Service Description CPT Code Charge Type PrimaryCare Practice Price
LYMPHADENECTOMY,INGUINOFEMORAL,SUPERFICIAL PP 38760 Prof $1801.00
LYMPHADENECTOMY,INGUINOFEMORAL,SUPERFICIAL,PELVIC PP 38765 Prof $2758.00
LYMPHADENECTOMY,LIMITED,STAGING,PELVIC/PARA-AORTIC PP 38562 Prof $1520.00
LYMPHADENECTOMY,LIMITED,STAGING,RETROPERITONEAL PP 38564 Prof $1518.00
LYMPHADENECTOMY,RETROPERITONEAL TRANSABDOMINAL,EXTENSIVE PP 38780 Prof $2197.00
LYMPHADENECTOMY,THORACIC,THORACOTOMY,MEDIASTINAL PP 38746 Prof $475.00
LYMPHANGIOGRAPHY,EXTREMITY ONLY,RSI,UNIL PP 75801 Prof $97.00
LYMPHANGIOGRAPHY,INJECTION PROCEDURE BIL PP 38790 Prof $362.00
LYMPHANGIOGRAPHY,INJECTION PROCEDURE PP 38790 Prof $181.00
LYMPHANGIOTOMY PP 38308 Prof $658.00
LYMPHATICS/LYMPH NODES IMAGING PP 78195 Prof $125.00
LYSIS ADHESIONS PP 58740 Prof $1903.00
LYSIS ADHESIONS, BLADDER PP 53899 Prof $1250.00
LYSIS OF LABIAL ADHESIONS PP 56441 Prof $322.00
LYSIS OR EXCISION POST-CIRC ADHESIONS PP 54162 Prof $423.00
MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA PP 88387 Prof $75.00
MAGNESIUM PP 83735 Tech $42.00
MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT PP 19324 Prof $1142.25
MAMMAPLASTY,AUGMENTATION,W PROSTHETIC IMPLANT PP 19325 Prof $1715.00
MAMMAPLASTY,REDUCTION PP 19318 Prof $2906.00
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