,CAST,RIGID TOTAL CONTACT LEG PP 29445 Prof $249.00
APPLICATION,CAST,SHORT LEG (BELOW KNEE TO TOES) PP 29405 Prof $128.00
APPLICATION,CAST,SHORT LEG (BELOW KNEE TO TOES),WALKING PP 29425 Prof $122.00
APPLICATION,CAST,SHOULD TO HAND (LONG ARM) PP 29065 Prof $146.00
APPLICATION,CYLINDER CAST (THIGH TO ANKLE) PP 29365 Prof $189.00
APPLICATION,INTERDENTAL FIXATION DEVICE PP 21110 Prof $1445.00
APPLICATION,INTERVERTEBRAL BIOMECHANICAL DEVICES,VERTEBRAL DEFECT/INTERSPACE PP 22851 Prof $881.00
APPLICATION,ON-BODY INJECTOR,TIMED SQ INJ 96377 Tech $47.66
APPLICATION,ON-BODY INJECTOR,TIMED SQ INJ PP 96377 Prof $51.00
APPLICATION,SKIN GRAFT,FACE/EARS/GENITALIA/EXT,TOTAL AREA <=100SQ CM,1ST 25SQ CM PP 15275 Prof $256.00
APPLICATION,SKIN GRAFT,FACE/EARS/GENITALIA/EXT,TOTAL AREA <=100SQ CM,1ST 25SQ CM PPG 15275 Prof $256.00
APPLICATION,SKIN GRAFT,FACE/EARS/GENITALIA/EXT,TOTAL AREA <=100SQ CM,1ST 25SQ CM TP 15275 Tech $1423.00
APPLICATION,SKIN GRAFT,FACE/EARS/GENITALIA/EXT,TOTAL AREA <=100SQ CM,ADTL 25SQ CM PP 15276 Prof $73.00
APPLICATION,SKIN GRAFT,FACE/EARS/GENITALIA/EXT,TOTAL AREA <=100SQ CM,ADTL 25SQ CM PPG 15276 Prof $73.00
APPLICATION,SKIN GRAFT,FACE/EARS/GENITALIA/EXT,TOTAL AREA <=100SQ CM,ADTL 25SQ CM TP 15276 Tech $1423.00
APPLICATION,SKIN SUBS GRAFT,TRUNK/ARMS/LEGS,TOTAL SURFACE TO 100SQ CM,EA ADTL 25 SQ CM PP 15272 Prof $37.00
APPLICATION,SKIN SUBS GRAFT,TRUNK/ARMS/LEGS,TOTAL SURFACE TO 100SQ CM,EA ADTL 25 SQ CM PPG 15272 Prof $37.00
APPLICATION,SKIN SUBS GRAFT,TRUNK/ARMS/LEGS,TOTAL SURFACE TO 100SQ CM,EA ADTL 25 SQ CM TP 15272 Tech $1423.00
APPLICATION,SKIN SUBST GRAFT,TRUNK/ARMS/LEGS,TOTAL SURFACE TO 100SQ CM,1ST 25SQ CM OR LESS PP 15271 Prof $229.00
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