Service Description CPT Code Charge Type PrimaryCare Practice Price
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS <=250G PP 58541 Prof $1994.00
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS <=250G,RMV TUBES/OVARY(S) PP 58542 Prof $2228.00
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS >250G PP 58543 Prof $2203.00
LAPAROSCOPY,SURGICAL,SUPRACERVICAL HYSTERECTOMY,UTERUS >250G,RMV TUBES/OVARY(S) PP 58544 Prof $2457.00
LAPAROSCOPY,SURGICAL,TRANSHEPATIC CHOLANGIOGRAPY,WO BIOPSY PP 47579 Prof $572.00
LAPAROSCOPY,SURGICAL,W/FIMBRIOPLASTY PP 58672 Prof $1062.00
LAPAROSCOPY,SURGICAL,W/FULGURATION,OVIDUCTS PP 58670 Prof $846.00
LAPAROSCOPY,SURGICAL,W/LYSIS ADHESIONS PP 58660 Prof $1552.00
LAPAROSCOPY,SURGICAL,W/OCCULSION OVIDUCTS,BY DEVICE PP 58671 Prof $794.00
LAPAROSCOPY,SURGICAL,W/REMOVAL,ADNEXAL STRUCTURES PP 58661 Prof $1489.00
LAPAROSCOPY,SURGICAL,W/SALPINGOSTOMY PP 58673 Prof $1742.00
LAPAROSCOPY,SURGICAL;URETHRAL SUSPENSION,STRESS INCONTINENCE PP 51990 Prof $1851.00
LAPAROSCOPY,SX,ABLATION UTERINE FIBROID,INTRAOP US GUID,RADIOFREQUENCY PP 58674 Prof $1742.00
LAPAROSCOPY,SX,ADRENALECTOMY,PART/COMPLETE,TRANSABD,LUMBAR/DORSAL PP 60650 Prof $2682.00
LAPAROSCOPY,SX,ESOPHAGEAL SPHINCTER AUGM,PLC SPHINCTER AUGM DEV PP 43284 Prof $1409.00
LAPAROSCOPY,SX,JEJUNOSTOMY PP 44186 Prof $1419.00
LAPAROSCOPY,SX,REMOVAL ADJUST GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY PP 43772 Prof $2038.00
LAPAROSCOPY,SX,W/OMENTOPEXY PP 49326 Prof $414.00
LAPAROSCOPY,W ASPIRATION CAVITY/CYST PP 49322 Prof $813.00
LAPAROSCOPY,W REVISION PREVIOUSLY PLACED INTRAPERITONEAL CATH PP 49325 Prof $915.00
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